SelfPayRates
Hospital Green Bay, WI

Bellin Memorial Health

Bellin Memorial Health in Green Bay, WI publishes cash prices for 468 common procedures listed here, from its own machine-readable price file updated Jun 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 400 of 455 procedures and above it for 55. By typical cash price it ranks #5 of 103 Wisconsin hospitals and #1 of 6 hospitals in the Green Bay, WI area, cheapest first. Select a procedure to compare it with other hospitals nearby.

744 S Webster Ave, Green Bay, WI 54153 Collected Sep 22, 2026 Source price file Check a bill from this hospital (920) 433-3500

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 520049 · CMS hospital register NPI 1891740585

Financial assistance

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

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

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

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

Scans and imaging

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Abdominal CT scan without and with contrast CPT 74170 HCHG 74170 CT ABD W&W/O IV CONT $1,544.11 $3,335.00 $87.78–$187.66 35% below 54%
Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG 74170 CT ABD W&W/O IV CONT $1,544.11 $3,335.00 $2,144.41–$3,001.50 — 54%
Abdominal X-ray, 2 views CPT 74019 HCHG 74019 RADIOLOGIC EXAM, ABDOMEN; 2 VIEWS $177.79 $384.00 $23.69–$111.85 26% below 54%
Abdominal X-ray, 2 views inpatient CPT 74019 HCHG 74019 RADIOLOGIC EXAM, ABDOMEN; 2 VIEWS $177.79 $384.00 $246.91–$345.60 — 54%
Ankle X-ray, complete, 3 or more views CPT 73610 HCHG 73610 ANKLE 3VW ROUTINE L/R $136.12 $294.00 $23.69–$93.11 42% below 54%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HCHG 73610 ANKLE 3VW ROUTINE L/R $136.12 $294.00 $189.04–$264.60 — 54%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG 93922 TRANSCUTANEOUS MONITOR-DAILY CHG $126.40 $273.00 $46.46–$142.35 67% below 54%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG 93922 NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 $126.40 $273.00 $46.46–$142.35 67% below 54%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG 93922 TRANSCUTANEOUS MNTR-SBSQU DAYS $126.40 $273.00 $46.46–$142.35 67% below 54%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG 93922 NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 $126.40 $273.00 $175.54–$245.70 — 54%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG 93922 TRANSCUTANEOUS MONITOR-DAILY CHG $126.40 $273.00 $175.54–$245.70 — 54%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG 93922 TRANSCUTANEOUS MNTR-SBSQU DAYS $126.40 $273.00 $175.54–$245.70 — 54%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HCHG 73200 CT UPR EXT W/O IV CONT $861.64 $1,861.00 $45.36–$111.85 40% below 54%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HCHG 73200 CT UPR EXT W/O IV CONT $861.64 $1,861.00 $1,196.62–$1,674.90 — 54%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG 74220 XRAY, ESOPHAGUS, INCL SCOUT CHEST; SINGLE CONTRAST ST $269.47 $582.00 $23.69–$187.66 49% below 54%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG 74220 XRAY, ESOPHAGUS, INCL SCOUT CHEST; SINGLE CONTRAST ST $269.47 $582.00 $374.23–$523.80 — 54%
Bone scan, whole body (nuclear medicine) CPT 78306 HCHG 78306 BONE SCAN-ROUTINE $454.20 $981.00 $157.28–$427.71 70% below 54%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HCHG 78306 BONE SCAN-ROUTINE $454.20 $981.00 $630.78–$882.90 — 54%
Breast ultrasound, complete, one breast one side CPT 76641 HCHG 76641 US BREAST UNILATERAL COMPLETE $387.07 $836.00 $46.46–$111.85 27% below 54%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG 76641 US BREAST UNILATERAL COMPLETE $387.07 $836.00 $537.55–$752.40 — 54%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG 76642 US BREAST UNILATERAL LIMITED $230.11 $497.00 $43.55–$93.11 41% below 54%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG 76642 US BREAST UNILATERAL LIMITED $230.11 $497.00 $319.57–$447.30 — 54%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HCHG 74174 CTA ABD & PELVIS W/CONTRAST,INCL NONCONT $1,747.36 $3,774.00 $168.38–$373.25 43% below 54%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HCHG 74174 CTA ABD & PELVIS W/CONTRAST,INCL NONCONT $1,747.36 $3,774.00 $2,426.68–$3,396.60 — 54%
CT angiography (CTA) of the head CPT 70496 HCHG 70496 CT ANGIO HEAD W/O&W IV CONT $1,644.11 $3,551.00 $87.78–$187.66 21% below 54%
CT angiography (CTA) of the head inpatient CPT 70496 HCHG 70496 CT ANGIO HEAD W/O&W IV CONT $1,644.11 $3,551.00 $2,283.29–$3,195.90 — 54%
CT angiography (CTA) of the neck CPT 70498 HCHG 70498 CT ANGIO NECK W/O&W IV CONT $1,641.34 $3,545.00 $87.78–$187.66 19% below 54%
CT angiography (CTA) of the neck inpatient CPT 70498 HCHG 70498 CT ANGIO NECK W/O&W IV CONT $1,641.34 $3,545.00 $2,279.44–$3,190.50 — 54%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG 71275 CT ANGIO CHEST WO&W IV CONT $1,676.06 $3,620.00 $87.78–$187.66 17% below 54%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG 71275 CT ANGIO CHEST WO&W IV CONT $1,676.06 $3,620.00 $2,327.66–$3,258.00 — 54%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HCHG 75574 CCTA HEART W/CONTRAST $2,029.33 $4,383.00 $168.38–$373.25 16% above 54%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HCHG 75574 CCTA HEART W/CONTRAST $2,029.33 $4,383.00 $2,818.27–$3,944.70 — 54%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG 75571 CT HEART W/O CONTRAST W/QUANT EVAL COR CALC $34.73 $75.00 $43.55–$93.11 46% below 54%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG 75571 CT HEART W/O CONTRAST W/QUANT EVAL COR CALC $34.73 $75.00 $48.23–$67.50 — 54%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG 74176 CT ABD&PELVIS; W/O CONTRAST $909.33 $1,964.00 $119.41–$255.27 64% below 54%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG 74176 CT ABD&PELVIS; W/O CONTRAST $909.33 $1,964.00 $1,262.85–$1,767.60 — 54%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG 74177 CT ABD&PELVIS;W/CONTRAST $1,767.73 $3,818.00 $136.65–$373.25 45% below 54%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG 74177 CT ABD&PELVIS;W/CONTRAST $1,767.73 $3,818.00 $2,454.97–$3,436.20 — 54%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG 74178 CT ABD&PELVIS;W/O,W/CONTRAST $2,029.33 $4,383.00 $136.65–$373.25 45% below 54%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG 74178 CT ABD&PELVIS;W/O,W/CONTRAST $2,029.33 $4,383.00 $2,818.27–$3,944.70 — 54%
CT scan of the abdomen with contrast CPT 74160 HCHG 74160 CT ABDOMEN W/IV CONT $1,342.24 $2,899.00 $87.78–$187.66 18% below 54%
CT scan of the abdomen with contrast inpatient CPT 74160 HCHG 74160 CT ABDOMEN W/IV CONT $1,342.24 $2,899.00 $1,864.06–$2,609.10 — 54%
CT scan of the abdomen without contrast CPT 74150 HCHG 74150 CT ABDOMEN W/O IV CONT $720.43 $1,556.00 $45.36–$111.85 43% below 54%
CT scan of the abdomen without contrast inpatient CPT 74150 HCHG 74150 CT ABDOMEN W/O IV CONT $720.43 $1,556.00 $1,000.51–$1,400.40 — 54%
CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG 70486 CT MAXILLA W/O IV CONT $771.82 $1,667.00 $45.36–$111.85 45% below 54%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG 70486 CT MAXILLA W/O IV CONT $771.82 $1,667.00 $1,071.88–$1,500.30 — 54%
CT scan of the head or brain, no contrast dye CPT 70450 HCHG 70450 CT HEAD W/O IV CONT $588.01 $1,270.00 $52.32–$136.65 54% below 54%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG 70450 CT HEAD W/O IV CONT $588.01 $1,270.00 $816.61–$1,143.00 — 54%
CT scan of the head with contrast CPT 70460 HCHG 70460 CT HEAD W/IV CONT $852.38 $1,841.00 $87.78–$187.66 45% below 54%
CT scan of the head with contrast inpatient CPT 70460 HCHG 70460 CT HEAD W/IV CONT $852.38 $1,841.00 $1,183.76–$1,656.90 — 54%
CT scan of the head without and with contrast CPT 70470 HCHG 70470 CT HEAD W&W/O IV CONT $1,026.01 $2,216.00 $87.78–$187.66 44% below 54%
CT scan of the head without and with contrast inpatient CPT 70470 HCHG 70470 CT HEAD W&W/O IV CONT $1,026.01 $2,216.00 $1,424.89–$1,994.40 — 54%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG 72131 CT SPINE L W/O IV CONT $758.86 $1,639.00 $45.36–$111.85 51% below 54%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG 72131 CT SPINE L W/O IV CONT $758.86 $1,639.00 $1,053.88–$1,475.10 — 54%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG 72125 CT SPINE C W/O IV CONT $775.53 $1,675.00 $45.36–$111.85 50% below 54%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG 72125 CT SPINE C W/O IV CONT $775.53 $1,675.00 $1,077.03–$1,507.50 — 54%
CT scan of the pelvis, with contrast dye CPT 72193 HCHG 72193 CT PELVIS W/IV CONT $1,344.55 $2,904.00 $87.78–$187.66 18% below 54%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG 72193 CT PELVIS W/IV CONT $1,344.55 $2,904.00 $1,867.27–$2,613.60 — 54%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HCHG 93880 US CAROTID/DOPPLER $283.82 $613.00 $70.38–$255.27 71% below 54%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HCHG 93880 US CAROTID/DOPPLER $283.82 $613.00 $394.16–$551.70 — 54%
Chest CT scan without and with contrast CPT 71270 HCHG 71270 CT THORAX, DIAGNOSTIC; W/O & W/IV CONTRAST $1,332.98 $2,879.00 $87.78–$187.66 42% below 54%
Chest CT scan without and with contrast inpatient CPT 71270 HCHG 71270 CT THORAX, DIAGNOSTIC; W/O & W/IV CONTRAST $1,332.98 $2,879.00 $1,851.20–$2,591.10 — 54%
Chest X-ray, 2 views CPT 71046 HCHG 71046 RADIOLOGIC EXAM, CHEST; 2 VIEWS $141.68 $306.00 $23.69–$93.11 34% below 54%
Chest X-ray, 2 views inpatient CPT 71046 HCHG 71046 RADIOLOGIC EXAM, CHEST; 2 VIEWS $141.68 $306.00 $196.76–$275.40 — 54%
Chest X-ray, single view CPT 71045 HCHG 71045 RADIOLOGIC EXAM, CHEST; SINGLE VIEW $104.64 $226.00 $23.69–$93.11 35% below 54%
Chest X-ray, single view inpatient CPT 71045 HCHG 71045 RADIOLOGIC EXAM, CHEST; SINGLE VIEW $104.64 $226.00 $145.32–$203.40 — 54%
Collarbone (clavicle) X-ray, complete CPT 73000 HCHG 73000 CLAVICLE COMPLETE 1-2 VIEWS $135.66 $293.00 $23.69–$93.11 34% below 54%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HCHG 73000 CLAVICLE COMPLETE 1-2 VIEWS $135.66 $293.00 $188.40–$263.70 — 54%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG 76770 US RENAL $349.10 $754.00 $52.32–$111.85 36% below 54%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG 76770 US RENAL $349.10 $754.00 $484.82–$678.60 — 54%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG 77080 BONE DENSTOMETRY $215.30 $465.00 $32.16–$111.85 46% below 54%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG 77080 BONE DENSTOMETRY $215.30 $465.00 $299.00–$418.50 — 54%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HCHG 77081 BONE DENSITY-PERIPHERAL $122.70 $265.00 $32.16–$93.11 57% below 54%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HCHG 77081 BONE DENSITY-PERIPHERAL $122.70 $265.00 $170.40–$238.50 — 54%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG 76811 US OB,DETAILED,SNGL FETUS $429.20 $927.00 $42.60–$255.27 37% below 54%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HCHG 76811 US OB,DETAILED,SNGL FETUS $429.20 $927.00 $596.06–$834.30 — 54%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG 71250 CT, THORAX, DIAGNOSTIC; W/O CONTRAST $763.95 $1,650.00 $45.36–$111.85 47% below 54%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG 71250 CT, THORAX, DIAGNOSTIC; W/O CONTRAST $763.95 $1,650.00 $1,060.95–$1,485.00 — 54%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG 71260 CT, THORAX, DIAGNOSTIC; W/CONTRAST $1,076.48 $2,325.00 $87.78–$187.66 34% below 54%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG 71260 CT, THORAX, DIAGNOSTIC; W/CONTRAST $1,076.48 $2,325.00 $1,494.98–$2,092.50 — 54%
Diagnostic mammogram, both breasts both sides CPT 77066 HCHG 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, BILATERAL $219.93 $475.00 $305.43–$427.50 — 54%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, BILATERAL $219.93 $475.00 $305.43–$427.50 — 54%
Diagnostic mammogram, one breast one side CPT 77065 HCHG 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, UNILATERAL $173.16 $374.00 $240.48–$336.60 44% below 54%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, UNILATERAL $173.16 $374.00 $240.48–$336.60 — 54%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG 93925 US LWR EXT ARTERY BILAT $374.10 $808.00 $70.38–$255.27 — 54%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG 93925 US LWR EXT ARTERY BILAT $374.10 $808.00 $519.54–$727.20 — 54%
Duplex ultrasound of the leg veins, both legs CPT 93970 HCHG 93970 DUPLEX SCAN EXT VEINS BIL $278.26 $601.00 $70.38–$255.27 77% below 54%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HCHG 93970 DUPLEX SCAN EXT VEINS BIL $278.26 $601.00 $386.44–$540.90 — 54%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG 93306 TRANSTHO ECHO W/CONTRAST $866.27 $1,871.00 $200.03–$584.60 51% below 54%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG 93306 TRANSTHOR ECHO COMPLETE $866.27 $1,871.00 $200.03–$584.60 51% below 54%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG 93306 TRANSTHO ECHO W/CONTRAST $866.27 $1,871.00 $1,203.05–$1,683.90 — 54%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG 93306 TRANSTHOR ECHO COMPLETE $866.27 $1,871.00 $1,203.05–$1,683.90 — 54%
Elbow X-ray, 2 views CPT 73070 HCHG 73070 ELBOW 2VW L/R $135.20 $292.00 $23.69–$93.11 29% below 54%
Elbow X-ray, 2 views inpatient CPT 73070 HCHG 73070 ELBOW 2VW L/R $135.20 $292.00 $187.76–$262.80 — 54%
Elbow X-ray, 2 views inpatient CPT 73070 HCHG ELBOW 1V $135.20 $292.00 $144.54–$262.80 — 54%
Elbow X-ray, complete, 3 or more views CPT 73080 HCHG 73080 ELBOW TRAUMA 3VW L/R $136.12 $294.00 $23.69–$93.11 42% below 54%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HCHG 73080 ELBOW TRAUMA 3VW L/R $136.12 $294.00 $189.04–$264.60 — 54%
Eye socket (orbit) CT scan without contrast CPT 70480 HCHG 70480 CT ORB TEMP B IAC W/O IV CONT $935.26 $2,020.00 $45.36–$111.85 35% below 54%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG 70480 CT ORB TEMP B IAC W/O IV CONT $935.26 $2,020.00 $1,298.86–$1,818.00 — 54%
Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG 70150 FACIAL BONES $221.31 $478.00 $23.69–$111.85 26% below 54%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG 70150 FACIAL BONES $221.31 $478.00 $307.35–$430.20 — 54%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HCHG 73090 FOREARM L/R $135.66 $293.00 $23.69–$93.11 31% below 54%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HCHG 73090 FOREARM L/R $135.66 $293.00 $188.40–$263.70 — 54%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG 78226 HEPATOBILIARY SYSTEM IMAGING $553.75 $1,196.00 $157.28–$427.71 63% below 54%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HCHG 78226 HEPATOBILIARY SYSTEM IMAGING $553.75 $1,196.00 $769.03–$1,076.40 — 54%
Hand X-ray, 2 views CPT 73120 HCHG 73120 HAND 1-2 VIEWS $162.98 $352.00 $23.69–$111.85 14% below 54%
Hand X-ray, 2 views inpatient CPT 73120 HCHG 73120 HAND 1-2 VIEWS $162.98 $352.00 $226.34–$316.80 — 54%
Hand X-ray, 2 views inpatient CPT 73120 HCHG HAND 1V $162.98 $352.00 $174.24–$316.80 — 54%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HCHG 73650 HEEL 1-2VW L/R $135.20 $292.00 $23.69–$93.11 32% below 54%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HCHG 73650 HEEL 1-2VW L/R $135.20 $292.00 $187.76–$262.80 — 54%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG 95806 SLEEP STUDY UNATTENDED, SIMULTANEOUS RECORDING $485.22 $1,048.00 $65.30–$231.02 21% below 54%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG 95806 SLEEP STUDY UNATTENDED, SIMULTANEOUS RECORDING $485.22 $1,048.00 $673.86–$943.20 — 54%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG 95811 POLYSOMNOGRAPHY POSITIVE AIRWAY PRESSURE TITRATION $1,884.41 $4,070.00 $326.83–$996.18 49% below 54%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG 95811 POLYSOMNOGRAPHY 6/+ YRS W/CPAP $2,527.98 $5,460.00 $326.83–$996.18 31% below 54%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG 95811 POLYSOMNOGRAPHY POSITIVE AIRWAY PRESSURE TITRATION $1,884.41 $4,070.00 $2,617.01–$3,663.00 — 54%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG 95811 POLYSOMNOGRAPHY 6/+ YRS W/CPAP $2,527.98 $5,460.00 $3,510.78–$4,914.00 — 54%
Knee X-ray, 3 views CPT 73562 HCHG 73562 KNEE 3 VW SPCFY L/R $137.51 $297.00 $23.69–$93.11 46% below 54%
Knee X-ray, 3 views inpatient CPT 73562 HCHG 73562 KNEE 3 VW SPCFY L/R $137.51 $297.00 $190.97–$267.30 — 54%
Knee X-ray, complete, 4 or more views CPT 73564 HCHG 73564 KNEE 4 VW SPCFY L/R $235.67 $509.00 $23.69–$111.85 15% below 54%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HCHG 73564 KNEE 4 VW SPCFY L/R $235.67 $509.00 $327.29–$458.10 — 54%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HCHG 73700 CT LWR EXT W/O IV CONT $861.64 $1,861.00 $45.36–$111.85 41% below 54%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HCHG 73700 CT LWR EXT W/O IV CONT $861.64 $1,861.00 $1,196.62–$1,674.90 — 54%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG 76705 US ABDOMEN; LIMITED $375.03 $810.00 $46.46–$111.85 16% below 54%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG 76705 US ABDOMEN; LIMITED $375.03 $810.00 $520.83–$729.00 — 54%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HCHG 76882 ULTRASOUND, LIMITED, JOINT OR OTHER NONVASC STRUCTURE $223.17 $482.00 $46.46–$111.85 22% below 54%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HCHG 76882 ULTRASOUND, LIMITED, JOINT OR OTHER NONVASC STRUCTURE $223.17 $482.00 $309.93–$433.80 — 54%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG 71271 CT, THORAX, LOW DOSE FOR CA SCREENING, WO CONTRAST $164.37 $355.00 $45.36–$111.85 63% below 54%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG 71271 CT, THORAX, LOW DOSE FOR CA SCREENING, WO CONTRAST $164.37 $355.00 $228.27–$319.50 — 54%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HCHG 73590 TIBIA+FIBULA L/R $135.66 $293.00 $23.69–$93.11 36% below 54%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HCHG 73590 TIBIA+FIBULA L/R $135.66 $293.00 $188.40–$263.70 — 54%
MR angiography (MRA) of the head without contrast CPT 70544 HCHG 70544 MRA-HEAD W/O CONTRAST $1,574.20 $3,400.00 $119.41–$255.27 29% below 54%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HCHG 70544 MRA-HEAD W/O CONTRAST $1,574.20 $3,400.00 $2,186.20–$3,060.00 — 54%
MRI of both breasts, without and then with contrast dye CPT 77049 HCHG 77049 MRI, BREAST, WWO CONTRAST MATERIAL; BIILATERAL $614.40 $1,327.00 $656.87–$1,194.30 87% below 54%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HCHG 77049 MRI, BREAST, WWO CONTRAST MATERIAL; BIILATERAL $614.40 $1,327.00 $656.87–$1,194.30 — 54%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST $1,359.37 $2,936.00 $102.12–$255.27 38% below 54%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST $1,359.37 $2,936.00 $1,887.85–$2,642.40 — 54%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT $2,819.21 $6,089.00 $171.77–$373.25 17% below 54%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT $2,819.21 $6,089.00 $3,915.23–$5,480.10 — 54%
MRI of the abdomen without contrast CPT 74181 HCHG 74181 MRI-ABDOMEN W/O CONTRAST $1,643.19 $3,549.00 $102.12–$255.27 26% below 54%
MRI of the abdomen without contrast inpatient CPT 74181 HCHG 74181 MRI-ABDOMEN W/O CONTRAST $1,643.19 $3,549.00 $2,282.01–$3,194.10 — 54%
MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG 74183 MRI-ABDOMEN WO & W/CONTRAST $2,550.67 $5,509.00 $171.77–$373.25 25% below 54%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG 74183 MRI-ABDOMEN WO & W/CONTRAST $2,550.67 $5,509.00 $3,542.29–$4,958.10 — 54%
MRI of the brain, no contrast dye CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) $1,259.82 $2,721.00 $102.12–$255.27 43% below 54%
MRI of the brain, no contrast dye inpatient CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) $1,259.82 $2,721.00 $1,749.60–$2,448.90 — 54%
MRI of the brain, with and without contrast dye CPT 70553 HCHG 70553 MRI BRAIN WWO CONTRAST (RESEARCH, CREST-H STUDY) $472.26 $1,020.00 $171.77–$373.25 86% below 54%
MRI of the brain, with and without contrast dye CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST $2,120.08 $4,579.00 $171.77–$373.25 38% below 54%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG 70553 MRI BRAIN WWO CONTRAST (RESEARCH, CREST-H STUDY) $472.26 $1,020.00 $655.86–$918.00 — 54%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST $2,120.08 $4,579.00 $2,944.30–$4,121.10 — 54%
MRI of the lower back, no contrast dye CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST $1,207.97 $2,609.00 $102.12–$255.27 45% below 54%
MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST $1,207.97 $2,609.00 $1,677.59–$2,348.10 — 54%
MRI of the lower back, without and then with contrast dye CPT 72158 HCHG 72158 MRI L-SPINE W&WO CONTRAST $2,127.95 $4,596.00 $171.77–$373.25 38% below 54%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG 72158 MRI L-SPINE W&WO CONTRAST $2,127.95 $4,596.00 $2,955.23–$4,136.40 — 54%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG 72146 MRI-THORACIC SPINE W/O CONTRAS $1,210.75 $2,615.00 $102.12–$255.27 45% below 54%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG 72146 MRI-THORACIC SPINE W/O CONTRAS $1,210.75 $2,615.00 $1,681.45–$2,353.50 — 54%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG 72156 MRI C-SPINE W&WO CONTRAST $2,135.82 $4,613.00 $171.77–$373.25 37% below 54%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG 72156 MRI C-SPINE W&WO CONTRAST $2,135.82 $4,613.00 $2,966.16–$4,151.70 — 54%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG 72141 MRI-CERVICAL SPINE W/O CONTRAS $1,207.97 $2,609.00 $102.12–$255.27 45% below 54%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG 72141 MRI-CERVICAL SPINE W/O CONTRAS $1,207.97 $2,609.00 $1,677.59–$2,348.10 — 54%
MRI of the pelvis without and with contrast CPT 72197 HCHG 72197 MRI-PELVIS WO & W/CONTRAST $2,541.41 $5,489.00 $171.77–$373.25 26% below 54%
MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG 72197 MRI-PELVIS WO & W/CONTRAST $2,541.41 $5,489.00 $3,529.43–$4,940.10 — 54%
MRI of the pelvis, no contrast dye CPT 72195 HCHG 72195 MRI PELVIS W/O CONTRAST $1,645.04 $3,553.00 $102.12–$255.27 26% below 54%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG 72195 MRI PELVIS W/O CONTRAST $1,645.04 $3,553.00 $2,284.58–$3,197.70 — 54%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HCHG 73221 MRI-UP EXTRM-JOINT W/O CONTRAS $1,359.37 $2,936.00 $102.12–$255.27 38% below 54%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HCHG 73221 MRI-UP EXTRM-JOINT W/O CONTRAS $1,359.37 $2,936.00 $1,887.85–$2,642.40 — 54%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HCHG 72050 SPINE CERVICAL 4-5 VIEWS SPEC $224.56 $485.00 $23.69–$111.85 30% below 54%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG 72050 SPINE CERVICAL 4-5 VIEWS SPEC $224.56 $485.00 $311.86–$436.50 — 54%
Neck soft tissue CT scan with contrast CPT 70491 HCHG 70491 CT NECK SOFT TIS W/IV CONT $1,074.16 $2,320.00 $87.78–$187.66 35% below 54%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HCHG 70491 CT NECK SOFT TIS W/IV CONT $1,074.16 $2,320.00 $1,491.76–$2,088.00 — 54%
Neck soft tissue CT scan without contrast CPT 70490 HCHG 70490 CT NECK SOFT TIS W/O IV CONT $824.14 $1,780.00 $45.36–$111.85 42% below 54%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HCHG 70490 CT NECK SOFT TIS W/O IV CONT $824.14 $1,780.00 $1,144.54–$1,602.00 — 54%
Neck soft tissue X-ray CPT 70360 HCHG 70360 NECK SOFT TISSUE 1VW $135.66 $293.00 $23.69–$93.11 35% below 54%
Neck soft tissue X-ray inpatient CPT 70360 HCHG 70360 NECK SOFT TISSUE 1VW $135.66 $293.00 $188.40–$263.70 — 54%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG 78452 MYOCARDIAL PERFUSION IMAGING, TOMOGRAPHIC (SPECT); MU $1,609.85 $3,477.00 $387.65–$1,385.13 48% below 54%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG 78452 MYOCARDIAL PERFUSION IMAGING, TOMOGRAPHIC (SPECT); MU $1,609.85 $3,477.00 $2,235.71–$3,129.30 — 54%
OCT scan of the retina (optical coherence tomography) CPT 92134 HCHG 92134 COMPUTERIZED OPHTHALMIC DIAG IMAGING RETINA $76.86 $166.00 $24.79–$63.11 80% above 54%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HCHG 92134 COMPUTERIZED OPHTHALMIC DIAG IMAGING RETINA $76.86 $166.00 $106.74–$149.40 — 54%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HCHG 78815 PET/CT;SKULL BASE TO MID-THIGH $2,240.46 $4,839.00 $594.61–$1,529.88 47% below 54%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HCHG 78815 PET/CT;SKULL BASE TO MID-THIGH $2,240.46 $4,839.00 $3,111.48–$4,355.10 — 54%
Pelvic CT scan without contrast CPT 72192 HCHG 72192 CT PELVIS W/O IV CONT $733.39 $1,584.00 $45.36–$111.85 43% below 54%
Pelvic CT scan without contrast inpatient CPT 72192 HCHG 72192 CT PELVIS W/O IV CONT $733.39 $1,584.00 $1,018.51–$1,425.60 — 54%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG 76857 US, PELVIC (NON-OB); LIMITED $214.37 $463.00 $46.46–$111.85 46% below 54%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG 76857 US,NON-OB,LTD,FERTILITY $50.93 $110.00 $54.45–$99.00 — 54%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG 76857 US, PELVIC (NON-OB); LIMITED $214.37 $463.00 $297.71–$416.70 — 54%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG 76856 US PELVIS $343.08 $741.00 $52.32–$111.85 35% below 54%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG 76856 US PELVIS $343.08 $741.00 $476.46–$666.90 — 54%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER $464.85 $1,004.00 $42.60–$111.85 19% below 54%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER $464.85 $1,004.00 $645.57–$903.60 — 54%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG 76801 US OB <14WKS,SNGL FETUS $429.20 $927.00 $42.60–$111.85 16% below 54%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG 76801 US OB <14WKS,SNGL FETUS $429.20 $927.00 $596.06–$834.30 — 54%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG 76815 US OB-LIMITED (SINGLE) $384.75 $831.00 $42.60–$111.85 5% above 54%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG 76815 US OB-LIMITED (SINGLE) $384.75 $831.00 $534.33–$747.90 — 54%
Rib X-ray, one side, 2 views one side CPT 71100 HCHG 71100 RIB UNILAT (1-2 VW) L/R $140.75 $304.00 $23.69–$93.11 37% below 54%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG 71100 RIB UNILAT (1-2 VW) L/R $140.75 $304.00 $195.47–$273.60 — 54%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HCHG 71101 X/R-RIBS-W/PA CHEST-MIN 3 VIEW $201.87 $436.00 $23.69–$111.85 27% below 54%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HCHG 71101 X/R-RIBS-W/PA CHEST-MIN 3 VIEW $201.87 $436.00 $280.35–$392.40 — 54%
Screening mammogram, both breasts both sides CPT 77067 HCHG 77067 SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD $139.83 $302.00 $194.19–$271.80 — 54%
Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG 77067 SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD $139.83 $302.00 $194.19–$271.80 — 54%
Shoulder X-ray, complete, 2 or more views CPT 73030 HCHG 73030 SHOULDER 2VW L/R (ROUT) $137.51 $297.00 $23.69–$93.11 41% below 54%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HCHG 73030 SHOULDER 2VW L/R (ROUT) $137.51 $297.00 $190.97–$267.30 — 54%
Sinus X-ray, complete, 3 or more views CPT 70220 HCHG 70220 SINUS MORE THAN 3VW (ROUTINE) $143.53 $310.00 $23.69–$93.11 46% below 54%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG 70220 SINUS MORE THAN 3VW (ROUTINE) $143.53 $310.00 $199.33–$279.00 — 54%
Skull X-ray, fewer than 4 views CPT 70250 HCHG 70250 SKULL; LESS THAN 4VW $196.31 $424.00 $23.69–$111.85 20% below 54%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG 70250 SKULL; LESS THAN 4VW $196.31 $424.00 $272.63–$381.60 — 54%
Sleep study in a lab (polysomnography) CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS $2,515.48 $5,433.00 $326.83–$996.18 26% below 54%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS $2,515.48 $5,433.00 $3,493.42–$4,889.70 — 54%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HCHG 93351 STRESS ECHO W/CONT ECG W/CONTRAST $1,065.83 $2,302.00 $200.03–$584.60 48% below 54%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HCHG 93351 STRESS ECHO W/CONT ELECT MONIT $1,065.83 $2,302.00 $200.03–$584.60 48% below 54%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HCHG 93351 STRESS ECHO W/CONT ECG W/CONTRAST $1,065.83 $2,302.00 $1,480.19–$2,071.80 — 54%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HCHG 93351 STRESS ECHO W/CONT ELECT MONIT $1,065.83 $2,302.00 $1,480.19–$2,071.80 — 54%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG 74230 SWALLOW FUNCTION W/CINE/VIDEO INCL SCOUT NECK IMAGES, $242.61 $524.00 $49.52–$187.66 47% below 54%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG 74230 SWALLOW FUNCTION W/CINE/VIDEO INCL SCOUT NECK IMAGES, $242.61 $524.00 $336.93–$471.60 — 54%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HCHG 73552 X/R FEMUR MINIMUM OF 2 VIEWS $120.84 $261.00 $23.69–$93.11 51% below 54%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG 73552 X/R FEMUR MINIMUM OF 2 VIEWS $120.84 $261.00 $167.82–$234.90 — 54%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HCHG 72128 CT SPINE T W/O IV CONT $758.86 $1,639.00 $45.36–$111.85 51% below 54%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HCHG 72128 CT SPINE T W/O IV CONT $758.86 $1,639.00 $1,053.88–$1,475.10 — 54%
Toe X-ray, 2 or more views CPT 73660 HCHG 73660 TOES SPECIFY L/R $131.96 $285.00 $23.69–$93.11 35% below 54%
Toe X-ray, 2 or more views inpatient CPT 73660 HCHG 73660 TOES SPECIFY L/R $131.96 $285.00 $183.26–$256.50 — 54%
Transvaginal pelvic ultrasound CPT 76830 HCHG 76830 BASELINE MONITORING SONOGRAPHY $441.70 $954.00 $46.46–$111.85 6% below 54%
Transvaginal pelvic ultrasound CPT 76830 HCHG 76830 US PELVIS TRANSVAG $441.70 $954.00 $46.46–$111.85 6% below 54%
Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG 76830 US PELVIS TRANSVAG $441.70 $954.00 $613.42–$858.60 — 54%
Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG 76830 BASELINE MONITORING SONOGRAPHY $441.70 $954.00 $613.42–$858.60 — 54%
Transvaginal ultrasound during pregnancy CPT 76817 HCHG 76817 US OB TRANSVAGINAL $297.71 $643.00 $42.60–$111.85 24% below 54%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG 76817 US OB TRANSVAGINAL $297.71 $643.00 $413.45–$578.70 — 54%
Ultrasound of the abdomen, complete CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) $405.13 $875.00 $52.32–$111.85 40% below 54%
Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) $405.13 $875.00 $562.63–$787.50 — 54%
Ultrasound of the scrotum and testicles CPT 76870 HCHG 76870 US TESTICULAR $300.02 $648.00 $46.46–$111.85 39% below 54%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG 76870 US TESTICULAR $300.02 $648.00 $416.66–$583.20 — 54%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG 76536 US SOFT TISSUES HEAD AND NECK $371.33 $802.00 $46.46–$111.85 27% below 54%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG 76536 US SOFT TISSUES HEAD AND NECK $371.33 $802.00 $515.69–$721.80 — 54%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG 74240 RADIOLOGIC EXAM, UPPER GI TRACT, INCL ABD/DELAYED IMA $293.08 $633.00 $49.52–$187.66 57% below 54%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG 74240 RADIOLOGIC EXAM, UPPER GI TRACT, INCL ABD/DELAYED IMA $293.08 $633.00 $407.02–$569.70 — 54%
Upper arm X-ray (humerus), 2 views CPT 73060 HCHG 73060 HUMERUS L/R $135.66 $293.00 $23.69–$93.11 35% below 54%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HCHG 73060 HUMERUS L/R $135.66 $293.00 $188.40–$263.70 — 54%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HCHG 93971 DUPLEX SCAN EXT VEINS UNI $166.22 $359.00 $46.46–$111.85 77% below 54%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HCHG 93971 DUPLEX SCAN EXT VEINS UNI $166.22 $359.00 $230.84–$323.10 — 54%
Wrist X-ray, 2 views CPT 73100 HCHG 73100 WRIST 1-2 VIEWS $135.66 $293.00 $23.69–$93.11 37% below 54%
Wrist X-ray, 2 views inpatient CPT 73100 HCHG 73100 WRIST 1-2 VIEWS $135.66 $293.00 $188.40–$263.70 — 54%
Wrist X-ray, complete, 3 or more views CPT 73110 HCHG 73110 WRIST 3VWS ROUTINE L/R $136.12 $294.00 $23.69–$93.11 46% below 54%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG 73110 WRIST 3VWS ROUTINE L/R $136.12 $294.00 $189.04–$264.60 — 54%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG 73502 X/R HIP, UNILATERAL, W/PELVIS WHEN PERFORMED, 2-3 VIE $123.16 $266.00 $23.69–$93.11 58% below 54%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG 73502 X/R HIP, UNILATERAL, W/PELVIS WHEN PERFORMED, 2-3 VIE $123.16 $266.00 $171.04–$239.40 — 54%
X-ray of the abdomen, 1 view CPT 74018 HCHG 74018 RADIOLOGIC EXAM, ABDOMEN; 1 VIEW $148.16 $320.00 $23.69–$93.11 30% below 54%
X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG 74018 RADIOLOGIC EXAM, ABDOMEN; 1 VIEW $148.16 $320.00 $205.76–$288.00 — 54%
X-ray of the ankle, 2 views CPT 73600 HCHG 73600 ANKLE 1-2 VIEWS $135.66 $293.00 $23.69–$93.11 32% below 54%
X-ray of the ankle, 2 views inpatient CPT 73600 HCHG 73600 ANKLE 1-2 VIEWS $135.66 $293.00 $188.40–$263.70 — 54%
X-ray of the finger(s), 2 or more views CPT 73140 HCHG 73140 FINGER (SPCFY) L/R $132.42 $286.00 $23.69–$93.11 46% below 54%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG 73140 FINGER (SPCFY) L/R $132.42 $286.00 $183.90–$257.40 — 54%
X-ray of the foot, 2 views CPT 73620 HCHG 73620 FOOT L/R 1-2 VIEWS $134.27 $290.00 $23.69–$93.11 29% below 54%
X-ray of the foot, 2 views inpatient CPT 73620 HCHG 73620 FOOT L/R 1-2 VIEWS $134.27 $290.00 $186.47–$261.00 — 54%
X-ray of the foot, 2 views inpatient CPT 73620 HCHG FOOT 1V $163.44 $353.00 $174.74–$317.70 — 54%
X-ray of the foot, complete, 3 or more views CPT 73630 HCHG 73630 FOOT 3V ROUTINE L/R $135.66 $293.00 $23.69–$93.11 44% below 54%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HCHG 73630 FOOT 3V ROUTINE L/R $135.66 $293.00 $188.40–$263.70 — 54%
X-ray of the hand, 3 or more views CPT 73130 HCHG 73130 HAND 3V ROUTINE L/R $136.12 $294.00 $23.69–$93.11 42% below 54%
X-ray of the hand, 3 or more views inpatient CPT 73130 HCHG 73130 HAND 3V ROUTINE L/R $136.12 $294.00 $189.04–$264.60 — 54%
X-ray of the knee, 1 or 2 views CPT 73560 HCHG 73560 KNEE 1-2 VIEWS SPEC $135.66 $293.00 $23.69–$93.11 36% below 54%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HCHG 73560 KNEE 1-2 VIEWS SPEC $135.66 $293.00 $188.40–$263.70 — 54%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG 72100 SPINE LUMBAR (ROUT) 2-3VWS $196.31 $424.00 $23.69–$111.85 33% below 54%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG 72100 SPINE LUMBAR (ROUT) 2-3VWS $196.31 $424.00 $272.63–$381.60 — 54%
X-ray of the lower back, 4 or more views CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) $254.65 $550.00 $23.69–$111.85 32% below 54%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) $254.65 $550.00 $353.65–$495.00 — 54%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG 72070 SPINE DORSAL AP+LAT (2VW) $187.52 $405.00 $23.69–$111.85 21% below 54%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG 72070 SPINE DORSAL AP+LAT (2VW) $187.52 $405.00 $260.42–$364.50 — 54%
X-ray of the nasal bones, 3 or more views CPT 70160 HCHG 70160 NASAL BONES ROUTINE $119.45 $258.00 $23.69–$93.11 51% below 54%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG 70160 NASAL BONES ROUTINE $119.45 $258.00 $165.89–$232.20 — 54%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG 72040 SPINE CERV AP+LAT 3 VWS $140.75 $304.00 $23.69–$93.11 41% below 54%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG 72040 SPINE CERV AP+LAT 3 VWS $140.75 $304.00 $195.47–$273.60 — 54%
X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG 72170 PELVIS 1 OR 2 VIEWS $189.83 $410.00 $23.69–$111.85 14% below 54%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG 72170 PELVIS 1 OR 2 VIEWS $189.83 $410.00 $263.63–$369.00 — 54%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG 72220 SACRUM & COCCYX $136.12 $294.00 $23.69–$93.11 37% below 54%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG 72220 SACRUM & COCCYX $136.12 $294.00 $189.04–$264.60 — 54%

Lab tests

ProcedureCash priceList priceInsurers payvs WisconsinOff list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) $111.58 $241.00 $119.30–$216.90 49% below 54%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) $111.58 $241.00 $119.30–$216.90 — 54%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT) $15.28 $33.00 $16.34–$29.70 56% below 54%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT) $15.28 $33.00 $16.34–$29.70 — 54%
AST (aspartate aminotransferase) enzyme test CPT 84450 OPTIFAST-AST/SGOT $14.82 $32.00 $15.84–$28.80 69% below 54%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) $14.82 $32.00 $15.84–$28.80 69% below 54%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 OPTIFAST-AST/SGOT $14.82 $32.00 $15.84–$28.80 — 54%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) $14.82 $32.00 $15.84–$28.80 — 54%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG HEPATITIS PANEL $133.81 $289.00 $143.06–$260.10 56% below 54%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $137.97 $298.00 $147.51–$268.20 55% below 54%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG HEPATITIS PANEL $133.81 $289.00 $143.06–$260.10 — 54%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL $137.97 $298.00 $147.51–$268.20 — 54%
Albumin blood test CPT 82040 ALBUMIN; ISERUM, PLASMA OR WHOLE BLOOD $14.35 $31.00 $15.35–$27.90 62% below 54%
Albumin blood test CPT 82040 ALBUMIN; SERUM, PLASMA OR WHOLE BLOOD MCLAB $14.35 $31.00 $15.35–$27.90 62% below 54%
Albumin blood test inpatient CPT 82040 ALBUMIN; SERUM, PLASMA OR WHOLE BLOOD MCLAB $14.35 $31.00 $15.35–$27.90 — 54%
Albumin blood test inpatient CPT 82040 ALBUMIN; ISERUM, PLASMA OR WHOLE BLOOD $14.35 $31.00 $15.35–$27.90 — 54%
Aldosterone blood test CPT 82088 ALDOSTERONE, URINE $118.07 $255.00 $126.23–$229.50 39% below 54%
Aldosterone blood test CPT 82088 ALDOSTERONE, BLOOD $118.07 $255.00 $126.23–$229.50 39% below 54%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, BLOOD $118.07 $255.00 $126.23–$229.50 — 54%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE $118.07 $255.00 $126.23–$229.50 — 54%
Alkaline phosphatase (ALP) blood test CPT 84075 OPTIFAST-ALKALINE PHOSPHATASE $14.82 $32.00 $15.84–$28.80 70% below 54%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE, ALKALINE $14.82 $32.00 $15.84–$28.80 70% below 54%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE, ALKALINE $14.82 $32.00 $15.84–$28.80 — 54%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 OPTIFAST-ALKALINE PHOSPHATASE $14.82 $32.00 $15.84–$28.80 — 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-GLUTEN IGE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-HORSE DANDER $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-DOG EPITHELIUM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CHICKEN FEATHERS $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CAT EPITHELIUM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-GIANT RAGWEED $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-WALNUT $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-SOYBEAN $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-PECAN $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-WHEAT $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-GRASS PNL 1 $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-WEED PNL 3 $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-TREE PNL 1 $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-WEED PNL 4 $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-MOLD $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-MILK $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-EGG YOLK $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-LATEX IGE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-DUST MITES DERM PT $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ALTERNARIA TENS $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ASPERGILLUS FUMIGATUS $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-BETA-LACTOALBUMIN $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CHEESE-CHEDDAR TYPE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CHEESE-MOLD TYPE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-EGG WHITE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CLAM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CRAB $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-HSE DUST HOL STIER $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-LOBSTER $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-OYSTER $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-PERCH $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-SALMON $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-SHRIMP $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-TROUT $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-TUNA $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ALMOND $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CASHEW $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-PEANUT $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-HONEY BEE VENOM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-WHITE FACE HORNET VENOM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-YELLOW FACE HORNET VENOM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-WASP VENOM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-YELLOW JACKET VENOM $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-YELLOW JACKET $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-DUST MITES DERM FA $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-OAT $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-TOMATO $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-BAKERS YEAST $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE; QUANT/SEMI-QUANTITATIVE, CRUDE ALLERGEN E $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CACAO-COCOA IGE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CODFISH $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-DOG DANDER IGE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CORN IGE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-BEEF IGE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-HICKORY SHAGBARK (CARYA OVATA) IGE $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-HSE DUST GREER $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-GREEN PEA, IGE MCLAB $15.28 $33.00 $16.34–$29.70 39% below 54%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE;QUANT OR SEMIQUANT, CRUDE ALLERG EXTR, EA $21.76 $47.00 $23.27–$42.30 13% below 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-YELLOW JACKET $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-YELLOW JACKET VENOM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-WASP VENOM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-YELLOW FACE HORNET VENOM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-WHITE FACE HORNET VENOM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-ASPERGILLUS FUMIGATUS $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-GLUTEN IGE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-BETA-LACTOALBUMIN $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CHEESE-CHEDDAR TYPE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-OAT $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-EGG WHITE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CLAM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-HSE DUST HOL STIER $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CRAB $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-LOBSTER $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-OYSTER $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-DUST MITES DERM FA $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-LATEX IGE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-PERCH $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-EGG YOLK $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-SALMON $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-HICKORY SHAGBARK (CARYA OVATA) IGE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-SHRIMP $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-MILK $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-TROUT $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-GREEN PEA, IGE MCLAB $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-TUNA $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-MOLD $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-WEED PNL 4 $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-TREE PNL 1 $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-WEED PNL 3 $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-GRASS PNL 1 $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CAT EPITHELIUM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CHICKEN FEATHERS $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-ALMOND $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-HSE DUST GREER $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-DOG EPITHELIUM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-HORSE DANDER $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CASHEW $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-WHEAT $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-PECAN $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-SOYBEAN $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-WALNUT $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-PEANUT $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-GIANT RAGWEED $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-HONEY BEE VENOM $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CORN IGE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-DOG DANDER IGE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CODFISH $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CACAO-COCOA IGE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE; QUANT/SEMI-QUANTITATIVE, CRUDE ALLERGEN E $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-BAKERS YEAST $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-TOMATO $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-ALTERNARIA TENS $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-BEEF IGE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-DUST MITES DERM PT $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CHEESE-MOLD TYPE $15.28 $33.00 $16.34–$29.70 — 54%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE;QUANT OR SEMIQUANT, CRUDE ALLERG EXTR, EA $21.76 $47.00 $23.27–$42.30 — 54%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP); SERUM, TUMOR MARKER $47.69 $103.00 $50.99–$92.70 43% below 54%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP); SERUM (IMS2 AFP) $48.62 $105.00 $51.98–$94.50 42% below 54%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN, NTD FIRST TRIMESTER SCREEN NTD LAB $48.62 $105.00 $51.98–$94.50 42% below 54%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP); SERUM $48.62 $105.00 $51.98–$94.50 42% below 54%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN (AFP); SERUM, TUMOR MARKER $47.69 $103.00 $50.99–$92.70 — 54%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN (AFP); SERUM $48.62 $105.00 $51.98–$94.50 — 54%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN, NTD FIRST TRIMESTER SCREEN NTD LAB $48.62 $105.00 $51.98–$94.50 — 54%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN (AFP); SERUM (IMS2 AFP) $48.62 $105.00 $51.98–$94.50 — 54%
Ammonia blood test CPT 82140 AMMONIA $42.13 $91.00 $45.05–$81.90 53% below 54%
Ammonia blood test inpatient CPT 82140 AMMONIA $42.13 $91.00 $45.05–$81.90 — 54%
Amylase blood test CPT 82150 AMYLASE, BLOOD $18.98 $41.00 $20.30–$36.90 69% below 54%
Amylase blood test CPT 82150 AMYLASE, FLUID $18.98 $41.00 $20.30–$36.90 69% below 54%
Amylase blood test CPT 82150 AMYLASE, URINE, 2HR $18.98 $41.00 $20.30–$36.90 69% below 54%
Amylase blood test CPT 82150 AMYLASE $18.98 $41.00 $20.30–$36.90 69% below 54%
Amylase blood test inpatient CPT 82150 AMYLASE, BLOOD $18.98 $41.00 $20.30–$36.90 — 54%
Amylase blood test inpatient CPT 82150 AMYLASE, URINE, 2HR $18.98 $41.00 $20.30–$36.90 — 54%
Amylase blood test inpatient CPT 82150 AMYLASE $18.98 $41.00 $20.30–$36.90 — 54%
Amylase blood test inpatient CPT 82150 AMYLASE, FLUID $18.98 $41.00 $20.30–$36.90 — 54%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP), ANTIBODY $32.87 $71.00 $35.15–$63.90 60% below 54%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE A $37.50 $81.00 $40.10–$72.90 55% below 54%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP), ANTIBODY $32.87 $71.00 $35.15–$63.90 — 54%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE A $37.50 $81.00 $40.10–$72.90 — 54%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES $35.19 $76.00 $37.62–$68.40 49% below 54%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES $35.19 $76.00 $37.62–$68.40 — 54%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (BNP) $113.44 $245.00 $121.28–$220.50 20% below 54%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE $113.44 $245.00 $121.28–$220.50 20% below 54%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE (BNP) $113.44 $245.00 $121.28–$220.50 — 54%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE $113.44 $245.00 $121.28–$220.50 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; JOINT $23.15 $50.00 $24.75–$45.00 56% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; EAR $23.15 $50.00 $24.75–$45.00 56% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; ABSCESS $23.15 $50.00 $24.75–$45.00 56% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; NOCARDIA $23.15 $50.00 $24.75–$45.00 56% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE (NEEDLE TIP) $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; BONE MARROW $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; MISC (NONPT SOURCE) $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; RESPIRATORY $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; RESPIRATORY CF $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; EYE $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE, W/ISOLATION AND ID OF ISOLATES $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; WOUND $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE (CSF) $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; TISSUE $25.00 $54.00 $26.73–$48.60 52% below 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; NOCARDIA $23.15 $50.00 $24.75–$45.00 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; EAR $23.15 $50.00 $24.75–$45.00 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; ABSCESS $23.15 $50.00 $24.75–$45.00 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; JOINT $23.15 $50.00 $24.75–$45.00 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE, W/ISOLATION AND ID OF ISOLATES $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE (CSF) $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; MISC (NONPT SOURCE) $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; TISSUE $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; RESPIRATORY $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; WOUND $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; OTHER SOURCE (NEEDLE TIP) $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; BONE MARROW $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; EYE $25.00 $54.00 $26.73–$48.60 — 54%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTERIAL; RESPIRATORY CF $25.00 $54.00 $26.73–$48.60 — 54%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $24.54 $53.00 $26.24–$47.70 72% below 54%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $24.54 $53.00 $26.24–$47.70 — 54%
Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL (WB) $14.35 $31.00 $15.35–$27.90 69% below 54%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL $14.35 $31.00 $15.35–$27.90 69% below 54%
Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL (FLUID) $14.35 $31.00 $15.35–$27.90 69% below 54%
Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL $14.35 $31.00 $15.35–$27.90 69% below 54%
Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL (AMNIOTIC FLUID) $14.35 $31.00 $15.35–$27.90 69% below 54%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL (WB) $14.35 $31.00 $15.35–$27.90 — 54%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL $14.35 $31.00 $15.35–$27.90 — 54%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL (AMNIOTIC FLUID) $14.35 $31.00 $15.35–$27.90 — 54%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL (FLUID) $14.35 $31.00 $15.35–$27.90 — 54%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL $14.35 $31.00 $15.35–$27.90 — 54%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 COSMETIC $69.45 $150.00 $13.87–$55.75 68% below 54%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 THERAPAT $153.25 $331.00 $13.87–$55.75 29% below 54%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 $153.25 $331.00 $13.87–$55.75 29% below 54%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 COSMETIC $69.45 $150.00 $96.45–$135.00 — 54%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 THERAPAT $153.25 $331.00 $212.83–$297.90 — 54%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 $153.25 $331.00 $212.83–$297.90 — 54%
Blood culture for bacteria CPT 87040 CULTURE, BACTERIAL; BLOOD $30.10 $65.00 $32.18–$58.50 65% below 54%
Blood culture for bacteria CPT 87040 CULTURE, BACTERIAL; BLOOD, LEGIONELLA $30.10 $65.00 $32.18–$58.50 65% below 54%
Blood culture for bacteria CPT 87040 CULTURE, BACTERIAL; BLOOD, ABR $30.10 $65.00 $32.18–$58.50 65% below 54%
Blood culture for bacteria inpatient CPT 87040 CULTURE, BACTERIAL; BLOOD $30.10 $65.00 $32.18–$58.50 — 54%
Blood culture for bacteria inpatient CPT 87040 CULTURE, BACTERIAL; BLOOD, LEGIONELLA $30.10 $65.00 $32.18–$58.50 — 54%
Blood culture for bacteria inpatient CPT 87040 CULTURE, BACTERIAL; BLOOD, ABR $30.10 $65.00 $32.18–$58.50 — 54%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE $6.48 $14.00 $6.93–$12.60 56% below 54%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG 36415 NURSING HOME DRAW FEE $6.48 $14.00 $6.93–$12.60 56% below 54%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG 36415 LEGAL BLOOD ALCOHOL-POLICE $13.89 $30.00 $14.85–$27.00 5% below 54%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE $6.48 $14.00 $6.93–$12.60 — 54%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG 36415 NURSING HOME DRAW FEE $6.48 $14.00 $6.93–$12.60 — 54%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG 36415 LEGAL BLOOD ALCOHOL-POLICE $13.89 $30.00 $14.85–$27.00 — 54%
Blood glucose (sugar) test CPT 82947 GLUCOSE; QUANTITATIVE, BLOOD $11.58 $25.00 $12.38–$22.50 53% below 54%
Blood glucose (sugar) test CPT 82947 GLUCOSE; QUANT, BLOOD POCT $11.58 $25.00 $12.38–$22.50 53% below 54%
Blood glucose (sugar) test CPT 82947 METABALANCE-GLUCOSE $11.58 $25.00 $12.38–$22.50 53% below 54%
Blood glucose (sugar) test inpatient CPT 82947 METABALANCE-GLUCOSE $11.58 $25.00 $12.38–$22.50 — 54%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUANT, BLOOD POCT $11.58 $25.00 $12.38–$22.50 — 54%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUANTITATIVE, BLOOD $11.58 $25.00 $12.38–$22.50 — 54%
Blood lead test CPT 83655 LEAD-24HR URINE $35.19 $76.00 $37.62–$68.40 36% below 54%
Blood lead test CPT 83655 LEAD $35.19 $76.00 $37.62–$68.40 36% below 54%
Blood lead test CPT 83655 LEAD, BLOOD $35.19 $76.00 $37.62–$68.40 36% below 54%
Blood lead test inpatient CPT 83655 LEAD-24HR URINE $35.19 $76.00 $37.62–$68.40 — 54%
Blood lead test inpatient CPT 83655 LEAD, BLOOD $35.19 $76.00 $37.62–$68.40 — 54%
Blood lead test inpatient CPT 83655 LEAD $35.19 $76.00 $37.62–$68.40 — 54%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN, CHORIONIC (HCG); QUALITATIVE, SERUM $21.76 $47.00 $23.27–$42.30 65% below 54%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN, CHORIONIC (HCG); QUALITATIVE, SERUM $21.76 $47.00 $23.27–$42.30 — 54%
Blood urea nitrogen (BUN) test CPT 84520 OPTIFAST-BUN $11.58 $25.00 $12.38–$22.50 55% below 54%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUANTITATIVE $11.58 $25.00 $12.38–$22.50 55% below 54%
Blood urea nitrogen (BUN) test inpatient CPT 84520 OPTIFAST-BUN $11.58 $25.00 $12.38–$22.50 — 54%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN; QUANTITATIVE $11.58 $25.00 $12.38–$22.50 — 54%
C-peptide blood test CPT 84681 C-PEPTIDE $44.91 $97.00 $48.02–$87.30 48% below 54%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE $44.91 $97.00 $48.02–$87.30 — 54%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) $14.82 $32.00 $15.84–$28.80 73% below 54%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN; IBD PANEL $14.82 $32.00 $15.84–$28.80 73% below 54%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN ARUP $14.82 $32.00 $15.84–$28.80 73% below 54%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN ARUP $14.82 $32.00 $15.84–$28.80 — 54%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN; IBD PANEL $14.82 $32.00 $15.84–$28.80 — 54%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP) $14.82 $32.00 $15.84–$28.80 — 54%
C. difficile toxin gene test (stool PCR) CPT 87493 INFECTIOUS AGENT ANTIGEN DETECTION; C DIFF TOXIN GENE(S) AMP PRO $107.88 $233.00 $115.34–$209.70 28% below 54%
C. difficile toxin gene test (stool PCR) CPT 87493 INFECTIOUS AGENT ANTIGEN DETECT; C DIFF PCR ARUP $107.88 $233.00 $115.34–$209.70 28% below 54%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INFECTIOUS AGENT ANTIGEN DETECTION; C DIFF TOXIN GENE(S) AMP PRO $107.88 $233.00 $115.34–$209.70 — 54%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INFECTIOUS AGENT ANTIGEN DETECT; C DIFF PCR ARUP $107.88 $233.00 $115.34–$209.70 — 54%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 19-9 $60.19 $130.00 $64.35–$117.00 46% below 54%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 19-9 $60.19 $130.00 $64.35–$117.00 — 54%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANT; CA 125 $52.78 $114.00 $56.43–$102.60 56% below 54%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 125 $60.19 $130.00 $64.35–$117.00 50% below 54%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANT; CA 125 $52.78 $114.00 $56.43–$102.60 — 54%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 125 $60.19 $130.00 $64.35–$117.00 — 54%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PROBE TECH $148.62 $321.00 $158.90–$288.90 10% above 54%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CDC 2019-NCOV CORONAVIRUS COVID-19 $148.62 $321.00 $158.90–$288.90 10% above 54%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 NON-CDC 2019-NCOV CORONAVIRUS COVID-19 $148.62 $321.00 $158.90–$288.90 10% above 54%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR $148.62 $321.00 $158.90–$288.90 10% above 54%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 MCLAB $148.62 $321.00 $158.90–$288.90 10% above 54%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR $148.62 $321.00 $158.90–$288.90 — 54%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PROBE TECH $148.62 $321.00 $158.90–$288.90 — 54%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 NON-CDC 2019-NCOV CORONAVIRUS COVID-19 $148.62 $321.00 $158.90–$288.90 — 54%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 MCLAB $148.62 $321.00 $158.90–$288.90 — 54%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CDC 2019-NCOV CORONAVIRUS COVID-19 $148.62 $321.00 $158.90–$288.90 — 54%
Calcium blood test, total CPT 82310 CALCIUM TOTAL $14.82 $32.00 $15.84–$28.80 72% below 54%
Calcium blood test, total CPT 82310 CALCIUM; TOTAL $14.82 $32.00 $15.84–$28.80 72% below 54%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL $14.82 $32.00 $15.84–$28.80 — 54%
Calcium blood test, total inpatient CPT 82310 CALCIUM; TOTAL $14.82 $32.00 $15.84–$28.80 — 54%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) $55.10 $119.00 $58.91–$107.10 59% below 54%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) $55.10 $119.00 $58.91–$107.10 — 54%
Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY; VARICELLA ZOSTER IMM STAT $37.50 $81.00 $40.10–$72.90 49% below 54%
Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY; VARICELLA-ZOSTER $37.50 $81.00 $40.10–$72.90 49% below 54%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 ANTIBODY; VARICELLA-ZOSTER $37.50 $81.00 $40.10–$72.90 — 54%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 ANTIBODY; VARICELLA ZOSTER IMM STAT $37.50 $81.00 $40.10–$72.90 — 54%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECTIOUS AGENT ANTIGEN DETECTION; CHLAMYDIA DNA/RNA ASSAY $101.40 $219.00 $108.41–$197.10 29% below 54%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECTIOUS AGENT ANTIGEN DETECTION; CHLAMYDIA ASSAY $101.40 $219.00 $108.41–$197.10 29% below 54%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFECTIOUS AGENT ANTIGEN DETECTION; CHLAMYDIA DNA/RNA ASSAY $101.40 $219.00 $108.41–$197.10 — 54%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFECTIOUS AGENT ANTIGEN DETECTION; CHLAMYDIA ASSAY $101.40 $219.00 $108.41–$197.10 — 54%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 METABALANCE-CHOLESTEROL $38.89 $84.00 $41.58–$75.60 56% below 54%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (NMR) $38.89 $84.00 $41.58–$75.60 56% below 54%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $38.89 $84.00 $41.58–$75.60 56% below 54%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL (NMR) $38.89 $84.00 $41.58–$75.60 — 54%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 METABALANCE-CHOLESTEROL $38.89 $84.00 $41.58–$75.60 — 54%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $38.89 $84.00 $41.58–$75.60 — 54%
Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT; COMPLETE CBC $22.69 $49.00 $24.26–$44.10 69% below 54%
Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT; COMPLETE (CBC) $22.69 $49.00 $24.26–$44.10 69% below 54%
Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT; COMPLETE (CBC) $22.69 $49.00 $24.26–$44.10 — 54%
Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT; COMPLETE CBC $22.69 $49.00 $24.26–$44.10 — 54%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W/O PLATELETS $18.52 $40.00 $19.80–$36.00 65% below 54%
Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT; COMPLETE (CBC) AUTOMATED $18.52 $40.00 $19.80–$36.00 65% below 54%
Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT; COMPLETE (CBC) AUTOMATED $18.52 $40.00 $19.80–$36.00 — 54%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM W/O PLATELETS $18.52 $40.00 $19.80–$36.00 — 54%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $30.56 $66.00 $32.67–$59.40 73% below 54%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $30.56 $66.00 $32.67–$59.40 — 54%
Cortisol blood test, total CPT 82533 CORTISOL; TOTAL $47.23 $102.00 $50.49–$91.80 61% below 54%
Cortisol blood test, total inpatient CPT 82533 CORTISOL; TOTAL $47.23 $102.00 $50.49–$91.80 — 54%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK), (CPK); TOTAL $18.98 $41.00 $20.30–$36.90 70% below 54%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE (CK), (CPK); TOTAL $18.98 $41.00 $20.30–$36.90 — 54%
Creatinine blood test CPT 82565 CREATININE; BLOOD $14.82 $32.00 $15.84–$28.80 53% below 54%
Creatinine blood test CPT 82565 CREATININE, BLOOD $14.82 $32.00 $15.84–$28.80 53% below 54%
Creatinine blood test CPT 82565 OPTIFAST-CREATININE $14.82 $32.00 $15.84–$28.80 53% below 54%
Creatinine blood test inpatient CPT 82565 CREATININE, BLOOD $14.82 $32.00 $15.84–$28.80 — 54%
Creatinine blood test inpatient CPT 82565 OPTIFAST-CREATININE $14.82 $32.00 $15.84–$28.80 — 54%
Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD $14.82 $32.00 $15.84–$28.80 — 54%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) AB, IGG, S MCLAB $41.67 $90.00 $44.55–$81.00 41% below 54%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) IGG $41.67 $90.00 $44.55–$81.00 41% below 54%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) IGM $41.67 $90.00 $44.55–$81.00 41% below 54%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) NEG PRODUCT $41.67 $90.00 $44.55–$81.00 41% below 54%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) AB, IGG, S MCLAB $41.67 $90.00 $44.55–$81.00 — 54%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) IGG $41.67 $90.00 $44.55–$81.00 — 54%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) IGM $41.67 $90.00 $44.55–$81.00 — 54%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) NEG PRODUCT $41.67 $90.00 $44.55–$81.00 — 54%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANTITATIVE $29.63 $64.00 $31.68–$57.60 63% below 54%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANTITATIVE $29.63 $64.00 $31.68–$57.60 — 54%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) $64.36 $139.00 $68.81–$125.10 55% below 54%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) $64.36 $139.00 $68.81–$125.10 — 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OHS DRUG SCREEN,PRESUMPTIVE, SINGLE DRUG CLASS $10.65 $23.00 $11.39–$20.70 91% below 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MEDTOX/LABCORP - DRUG SCREEN PRSMPTV SGL DR CLASS $32.41 $70.00 $34.65–$63.00 72% below 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMPT; INSTR CHEM ANALYZER $43.52 $94.00 $46.53–$84.60 62% below 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMPTIVE CHEM ANALYZER MEDTOX $46.30 $100.00 $49.50–$90.00 60% below 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPLIANCE DRUG SCREEN BLOOD $92.60 $200.00 $99.00–$180.00 20% below 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN LIST A - MEDTOX DOA SCREEN $115.75 $250.00 $123.75–$225.00 at median 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN, URINE MCLAB $179.64 $388.00 $192.06–$349.20 55% above 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMPTIVE, ALCOHOL BIOMARKERS MCLAB $179.64 $388.00 $192.06–$349.20 55% above 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OHM DRUG PANEL-DRUG SCREEN LIST A $179.64 $388.00 $192.06–$349.20 55% above 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PRSMPTV SNGL CLASS $179.64 $388.00 $192.06–$349.20 55% above 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN NOS PRSMPTV PROC $179.64 $388.00 $192.06–$349.20 55% above 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FORENSIC HAIR FOLLICLE DRUG TEST OMEGA $179.64 $388.00 $192.06–$349.20 55% above 54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN LIST A $179.64 $388.00 $192.06–$349.20 55% above 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OHS DRUG SCREEN,PRESUMPTIVE, SINGLE DRUG CLASS $10.65 $23.00 $11.39–$20.70 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MEDTOX/LABCORP - DRUG SCREEN PRSMPTV SGL DR CLASS $32.41 $70.00 $34.65–$63.00 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMPT; INSTR CHEM ANALYZER $43.52 $94.00 $46.53–$84.60 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMPTIVE CHEM ANALYZER MEDTOX $46.30 $100.00 $49.50–$90.00 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMPLIANCE DRUG SCREEN BLOOD $92.60 $200.00 $99.00–$180.00 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN LIST A - MEDTOX DOA SCREEN $115.75 $250.00 $123.75–$225.00 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN NOS PRSMPTV PROC $179.64 $388.00 $192.06–$349.20 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OHM DRUG PANEL-DRUG SCREEN LIST A $179.64 $388.00 $192.06–$349.20 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN LIST A $179.64 $388.00 $192.06–$349.20 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMPTIVE, ALCOHOL BIOMARKERS MCLAB $179.64 $388.00 $192.06–$349.20 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL SCREEN, URINE MCLAB $179.64 $388.00 $192.06–$349.20 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FORENSIC HAIR FOLLICLE DRUG TEST OMEGA $179.64 $388.00 $192.06–$349.20 — 54%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PRSMPTV SNGL CLASS $179.64 $388.00 $192.06–$349.20 — 54%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $20.37 $44.00 $21.78–$39.60 58% below 54%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL $20.37 $44.00 $21.78–$39.60 — 54%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGM $52.32 $113.00 $55.94–$101.70 37% below 54%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR (EB) VIRUS; VIRAL CAPSID (VCA) $52.32 $113.00 $55.94–$101.70 37% below 54%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGG $52.32 $113.00 $55.94–$101.70 37% below 54%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR (EB) VIRUS; VIRAL CAPSID (VCA) $52.32 $113.00 $55.94–$101.70 — 54%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGG $52.32 $113.00 $55.94–$101.70 — 54%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGM $52.32 $113.00 $55.94–$101.70 — 54%
Estradiol blood test CPT 82670 ESTRADIOL; TOTAL $81.03 $175.00 $86.63–$157.50 37% below 54%
Estradiol blood test CPT 82670 ESTRADIOL $81.03 $175.00 $86.63–$157.50 37% below 54%
Estradiol blood test inpatient CPT 82670 ESTRADIOL; TOTAL $81.03 $175.00 $86.63–$157.50 — 54%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $81.03 $175.00 $86.63–$157.50 — 54%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLCLE STIMULATING HORMONE (FSH) $53.71 $116.00 $57.42–$104.40 54% below 54%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLCLE STIMULATING HORMONE (FSH), URINE $53.71 $116.00 $57.42–$104.40 54% below 54%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN; FOLLCLE STIMULATING HORMONE (FSH), URINE $53.71 $116.00 $57.42–$104.40 — 54%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN; FOLLCLE STIMULATING HORMONE (FSH) $53.71 $116.00 $57.42–$104.40 — 54%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL $56.95 $123.00 $60.89–$110.70 70% below 54%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL $56.95 $123.00 $60.89–$110.70 — 54%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $39.36 $85.00 $42.08–$76.50 56% below 54%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $39.36 $85.00 $42.08–$76.50 — 54%
Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY $28.24 $61.00 $30.20–$54.90 58% below 54%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY $28.24 $61.00 $30.20–$54.90 58% below 54%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN; ACTIVITY $28.24 $61.00 $30.20–$54.90 — 54%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY $28.24 $61.00 $30.20–$54.90 — 54%
Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM $42.60 $92.00 $45.54–$82.80 57% below 54%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM $42.60 $92.00 $45.54–$82.80 — 54%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3; FREE $49.08 $106.00 $52.47–$95.40 50% below 54%
Free T3 thyroid hormone test CPT 84481 FREE T3 VMH $49.08 $106.00 $52.47–$95.40 50% below 54%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3; FREE $49.08 $106.00 $52.47–$95.40 — 54%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 VMH $49.08 $106.00 $52.47–$95.40 — 54%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE (FT4) $25.93 $56.00 $27.72–$50.40 68% below 54%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE; FREE (FT4) $25.93 $56.00 $27.72–$50.40 — 54%
Free testosterone test CPT 84402 TESTOSTERONE FREE $73.62 $159.00 $78.71–$143.10 37% below 54%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $73.62 $159.00 $78.71–$143.10 — 54%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE, GAMMA (GGT) $20.84 $45.00 $22.28–$40.50 61% below 54%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE, GAMMA (GGT) $20.84 $45.00 $22.28–$40.50 — 54%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $247.71 $535.00 $264.83–$481.50 10% below 54%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $247.71 $535.00 $264.83–$481.50 — 54%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (GLU2) $13.89 $30.00 $14.85–$27.00 72% below 54%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (1HR DEXICOLA) $13.89 $30.00 $14.85–$27.00 72% below 54%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE (1HR DEXICOLA) $13.89 $30.00 $14.85–$27.00 — 54%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE (GLU2) $13.89 $30.00 $14.85–$27.00 — 54%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE; TOLERANCE TEST (GTT) $37.04 $80.00 $39.60–$72.00 59% below 54%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE; TOLERANCE TEST (GTT) $37.04 $80.00 $39.60–$72.00 — 54%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFECTIOUS AGENT ANTIGEN DETECTION; GC-DNA/RNA $101.40 $219.00 $108.41–$197.10 29% below 54%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFECTIOUS AGENT ANTIGEN DETECTION; GC-DNA $101.40 $219.00 $108.41–$197.10 29% below 54%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 INFECTIOUS AGENT ANTIGEN DETECTION; GC-DNA/RNA $101.40 $219.00 $108.41–$197.10 — 54%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 INFECTIOUS AGENT ANTIGEN DETECTION; GC-DNA $101.40 $219.00 $108.41–$197.10 — 54%
H. pylori antibody blood test CPT 86677 ANTIBODY; H PYLORI $48.62 $105.00 $51.98–$94.50 48% below 54%
H. pylori antibody blood test inpatient CPT 86677 ANTIBODY; H PYLORI $48.62 $105.00 $51.98–$94.50 — 54%
H. pylori stool antigen test CPT 87338 INFECTIOUS AGENT ANTIGEN DETECTION; H PYLORI ANTIGEN, STOOL $41.67 $90.00 $44.55–$81.00 68% below 54%
H. pylori stool antigen test inpatient CPT 87338 INFECTIOUS AGENT ANTIGEN DETECTION; H PYLORI ANTIGEN, STOOL $41.67 $90.00 $44.55–$81.00 — 54%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 INFECTIOUS AGENT ANTIGEN DETECTION; HIV VIRAL LOAD $246.32 $532.00 $263.34–$478.80 36% below 54%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 INFECTIOUS AGENT ANTIGEN DETECTION; HIV RNA DETECTION AND QUANT, $246.32 $532.00 $263.34–$478.80 36% below 54%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 INFECTIOUS AGENT ANTIGEN DETECTION; HIV RNA DETECTION AND QUANT, $246.32 $532.00 $263.34–$478.80 — 54%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 INFECTIOUS AGENT ANTIGEN DETECTION; HIV VIRAL LOAD $246.32 $532.00 $263.34–$478.80 — 54%
HIV-1 and HIV-2 antibody test CPT 86703 ANTIBODY; HIV-1 AND HIV-2, SINGLE RESULT $39.82 $86.00 $42.57–$77.40 49% below 54%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 ANTIBODY; HIV-1 AND HIV-2, SINGLE RESULT $39.82 $86.00 $42.57–$77.40 — 54%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 INFECTIOUS AGENT ANTIGEN DETECTION; HIV-1 W/HIV-1 & HIV-2 ABY $69.91 $151.00 $74.75–$135.90 32% below 54%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 INFECTIOUS AGENT ANTIGEN DETECTION; HIV-1 W/HIV-1 & HIV-2 ABY $69.91 $151.00 $74.75–$135.90 — 54%
HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECTIOUS AGENT ANTIGEN DETECTION; HPV HIGH-RISK TYPES, POOLED $101.40 $219.00 $108.41–$197.10 29% below 54%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INFECTIOUS AGENT ANTIGEN DETECTION; HPV HIGH-RISK TYPES, POOLED $101.40 $219.00 $108.41–$197.10 — 54%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCOSYLATED (A1C) $28.24 $61.00 $30.20–$54.90 59% below 54%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCOSYLTED (A1C) $28.24 $61.00 $30.20–$54.90 59% below 54%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN; GLYCOSYLATED (A1C) $28.24 $61.00 $30.20–$54.90 — 54%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN; GLYCOSYLTED (A1C) $28.24 $61.00 $30.20–$54.90 — 54%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN (HGB) $6.95 $15.00 $7.43–$13.50 60% below 54%
Hemoglobin blood test inpatient CPT 85018 BLOOD COUNT; HEMOGLOBIN (HGB) $6.95 $15.00 $7.43–$13.50 — 54%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY; TOTAL $34.73 $75.00 $37.13–$67.50 57% below 54%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY; TOTAL $34.73 $75.00 $37.13–$67.50 — 54%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY $31.02 $67.00 $33.17–$60.30 58% below 54%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY $31.02 $67.00 $33.17–$60.30 — 54%
Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECTIOUS AGENT ANTIGEN DETECTION; HEPATITIS B SURFACE ANTIGEN $30.10 $65.00 $32.18–$58.50 54% below 54%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INFECTIOUS AGENT ANTIGEN DETECTION; HEPATITIS B SURFACE ANTIGEN $30.10 $65.00 $32.18–$58.50 — 54%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $41.21 $89.00 $44.06–$80.10 49% below 54%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $41.21 $89.00 $44.06–$80.10 — 54%
Hepatitis C viral load (HCV RNA) test CPT 87522 INFECTIOUS AGENT ANTIGEN DETECTION; HEPATITIS C QUANT, PCR $124.08 $268.00 $132.66–$241.20 48% below 54%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 INFECTIOUS AGENT ANTIGEN DETECTION; HCV RNA DET AND QUANT BY RT- $124.08 $268.00 $132.66–$241.20 48% below 54%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 INFECTIOUS AGENT ANTIGEN DETECTION; HEPATITIS C QUANT, PCR $124.08 $268.00 $132.66–$241.20 — 54%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 INFECTIOUS AGENT ANTIGEN DETECTION; HCV RNA DET AND QUANT BY RT- $124.08 $268.00 $132.66–$241.20 — 54%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY; HERPES SIMPLEX (HSV TYPE 1 AB) $37.97 $82.00 $40.59–$73.80 44% below 54%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY; HERPES SIMPLEX (HSV TYPE 1 AB) $37.97 $82.00 $40.59–$73.80 — 54%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2 $56.02 $121.00 $59.90–$108.90 31% below 54%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2 $56.02 $121.00 $59.90–$108.90 — 54%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP) BLOOD $34.73 $75.00 $37.13–$67.50 57% below 54%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN; HIGH SENSITIVITY $37.50 $81.00 $40.10–$72.90 53% below 54%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP) BLOOD $34.73 $75.00 $37.13–$67.50 — 54%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN; HIGH SENSITIVITY $37.50 $81.00 $40.10–$72.90 — 54%
Homocysteine blood test CPT 83090 HOMOCYSTINE, URINE $51.86 $112.00 $55.44–$100.80 56% below 54%
Homocysteine blood test CPT 83090 HOMOCYSTINE, BLOOD $51.86 $112.00 $55.44–$100.80 56% below 54%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE, URINE $51.86 $112.00 $55.44–$100.80 — 54%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE, BLOOD $51.86 $112.00 $55.44–$100.80 — 54%
Insulin blood test CPT 83525 INSULIN; TOTAL, SERUM $29.17 $63.00 $31.19–$56.70 57% below 54%
Insulin blood test CPT 83525 INSULIN; TOTAL $32.87 $71.00 $35.15–$63.90 51% below 54%
Insulin blood test inpatient CPT 83525 INSULIN; TOTAL, SERUM $29.17 $63.00 $31.19–$56.70 — 54%
Insulin blood test inpatient CPT 83525 INSULIN; TOTAL $32.87 $71.00 $35.15–$63.90 — 54%
Iron blood test (serum iron) CPT 83540 IRON $18.52 $40.00 $19.80–$36.00 65% below 54%
Iron blood test (serum iron) inpatient CPT 83540 IRON $18.52 $40.00 $19.80–$36.00 — 54%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $25.47 $55.00 $27.23–$49.50 59% below 54%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $25.47 $55.00 $27.23–$49.50 — 54%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $25.00 $54.00 $26.73–$48.60 76% below 54%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $25.00 $54.00 $26.73–$48.60 — 54%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING HORMONE (LH) $53.71 $116.00 $57.42–$104.40 45% below 54%
LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN; LUTEINIZING HORMONE (LH) $53.71 $116.00 $57.42–$104.40 — 54%
Lactate (lactic acid) blood test CPT 83605 LACTATE $33.34 $72.00 $35.64–$64.80 52% below 54%
Lactate (lactic acid) blood test CPT 83605 D-LACTATE, PLASMA $33.34 $72.00 $35.64–$64.80 52% below 54%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE $33.34 $72.00 $35.64–$64.80 — 54%
Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTATE, PLASMA $33.34 $72.00 $35.64–$64.80 — 54%
Lactate dehydrogenase (LDH) blood test CPT 83615 TOTAL LD ACTIVITY $17.59 $38.00 $18.81–$34.20 65% below 54%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE ARUP $17.59 $38.00 $18.81–$34.20 65% below 54%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD), (LDH); CSF $17.59 $38.00 $18.81–$34.20 65% below 54%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD), (LDH); BLOOD $17.59 $38.00 $18.81–$34.20 65% below 54%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE ARUP $17.59 $38.00 $18.81–$34.20 — 54%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LD), (LDH); BLOOD $17.59 $38.00 $18.81–$34.20 — 54%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LD), (LDH); CSF $17.59 $38.00 $18.81–$34.20 — 54%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID $17.59 $38.00 $18.81–$34.20 — 54%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TOTAL LD ACTIVITY $17.59 $38.00 $18.81–$34.20 — 54%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, URINE $19.91 $43.00 $21.29–$38.70 71% below 54%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $19.91 $43.00 $21.29–$38.70 71% below 54%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $19.91 $43.00 $21.29–$38.70 — 54%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, URINE $19.91 $43.00 $21.29–$38.70 — 54%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $23.61 $51.00 $25.25–$45.90 77% below 54%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $23.61 $51.00 $25.25–$45.90 — 54%
Lyme disease antibody test CPT 86618 ANTIBODY; BORRELIA BURGDORFERI (LYME) MCLAB $49.08 $106.00 $52.47–$95.40 41% below 54%
Lyme disease antibody test CPT 86618 ANTIBODY; BORRELIA BURGDORFERI (LYME IGG/IGM SCREEN) $49.08 $106.00 $52.47–$95.40 41% below 54%
Lyme disease antibody test inpatient CPT 86618 ANTIBODY; BORRELIA BURGDORFERI (LYME IGG/IGM SCREEN) $49.08 $106.00 $52.47–$95.40 — 54%
Lyme disease antibody test inpatient CPT 86618 ANTIBODY; BORRELIA BURGDORFERI (LYME) MCLAB $49.08 $106.00 $52.47–$95.40 — 54%
Magnesium blood test CPT 83735 UROCHEM PANEL-MAGNESIUM $19.45 $42.00 $20.79–$37.80 63% below 54%
Magnesium blood test CPT 83735 MAGNESIUM ARUP $19.45 $42.00 $20.79–$37.80 63% below 54%
Magnesium blood test CPT 83735 MAGNESIUM, RBC ARUP $19.45 $42.00 $20.79–$37.80 63% below 54%
Magnesium blood test CPT 83735 MAGNESIUM $19.45 $42.00 $20.79–$37.80 63% below 54%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC ARUP $19.45 $42.00 $20.79–$37.80 — 54%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $19.45 $42.00 $20.79–$37.80 — 54%
Magnesium blood test inpatient CPT 83735 MAGNESIUM ARUP $19.45 $42.00 $20.79–$37.80 — 54%
Magnesium blood test inpatient CPT 83735 UROCHEM PANEL-MAGNESIUM $19.45 $42.00 $20.79–$37.80 — 54%
Measles (rubeola) antibody test CPT 86765 ANTIBODY; RUBEOLA $37.50 $81.00 $40.10–$72.90 55% below 54%
Measles (rubeola) antibody test CPT 86765 ANTIBODY; RUBEOLA, IMMUNE STATUS $37.50 $81.00 $40.10–$72.90 55% below 54%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY; RUBEOLA, IMMUNE STATUS $37.50 $81.00 $40.10–$72.90 — 54%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY; RUBEOLA $37.50 $81.00 $40.10–$72.90 — 54%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES; SCREENING (MONOTEST) $14.82 $32.00 $15.84–$28.80 73% below 54%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES;SCREEN $14.82 $32.00 $15.84–$28.80 73% below 54%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES;SCREEN $14.82 $32.00 $15.84–$28.80 — 54%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES; SCREENING (MONOTEST) $14.82 $32.00 $15.84–$28.80 — 54%
Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS ARUP $37.97 $82.00 $40.59–$73.80 56% below 54%
Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS, SKIN TEST $37.97 $82.00 $40.59–$73.80 56% below 54%
Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS $37.97 $82.00 $40.59–$73.80 56% below 54%
Mumps immunity blood test inpatient CPT 86735 ANTIBODY; MUMPS $37.97 $82.00 $40.59–$73.80 — 54%
Mumps immunity blood test inpatient CPT 86735 ANTIBODY; MUMPS ARUP $37.97 $82.00 $40.59–$73.80 — 54%
Mumps immunity blood test inpatient CPT 86735 ANTIBODY; MUMPS, SKIN TEST $37.97 $82.00 $40.59–$73.80 — 54%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $138.44 $299.00 $148.01–$269.10 43% below 54%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $138.44 $299.00 $148.01–$269.10 — 54%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIFIC ANTIGEN (PSA); FREE $53.25 $115.00 $56.93–$103.50 42% below 54%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE HEALTH INDEX PSA FREE, SERUM MCLAB $53.25 $115.00 $56.93–$103.50 42% below 54%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE HEALTH INDEX PSA FREE, SERUM MCLAB $53.25 $115.00 $56.93–$103.50 — 54%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATIC SPECIFIC ANTIGEN (PSA); FREE $53.25 $115.00 $56.93–$103.50 — 54%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN (PSA); TOTAL $53.25 $115.00 $56.93–$103.50 44% below 54%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE HEALTH INDEX PSA TOTAL, SERUM MCLAB $53.25 $115.00 $56.93–$103.50 44% below 54%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE HEALTH INDEX PSA TOTAL, SERUM MCLAB $53.25 $115.00 $56.93–$103.50 — 54%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN (PSA); TOTAL $53.25 $115.00 $56.93–$103.50 — 54%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY, CERVICAL/VAGINAL, FLUID BASED; AUTOMATED SCREEN $76.86 $166.00 $82.17–$149.40 27% below 54%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY, CERVICAL/VAGINAL, FLUID BASED; AUTOMATED SCREEN $76.86 $166.00 $82.17–$149.40 — 54%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLOGY, CERVICAL/VAGINAL, LIQUID BASED PREP; MANUAL SCREE $58.80 $127.00 $62.87–$114.30 35% below 54%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATHOLOGY, CERVICAL/VAGINAL, LIQUID BASED PREP; MANUAL SCREE $58.80 $127.00 $62.87–$114.30 — 54%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) $119.45 $258.00 $127.71–$232.20 44% below 54%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE $119.45 $258.00 $127.71–$232.20 44% below 54%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE (PARATHYROID HORMONE) $119.45 $258.00 $127.71–$232.20 — 54%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE $119.45 $258.00 $127.71–$232.20 — 54%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT) $17.59 $38.00 $18.81–$34.20 66% below 54%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA $17.59 $38.00 $18.81–$34.20 66% below 54%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); HEPARIN ABSORBED $17.59 $38.00 $18.81–$34.20 66% below 54%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD $17.59 $38.00 $18.81–$34.20 66% below 54%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT) $17.59 $38.00 $18.81–$34.20 — 54%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); HEPARIN ABSORBED $17.59 $38.00 $18.81–$34.20 — 54%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA $17.59 $38.00 $18.81–$34.20 — 54%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD $17.59 $38.00 $18.81–$34.20 — 54%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS INORGANIC (PHOSPHATE) $13.89 $30.00 $14.85–$27.00 67% below 54%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS INORGANIC (PHOSPHATE) $13.89 $30.00 $14.85–$27.00 — 54%
Potassium blood test CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD $13.89 $30.00 $14.85–$27.00 49% below 54%
Potassium blood test inpatient CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD $13.89 $30.00 $14.85–$27.00 — 54%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY (MATERNIT21 PLUS) $2,196.47 $4,744.00 $2,348.28–$4,269.60 82% above 54%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY $2,196.47 $4,744.00 $2,348.28–$4,269.60 82% above 54%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY (MATERNIT21 PLUS) $2,196.47 $4,744.00 $2,348.28–$4,269.60 — 54%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY $2,196.47 $4,744.00 $2,348.28–$4,269.60 — 54%
Progesterone blood test CPT 84144 PROGESTERONE $60.19 $130.00 $64.35–$117.00 50% below 54%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $60.19 $130.00 $64.35–$117.00 — 54%
Prolactin blood test CPT 84146 PROLACTIN $56.02 $121.00 $59.90–$108.90 54% below 54%
Prolactin blood test inpatient CPT 84146 PROLACTIN $56.02 $121.00 $59.90–$108.90 — 54%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME, WHOLE BLOOD $12.50 $27.00 $13.37–$24.30 63% below 54%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $12.50 $27.00 $13.37–$24.30 63% below 54%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME, WHOLE BLOOD $12.50 $27.00 $13.37–$24.30 — 54%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $12.50 $27.00 $13.37–$24.30 — 54%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMPTIVE DIRECT OPTICAL OBSERVATION $36.58 $79.00 $39.11–$71.10 36% below 54%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRESUMPTIVE DIRECT OPTICAL OBSERVATION $36.58 $79.00 $39.11–$71.10 — 54%
Rapid flu test (influenza antigen) CPT 87804 INF AGT ANT DET BY IMMUNOASSAY W/DIR OBS; INFLUENZA $31.95 $69.00 $34.16–$62.10 40% below 54%
Rapid flu test (influenza antigen) inpatient CPT 87804 INF AGT ANT DET BY IMMUNOASSAY W/DIR OBS; INFLUENZA $31.95 $69.00 $34.16–$62.10 — 54%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFECTIOUS AGENT ANTIGEN DETECTION; SCREEN-B STREP GRP A $47.69 $103.00 $50.99–$92.70 5% above 54%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFECTIOUS AGENT ANTIGEN DETECTION; STREPTOCOCCUS $47.69 $103.00 $50.99–$92.70 5% above 54%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INFECTIOUS AGENT ANTIGEN DETECTION; SCREEN-B STREP GRP A $47.69 $103.00 $50.99–$92.70 — 54%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INFECTIOUS AGENT ANTIGEN DETECTION; STREPTOCOCCUS $47.69 $103.00 $50.99–$92.70 — 54%
Renin blood test CPT 84244 RENIN, BLOOD $63.43 $137.00 $67.82–$123.30 57% below 54%
Renin blood test inpatient CPT 84244 RENIN, BLOOD $63.43 $137.00 $67.82–$123.30 — 54%
Rh blood typing CPT 86901 BLOOD TYPING, SEROLOGIC; RH (D) $8.80 $19.00 $1.53–$39.96 78% below 54%
Rh blood typing inpatient CPT 86901 BLOOD TYPING, SEROLOGIC; RH (D) $8.80 $19.00 $12.74–$17.10 — 54%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR; QUANTITATIVE $16.21 $35.00 $17.33–$31.50 72% below 54%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR; QUANTITATIVE $16.21 $35.00 $17.33–$31.50 — 54%
Rubella antibody test (immunity check) CPT 86762 ANTIBODY; RUBELLA $41.67 $90.00 $44.55–$81.00 49% below 54%
Rubella antibody test (immunity check) CPT 86762 ANTIBODY; RUBELLA, IMMM STATUS $41.67 $90.00 $44.55–$81.00 49% below 54%
Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY; RUBELLA, IMMM STATUS $41.67 $90.00 $44.55–$81.00 — 54%
Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY; RUBELLA $41.67 $90.00 $44.55–$81.00 — 54%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED (ESR) $7.87 $17.00 $8.42–$15.30 81% below 54%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED (ESR) $7.87 $17.00 $8.42–$15.30 — 54%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS; VOLUME, COUNT, MOTILITY AND DIFFERENTIAL $80.10 $173.00 $85.64–$155.70 41% below 54%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS; VOLUME, COUNT, MOTILITY AND DIFFERENTIAL $80.10 $173.00 $85.64–$155.70 — 54%
Sodium blood test CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD $13.89 $30.00 $14.85–$27.00 44% below 54%
Sodium blood test inpatient CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD $13.89 $30.00 $14.85–$27.00 — 54%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES, DIRECT SMEARS ARUP $25.93 $56.00 $27.72–$50.40 60% below 54%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES, DIRECT SMEARS MCLAB $25.93 $56.00 $27.72–$50.40 60% below 54%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES, DIRECT SMEARS, CONCENTRATION AND ID $25.93 $56.00 $27.72–$50.40 60% below 54%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES, DIRECT SMEARS MCLAB $25.93 $56.00 $27.72–$50.40 — 54%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES, DIRECT SMEARS ARUP $25.93 $56.00 $27.72–$50.40 — 54%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES, DIRECT SMEARS, CONCENTRATION AND ID $25.93 $56.00 $27.72–$50.40 — 54%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD, OCCULT, BY PEROXIDASE ACTIVITY; FECES (HEMOCCULT SLIDE) $12.50 $27.00 $13.37–$24.30 41% below 54%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD, OCCULT, BY PEROXIDASE ACTIVITY; FECES (HEMOCCULT SLIDE) $12.50 $27.00 $13.37–$24.30 — 54%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD, OCCULT, QUAL, FECES, 1-3 DETERMINATIONS, BY IMMUNOASSAY, $46.30 $100.00 $49.50–$90.00 23% below 54%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD, OCCULT, QUAL, FECES, 1-3 DETERMINATIONS, BY IMMUNOASSAY, $46.30 $100.00 $49.50–$90.00 — 54%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY; TREPONEMA PALLIDUM $38.43 $83.00 $41.09–$74.70 30% below 54%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY; TREPONEMA PALLIDUM, SYPHILIS AB MCLAB $38.43 $83.00 $41.09–$74.70 30% below 54%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 ANTIBODY; TREPONEMA PALLIDUM $38.43 $83.00 $41.09–$74.70 — 54%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 ANTIBODY; TREPONEMA PALLIDUM, SYPHILIS AB MCLAB $38.43 $83.00 $41.09–$74.70 — 54%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (RPR, RESPON $12.50 $27.00 $13.37–$24.30 68% below 54%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (VDRL) $12.50 $27.00 $13.37–$24.30 68% below 54%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (VDRL) MCLA $12.50 $27.00 $13.37–$24.30 68% below 54%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (RPR, RESPON $12.50 $27.00 $13.37–$24.30 — 54%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (VDRL) MCLA $12.50 $27.00 $13.37–$24.30 — 54%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (VDRL) $12.50 $27.00 $13.37–$24.30 — 54%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASU $179.18 $387.00 $191.57–$348.30 29% below 54%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASU $179.18 $387.00 $191.57–$348.30 — 54%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL $74.54 $161.00 $79.70–$144.90 35% below 54%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $74.54 $161.00 $79.70–$144.90 35% below 54%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $74.54 $161.00 $79.70–$144.90 — 54%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL $74.54 $161.00 $79.70–$144.90 — 54%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES, EA, LIVER-KIDNEY $37.04 $80.00 $39.60–$72.00 47% below 54%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES, EA, THYROPEROXIDASE SERUM $37.04 $80.00 $39.60–$72.00 47% below 54%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES, ANTI-THYROID PEROXIDASE AUTOAB $42.13 $91.00 $45.05–$81.90 40% below 54%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES, LIVER/KIDNEY $42.13 $91.00 $45.05–$81.90 40% below 54%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES, THYROPEROXIDASE $42.13 $91.00 $45.05–$81.90 40% below 54%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES, EA, LIVER-KIDNEY $37.04 $80.00 $39.60–$72.00 — 54%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES, EA, THYROPEROXIDASE SERUM $37.04 $80.00 $39.60–$72.00 — 54%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES, LIVER/KIDNEY $42.13 $91.00 $45.05–$81.90 — 54%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES, THYROPEROXIDASE $42.13 $91.00 $45.05–$81.90 — 54%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES, ANTI-THYROID PEROXIDASE AUTOAB $42.13 $91.00 $45.05–$81.90 — 54%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) $48.62 $105.00 $51.98–$94.50 46% below 54%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) $48.62 $105.00 $51.98–$94.50 — 54%
Total IgE blood test CPT 82785 GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE, TOTAL $47.69 $103.00 $50.99–$92.70 53% below 54%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE, TOTAL $47.69 $103.00 $50.99–$92.70 — 54%
Total cholesterol blood test CPT 82465 CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL $12.50 $27.00 $13.37–$24.30 73% below 54%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL $12.50 $27.00 $13.37–$24.30 — 54%
Total thyroxine (T4) blood test CPT 84436 THYROXINE; TOTAL (T4) $17.59 $38.00 $18.81–$34.20 66% below 54%
Total thyroxine (T4) blood test CPT 84436 THYROXINE; TOTAL $19.91 $43.00 $21.29–$38.70 62% below 54%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE; TOTAL (T4) $17.59 $38.00 $18.81–$34.20 — 54%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE; TOTAL $19.91 $43.00 $21.29–$38.70 — 54%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3; TOTAL (TT-3) $41.21 $89.00 $44.06–$80.10 62% below 54%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE T3; TOTAL (TT-3) $41.21 $89.00 $44.06–$80.10 — 54%
Transferrin blood test CPT 84466 TRANSFERRIN $33.80 $73.00 $36.14–$65.70 64% below 54%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN $33.80 $73.00 $36.14–$65.70 — 54%
Trichomonas test (NAAT) CPT 87661 INFECTIOUS AGENT ANTIGEN DETECTION; TRICHOMONAS RNA $101.40 $219.00 $108.41–$197.10 26% below 54%
Trichomonas test (NAAT) CPT 87661 INFECTIOUS AGENT ANTIGEN DETECTION; TRICHOMONAS VAGINALIS $101.40 $219.00 $108.41–$197.10 26% below 54%
Trichomonas test (NAAT) inpatient CPT 87661 INFECTIOUS AGENT ANTIGEN DETECTION; TRICHOMONAS VAGINALIS $101.40 $219.00 $108.41–$197.10 — 54%
Trichomonas test (NAAT) inpatient CPT 87661 INFECTIOUS AGENT ANTIGEN DETECTION; TRICHOMONAS RNA $101.40 $219.00 $108.41–$197.10 — 54%
Triglycerides blood test CPT 84478 TRIGLYCERIDE $16.67 $36.00 $17.82–$32.40 69% below 54%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES MCLAB $16.67 $36.00 $17.82–$32.40 69% below 54%
Triglycerides blood test CPT 84478 TRIGLYCERIDES, FLUID $16.67 $36.00 $17.82–$32.40 69% below 54%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES, FLUID $16.67 $36.00 $17.82–$32.40 — 54%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE $16.67 $36.00 $17.82–$32.40 — 54%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES MCLAB $16.67 $36.00 $17.82–$32.40 — 54%
Troponin test, quantitative CPT 84484 TROPONIN I $26.39 $57.00 $28.22–$51.30 69% below 54%
Troponin test, quantitative CPT 84484 TROPONIN, QUANTITATIVE $36.11 $78.00 $38.61–$70.20 57% below 54%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I $26.39 $57.00 $28.22–$51.30 — 54%
Troponin test, quantitative inpatient CPT 84484 TROPONIN, QUANTITATIVE $36.11 $78.00 $38.61–$70.20 — 54%
Uric acid blood test CPT 84550 URIC ACID; BLOOD $12.96 $28.00 $13.86–$25.20 74% below 54%
Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD $12.96 $28.00 $13.86–$25.20 — 54%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS; AUTOMATED W/MICROSCOPY $9.26 $20.00 $9.90–$18.00 74% below 54%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS; AUTOMATED WITH MICROSCOPY $9.26 $20.00 $9.90–$18.00 74% below 54%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS; AUTOMATED W/MICROSCOPY $9.26 $20.00 $9.90–$18.00 — 54%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS; AUTOMATED WITH MICROSCOPY $9.26 $20.00 $9.90–$18.00 — 54%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS; NON-AUTOMATED W/MICROSCOPY $11.58 $25.00 $12.38–$22.50 7% below 54%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS; NON-AUTOMATED W/MICROSCOPY $11.58 $25.00 $12.38–$22.50 — 54%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (UA DIP ONLY) $6.48 $14.00 $6.93–$12.60 74% below 54%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY $6.48 $14.00 $6.93–$12.60 74% below 54%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (DIPSTICK ONLY) $6.48 $14.00 $6.93–$12.60 74% below 54%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY $6.48 $14.00 $6.93–$12.60 — 54%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (UA DIP ONLY) $6.48 $14.00 $6.93–$12.60 — 54%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (DIPSTICK ONLY) $6.48 $14.00 $6.93–$12.60 — 54%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY (PH, UR) $10.19 $22.00 $10.89–$19.80 26% below 54%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY $10.19 $22.00 $10.89–$19.80 26% below 54%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY (PH, UR) $10.19 $22.00 $10.89–$19.80 — 54%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY $10.19 $22.00 $10.89–$19.80 — 54%
Urine culture for bacteria, with colony count CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE $23.15 $50.00 $24.75–$45.00 69% below 54%
Urine culture for bacteria, with colony count CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE (LAB WATER) $23.15 $50.00 $24.75–$45.00 69% below 54%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE (LAB WATER) $23.15 $50.00 $24.75–$45.00 — 54%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE $23.15 $50.00 $24.75–$45.00 — 54%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN; URINE (EG, MICROALBUMIN 24 HR), QUANTITATIVE $16.67 $36.00 $17.82–$32.40 74% below 54%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN; URINE (EG, MICROALBUMIN), QUANTITATIVE $16.67 $36.00 $17.82–$32.40 74% below 54%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN; URINE (EG, MICROALBUMIN), QUANTITATIVE $16.67 $36.00 $17.82–$32.40 — 54%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN; URINE (EG, MICROALBUMIN 24 HR), QUANTITATIVE $16.67 $36.00 $17.82–$32.40 — 54%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $25.00 $54.00 $26.73–$48.60 50% below 54%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST $25.00 $54.00 $26.73–$48.60 — 54%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B12) $43.52 $94.00 $46.53–$84.60 58% below 54%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN (VITAMIN B12) $43.52 $94.00 $46.53–$84.60 — 54%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D; 25 HYDROXY $85.66 $185.00 $91.58–$166.50 45% below 54%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D; 25 HYDROXY $85.66 $185.00 $91.58–$166.50 — 54%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1,25 DIHYDROXY $111.58 $241.00 $119.30–$216.90 30% below 54%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D; 1,25 DIHYDROXY,INCL FRACTIONS $111.58 $241.00 $119.30–$216.90 30% below 54%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D; 1,25 DIHYDROXY,INCL FRACTIONS $111.58 $241.00 $119.30–$216.90 — 54%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1,25 DIHYDROXY $111.58 $241.00 $119.30–$216.90 — 54%
Zinc blood test CPT 84630 ZINC, URINE $32.87 $71.00 $35.15–$63.90 59% below 54%
Zinc blood test CPT 84630 ZINC ARUP $32.87 $71.00 $35.15–$63.90 59% below 54%
Zinc blood test CPT 84630 ZINC,BLOOD $32.87 $71.00 $35.15–$63.90 59% below 54%
Zinc blood test inpatient CPT 84630 ZINC ARUP $32.87 $71.00 $35.15–$63.90 — 54%
Zinc blood test inpatient CPT 84630 ZINC,BLOOD $32.87 $71.00 $35.15–$63.90 — 54%
Zinc blood test inpatient CPT 84630 ZINC, URINE $32.87 $71.00 $35.15–$63.90 — 54%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 IMS2 HCG $43.52 $94.00 $46.53–$84.60 63% below 54%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE $43.52 $94.00 $46.53–$84.60 63% below 54%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 IMS2 HCG $43.52 $94.00 $46.53–$84.60 — 54%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE $43.52 $94.00 $46.53–$84.60 — 54%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HCHG 31295 NASAL/SINUS ENDOSCOPY $2,057.57 $4,444.00 $814.44–$13,603.00 7% above 54%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HCHG 31295 NASAL/SINUS ENDOSCOPY $2,057.57 $4,444.00 $2,857.49–$3,999.60 — 54%
Botox injections for chronic migraine CPT 64615 HCHG 64615 CHEMODENERVATION MUSCLE(S);MIGRAINE $270.39 $584.00 $153.62–$4,150.00 63% below 54%
Botox injections for chronic migraine inpatient CPT 64615 HCHG 64615 CHEMODENERVATION MUSCLE(S);MIGRAINE $270.39 $584.00 $375.51–$525.60 — 54%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG 19081 BREAST BIOPSY W/PLC LOC DEVICE 1ST LESION $1,617.26 $3,493.00 $565.31–$5,023.00 36% below 54%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG 19081 BREAST BIOPSY W/PLC LOC DEVICE 1ST LESION $1,617.26 $3,493.00 $2,246.00–$3,143.70 — 54%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HCHG 27786 CLSD TX DISTAL FIB FX W/O MAN $305.12 $659.00 $123.45–$4,150.00 45% below 54%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HCHG 27786 CLSD TX DISTAL FIB FX W/O MAN $305.12 $659.00 $423.74–$593.10 — 54%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HCHG 28470 CLSD TX METATARS FX W/O MAN,EA $271.32 $586.00 $123.45–$4,150.00 55% below 54%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HCHG 28470 CLSD TX METATARS FX W/O MAN,EA $271.32 $586.00 $376.80–$527.40 — 54%
Cardiac catheterization with coronary angiogram one side CPT 93458 HCHG 93458 LT HRT CATH/ART ANGIO $5,018.92 $10,840.00 $1,054.64–$17,899.00 49% below 54%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HCHG 93458 LT HRT CATH/ART ANGIO $5,018.92 $10,840.00 $6,970.12–$9,756.00 — 54%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG 92960 CARDIOVERSION ELECTRICAL EXT $1,130.65 $2,442.00 $276.72–$707.13 15% above 54%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG 92960 CARDIOVERSION ELECTRICAL EXT $1,130.65 $2,442.00 $1,570.21–$2,197.80 — 54%
Carpal tunnel release, open surgery CPT 64721 HCHG 64721 REVISE NERVE AT WRIST $2,487.24 $5,372.00 $580.13–$8,954.00 12% above 54%
Carpal tunnel release, open surgery inpatient CPT 64721 HCHG 64721 REVISE NERVE AT WRIST $2,487.24 $5,372.00 $3,454.20–$4,834.80 — 54%
Catheter ablation for atrial fibrillation CPT 93656 HCHG 93656 EP TRT ATRIAL FIB BY PULM VEIN ISOL $12,698.24 $27,426.00 $7,247.88–$46,537.00 28% below 54%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HCHG 93656 EP TRT ATRIAL FIB BY PULM VEIN ISOL $12,698.24 $27,426.00 $17,634.92–$24,683.40 — 54%
Cervical biopsy CPT 57500 HCHG 57500 BIOPSY, SINGLE/MULT WWO FULG $680.61 $1,470.00 $222.84–$4,150.00 15% above 54%
Cervical biopsy inpatient CPT 57500 HCHG 57500 BIOPSY, SINGLE/MULT WWO FULG $680.61 $1,470.00 $945.21–$1,323.00 — 54%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HCHG 54161 CIRCUMCISION,SURG EXC >28 DAYS $1,546.42 $3,340.00 $841.17–$8,954.00 66% above 54%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HCHG 54161 CIRCUMCISION,SURG EXC >28 DAYS $1,546.42 $3,340.00 $2,147.62–$3,006.00 — 54%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG 54150 CIRCUMCISION, CLAMP/OTH DEVICE W/REGIONAL $335.68 $725.00 $725.00–$8,954.00 65% above 54%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG 54150 CIRCUMCISION, CLAMP/OTH DEVICE W/REGIONAL $335.68 $725.00 $466.18–$652.50 — 54%
Circumcision, surgical, older than a newborn CPT 54160 HCHG 54160 PR CIRCUMCISION,SURGICAL EXCISION; NEONATE <28DAYS $594.96 $1,285.00 $348.97–$8,954.00 20% below 54%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HCHG 54160 PR CIRCUMCISION,SURGICAL EXCISION; NEONATE <28DAYS $594.96 $1,285.00 $826.26–$1,156.50 — 54%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HCHG 25600 CLS TX DISTAL RADIAL FX W/O MN $310.67 $671.00 $123.45–$4,150.00 50% below 54%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HCHG 25600 CLS TX DISTAL RADIAL FX W/O MN $310.67 $671.00 $431.45–$603.90 — 54%
Colonoscopy with endoscopic ultrasound CPT 45391 HCHG 45391P COLONOSCOPY W/ENDOSCOPIC US EXAM $1,357.05 $2,931.00 $425.43–$5,023.00 46% below 54%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HCHG 45391P COLONOSCOPY W/ENDOSCOPIC US EXAM $1,357.05 $2,931.00 $1,884.63–$2,637.90 — 54%
Colonoscopy with polyp removal CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE $1,459.38 $3,152.00 $425.43–$5,023.00 41% below 54%
Colonoscopy with polyp removal CPT 45385 HCHG 45385 COLONOSCOPY BX W/REMOV-SNARE $2,214.07 $4,782.00 $425.43–$5,023.00 10% below 54%
Colonoscopy with polyp removal inpatient CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE $1,459.38 $3,152.00 $2,026.74–$2,836.80 — 54%
Colonoscopy with polyp removal inpatient CPT 45385 HCHG 45385 COLONOSCOPY BX W/REMOV-SNARE $2,214.07 $4,782.00 $3,074.83–$4,303.80 — 54%
Colonoscopy with tissue sample CPT 45380 HCHG 45380P COLONOSCOPY W/BIOPSY, SGL OR MULT $1,459.38 $3,152.00 $425.43–$5,023.00 29% below 54%
Colonoscopy with tissue sample CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY $2,259.90 $4,881.00 $425.43–$5,023.00 11% above 54%
Colonoscopy with tissue sample inpatient CPT 45380 HCHG 45380P COLONOSCOPY W/BIOPSY, SGL OR MULT $1,459.38 $3,152.00 $2,026.74–$2,836.80 — 54%
Colonoscopy with tissue sample inpatient CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY $2,259.90 $4,881.00 $3,138.48–$4,392.90 — 54%
Colonoscopy, diagnostic CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC $891.28 $1,925.00 $425.43–$5,023.00 49% below 54%
Colonoscopy, diagnostic CPT 45378 HCHG 45378 COLONOSCOPY FLEX DIAG $891.28 $1,925.00 $425.43–$5,023.00 49% below 54%
Colonoscopy, diagnostic inpatient CPT 45378 HCHG 45378 COLONOSCOPY FLEX DIAG $891.28 $1,925.00 $1,237.78–$1,732.50 — 54%
Colonoscopy, diagnostic inpatient CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC $891.28 $1,925.00 $1,237.78–$1,732.50 — 54%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HCHG 57460 LEEP PROCEDURE $2,180.73 $4,710.00 $628.52–$8,954.00 154% above 54%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HCHG 57460 LEEP PROCEDURE $2,180.73 $4,710.00 $3,028.53–$4,239.00 — 54%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HCHG 57454 COLPOSCOY WITH BIOPSY(S) $318.54 $688.00 $152.51–$4,150.00 30% below 54%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HCHG 57454 COLPOSCOY WITH BIOPSY(S) $318.54 $688.00 $442.38–$619.20 — 54%
Coronary stent placement, one artery CPT 92928 HCHG 92928 PERQ CORO DE STENT W/ANGIO; SINGLE ARTERY $7,351.51 $15,878.00 $3,640.80–$22,195.00 6% below 54%
Coronary stent placement, one artery CPT 92928 HCHG 92928 PERQ CORO STENT W/ANGIO; SINGLE ARTERY $7,351.51 $15,878.00 $3,640.80–$22,195.00 6% below 54%
Coronary stent placement, one artery inpatient CPT 92928 HCHG 92928 PERQ CORO DE STENT W/ANGIO; SINGLE ARTERY $7,351.51 $15,878.00 $10,209.55–$14,290.20 — 54%
Coronary stent placement, one artery inpatient CPT 92928 HCHG 92928 PERQ CORO STENT W/ANGIO; SINGLE ARTERY $7,351.51 $15,878.00 $10,209.55–$14,290.20 — 54%
Cystoscopy with ureteral stent placement CPT 52332 HCHG 52332 CYSTO W/INS STENT $2,634.47 $5,690.00 $669.88–$8,954.00 40% below 54%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HCHG 52332 CYSTO W/INS STENT $2,634.47 $5,690.00 $3,658.67–$5,121.00 — 54%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HCHG 52000 CYSTOURETHROSCOPY $514.39 $1,111.00 $348.97–$4,150.00 48% below 54%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HCHG 52000 CYSTOURETHROSCOPY $514.39 $1,111.00 $714.37–$999.90 — 54%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HCHG 58120 D&C,DIAGNOSTIC/THERAPUTIC $2,178.88 $4,706.00 $1,010.40–$8,954.00 92% above 54%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HCHG 58120 D&C,DIAGNOSTIC/THERAPUTIC $2,178.88 $4,706.00 $3,025.96–$4,235.40 — 54%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HCHG 17000 DEST BENIGN/PREMALIGN, 1ST LESION $153.72 $332.00 $74.37–$4,150.00 15% below 54%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HCHG 17000 DEST BENIGN/PREMALIGN, 1ST LESION $153.72 $332.00 $213.48–$298.80 — 54%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HCHG 69433 TYMPANOSTOMY-INSERT TUBE $494.95 $1,069.00 $78.95–$4,150.00 5% below 54%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HCHG 69433 TYMPANOSTOMY-INSERT TUBE $494.95 $1,069.00 $687.37–$962.10 — 54%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HCHG 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LAVAGE UNILATERAL $102.79 $222.00 $29.52–$4,150.00 11% above 54%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HCHG 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LAVAGE UNILATERAL $102.79 $222.00 $142.75–$199.80 — 54%
Earwax removal with instruments, one ear one side CPT 69210 HCHG 69210 REM IMPACTED CERUMEN, UNILATERAL $61.58 $133.00 $29.52–$4,150.00 27% below 54%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HCHG 69210 REM IMPACTED CERUMEN, UNILATERAL $61.58 $133.00 $85.52–$119.70 — 54%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HCHG 58100 ENDOMETRIAL SAMPLING $356.05 $769.00 $101.18–$4,150.00 31% above 54%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HCHG 58100 ENDOMETRIAL SAMPLING $356.05 $769.00 $494.47–$692.10 — 54%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HCHG 31256 NASAL ENDOSCOPY W/ANTROSTOMY $2,562.71 $5,535.00 $1,153.41–$8,954.00 7% above 54%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HCHG 31256 NASAL ENDOSCOPY W/ANTROSTOMY $2,562.71 $5,535.00 $3,559.01–$4,981.50 — 54%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HCHG 31267 NASAL/SINUS ENDO W/REMOVAL TISSUE $4,586.02 $9,905.00 $249.39–$8,954.00 13% above 54%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HCHG 31267 NASAL/SINUS ENDO W/REMOVAL TISSUE $4,586.02 $9,905.00 $6,368.92–$8,914.50 — 54%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG 62321 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, $574.12 $1,240.00 $325.12–$4,150.00 57% below 54%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG 62321 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, $574.12 $1,240.00 $797.32–$1,116.00 — 54%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HCHG 67028 INTRAVITREAL INJ PHARM AGENT $308.36 $666.00 $114.46–$4,150.00 24% below 54%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HCHG 67028 INTRAVITREAL INJ PHARM AGENT $308.36 $666.00 $428.24–$599.40 — 54%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG 64493 INJECTION PARAVERTEBRAL FACET JOINT W/GUIDANCE LUMB/S $769.97 $1,663.00 $325.12–$4,150.00 52% below 54%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG 64493 INJECTION PARAVERTEBRAL FACET JOINT W/GUIDANCE LUMB/S $769.97 $1,663.00 $1,069.31–$1,496.70 — 54%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG 45330 SIGMOIDOSCOPY, FLEXIBLE, DIAG $898.68 $1,941.00 $425.43–$4,150.00 5% above 54%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG 45330P SIGMOIDOSCOPY; DIAGNOSTIC $898.68 $1,941.00 $425.43–$4,150.00 5% above 54%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HCHG 45330P SIGMOIDOSCOPY; DIAGNOSTIC $898.68 $1,941.00 $1,248.06–$1,746.90 — 54%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HCHG 45330 SIGMOIDOSCOPY, FLEXIBLE, DIAG $898.68 $1,941.00 $1,248.06–$1,746.90 — 54%
Hammertoe correction surgery CPT 28285 HCHG 28285 CORRECTION; HAMMERTOE $2,387.69 $5,157.00 $931.04–$8,954.00 12% below 54%
Hammertoe correction surgery inpatient CPT 28285 HCHG 28285 CORRECTION; HAMMERTOE $2,387.69 $5,157.00 $3,315.95–$4,641.30 — 54%
Hemorrhoid banding (rubber band ligation) CPT 46221 HCHG 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S $734.78 $1,587.00 $465.41–$4,150.00 43% below 54%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HCHG 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S $734.78 $1,587.00 $1,020.44–$1,428.30 — 54%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG 58340 CATH FOR HYSTEROGRAPHY $212.98 $460.00 $227.70–$414.00 37% below 54%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG 58340 CATH FOR HYSTEROGRAPHY $212.98 $460.00 $227.70–$414.00 — 54%
IUD insertion (the device itself billed separately) CPT 58300 HCHG 58300 INSERT INTRAUTERINE DEVICE-IUD $165.75 $358.00 $177.21–$322.20 46% below 54%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HCHG 58300 INSERT INTRAUTERINE DEVICE-IUD $165.75 $358.00 $177.21–$322.20 — 54%
Incision and drainage of a simple or single skin abscess CPT 10060 HCHG 10060 I&D ABSCESS SIMPLE $155.11 $335.00 $74.37–$4,150.00 47% below 54%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG 10060 I&D ABSCESS SIMPLE $155.11 $335.00 $215.41–$301.50 — 54%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG 20550 INJ SGL TEND SHEATH OR LIG, APO $239.37 $517.00 $58.28–$4,150.00 30% below 54%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG 20550 INJ SGL TEND SHEATH OR LIG, APO $239.37 $517.00 $332.43–$465.30 — 54%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG 20610 ARTHROCENTESIS, ASP/INJ, LRG JNT $241.69 $522.00 $70.76–$4,150.00 44% below 54%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG 20610 ARTHROCENTESIS, ASP/INJ, LRG JNT $241.69 $522.00 $335.65–$469.80 — 54%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HCHG 11981 INSERTION, DRUG-DELIVERY IMPLANT (IE, RESORB, BIODEGR $146.77 $317.00 $66.59–$4,150.00 44% below 54%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HCHG 11981 INSERTION, DRUG-DELIVERY IMPLANT (IE, RESORB, BIODEGR $146.77 $317.00 $203.83–$285.30 — 54%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG 20605 ARTHROCENTESIS,ASP/INJ, INT JNT $238.45 $515.00 $59.32–$4,150.00 26% below 54%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG 20605 ARTHROCENTESIS,ASP/INJ, INT JNT $238.45 $515.00 $331.15–$463.50 — 54%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG 20600 ARTHORCENTESIS,ASP/INJ SM JNT $237.98 $514.00 $56.20–$4,150.00 36% below 54%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG 20600 ARTHORCENTESIS,ASP/INJ SM JNT $237.98 $514.00 $330.50–$462.60 — 54%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG 66821 YAG LASER SURGERY $539.86 $1,166.00 $245.14–$4,150.00 54% below 54%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG 66821 YAG LASER SURGERY $539.86 $1,166.00 $749.74–$1,049.40 — 54%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HCHG 12031 REPAIR INTERMEDIATE WOUND, SCALP, AXILLAE, TRUNK, EXT $364.84 $788.00 $166.90–$4,150.00 31% below 54%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HCHG 12031 REPAIR INTERMEDIATE WOUND, SCALP, AXILLAE, TRUNK, EXT $364.84 $788.00 $506.68–$709.20 — 54%
Left heart catheterization, diagnostic one side CPT 93452 HCHG 93452 LEFT HEART CATH W/VENTRICULOGRAPHY $4,726.77 $10,209.00 $1,054.64–$17,899.00 31% below 54%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHG 93452 LEFT HEART CATH W/VENTRICULOGRAPHY $4,726.77 $10,209.00 $6,564.39–$9,188.10 — 54%
Lower-back epidural injection, with imaging guidance CPT 62323 HCHG 62323 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, $547.27 $1,182.00 $325.12–$4,150.00 52% below 54%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG 62323 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, $547.27 $1,182.00 $760.03–$1,063.80 — 54%
Lower-back epidural injection, without imaging guidance CPT 62322 HCHG 62322 PR INJ DIAG/THER SUBSTANCE W/CATH PLC $545.41 $1,178.00 $325.12–$4,150.00 34% below 54%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG 62322 PR INJ DIAG/THER SUBSTANCE W/CATH PLC $545.41 $1,178.00 $757.45–$1,060.20 — 54%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG 64483 INJ ANES AGNT-LUMB/SACR SINGLE $777.84 $1,680.00 $325.12–$4,150.00 27% below 54%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG 64483 INJ ANES AGNT-LUMB/SACR SINGLE $777.84 $1,680.00 $1,080.24–$1,512.00 — 54%
Miscarriage treatment with D&C, first trimester CPT 59820 HCHG 59820 TRMT MISSED AB,COMPLETE SURG,1ST TRIMESTER $2,180.73 $4,710.00 $765.14–$8,954.00 87% above 54%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HCHG 59820 TRMT MISSED AB,COMPLETE SURG,1ST TRIMESTER $2,180.73 $4,710.00 $3,028.53–$4,239.00 — 54%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HCHG 17311 MOHS FIRST STAGE, UP TO 5 BLOCKS $1,404.74 $3,034.00 $369.88–$4,150.00 5% above 54%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HCHG 17311 MOHS FIRST STAGE, UP TO 5 BLOCKS $1,404.74 $3,034.00 $1,950.86–$2,730.60 — 54%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HCHG 11400 EXCISION BENIGN LESION, <0.5 CM $558.84 $1,207.00 $183.87–$4,150.00 60% above 54%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HCHG 11400 EXCISION BENIGN LESION, <0.5 CM $558.84 $1,207.00 $776.10–$1,086.30 — 54%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HCHG 11440 EXCISION BENIGN LESION; <.5CM $562.55 $1,215.00 $183.87–$4,150.00 9% above 54%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HCHG 11440 EXCISION BENIGN LESION; <.5CM $562.55 $1,215.00 $781.25–$1,093.50 — 54%
Nail removal (partial or complete), one nail CPT 11730 HCHG 11730 AVULSION NAIL PLATE $184.27 $398.00 $28.28–$4,150.00 22% below 54%
Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG 11730 AVULSION NAIL PLATE $184.27 $398.00 $255.91–$358.20 — 54%
Occipital nerve block (injection for headaches) CPT 64405 HCHG 64405 INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GRE $256.50 $554.00 $79.09–$4,150.00 44% below 54%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG 64405 INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GRE $256.50 $554.00 $356.22–$498.60 — 54%
Pacemaker implant (dual chamber) CPT 33208 HCHG 33208 INS/RPL PACE W/TRANS ELEC-A&V $9,224.35 $19,923.00 $3,371.89–$46,537.00 45% above 54%
Pacemaker implant (dual chamber) inpatient CPT 33208 HCHG 33208 INS/RPL PACE W/TRANS ELEC-A&V $9,224.35 $19,923.00 $12,810.49–$17,930.70 — 54%
Paracentesis with imaging guidance CPT 49083 HCHG 49083 ABD PARACENTESIS; W/IMAGING GUIDANCE $686.63 $1,483.00 $313.73–$5,023.00 47% below 54%
Paracentesis with imaging guidance inpatient CPT 49083 HCHG 49083 ABD PARACENTESIS; W/IMAGING GUIDANCE $686.63 $1,483.00 $953.57–$1,334.70 — 54%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG 11750 REMOVAL NAIL BED PERMANENT $334.75 $723.00 $183.87–$4,150.00 3% above 54%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG 11750 REMOVAL NAIL BED PERMANENT $334.75 $723.00 $464.89–$650.70 — 54%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG 64635 DESTRUCT FACET JOINT;LUMB/SAC;SINGLE $2,133.50 $4,608.00 $625.31–$8,954.00 14% below 54%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG 64635 DESTRUCT FACET JOINT;LUMB/SAC;SINGLE $2,133.50 $4,608.00 $2,962.94–$4,147.20 — 54%
Removal of a breast lump, open surgery CPT 19120 HCHG 19120 EXCISION CYST BREAST $2,645.12 $5,713.00 $565.31–$8,954.00 32% above 54%
Removal of a breast lump, open surgery inpatient CPT 19120 HCHG 19120 EXCISION CYST BREAST $2,645.12 $5,713.00 $3,673.46–$5,141.70 — 54%
Removal of a foreign object under the skin, simple CPT 10120 HCHG 10120 INC&REMOVAL FB SIMPLE $334.29 $722.00 $74.37–$4,150.00 1% below 54%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG 10120 INC&REMOVAL FB SIMPLE $334.29 $722.00 $464.25–$649.80 — 54%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HCHG G0121P COLORECTAL CANCER SCREENING; COLONOSCOPY (PT NOT MEE $891.28 $1,925.00 $425.43–$4,150.00 54% below 54%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HCHG G0121P COLORECTAL CANCER SCREENING; COLONOSCOPY (PT NOT MEE $891.28 $1,925.00 $1,237.78–$1,732.50 — 54%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HCHG G0105P COLORECTAL CANCER SCREENING; COLONOSCOPY, HIGH RISK $891.28 $1,925.00 $425.43–$4,150.00 53% below 54%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HCHG G0105P COLORECTAL CANCER SCREENING; COLONOSCOPY, HIGH RISK $891.28 $1,925.00 $1,237.78–$1,732.50 — 54%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HCHG 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE $2,576.60 $5,565.00 $1,247.71–$22,195.00 72% below 54%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HCHG LITHOTRIPSY $8,539.11 $18,443.00 $1,247.71–$22,195.00 9% below 54%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HCHG 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE $2,576.60 $5,565.00 $3,578.30–$5,008.50 — 54%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HCHG LITHOTRIPSY $8,539.11 $18,443.00 $11,858.85–$16,598.70 — 54%
Short arm cast (elbow to hand) CPT 29075 HCHG 29075 APPLY SHORT ARM CAST $277.80 $600.00 $84.26–$4,150.00 10% above 54%
Short arm cast (elbow to hand) inpatient CPT 29075 HCHG 29075 APPLY SHORT ARM CAST $277.80 $600.00 $385.80–$540.00 — 54%
Short arm splint (forearm and hand) CPT 29125 HCHG 29125 APPLY SHORT ARM SPLINT $137.05 $296.00 $31.62–$4,150.00 22% below 54%
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG 29125 APPLY SHORT ARM SPLINT $137.05 $296.00 $190.33–$266.40 — 54%
Short leg cast (below the knee) CPT 29405 HCHG 29405 APPLY SHORT LEG CAST(KNEE-TOE) $276.41 $597.00 $84.26–$4,150.00 18% above 54%
Short leg cast (below the knee) inpatient CPT 29405 HCHG 29405 APPLY SHORT LEG CAST(KNEE-TOE) $276.41 $597.00 $383.87–$537.30 — 54%
Short leg splint (calf to foot) CPT 29515 HCHG 29515 APPLY SHT LEG SPLT(CALF-FOOT) $144.92 $313.00 $31.62–$4,150.00 30% below 54%
Short leg splint (calf to foot) inpatient CPT 29515 HCHG 29515 APPLY SHT LEG SPLT(CALF-FOOT) $144.92 $313.00 $201.26–$281.70 — 54%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HCHG 12001 SIMP LAC<2.6CM BDY/SCLP/HND/FT $178.26 $385.00 $80.95–$4,150.00 45% below 54%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HCHG 12001 SIMP LAC<2.6CM BDY/SCLP/HND/FT $178.26 $385.00 $247.56–$346.50 — 54%
Skin biopsy, punch, one lesion CPT 11104 HCHG 11104 PUNCH BIOPSY SKIN; SINGLE LESION $208.35 $450.00 $183.87–$4,150.00 13% below 54%
Skin biopsy, punch, one lesion inpatient CPT 11104 HCHG 11104 PUNCH BIOPSY SKIN; SINGLE LESION $208.35 $450.00 $289.35–$405.00 — 54%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HCHG 11600 EXC MALIGN LESION, 0.5 CM OR LESS $531.99 $1,149.00 $183.87–$4,150.00 45% above 54%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HCHG 11600 EXC MALIGN LESION, 0.5 CM OR LESS $531.99 $1,149.00 $738.81–$1,034.10 — 54%
Skin tag removal, up to 15 tags CPT 11200 HCHG 11200 REMOVE SKIN TAGS;UP TO 15 $178.26 $385.00 $74.37–$4,150.00 26% above 54%
Skin tag removal, up to 15 tags inpatient CPT 11200 HCHG 11200 REMOVE SKIN TAGS;UP TO 15 $178.26 $385.00 $247.56–$346.50 — 54%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG 62270 SPINAL PUNCTURE, LUMBAR,DIAGNOSTIC; $545.41 $1,178.00 $325.12–$4,150.00 10% below 54%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG 62270 SPINAL PUNCTURE LUMBAR PERFORMED IN PACU $545.41 $1,178.00 $325.12–$4,150.00 10% below 54%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG 62270 SPINAL PUNCTURE, LUMBAR,DIAGNOSTIC; $545.41 $1,178.00 $757.45–$1,060.20 — 54%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG 62270 SPINAL PUNCTURE LUMBAR PERFORMED IN PACU $545.41 $1,178.00 $757.45–$1,060.20 — 54%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG 12002 SIMPLE LACERATION 2.6-7.5 CM $185.20 $400.00 $80.95–$4,150.00 8% below 54%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HCHG 12002 SIMPLE LACERATION 2.6-7.5 CM $185.20 $400.00 $257.20–$360.00 — 54%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HCHG 12011 SIMP LAC FACE/CHIN/EARS <2.5CM $186.59 $403.00 $80.95–$4,150.00 40% below 54%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HCHG 12011 SIMP LAC FACE/CHIN/EARS <2.5CM $186.59 $403.00 $259.13–$362.70 — 54%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HCHG 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION $153.72 $332.00 $168.58–$4,150.00 36% below 54%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HCHG 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION $153.72 $332.00 $213.48–$298.80 — 54%
Thoracentesis with imaging guidance CPT 32555 HCHG 32555 THORACENTESIS,ASP PLEURAL SPACE;W/IMAG GUID $668.57 $1,444.00 $313.94–$4,150.00 44% below 54%
Thoracentesis with imaging guidance inpatient CPT 32555 HCHG 32555 THORACENTESIS,ASP PLEURAL SPACE;W/IMAG GUID $668.57 $1,444.00 $928.49–$1,299.60 — 54%
Trigger finger release surgery CPT 26055 HCHG 26055 TEND SHEATH INCISN TRIG FINGER $1,362.61 $2,943.00 $568.08–$5,023.00 10% below 54%
Trigger finger release surgery inpatient CPT 26055 HCHG 26055 TEND SHEATH INCISN TRIG FINGER $1,362.61 $2,943.00 $1,892.35–$2,648.70 — 54%
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG 20552 INJ SLG/MULT TRIG PNT 1-2 MUSC $240.76 $520.00 $60.36–$4,150.00 32% below 54%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG 20552 INJ SLG/MULT TRIG PNT 1-2 MUSC $240.76 $520.00 $334.36–$468.00 — 54%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG 19083 BIOPSY BREAST W/PLC LOC DEVICE 1ST LESION $1,608.93 $3,475.00 $565.31–$5,023.00 20% below 54%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HCHG 19083 BIOPSY BREAST W/PLC LOC DEVICE 1ST LESION $1,608.93 $3,475.00 $2,234.43–$3,127.50 — 54%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HCHG 43249 UPPER GI ENDOSCOPY W/DIL $1,942.75 $4,196.00 $428.11–$5,023.00 27% below 54%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HCHG 43249P EGD W/BALLOON DILATION OF ESOPHAGUS $1,942.75 $4,196.00 $428.11–$5,023.00 27% below 54%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HCHG 43249P EGD W/BALLOON DILATION OF ESOPHAGUS $1,942.75 $4,196.00 $2,698.03–$3,776.40 — 54%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HCHG 43249 UPPER GI ENDOSCOPY W/DIL $1,942.75 $4,196.00 $2,698.03–$3,776.40 — 54%
Upper endoscopy (EGD) with biopsy CPT 43239 HCHG 43239 UPPER GI ENDOSCOPY W/BIOPSY $1,360.76 $2,939.00 $428.11–$5,023.00 14% below 54%
Upper endoscopy (EGD) with biopsy CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT $1,360.76 $2,939.00 $428.11–$5,023.00 14% below 54%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG 43239 UPPER GI ENDOSCOPY W/BIOPSY $1,360.76 $2,939.00 $1,889.78–$2,645.10 — 54%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT $1,360.76 $2,939.00 $1,889.78–$2,645.10 — 54%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HCHG 43236P EGD W/DIR SUBMUC INJ, ANY SUBSTANCE $1,360.76 $2,939.00 $428.11–$5,023.00 11% below 54%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HCHG 43236P EGD W/DIR SUBMUC INJ, ANY SUBSTANCE $1,360.76 $2,939.00 $1,889.78–$2,645.10 — 54%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HCHG 43251P EGD W/REM POLYP,TUMOR,LESION-SNARE $1,942.75 $4,196.00 $428.11–$5,023.00 12% below 54%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HCHG 43251P EGD W/REM POLYP,TUMOR,LESION-SNARE $1,942.75 $4,196.00 $2,698.03–$3,776.40 — 54%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HCHG 43248 UPPER GI ENDO GUIDEWIRE $1,360.76 $2,939.00 $428.11–$5,023.00 27% below 54%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HCHG 43248P EGD W/INSERT GUIDEWIRE AND DILATION $1,360.76 $2,939.00 $428.11–$5,023.00 27% below 54%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HCHG 43248 UPPER GI ENDO GUIDEWIRE $1,360.76 $2,939.00 $1,889.78–$2,645.10 — 54%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HCHG 43248P EGD W/INSERT GUIDEWIRE AND DILATION $1,360.76 $2,939.00 $1,889.78–$2,645.10 — 54%
Upper endoscopy (EGD), diagnostic CPT 43235 HCHG 43235P EGD; DIAGNOSTIC $1,360.76 $2,939.00 $428.11–$5,023.00 7% below 54%
Upper endoscopy (EGD), diagnostic CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG $1,360.76 $2,939.00 $428.11–$5,023.00 7% below 54%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG 43235P EGD; DIAGNOSTIC $1,360.76 $2,939.00 $1,889.78–$2,645.10 — 54%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG $1,360.76 $2,939.00 $1,889.78–$2,645.10 — 54%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HCHG 43240P EGD W/DRAINAGE OF PSEUDOCYST $3,734.10 $8,065.00 $1,748.36–$8,954.00 5% above 54%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HCHG 43240P EGD W/DRAINAGE OF PSEUDOCYST $3,734.10 $8,065.00 $5,185.80–$7,258.50 — 54%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HCHG 52356 CYSTOURETHROSCOPY W/URET, LITHO, INS STENT $8,641.43 $18,664.00 $1,785.65–$17,899.00 314% above 54%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HCHG 52356 CYSTOURETHROSCOPY W/URET, LITHO, INS STENT $8,641.43 $18,664.00 $12,000.95–$16,797.60 — 54%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HCHG 55250 VASECTOMY UNILATERAL/BILATERAL $1,546.42 $3,340.00 $1,046.16–$8,954.00 — 54%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HCHG 55250 VASECTOMY UNILATERAL/BILATERAL $1,546.42 $3,340.00 $2,147.62–$3,006.00 — 54%
Vein ablation, radiofrequency, first vein CPT 36475 HCHG 36475 ENDOVEN ABLAT THERAPY 1ST VEIN $2,804.85 $6,058.00 $1,126.66–$13,603.00 28% below 54%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HCHG 36475 ENDOVEN ABLAT THERAPY 1ST VEIN $2,804.85 $6,058.00 $3,895.29–$5,452.20 — 54%
Wart removal, up to 14 warts CPT 17110 HCHG 17110 DEST BENIGN LESIONS, UP TO 14 $181.96 $393.00 $74.37–$4,150.00 7% below 54%
Wart removal, up to 14 warts inpatient CPT 17110 HCHG 17110 DESTRUCTION OF WARTS-RETREATMENT $85.19 $184.00 $91.08–$165.60 — 54%
Wart removal, up to 14 warts inpatient CPT 17110 HCHG 17110 DEST BENIGN LESIONS, UP TO 14 $181.96 $393.00 $252.70–$353.70 — 54%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG 11042 DEBRIDE SUBQ TISS 20 SQ CM/< $277.80 $600.00 $166.90–$4,150.00 48% below 54%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG 11042 DEBRIDE SUBQ TISS 20 SQ CM/< $277.80 $600.00 $385.80–$540.00 — 54%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Blood transfusion (giving blood or blood components) CPT 36430 HCHG 36430 TRANSFUSION-BLOOD/PRODUCTS-OP $766.27 $1,655.00 $83.25–$472.01 31% above 54%
Blood transfusion (giving blood or blood components) CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 1 PRODUCT $966.74 $2,088.00 $83.25–$472.01 66% above 54%
Blood transfusion (giving blood or blood components) CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 2 PRODUCTS $988.04 $2,134.00 $83.25–$472.01 69% above 54%
Blood transfusion (giving blood or blood components) CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 3 PRODUCTS $1,124.16 $2,428.00 $83.25–$472.01 93% above 54%
Blood transfusion (giving blood or blood components) CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 4 PRODUCTS $1,176.02 $2,540.00 $83.25–$472.01 101% above 54%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG 36430 TRANSFUSION-BLOOD/PRODUCTS-OP $766.27 $1,655.00 $1,064.17–$1,489.50 — 54%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 1 PRODUCT $966.74 $2,088.00 $1,342.58–$1,879.20 — 54%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 2 PRODUCTS $988.04 $2,134.00 $1,372.16–$1,920.60 — 54%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 3 PRODUCTS $1,124.16 $2,428.00 $1,561.20–$2,185.20 — 54%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 4 PRODUCTS $1,176.02 $2,540.00 $1,633.22–$2,286.00 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 SM VOLUME NEBULIZER TRT-SUBSEQ $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 NON/PRESSURIZED INHALATION TRT $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 COMBIVENT TRMT-SUBSEQ $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 COMBIVENT TRMT-INITIAL $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 MDI TREATMENT-SUBSEQUENT $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 PAP THERAPY,SUBSEQUENT TRTMENT $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 IPPB-SUBSEQUENT TREATMENT $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 PAP THERAPY, INITIAL TREATMENT $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 SMALL VOLUME NEB TRT-INITIAL $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 IPPB-INITIAL TREATMENT $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 SPUTUM INDUCTION $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 MDI TREATMENT-INITIAL $169.92 $367.00 $24.72–$234.28 97% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 NEB TREATMENT IP $321.32 $694.00 $24.72–$234.28 272% above 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 MDI TREATMENT-INITIAL $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 PAP THERAPY, INITIAL TREATMENT $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 IPPB-SUBSEQUENT TREATMENT $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 PAP THERAPY,SUBSEQUENT TRTMENT $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 MDI TREATMENT-SUBSEQUENT $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 SM VOLUME NEBULIZER TRT-SUBSEQ $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 COMBIVENT TRMT-INITIAL $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 IPPB-INITIAL TREATMENT $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 COMBIVENT TRMT-SUBSEQ $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 NON/PRESSURIZED INHALATION TRT $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 SPUTUM INDUCTION $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 SMALL VOLUME NEB TRT-INITIAL $169.92 $367.00 $235.98–$330.30 — 54%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 NEB TREATMENT IP $321.32 $694.00 $446.24–$624.60 — 54%
Chemotherapy IV infusion, first hour CPT 96413 HCHG 96413 CHEMO ADM IV INF TECH UP TO 1 HR, RESEARCH $878.31 $1,897.00 $120.85–$353.39 57% above 54%
Chemotherapy IV infusion, first hour CPT 96413 HCHG 96413 CHEMO ADM IV INF TECH UPTO 1HR $878.31 $1,897.00 $120.85–$353.39 57% above 54%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG 96413 CHEMO ADM IV INF TECH UPTO 1HR $878.31 $1,897.00 $1,219.77–$1,707.30 — 54%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG 96413 CHEMO ADM IV INF TECH UP TO 1 HR, RESEARCH $878.31 $1,897.00 $1,219.77–$1,707.30 — 54%
Comprehensive eye exam, returning patient CPT 92014 HCHG 92014 COMP OPHTHAL EXAM ESTAB PATIENT $29.63 $64.00 $64.00–$142.44 71% below 54%
Comprehensive eye exam, returning patient CPT 92014 HCHG 92014 COMPREHENSIVE OPTOMETRY EXAM, EST PT $62.04 $134.00 $66.63–$142.44 39% below 54%
Comprehensive eye exam, returning patient inpatient CPT 92014 HCHG 92014 COMP OPHTHAL EXAM ESTAB PATIENT $29.63 $64.00 $41.15–$57.60 — 54%
Comprehensive eye exam, returning patient inpatient CPT 92014 HCHG 92014 COMPREHENSIVE OPTOMETRY EXAM, EST PT $62.04 $134.00 $86.16–$120.60 — 54%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HCHG 92557 COMPREHENSIVE AUDIOMETRY-THRES $121.31 $262.00 $33.99–$148.83 22% below 54%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HCHG 92557 COMPREHENSIVE AUDIOMETRY-THRES $121.31 $262.00 $168.47–$235.80 — 54%
Critical care, first 30 to 74 minutes CPT 99291 HCHG 99291 CRITICAL CARE 1ST 30-74 MIN $1,275.57 $2,755.00 $413.40–$5,970.66 29% below 54%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG 99291 CRITICAL CARE 1ST 30-74 MIN $1,275.57 $2,755.00 $1,771.47–$2,479.50 — 54%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG 95816 EEG-AWAKE/DROWSY ROUTINE $650.98 $1,406.00 $108.06–$299.06 3% below 54%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG 95816 EEG-AWAKE/DROWSY ROUTINE $650.98 $1,406.00 $904.06–$1,265.40 — 54%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG 93005 ELECTROCARDIOGRAM, ROUTINE ECG, TRACING ONLY $60.65 $131.00 $11.07–$63.11 59% below 54%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG 93005 ELECTROCARDIOGRAM, ROUTINE ECG, TRACING ONLY $60.65 $131.00 $84.23–$117.90 — 54%
Electroconvulsive therapy (ECT), one session CPT 90870 HCHG 90870 ELECTROCONVUL THER-SNGL SEIZUR $552.82 $1,194.00 $205.10–$1,103.00 24% below 54%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HCHG 90870 ELECTROCONVUL THER-SNGL SEIZUR $552.82 $1,194.00 $800.70–$1,194.00 — 54%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG 99281 EMERGENCY SERVICE I $129.18 $279.00 $42.20–$632.69 31% below 54%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG 99281 EMERGENCY SERVICE I $129.18 $279.00 $179.40–$251.10 — 54%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG 99282 EMERGENCY SERVICE II $232.43 $502.00 $76.84–$895.00 28% below 54%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG 99282 CRIME SUSPECT EXAMINATION $232.43 $502.00 $76.84–$895.00 28% below 54%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG 99282 SANE OR CRIME VICTIMS EXAMINATION $232.43 $502.00 $76.84–$895.00 28% below 54%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG 99282 CRIME SUSPECT EXAMINATION $232.43 $502.00 $322.79–$451.80 — 54%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG 99282 SANE OR CRIME VICTIMS EXAMINATION $232.43 $502.00 $322.79–$451.80 — 54%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG 99282 EMERGENCY SERVICE II $232.43 $502.00 $322.79–$451.80 — 54%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG 99283 CRIME SUSPECT EXAMINATION $408.37 $882.00 $136.61–$2,058.00 31% below 54%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG 99283 SANE OR CRIME VICTIMS EXAMINATION $408.37 $882.00 $136.61–$2,058.00 31% below 54%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG 99283 EMERGENCY SERVICE III $408.37 $882.00 $136.61–$2,058.00 31% below 54%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG 99283 SANE OR CRIME VICTIMS EXAMINATION $408.37 $882.00 $567.13–$793.80 — 54%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG 99283 EMERGENCY SERVICE III $408.37 $882.00 $567.13–$793.80 — 54%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG 99283 CRIME SUSPECT EXAMINATION $408.37 $882.00 $567.13–$793.80 — 54%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG 99284 EMERGENCY SERVICE IV $613.94 $1,326.00 $208.83–$1,365.78 33% below 54%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG 99284 SANE OR CRIME VICTIMS EXAMINATION $613.94 $1,326.00 $208.83–$1,365.78 33% below 54%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG 99284 SANE OR CRIME VICTIMS EXAMINATION $613.94 $1,326.00 $852.62–$1,193.40 — 54%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG 99284 EMERGENCY SERVICE IV $613.94 $1,326.00 $852.62–$1,193.40 — 54%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG 99285 EMERGENCY SERVICE V $850.99 $1,838.00 $298.04–$8,591.00 42% below 54%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG 99285 SANE OR CRIME VICTIMS EXAMINATION $850.99 $1,838.00 $298.04–$8,591.00 42% below 54%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG 99285 SANE OR CRIME VICTIMS EXAMINATION $850.99 $1,838.00 $1,181.83–$1,654.20 — 54%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG 99285 EMERGENCY SERVICE V $850.99 $1,838.00 $1,181.83–$1,654.20 — 54%
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG 93017 CARDIOVASCULAR STRESS TEST, TREADMILL/BICYCLE, CONT M $428.74 $926.00 $72.81–$299.06 46% below 54%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG 93017 CARDIOVASCULAR STRESS TEST, TREADMILL/BICYCLE, CONT M $428.74 $926.00 $595.42–$833.40 — 54%
Eye exam, returning patient, intermediate CPT 92012 HCHG 92012 INTERMED OPHTHAL EXAM ESTAB PATIENT $62.04 $134.00 $66.63–$142.44 35% below 54%
Eye exam, returning patient, intermediate inpatient CPT 92012 HCHG 92012 INTERMED OPHTHAL EXAM ESTAB PATIENT $62.04 $134.00 $86.16–$120.60 — 54%
Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 MIN $196.31 $424.00 $66.03–$172.41 3% above 54%
Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN $196.31 $424.00 $66.03–$189.90 3% above 54%
Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, PHP, 50 MIN $196.31 $424.00 $66.03–$189.90 3% above 54%
Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PATIENT, DRUG, 50 MIN $196.31 $424.00 $66.03–$172.41 3% above 54%
Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 DAY TRMT/FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 $196.31 $424.00 $66.03–$172.41 3% above 54%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 MIN $196.31 $424.00 $272.63–$381.60 — 54%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 DAY TRMT/FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 $196.31 $424.00 $272.63–$381.60 — 54%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN $196.31 $424.00 $272.63–$381.60 — 54%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, PHP, 50 MIN $196.31 $424.00 $272.63–$381.60 — 54%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PATIENT, DRUG, 50 MIN $196.31 $424.00 $272.63–$381.60 — 54%
Family therapy without the patient, 50 minutes CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN $196.31 $424.00 $66.03–$189.90 7% above 54%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN $196.31 $424.00 $272.63–$381.60 — 54%
Group psychotherapy session CPT 90853 HCHG GROUP PSYCHOTHERAPY PHP/IOP $108.81 $235.00 $50.84–$108.69 44% above 54%
Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-ALC $108.81 $235.00 $84.93–$107.34 44% above 54%
Group psychotherapy session CPT 90853 HCHG 90853 AODA DAY TMT-GRUP THER-ALC 60 $108.81 $235.00 $84.93–$107.34 44% above 54%
Group psychotherapy session CPT 90853 HCHG 90853 AODA DAY TMT-GROUP THER-DRUG 60 $108.81 $235.00 $84.93–$107.34 44% above 54%
Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY IOP $108.81 $235.00 $50.84–$108.69 44% above 54%
Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY $108.81 $235.00 $50.84–$108.69 44% above 54%
Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-DRUG $108.81 $235.00 $84.93–$107.34 44% above 54%
Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY IOP $108.81 $235.00 $151.11–$211.50 — 54%
Group psychotherapy session inpatient CPT 90853 HCHG GROUP PSYCHOTHERAPY PHP/IOP $108.81 $235.00 $151.11–$211.50 — 54%
Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-DRUG $108.81 $235.00 $151.11–$211.50 — 54%
Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY $108.81 $235.00 $151.11–$211.50 — 54%
Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-ALC $108.81 $235.00 $151.11–$211.50 — 54%
Group psychotherapy session inpatient CPT 90853 HCHG 90853 AODA DAY TMT-GROUP THER-DRUG 60 $108.81 $235.00 $151.11–$211.50 — 54%
Group psychotherapy session inpatient CPT 90853 HCHG 90853 AODA DAY TMT-GRUP THER-ALC 60 $108.81 $235.00 $151.11–$211.50 — 54%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG 96360 IV INF HYD;INIT UPTO 1HR $182.42 $394.00 $106.45–$227.57 36% below 54%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INPT IV INFUS,HYD,INIT HR $381.98 $825.00 $106.45–$227.57 34% above 54%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG 96360 IV INF HYD;INIT UPTO 1HR $182.42 $394.00 $253.34–$354.60 — 54%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG INPT IV INFUS,HYD,INIT HR $381.98 $825.00 $530.48–$742.50 — 54%
IV infusion of a medicine, first hour CPT 96365 HCHG 96365 IV INF THER;UP TO 1 HR $222.24 $480.00 $106.45–$227.57 30% below 54%
IV infusion of a medicine, first hour CPT 96365 HCHG INPT IV INF THER;1ST HR $363.46 $785.00 $106.45–$227.57 14% above 54%
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG 96365 IV INF THER;UP TO 1 HR $222.24 $480.00 $308.64–$432.00 — 54%
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INPT IV INF THER;1ST HR $363.46 $785.00 $504.76–$706.50 — 54%
IV push of a medicine, first drug CPT 96374 HCHG 96374 INJ;IV PUSH SNGL/INIT $162.05 $350.00 $22.00–$227.57 2% below 54%
IV push of a medicine, first drug inpatient CPT 96374 HCHG 96374 INJ;IV PUSH SNGL/INIT $162.05 $350.00 $225.05–$315.00 — 54%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG 96372 INJ;SUBCUT/INTRAMUSC $100.01 $216.00 $22.00–$77.03 24% above 54%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG 96372 INJ;SUBCUT/INTRAMUSC $100.01 $216.00 $138.89–$194.40 — 54%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG 90791 DAY TRMNT PSYC DIAGNOSTIC EVAL $197.24 $426.00 $88.83–$189.90 10% below 54%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL ALC $197.24 $426.00 $102.23–$172.41 10% below 54%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL MNTL $197.24 $426.00 $88.83–$189.90 10% below 54%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL IOP $197.24 $426.00 $88.83–$189.90 10% below 54%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG 90791 PSYCH DIAGNOSTIC EVAL $197.24 $426.00 $88.83–$189.90 10% below 54%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL PHP $197.24 $426.00 $88.83–$189.90 10% below 54%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL DRUG $197.24 $426.00 $102.23–$172.41 10% below 54%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG 90791 PSYCH DIAGNOSTIC EVAL $197.24 $426.00 $273.92–$383.40 — 54%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL PHP $197.24 $426.00 $273.92–$383.40 — 54%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG 90791 DAY TRMNT PSYC DIAGNOSTIC EVAL $197.24 $426.00 $273.92–$383.40 — 54%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL MNTL $197.24 $426.00 $273.92–$383.40 — 54%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL DRUG $197.24 $426.00 $273.92–$383.40 — 54%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL ALC $197.24 $426.00 $273.92–$383.40 — 54%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG 90791 PSYC DIAGNOSTIC EVAL IOP $197.24 $426.00 $273.92–$383.40 — 54%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HCHG 95910 NERVE CONDUCTION STUDIES; 7-8 $433.37 $936.00 $57.14–$399.23 55% below 54%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HCHG 95910 NERVE CONDUCTION STUDIES; 7-8 $433.37 $936.00 $601.85–$842.40 — 54%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG 97112 NEUROMUSCULAR RE-ED $72.23 $156.00 $93.60–$140.40 — 54%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG 97112 POSTURE/BALANCE TRNING 15 MIN $72.23 $156.00 $93.60–$140.40 — 54%
New patient office visit, about 30 minutes CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES $185.20 $400.00 $198.00–$360.00 6% below 54%
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES $185.20 $400.00 $198.00–$360.00 — 54%
New patient office visit, about 45 minutes CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES $185.20 $400.00 $198.00–$360.00 17% below 54%
New patient office visit, about 45 minutes CPT 99204 HCHG 99204 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT $407.90 $881.00 $436.10–$792.90 82% above 54%
New patient office visit, about 45 minutes CPT 99204 HCHG 99204 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT $407.90 $881.00 $436.10–$792.90 82% above 54%
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES $185.20 $400.00 $198.00–$360.00 — 54%
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT $407.90 $881.00 $436.10–$792.90 — 54%
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT $407.90 $881.00 $436.10–$792.90 — 54%
New patient office visit, about 60 minutes CPT 99205 HCHG 99205 UC E/M NEW PATIENT, 60-74 MINS $185.20 $400.00 $198.00–$360.00 39% below 54%
New patient office visit, about 60 minutes CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES $185.20 $400.00 $198.00–$360.00 39% below 54%
New patient office visit, about 60 minutes CPT 99205 HCHG 99205 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT $229.65 $496.00 $245.52–$446.40 25% below 54%
New patient office visit, about 60 minutes CPT 99205 HCHG 99205 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT $229.65 $496.00 $245.52–$446.40 25% below 54%
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 UC E/M NEW PATIENT, 60-74 MINS $185.20 $400.00 $198.00–$360.00 — 54%
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES $185.20 $400.00 $198.00–$360.00 — 54%
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT $229.65 $496.00 $245.52–$446.40 — 54%
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT $229.65 $496.00 $245.52–$446.40 — 54%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG 99202 OFFICE OUTPATIENT NEW 20 MINUTES $185.20 $400.00 $198.00–$360.00 42% above 54%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG 99202 OFFICE OUTPATIENT NEW 20 MINUTES $185.20 $400.00 $198.00–$360.00 — 54%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG 97802 MED NUTRIT THERAPY-INIT-EA 15M $24.54 $53.00 $26.24–$47.70 59% below 54%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG 97802 MED NUTRIT THERAPY-INIT-EA 15M $24.54 $53.00 $26.24–$47.70 — 54%
Occupational therapy evaluation, low complexity CPT 97165 HCHG 97165 OT EVAL, LOW COMP, PRE-DRIVER ASSESSMENT $208.35 $450.00 $314.10–$405.00 13% above 54%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG THERAPIES, CASH SVC, 120 $92.60 $200.00 $120.00–$180.00 — 54%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG 97165 OT BRIEF EVAL $104.18 $225.00 $135.00–$202.50 — 54%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG 97165 OT EVAL, LOW COMP, PRE-DRIVER ASSESSMENT $208.35 $450.00 $314.10–$405.00 — 54%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG 97165 OT EVALUATION, LOW COMPLEXITY $208.35 $450.00 $270.00–$405.00 — 54%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG 97165 KELS EVALUATION, LOW COMPLEXITY $208.35 $450.00 $270.00–$405.00 — 54%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG 97163 PT EVAL, HIGH COMP, VESTIBULAR $182.42 $394.00 $236.40–$354.60 — 54%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG 97163 PT EVALUATION, HIGH COMPLEXITY $182.42 $394.00 $236.40–$354.60 — 54%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG THERAPIES, CASH SVC, 30-60 $50.93 $110.00 $66.00–$99.00 — 54%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG 97161 PT EVAL-BRIEF $91.67 $198.00 $118.80–$178.20 — 54%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG 97161 PT EVAL, LOW COMP, VESTIBULAR $182.42 $394.00 $236.40–$354.60 — 54%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG 97161 PT EVALUATION, LOW COMPLEXITY $182.42 $394.00 $236.40–$354.60 — 54%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG THERAPIES, CASH SVC, 90 $69.45 $150.00 $90.00–$135.00 — 54%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG 97162 PT EVALUATION, MODERATE COMPLEXITY $182.42 $394.00 $236.40–$354.60 — 54%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG 97162 PT EVAL, MOD COMP, VESTIBULAR $182.42 $394.00 $236.40–$354.60 — 54%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG 97140 MANUAL THERAPY TECHNIQUES, 15 MIN $75.93 $164.00 $98.40–$147.60 — 54%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG 97140 MANUAL THERAPY(SOFT TISS) 15MIN $80.10 $173.00 $103.80–$155.70 — 54%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG 97140 MANUAL THERAPY (JNT MOBIL)15MN $80.10 $173.00 $103.80–$155.70 — 54%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG 97140 LYMPHEDEMA-15 MIN $80.10 $173.00 $103.80–$155.70 — 54%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG 97140 MANUAL THERAPY(TRACTION)15 MIN $80.10 $173.00 $103.80–$155.70 — 54%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG 97110 THERAPUTIC PROCEDURE, 15 MIN; THERAPUTIC EXERCISE, 1: $91.21 $197.00 $118.20–$177.30 — 54%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG 97110 THERAPUTIC PROCEDURE, EACH 15 MIN; THERAPUTIC EXERCIS $91.21 $197.00 $118.20–$177.30 — 54%
Psychiatric evaluation with medical services CPT 90792 HCHG 90792 PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SVC $166.68 $360.00 $88.83–$189.90 40% below 54%
Psychiatric evaluation with medical services inpatient CPT 90792 HCHG 90792 PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SVC $166.68 $360.00 $231.48–$324.00 — 54%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HCHG 96130 PSYCHOLOGICAL TESTING EVAL, PHYSICIAN/QHP, FIRST HOUR $317.62 $686.00 $108.06–$299.06 27% above 54%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HCHG 96130 PSYCHOLOGICAL TESTING EVAL, PHYSICIAN/QHP, FIRST HOUR $317.62 $686.00 $441.10–$617.40 — 54%
Psychotherapy for crisis, first 60 minutes CPT 90839 HCHG 90839 PSYCHOTHERAPY FOR CRISIS; 1ST 60 MIN $196.78 $425.00 $62.23–$189.90 33% below 54%
Psychotherapy for crisis, first 60 minutes CPT 90839 HCHG 90839 PSYCHOTHERAPY FOR CRISIS;1ST 60 MIN-ALC $196.78 $425.00 $62.23–$172.41 33% below 54%
Psychotherapy for crisis, first 60 minutes CPT 90839 HCHG 90839 PSYCHOTHERAPY FOR CRISIS;1ST 60 MIN-DRUG $196.78 $425.00 $62.23–$172.41 33% below 54%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HCHG 90839 PSYCHOTHERAPY FOR CRISIS;1ST 60 MIN-ALC $196.78 $425.00 $273.28–$382.50 — 54%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HCHG 90839 PSYCHOTHERAPY FOR CRISIS;1ST 60 MIN-DRUG $196.78 $425.00 $273.28–$382.50 — 54%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HCHG 90839 PSYCHOTHERAPY FOR CRISIS; 1ST 60 MIN $196.78 $425.00 $273.28–$382.50 — 54%
Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN ALC $93.99 $203.00 $55.31–$172.41 12% below 54%
Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN (INPT NEUROPSYCH) $93.99 $203.00 $55.31–$189.90 12% below 54%
Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL $93.99 $203.00 $55.31–$189.90 12% below 54%
Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DRUG $93.99 $203.00 $55.31–$172.41 12% below 54%
Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DAY/PHP $93.99 $203.00 $55.31–$189.90 12% below 54%
Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN IOP $93.99 $203.00 $55.31–$189.90 12% below 54%
Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DRUG $93.99 $203.00 $130.53–$182.70 — 54%
Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL $93.99 $203.00 $130.53–$182.70 — 54%
Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DAY/PHP $93.99 $203.00 $130.53–$182.70 — 54%
Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN ALC $93.99 $203.00 $130.53–$182.70 — 54%
Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN IOP $93.99 $203.00 $130.53–$182.70 — 54%
Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN (INPT NEUROPSYCH) $93.99 $203.00 $130.53–$182.70 — 54%
Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN MNTL $196.31 $424.00 $62.23–$189.90 39% above 54%
Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN ALC $196.31 $424.00 $62.23–$172.41 39% above 54%
Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN PHP $196.31 $424.00 $62.23–$189.90 39% above 54%
Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN DRUG $196.31 $424.00 $62.23–$172.41 39% above 54%
Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN (INPT NEUROPSYCH) $196.31 $424.00 $62.23–$189.90 39% above 54%
Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN IOP $196.31 $424.00 $62.23–$189.90 39% above 54%
Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN DRUG $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN IOP $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN MNTL $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN (INPT NEUROPSYCH) $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN PHP $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN ALC $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN IOP $196.31 $424.00 $62.23–$189.90 8% below 54%
Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN PHP $196.31 $424.00 $62.23–$189.90 8% below 54%
Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN (INPT NEUROPSYCH) $196.31 $424.00 $62.23–$189.90 8% below 54%
Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN MNTL $196.31 $424.00 $62.23–$189.90 8% below 54%
Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN ALC $196.31 $424.00 $62.23–$172.41 8% below 54%
Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN DRUG $196.31 $424.00 $62.23–$172.41 8% below 54%
Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN PHP $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN DRUG $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN ALC $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN MNTL $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN (INPT NEUROPSYCH) $196.31 $424.00 $272.63–$381.60 — 54%
Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN IOP $196.31 $424.00 $272.63–$381.60 — 54%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HCHG 99406 SMOKING CESSAT COUNSELING 3-10 MIN $53.71 $116.00 $9.51–$40.08 86% above 54%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HCHG 99406 SMOKING CESSAT COUNSELING 3-10 MIN $53.71 $116.00 $74.59–$104.40 — 54%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG 99215 OFFICE OUTPATIENT VISIT 40 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 78% below 54%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG 99215 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, EST PT $162.98 $352.00 $174.24–$316.80 45% below 54%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG 99215 SANE W/EVIDENCE COLLECTED, PEDS/UC, EST PT $162.98 $352.00 $174.24–$316.80 45% below 54%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG 99215 NURSING LEVEL 5 WOUND CTR $212.05 $458.00 $226.71–$412.20 28% below 54%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG 99215 OFFICE OUTPATIENT VISIT 40 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 — 54%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG 99215 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, EST PT $162.98 $352.00 $174.24–$316.80 — 54%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG 99215 SANE W/EVIDENCE COLLECTED, PEDS/UC, EST PT $162.98 $352.00 $174.24–$316.80 — 54%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG 99215 NURSING LEVEL 5 WOUND CTR $212.05 $458.00 $226.71–$412.20 — 54%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG 99213 OFFICE OUTPATIENT VISIT 20 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 61% below 54%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG 99213 NURSING LEVEL 3 WOUND CTR $106.49 $230.00 $113.85–$207.00 35% below 54%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG 99213 URGENT CARE OFFICE/OUTPATIENT VISIT EST 20 MIN MET/EX $185.20 $400.00 $198.00–$360.00 13% above 54%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG 99213 LD TRIAGE, EST PATIENT VISIT-MID LEVEL $447.72 $967.00 $478.67–$870.30 172% above 54%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG 99213 OFFICE OUTPATIENT VISIT 20 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 — 54%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG 99213 NURSING LEVEL 3 WOUND CTR $106.49 $230.00 $113.85–$207.00 — 54%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG 99213 URGENT CARE OFFICE/OUTPATIENT VISIT EST 20 MIN MET/EX $185.20 $400.00 $198.00–$360.00 — 54%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG 99213 LD TRIAGE, EST PATIENT VISIT-MID LEVEL $447.72 $967.00 $478.67–$870.30 — 54%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG 99214 OFFICE OUTPATIENT VISIT 30 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 66% below 54%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG 99214 NURSING LEVEL 4 WOUND CTR $141.22 $305.00 $150.98–$274.50 24% below 54%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG 99214 SANE W/EVIDENCE COLLECTED, PEDS/UC, EST PT $407.90 $881.00 $436.10–$792.90 119% above 54%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG 99214 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, EST PT $407.90 $881.00 $436.10–$792.90 119% above 54%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG 99214 LD TRIAGE, EST PATIENT VISIT-HIGH LEVEL $522.26 $1,128.00 $558.36–$1,015.20 180% above 54%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG 99214 OFFICE OUTPATIENT VISIT 30 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 — 54%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG 99214 NURSING LEVEL 4 WOUND CTR $141.22 $305.00 $150.98–$274.50 — 54%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG 99214 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, EST PT $407.90 $881.00 $436.10–$792.90 — 54%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG 99214 SANE W/EVIDENCE COLLECTED, PEDS/UC, EST PT $407.90 $881.00 $436.10–$792.90 — 54%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG 99214 LD TRIAGE, EST PATIENT VISIT-HIGH LEVEL $522.26 $1,128.00 $558.36–$1,015.20 — 54%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG 99212 OFFICE OUTPATIENT VISIT 10 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 34% below 54%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG 99212 NURSING LEVEL 2 WOUND CTR $106.49 $230.00 $113.85–$207.00 10% above 54%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG 99212 URGENT CARE OFFICE/OUTPATIENT VISIT EST PT 10 MIN MET $185.20 $400.00 $198.00–$360.00 92% above 54%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG 99212 LD TRIAGE, EST PATIENT VISIT-LOW LEVEL $373.18 $806.00 $398.97–$725.40 286% above 54%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG 99212 OFFICE OUTPATIENT VISIT 10 MIN MET/EXCEEDED $63.43 $137.00 $67.82–$123.30 — 54%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG 99212 NURSING LEVEL 2 WOUND CTR $106.49 $230.00 $113.85–$207.00 — 54%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG 99212 URGENT CARE OFFICE/OUTPATIENT VISIT EST PT 10 MIN MET $185.20 $400.00 $198.00–$360.00 — 54%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG 99212 LD TRIAGE, EST PATIENT VISIT-LOW LEVEL $373.18 $806.00 $398.97–$725.40 — 54%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HCHG 99244 OFFICE CONSULT NEW OR ESTAB PT $185.20 $400.00 $198.00–$360.00 42% below 54%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HCHG 99244 OFFICE CONSULT NEW OR ESTAB PT $185.20 $400.00 $198.00–$360.00 — 54%
Speech and language evaluation inpatient CPT 92523 HCHG 92523 EVAL SPEECH SOUND PROD W/EVAL LANG COMP $446.80 $965.00 $579.00–$868.50 — 54%
Speech therapy session, individual inpatient CPT 92507 HCHG 92507 SPEECH LANGUAGE THERAPY, INDIVIDUAL $212.98 $460.00 $276.00–$414.00 — 54%
Spirometry (breathing test) CPT 94010 HCHG 94010 SPIROMETRY-COMPLETE W REPORT $127.33 $275.00 $24.72–$231.02 54% below 54%
Spirometry (breathing test) CPT 94010 HCHG 94010 SPIRO-ROUT-SCREENING $127.33 $275.00 $24.72–$231.02 54% below 54%
Spirometry (breathing test) CPT 94010 HCHG 94010 BEDSIDE SCREENING SPIROMETRY $127.33 $275.00 $24.72–$231.02 54% below 54%
Spirometry (breathing test) inpatient CPT 94010 HCHG 94010 SPIRO-ROUT-SCREENING $127.33 $275.00 $176.83–$247.50 — 54%
Spirometry (breathing test) inpatient CPT 94010 HCHG 94010 BEDSIDE SCREENING SPIROMETRY $127.33 $275.00 $176.83–$247.50 — 54%
Spirometry (breathing test) inpatient CPT 94010 HCHG 94010 SPIROMETRY-COMPLETE W REPORT $127.33 $275.00 $176.83–$247.50 — 54%
Spirometry before and after a bronchodilator CPT 94060 HCHG 94060 BRONCHODILATION RESPONSIVENESS $250.95 $542.00 $45.10–$399.23 48% below 54%
Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG 94060 BRONCHODILATION RESPONSIVENESS $250.95 $542.00 $348.51–$487.80 — 54%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HCHG 90867 TRANSCRANIAL MAGNETIC STIMULATION TREATMENT (TMS); IN $296.32 $640.00 $108.06–$299.06 26% below 54%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HCHG 90867 TRANSCRANIAL MAGNETIC STIMULATION TREATMENT (TMS); IN $296.32 $640.00 $411.52–$576.00 — 54%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG 97530 THERAP FUNCT ACTIV 15MIN $79.17 $171.00 $102.60–$153.90 — 54%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG 99195 PHLEBOTOMY-THERAPUTIC $291.23 $629.00 $30.43–$142.35 46% above 54%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG 99195 PHLEBOTOMY-THERAPUTIC $291.23 $629.00 $404.45–$566.10 — 54%
Visual field test, extended CPT 92083 HCHG 92083 VISUAL FIELD EXAMINATION $123.16 $266.00 $34.12–$142.35 21% above 54%
Visual field test, extended inpatient CPT 92083 HCHG 92083 VISUAL FIELD EXAMINATION $123.16 $266.00 $171.04–$239.40 — 54%

Vaccines

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HCHG 90653 INFLUENZA, IIV, SUBUNIT, ADJUVANTED, IM $67.14 $145.00 $71.78–$130.50 1% below 54%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HCHG 90653 INFLUENZA, IIV, SUBUNIT, ADJUVANTED, IM $67.14 $145.00 $12.59–$196.32 1% below 54%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HCHG 90653 INFLUENZA, IIV, SUBUNIT, ADJUVANTED, IM $67.14 $145.00 $71.78–$130.50 — 54%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HCHG 90653 INFLUENZA, IIV, SUBUNIT, ADJUVANTED, IM $67.14 $145.00 $71.78–$130.50 — 54%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HCHG 91322 SARS-COV-2 VACC, 50MCG/0.5ML, MRNA LNP, IM $160.20 $346.00 $171.27–$311.40 4% below 54%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HCHG 91322 SARS-COV-2 VACC, 50MCG/0.5ML, MRNA LNP, IM $160.20 $346.00 $171.27–$311.40 4% below 54%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HCHG 91322 SARS-COV-2 VACC, 50MCG/0.5ML, MRNA LNP, IM $160.20 $346.00 $171.27–$311.40 — 54%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HCHG 91322 SARS-COV-2 VACC, 50MCG/0.5ML, MRNA LNP, IM $160.20 $346.00 $171.27–$311.40 — 54%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HCHG 91320 SARS-COV-2 VACC, 30MCG/0.3ML, MRNA LNP, IM $169.00 $365.00 $180.68–$328.50 4% above 54%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HCHG 91320 SARS-COV-2 VACC, 30MCG/0.3ML, MRNA LNP, IM $169.00 $365.00 $180.68–$328.50 4% above 54%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HCHG 91320 SARS-COV-2 VACC, 30MCG/0.3ML, MRNA LNP, IM $169.00 $365.00 $180.68–$328.50 — 54%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HCHG 91320 SARS-COV-2 VACC, 30MCG/0.3ML, MRNA LNP, IM $169.00 $365.00 $180.68–$328.50 — 54%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX 1350 PFU/0.5ML SUBCUTANEOUS INJ $166.08 $358.70 $55.75–$58.54 1% above 54%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX 1350 PFU/0.5ML SUBCUTANEOUS INJ $166.08 $358.70 $177.56–$322.83 1% above 54%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HCHG 90716 VARICELLA VIRUS VACCINE (VAR), LIVE $236.59 $511.00 $252.95–$459.90 44% above 54%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HCHG 90716 VARICELLA VIRUS VACCINE (VAR), LIVE $236.59 $511.00 $55.75–$58.54 44% above 54%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX 1350 PFU/0.5ML SUBCUTANEOUS INJ $166.08 $358.70 $177.56–$322.83 — 54%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX 1350 PFU/0.5ML SUBCUTANEOUS INJ $166.08 $358.70 $177.56–$322.83 — 54%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HCHG 90716 VARICELLA VIRUS VACCINE (VAR), LIVE $236.59 $511.00 $252.95–$459.90 — 54%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HCHG 90716 VARICELLA VIRUS VACCINE (VAR), LIVE $236.59 $511.00 $252.95–$459.90 — 54%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HCHG 90696 DTAP-IPV VACCINE, 4-6 YRS, IM USE $75.93 $164.00 $81.18–$147.60 10% below 54%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HCHG 90696 DTAP-IPV VACCINE, 4-6 YRS, IM USE $75.93 $164.00 $12.59–$13.22 10% below 54%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HCHG 90696 DTAP-IPV VACCINE, 4-6 YRS, IM USE $75.93 $164.00 $81.18–$147.60 — 54%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HCHG 90696 DTAP-IPV VACCINE, 4-6 YRS, IM USE $75.93 $164.00 $81.18–$147.60 — 54%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HCHG 90700 DTAP VACCINE, < 7YRS, FOR IM USE $34.73 $75.00 $37.13–$67.50 16% below 54%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HCHG 90700 DTAP VACCINE, < 7YRS, FOR IM USE $34.73 $75.00 $12.59–$13.22 16% below 54%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HCHG 90700 DTAP VACCINE, < 7YRS, FOR IM USE $34.73 $75.00 $37.13–$67.50 — 54%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HCHG 90700 DTAP VACCINE, < 7YRS, FOR IM USE $34.73 $75.00 $37.13–$67.50 — 54%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HCHG 90723 DTAP-HEP B-IPV VACCINE $59.26 $128.00 $12.59–$13.22 57% below 54%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HCHG 90723 DTAP-HEP B-IPV VACCINE $59.26 $128.00 $63.36–$115.20 57% below 54%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HCHG 90723 DTAP-HEP B-IPV VACCINE $59.26 $128.00 $63.36–$115.20 — 54%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HCHG 90723 DTAP-HEP B-IPV VACCINE $59.26 $128.00 $63.36–$115.20 — 54%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HCHG 90698 DTAP-IPV/HIB VACCINE FOR IM USE $71.77 $155.00 $76.73–$139.50 38% below 54%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HCHG 90698 DTAP-IPV/HIB VACCINE FOR IM USE $71.77 $155.00 $12.59–$13.22 38% below 54%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HCHG 90698 DTAP-IPV/HIB VACCINE FOR IM USE $71.77 $155.00 $76.73–$139.50 — 54%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HCHG 90698 DTAP-IPV/HIB VACCINE FOR IM USE $71.77 $155.00 $76.73–$139.50 — 54%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HCHG 90697 DTAP-IPV-HIB-HEPB VACCINE, INTRAMUSCULAR $187.98 $406.00 $200.97–$365.40 2% above 54%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HCHG 90697 DTAP-IPV-HIB-HEPB VACCINE, INTRAMUSCULAR $187.98 $406.00 $12.59–$13.22 2% above 54%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HCHG 90697 DTAP-IPV-HIB-HEPB VACCINE, INTRAMUSCULAR $187.98 $406.00 $200.97–$365.40 — 54%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HCHG 90697 DTAP-IPV-HIB-HEPB VACCINE, INTRAMUSCULAR $187.98 $406.00 $200.97–$365.40 — 54%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HCHG 90673 RIV3 VACCINE PRESERVATIVE FREE FOR IM USE $67.14 $145.00 $71.78–$130.50 10% below 54%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HCHG 90673 RIV3 VACCINE PRESERVATIVE FREE FOR IM USE $67.14 $145.00 $12.59–$196.32 10% below 54%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HCHG 90673 RIV3 VACCINE PRESERVATIVE FREE FOR IM USE $67.14 $145.00 $71.78–$130.50 — 54%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HCHG 90673 RIV3 VACCINE PRESERVATIVE FREE FOR IM USE $67.14 $145.00 $71.78–$130.50 — 54%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HCHG 90656 FLU VACCINE, =>3YO, PRESERVATIVE FREE, IM $34.73 $75.00 $12.59–$46.44 9% above 54%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HCHG 90656 FLU VACCINE, =>3YO, PRESERVATIVE FREE, IM $34.73 $75.00 $37.13–$67.50 9% above 54%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HCHG 90656 FLU VACCINE, =>3YO, PRESERVATIVE FREE, IM $34.73 $75.00 $37.13–$67.50 — 54%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HCHG 90656 FLU VACCINE, =>3YO, PRESERVATIVE FREE, IM $34.73 $75.00 $37.13–$67.50 — 54%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 MUSCLE SUSY $232.54 $502.25 $248.61–$452.03 27% below 54%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 MUSCLE SUSY $232.54 $502.25 $55.75–$58.54 27% below 54%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HCHG 90651 HUMAN PAPILLOMAVIRUS VACCINE, NONAVALENT (9VHPV), 2 O $406.05 $877.00 $434.12–$789.30 27% above 54%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HCHG 90651 HUMAN PAPILLOMAVIRUS VACCINE, NONAVALENT (9VHPV), 2 O $406.05 $877.00 $55.75–$58.54 27% above 54%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 MUSCLE SUSY $232.54 $502.25 $248.61–$452.03 — 54%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 MUSCLE SUSY $232.54 $502.25 $248.61–$452.03 — 54%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HCHG 90651 HUMAN PAPILLOMAVIRUS VACCINE, NONAVALENT (9VHPV), 2 O $406.05 $877.00 $434.12–$789.30 — 54%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HCHG 90651 HUMAN PAPILLOMAVIRUS VACCINE, NONAVALENT (9VHPV), 2 O $406.05 $877.00 $434.12–$789.30 — 54%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HCHG 90636 TRAVEL - HEP A&B ADULT $103.71 $224.00 $55.75–$58.54 46% below 54%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HCHG 90636 TRAVEL - HEP A&B ADULT $103.71 $224.00 $110.88–$201.60 46% below 54%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HCHG 90636 HEPATITIS A&B VACCINE (HEPA-HEPB), ADULT DOSAGE, FOR $162.05 $350.00 $55.75–$58.54 15% below 54%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HCHG 90636 HEPATITIS A&B VACCINE (HEPA-HEPB), ADULT DOSAGE, FOR $162.05 $350.00 $173.25–$315.00 15% below 54%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HCHG 90636 TRAVEL - HEP A&B ADULT $103.71 $224.00 $110.88–$201.60 — 54%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HCHG 90636 TRAVEL - HEP A&B ADULT $103.71 $224.00 $110.88–$201.60 — 54%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HCHG 90636 HEPATITIS A&B VACCINE (HEPA-HEPB), ADULT DOSAGE, FOR $162.05 $350.00 $173.25–$315.00 — 54%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HCHG 90636 HEPATITIS A&B VACCINE (HEPA-HEPB), ADULT DOSAGE, FOR $162.05 $350.00 $173.25–$315.00 — 54%
Hepatitis A vaccine, adult dose CPT 90632 HCHG 90632 TRAVEL HEPATITIS A $67.60 $146.00 $12.59–$147.08 49% below 54%
Hepatitis A vaccine, adult dose CPT 90632 HCHG 90632 TRAVEL HEPATITIS A $67.60 $146.00 $72.27–$131.40 49% below 54%
Hepatitis A vaccine, adult dose CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE $102.79 $222.00 $109.89–$199.80 22% below 54%
Hepatitis A vaccine, adult dose CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE $102.79 $222.00 $12.59–$147.08 22% below 54%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HCHG 90632 TRAVEL HEPATITIS A $67.60 $146.00 $72.27–$131.40 — 54%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HCHG 90632 TRAVEL HEPATITIS A $67.60 $146.00 $72.27–$131.40 — 54%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE $102.79 $222.00 $109.89–$199.80 — 54%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE $102.79 $222.00 $109.89–$199.80 — 54%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HCHG 90633 HEPATITIS A VACCINE (HEPA), PED/ADOLESCENT 2 DOSE, FO $48.62 $105.00 $12.59–$13.22 6% below 54%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HCHG 90633 HEPATITIS A VACCINE (HEPA), PED/ADOLESCENT 2 DOSE, FO $48.62 $105.00 $51.98–$94.50 6% below 54%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HCHG 90633 HEPATITIS A VACCINE (HEPA), PED/ADOLESCENT 2 DOSE, FO $48.62 $105.00 $51.98–$94.50 — 54%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HCHG 90633 HEPATITIS A VACCINE (HEPA), PED/ADOLESCENT 2 DOSE, FO $48.62 $105.00 $51.98–$94.50 — 54%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HCHG 90746 HEPATITIS B VACCINE (HEPB), ADULT, 3 DOSE, FOR IM USE $88.43 $191.00 $94.55–$171.90 23% below 54%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HCHG 90746 HEPATITIS B VACCINE (HEPB), ADULT, 3 DOSE, FOR IM USE $88.43 $191.00 $12.59–$150.30 23% below 54%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HCHG 90746 HEPATITIS B VACCINE (HEPB), ADULT, 3 DOSE, FOR IM USE $88.43 $191.00 $94.55–$171.90 — 54%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HCHG 90746 HEPATITIS B VACCINE (HEPB), ADULT, 3 DOSE, FOR IM USE $88.43 $191.00 $94.55–$171.90 — 54%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HCHG 90739 HEPATITIS B VACCINE (HEP B) ADULT 2 DOSE SCHEDULE $192.61 $416.00 $12.59–$355.12 10% below 54%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HCHG 90739 HEPATITIS B VACCINE (HEP B) ADULT 2 DOSE SCHEDULE $192.61 $416.00 $205.92–$374.40 10% below 54%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HCHG 90739 HEPATITIS B VACCINE (HEP B) ADULT 2 DOSE SCHEDULE $192.61 $416.00 $205.92–$374.40 — 54%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HCHG 90739 HEPATITIS B VACCINE (HEP B) ADULT 2 DOSE SCHEDULE $192.61 $416.00 $205.92–$374.40 — 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB 5 MCG/0.5ML INJECT SUSY $13.98 $30.20 $14.95–$27.18 75% below 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB 5 MCG/0.5ML INJECT SUSY $13.98 $30.20 $12.59–$66.40 75% below 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HCHG 90744 HEPATITIS B VACCINE (HEPB) PED/ADOLESCENT, 3 DOSE, IM $35.19 $76.00 $12.59–$66.40 37% below 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HCHG 90744 HEPATITIS B VACCINE (HEPB) PED/ADOLESCENT, 3 DOSE, IM $35.19 $76.00 $37.62–$68.40 37% below 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB 5 MCG/0.5ML INJECT SUSY $13.98 $30.20 $14.95–$27.18 — 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB 5 MCG/0.5ML INJECT SUSY $13.98 $30.20 $14.95–$27.18 — 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HCHG 90744 HEPATITIS B VACCINE (HEPB) PED/ADOLESCENT, 3 DOSE, IM $35.19 $76.00 $37.62–$68.40 — 54%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HCHG 90744 HEPATITIS B VACCINE (HEPB) PED/ADOLESCENT, 3 DOSE, IM $35.19 $76.00 $37.62–$68.40 — 54%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HCHG 90647 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-OMP 3 $19.45 $42.00 $12.59–$13.22 61% below 54%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HCHG 90647 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-OMP 3 $19.45 $42.00 $20.79–$37.80 61% below 54%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HCHG 90647 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-OMP 3 $19.45 $42.00 $20.79–$37.80 — 54%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HCHG 90647 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-OMP 3 $19.45 $42.00 $20.79–$37.80 — 54%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HCHG 90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-T, 4 $15.74 $34.00 $16.83–$30.60 62% below 54%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HCHG 90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-T, 4 $15.74 $34.00 $12.59–$13.22 62% below 54%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HCHG 90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-T, 4 $15.74 $34.00 $16.83–$30.60 — 54%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HCHG 90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB) PRP-T, 4 $15.74 $34.00 $16.83–$30.60 — 54%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE QUADRIVALENT 0.7 ML MUSCLE SUSY $60.65 $131.00 $64.85–$117.90 24% below 54%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE QUADRIVALENT 0.7 ML MUSCLE SUSY $60.65 $131.00 $12.59–$196.32 24% below 54%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HCHG 90662 INFLUENZA VIRUS VACCINE (IIV), SPLIT, PF, INCREASED A $67.14 $145.00 $71.78–$130.50 15% below 54%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HCHG 90662 INFLUENZA VIRUS VACCINE (IIV), SPLIT, PF, INCREASED A $67.14 $145.00 $12.59–$196.32 15% below 54%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE QUADRIVALENT 0.7 ML MUSCLE SUSY $60.65 $131.00 $64.85–$117.90 — 54%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE QUADRIVALENT 0.7 ML MUSCLE SUSY $60.65 $131.00 $64.85–$117.90 — 54%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HCHG 90662 INFLUENZA VIRUS VACCINE (IIV), SPLIT, PF, INCREASED A $67.14 $145.00 $71.78–$130.50 — 54%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HCHG 90662 INFLUENZA VIRUS VACCINE (IIV), SPLIT, PF, INCREASED A $67.14 $145.00 $71.78–$130.50 — 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HCHG 90738 TRAVEL JAPANESE ENCELPHALITIS $249.09 $538.00 $266.31–$484.20 11% below 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HCHG 90738 TRAVEL JAPANESE ENCELPHALITIS $249.09 $538.00 $55.75–$58.54 11% below 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HCHG 90738 JAPANESE ENCEPHALITIS VACCINE INACTIVATED $364.84 $788.00 $390.06–$709.20 31% above 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HCHG 90738 JAPANESE ENCEPHALITIS VACCINE INACTIVATED $364.84 $788.00 $55.75–$58.54 31% above 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HCHG 90738 TRAVEL JAPANESE ENCELPHALITIS $249.09 $538.00 $266.31–$484.20 — 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HCHG 90738 TRAVEL JAPANESE ENCELPHALITIS $249.09 $538.00 $266.31–$484.20 — 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HCHG 90738 JAPANESE ENCEPHALITIS VACCINE INACTIVATED $364.84 $788.00 $390.06–$709.20 — 54%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HCHG 90738 JAPANESE ENCEPHALITIS VACCINE INACTIVATED $364.84 $788.00 $390.06–$709.20 — 54%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJECT SOLR $93.34 $201.60 $12.59–$13.22 39% below 54%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJECT SOLR $93.34 $201.60 $99.79–$181.44 39% below 54%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HCHG 90707 MEASLES, MUMPS, RUBELLA VIRUS VACCINE (MMR) $118.53 $256.00 $12.59–$13.22 23% below 54%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HCHG 90707 MEASLES, MUMPS, RUBELLA VIRUS VACCINE (MMR) $118.53 $256.00 $126.72–$230.40 23% below 54%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJECT SOLR $93.34 $201.60 $99.79–$181.44 — 54%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJECT SOLR $93.34 $201.60 $99.79–$181.44 — 54%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HCHG 90707 MEASLES, MUMPS, RUBELLA VIRUS VACCINE (MMR) $118.53 $256.00 $126.72–$230.40 — 54%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HCHG 90707 MEASLES, MUMPS, RUBELLA VIRUS VACCINE (MMR) $118.53 $256.00 $126.72–$230.40 — 54%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HCHG 90710 MEASLES, MUMPS, RUBELLA, AND VARICELLA VACCINE (MMRV) $353.73 $764.00 $378.18–$687.60 40% above 54%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HCHG 90710 MEASLES, MUMPS, RUBELLA, AND VARICELLA VACCINE (MMRV) $353.73 $764.00 $12.59–$265.38 40% above 54%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HCHG 90710 MEASLES, MUMPS, RUBELLA, AND VARICELLA VACCINE (MMRV) $353.73 $764.00 $378.18–$687.60 — 54%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HCHG 90710 MEASLES, MUMPS, RUBELLA, AND VARICELLA VACCINE (MMRV) $353.73 $764.00 $378.18–$687.60 — 54%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HCHG 90734 MENINGOCOCCAL CONJUGATE VACCINE (MCV4/MENACWY) $112.05 $242.00 $55.75–$58.54 51% below 54%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HCHG 90734 MENINGOCOCCAL CONJUGATE VACCINE (MCV4/MENACWY) $112.05 $242.00 $119.79–$217.80 51% below 54%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HCHG 90734 MENINGOCOCCAL CONJUGATE VACCINE (MCV4/MENACWY) $112.05 $242.00 $119.79–$217.80 — 54%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HCHG 90734 MENINGOCOCCAL CONJUGATE VACCINE (MCV4/MENACWY) $112.05 $242.00 $119.79–$217.80 — 54%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HCHG 90734 TRAVEL MENINGOCOCCAL CONJUGATE VACCINE $78.25 $169.00 $83.66–$152.10 62% below 54%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HCHG 90734 TRAVEL MENINGOCOCCAL CONJUGATE VACCINE $78.25 $169.00 $55.75–$58.54 62% below 54%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HCHG 90619 MENINGOCOCCAL CONJUGATE VACCINE (MENACWY-TT), FOR IM $211.59 $457.00 $55.75–$58.54 4% above 54%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HCHG 90619 MENINGOCOCCAL CONJUGATE VACCINE (MENACWY-TT), FOR IM $211.59 $457.00 $226.22–$411.30 4% above 54%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HCHG 90734 TRAVEL MENINGOCOCCAL CONJUGATE VACCINE $78.25 $169.00 $83.66–$152.10 — 54%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HCHG 90734 TRAVEL MENINGOCOCCAL CONJUGATE VACCINE $78.25 $169.00 $83.66–$152.10 — 54%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HCHG 90619 MENINGOCOCCAL CONJUGATE VACCINE (MENACWY-TT), FOR IM $211.59 $457.00 $226.22–$411.30 — 54%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HCHG 90619 MENINGOCOCCAL CONJUGATE VACCINE (MENACWY-TT), FOR IM $211.59 $457.00 $226.22–$411.30 — 54%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HCHG 90620 MENINGOCCOAL RECOMBINANT PROTEIN/OUTER MEMBRANE VESIC $133.34 $288.00 $55.75–$58.54 42% below 54%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HCHG 90620 MENINGOCCOAL RECOMBINANT PROTEIN/OUTER MEMBRANE VESIC $133.34 $288.00 $142.56–$259.20 42% below 54%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HCHG 90620 MENINGOCCOAL RECOMBINANT PROTEIN/OUTER MEMBRANE VESIC $133.34 $288.00 $142.56–$259.20 — 54%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HCHG 90620 MENINGOCCOAL RECOMBINANT PROTEIN/OUTER MEMBRANE VESIC $133.34 $288.00 $142.56–$259.20 — 54%
Meningococcal B vaccine (Trumenba) CPT 90621 HCHG 90621 MENINGOCOCCAL RECOMBINATE LIPOPROTEIN VACCINE (MENB), $292.15 $631.00 $55.75–$58.54 51% above 54%
Meningococcal B vaccine (Trumenba) CPT 90621 HCHG 90621 MENINGOCOCCAL RECOMBINATE LIPOPROTEIN VACCINE (MENB), $292.15 $631.00 $312.35–$567.90 51% above 54%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HCHG 90621 MENINGOCOCCAL RECOMBINATE LIPOPROTEIN VACCINE (MENB), $292.15 $631.00 $312.35–$567.90 — 54%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HCHG 90621 MENINGOCOCCAL RECOMBINATE LIPOPROTEIN VACCINE (MENB), $292.15 $631.00 $312.35–$567.90 — 54%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 HCHG 90611 SMALLPOX AND MONKEYPOX VACCINE, 0.5ML, SUBQ $333.82 $721.00 $463.60–$648.90 32% below 54%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 HCHG 90611 SMALLPOX AND MONKEYPOX VACCINE, 0.5ML, SUBQ $333.82 $721.00 $10.84 32% below 54%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 HCHG 90611 SMALLPOX AND MONKEYPOX VACCINE, 0.5ML, SUBQ $333.82 $721.00 $463.60–$648.90 — 54%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 HCHG 90611 SMALLPOX AND MONKEYPOX VACCINE, 0.5ML, SUBQ $333.82 $721.00 $463.60–$648.90 — 54%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HCHG 90660 INFLUENZA VACCINE-INTRANASAL $34.73 $75.00 $12.59–$59.42 11% below 54%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HCHG 90660 INFLUENZA VACCINE-INTRANASAL $34.73 $75.00 $37.13–$67.50 11% below 54%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HCHG 90660 INFLUENZA VACCINE-INTRANASAL $34.73 $75.00 $37.13–$67.50 — 54%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HCHG 90660 INFLUENZA VACCINE-INTRANASAL $34.73 $75.00 $37.13–$67.50 — 54%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO $176.40 $381.00 $55.75–$515.98 40% below 54%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO $176.40 $381.00 $188.60–$342.90 40% below 54%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO $176.40 $381.00 $188.60–$342.90 — 54%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO $176.40 $381.00 $188.60–$342.90 — 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 0.5 ML MUSCLE SUSY $265.09 $572.55 $55.75–$625.80 9% below 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 0.5 ML MUSCLE SUSY $265.09 $572.55 $283.41–$515.30 9% below 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HCHG 90677 PNEUMOCOCAL CONJUGATE VACCINE, 20 VALENT (PCV20) (PRE $352.34 $761.00 $376.70–$684.90 20% above 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HCHG 90677 PNEUMOCOCAL CONJUGATE VACCINE, 20 VALENT (PCV20) (PRE $352.34 $761.00 $55.75–$625.80 20% above 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 0.5 ML MUSCLE SUSY $265.09 $572.55 $283.41–$515.30 — 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 0.5 ML MUSCLE SUSY $265.09 $572.55 $283.41–$515.30 — 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HCHG 90677 PNEUMOCOCAL CONJUGATE VACCINE, 20 VALENT (PCV20) (PRE $352.34 $761.00 $376.70–$684.90 — 54%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HCHG 90677 PNEUMOCOCAL CONJUGATE VACCINE, 20 VALENT (PCV20) (PRE $352.34 $761.00 $376.70–$684.90 — 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML INJECT INJ $119.59 $258.30 $12.59–$266.94 15% below 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML INJECT INJ $119.59 $258.30 $127.86–$232.47 15% below 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS $144.92 $313.00 $12.59–$266.94 3% above 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS $144.92 $313.00 $154.94–$281.70 3% above 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML INJECT INJ $119.59 $258.30 $127.86–$232.47 — 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML INJECT INJ $119.59 $258.30 $127.86–$232.47 — 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS $144.92 $313.00 $154.94–$281.70 — 54%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS $144.92 $313.00 $154.94–$281.70 — 54%
Polio vaccine, inactivated (IPV) CPT 90713 HCHG 90713 POLIOVIRUS VACCINE, INACTIVATED (IPV) $54.17 $117.00 $12.59–$13.22 9% below 54%
Polio vaccine, inactivated (IPV) CPT 90713 HCHG 90713 POLIOVIRUS VACCINE, INACTIVATED (IPV) $54.17 $117.00 $57.92–$105.30 9% below 54%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HCHG 90713 POLIOVIRUS VACCINE, INACTIVATED (IPV) $54.17 $117.00 $57.92–$105.30 — 54%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HCHG 90713 POLIOVIRUS VACCINE, INACTIVATED (IPV) $54.17 $117.00 $57.92–$105.30 — 54%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HCHG 90381 RSV MONOCLONAL ABY 1ML IM $687.56 $1,485.00 $735.08–$1,336.50 33% below 54%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HCHG 90381 RSV MONOCLONAL ABY 1ML IM $687.56 $1,485.00 $735.08–$1,336.50 33% below 54%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HCHG 90381 RSV MONOCLONAL ABY 1ML IM $687.56 $1,485.00 $735.08–$1,336.50 — 54%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HCHG 90381 RSV MONOCLONAL ABY 1ML IM $687.56 $1,485.00 $735.08–$1,336.50 — 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MG/0.5ML MUSCLE SOSY $520.64 $1,124.50 $556.63–$1,012.05 49% below 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MG/0.5ML MUSCLE SOSY $520.64 $1,124.50 $556.63–$1,012.05 49% below 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HCHG 90380 RSV MONOCLONAL ABY 0.5ML IM $687.56 $1,485.00 $735.08–$1,336.50 33% below 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HCHG 90380 RSV MONOCLONAL ABY 0.5ML IM $687.56 $1,485.00 $735.08–$1,336.50 33% below 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MG/0.5ML MUSCLE SOSY $520.64 $1,124.50 $556.63–$1,012.05 — 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MG/0.5ML MUSCLE SOSY $520.64 $1,124.50 $556.63–$1,012.05 — 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HCHG 90380 RSV MONOCLONAL ABY 0.5ML IM $687.56 $1,485.00 $735.08–$1,336.50 — 54%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HCHG 90380 RSV MONOCLONAL ABY 0.5ML IM $687.56 $1,485.00 $735.08–$1,336.50 — 54%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HCHG 90678 RSV VACCINE, PREF, SUBUNIT, BIVALENT, IM $379.20 $819.00 $12.59–$13.22 32% below 54%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HCHG 90678 RSV VACCINE, PREF, SUBUNIT, BIVALENT, IM $379.20 $819.00 $405.41–$737.10 32% below 54%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HCHG 90678 RSV VACCINE, PREF, SUBUNIT, BIVALENT, IM $379.20 $819.00 $405.41–$737.10 — 54%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HCHG 90678 RSV VACCINE, PREF, SUBUNIT, BIVALENT, IM $379.20 $819.00 $405.41–$737.10 — 54%
Rabies vaccine, one dose CPT 90675 HCHG 90675 TRAVEL - RABIES $344.47 $744.00 $498.93–$669.60 41% below 54%
Rabies vaccine, one dose CPT 90675 HCHG 90675 TRAVEL - RABIES $344.47 $744.00 $52.39–$541.30 41% below 54%
Rabies vaccine, one dose CPT 90675 RABAVERT MUSCLE SUSR $348.34 $752.35 $504.53–$677.12 40% below 54%
Rabies vaccine, one dose CPT 90675 RABAVERT MUSCLE SUSR $348.34 $752.35 $52.39–$541.30 40% below 54%
Rabies vaccine, one dose CPT 90675 HCHG 90675 RABIES VACCINE, FOR IM USE $537.08 $1,160.00 $52.39–$541.30 8% below 54%
Rabies vaccine, one dose CPT 90675 HCHG 90675 RABIES VACCINE, FOR IM USE $537.08 $1,160.00 $777.90–$1,044.00 8% below 54%
Rabies vaccine, one dose inpatient CPT 90675 HCHG 90675 TRAVEL - RABIES $344.47 $744.00 $498.93–$669.60 — 54%
Rabies vaccine, one dose inpatient CPT 90675 HCHG 90675 TRAVEL - RABIES $344.47 $744.00 $498.93–$669.60 — 54%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT MUSCLE SUSR $348.34 $752.35 $504.53–$677.12 — 54%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT MUSCLE SUSR $348.34 $752.35 $504.53–$677.12 — 54%
Rabies vaccine, one dose inpatient CPT 90675 HCHG 90675 RABIES VACCINE, FOR IM USE $537.08 $1,160.00 $777.90–$1,044.00 — 54%
Rabies vaccine, one dose inpatient CPT 90675 HCHG 90675 RABIES VACCINE, FOR IM USE $537.08 $1,160.00 $777.90–$1,044.00 — 54%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HCHG 90680 ROTAVIRUS VACCINE, PENTAVALENT (RV5), 3 DOSE, LIVE, F $125.94 $272.00 $134.64–$244.80 8% above 54%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HCHG 90680 ROTAVIRUS VACCINE, PENTAVALENT (RV5), 3 DOSE, LIVE, F $125.94 $272.00 $55.75–$58.54 8% above 54%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HCHG 90680 ROTAVIRUS VACCINE, PENTAVALENT (RV5), 3 DOSE, LIVE, F $125.94 $272.00 $134.64–$244.80 — 54%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HCHG 90680 ROTAVIRUS VACCINE, PENTAVALENT (RV5), 3 DOSE, LIVE, F $125.94 $272.00 $134.64–$244.80 — 54%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HCHG 90750 ZOSTER (SHINGLES) VACCINE (HZV) $266.23 $575.00 $55.75–$58.54 35% above 54%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HCHG 90750 ZOSTER (SHINGLES) VACCINE (HZV) $266.23 $575.00 $284.63–$517.50 35% above 54%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HCHG 90750 ZOSTER (SHINGLES) VACCINE (HZV) $266.23 $575.00 $284.63–$517.50 — 54%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HCHG 90750 ZOSTER (SHINGLES) VACCINE (HZV) $266.23 $575.00 $284.63–$517.50 — 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX 2-2 LF/0.5ML MUSCLE SUSP $38.06 $82.20 $12.59–$77.94 8% below 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX 2-2 LF/0.5ML MUSCLE SUSP $38.06 $82.20 $40.69–$73.98 8% below 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HCHG 90714 TETANUS AND DIPHTHERIA TOXIDS ABSORBED (TD) VACCINE, $50.47 $109.00 $12.59–$77.94 22% above 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HCHG 90714 TETANUS AND DIPHTHERIA TOXIDS ABSORBED (TD) VACCINE, $50.47 $109.00 $53.96–$98.10 22% above 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TDVAX 2-2 LF/0.5ML MUSCLE SUSP $38.06 $82.20 $40.69–$73.98 — 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TDVAX 2-2 LF/0.5ML MUSCLE SUSP $38.06 $82.20 $40.69–$73.98 — 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HCHG 90714 TETANUS AND DIPHTHERIA TOXIDS ABSORBED (TD) VACCINE, $50.47 $109.00 $53.96–$98.10 — 54%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HCHG 90714 TETANUS AND DIPHTHERIA TOXIDS ABSORBED (TD) VACCINE, $50.47 $109.00 $53.96–$98.10 — 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP $35.67 $77.05 $38.14–$69.35 56% below 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP $35.67 $77.05 $12.59–$79.38 56% below 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSY $40.74 $88.00 $12.59–$79.38 50% below 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSY $40.74 $88.00 $43.56–$79.20 50% below 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE $57.88 $125.00 $12.59–$79.38 29% below 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE $57.88 $125.00 $61.88–$112.50 29% below 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP $35.67 $77.05 $38.14–$69.35 — 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP $35.67 $77.05 $38.14–$69.35 — 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSY $40.74 $88.00 $43.56–$79.20 — 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSY $40.74 $88.00 $43.56–$79.20 — 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE $57.88 $125.00 $61.88–$112.50 — 54%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE $57.88 $125.00 $61.88–$112.50 — 54%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HCHG 90691 TRAVEL TYPHOID $133.34 $288.00 $142.56–$259.20 7% above 54%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HCHG 90691 TRAVEL TYPHOID $133.34 $288.00 $12.59–$13.22 7% above 54%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HCHG 90691 TYPHOID VACCINE, VI CAPSULR POLYSACCHARIDE (VICPS) FO $190.29 $411.00 $12.59–$13.22 53% above 54%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HCHG 90691 TYPHOID VACCINE, VI CAPSULR POLYSACCHARIDE (VICPS) FO $190.29 $411.00 $203.45–$369.90 53% above 54%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HCHG 90691 TRAVEL TYPHOID $133.34 $288.00 $142.56–$259.20 — 54%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HCHG 90691 TRAVEL TYPHOID $133.34 $288.00 $142.56–$259.20 — 54%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HCHG 90691 TYPHOID VACCINE, VI CAPSULR POLYSACCHARIDE (VICPS) FO $190.29 $411.00 $203.45–$369.90 — 54%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HCHG 90691 TYPHOID VACCINE, VI CAPSULR POLYSACCHARIDE (VICPS) FO $190.29 $411.00 $203.45–$369.90 — 54%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG 90471 TRAVEL INITIAL INJECTION $20.37 $44.00 $17.00–$77.03 47% below 54%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG 90471/G0008 ADMIN FLU VACCINE $20.84 $45.00 $17.00–$77.03 46% below 54%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG 90471 IMMUNIZATION ADMIN $75.47 $163.00 $17.00–$77.03 95% above 54%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG 90471/G0009 ADMIN PNEUMOCCOCCAL VACCINE $75.47 $163.00 $17.00–$77.03 95% above 54%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG 90471/G0010 ADMIN HEPATITIS B VACCINE $75.47 $163.00 $17.00–$77.03 95% above 54%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG 90471 TRAVEL INITIAL INJECTION $20.37 $44.00 $28.29–$39.60 — 54%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG 90471/G0008 ADMIN FLU VACCINE $20.84 $45.00 $28.94–$40.50 — 54%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG 90471 IMMUNIZATION ADMIN $75.47 $163.00 $104.81–$146.70 — 54%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG 90471/G0009 ADMIN PNEUMOCCOCCAL VACCINE $75.47 $163.00 $104.81–$146.70 — 54%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG 90471/G0010 ADMIN HEPATITIS B VACCINE $75.47 $163.00 $104.81–$146.70 — 54%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG 90472 TRAVEL SUBSEQUENT INJECTION $20.37 $44.00 $21.78–$39.60 37% below 54%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG 90472/G0008 ADMIIN FLU VACCINE, ADDL $20.84 $45.00 $22.28–$40.50 36% below 54%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG 90472/G0010 ADMIN HEPATITIS B VACCINE, ADDL $27.32 $59.00 $29.21–$53.10 16% below 54%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG 90472/G0009 ADMIN PNEUMOCOCCAL VACCINE, ADDL $27.32 $59.00 $29.21–$53.10 16% below 54%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG 90472 IMMUN ADMIN EA ADDL $27.32 $59.00 $29.21–$53.10 16% below 54%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG 90472 TRAVEL SUBSEQUENT INJECTION $20.37 $44.00 $21.78–$39.60 — 54%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG 90472/G0008 ADMIIN FLU VACCINE, ADDL $20.84 $45.00 $22.28–$40.50 — 54%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG 90472/G0010 ADMIN HEPATITIS B VACCINE, ADDL $27.32 $59.00 $29.21–$53.10 — 54%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG 90472 IMMUN ADMIN EA ADDL $27.32 $59.00 $29.21–$53.10 — 54%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG 90472/G0009 ADMIN PNEUMOCOCCAL VACCINE, ADDL $27.32 $59.00 $29.21–$53.10 — 54%
Yellow fever vaccine, live CPT 90717 HCHG 90717 TRAVEL YELLOW FEVER $122.70 $265.00 $131.18–$238.50 29% below 54%
Yellow fever vaccine, live CPT 90717 HCHG 90717 TRAVEL YELLOW FEVER $122.70 $265.00 $55.75–$58.54 29% below 54%
Yellow fever vaccine, live CPT 90717 HCHG 90717 YELLOW FEVER VACCINE, LIVE $221.78 $479.00 $237.11–$431.10 29% above 54%
Yellow fever vaccine, live CPT 90717 HCHG 90717 YELLOW FEVER VACCINE, LIVE $221.78 $479.00 $55.75–$58.54 29% above 54%
Yellow fever vaccine, live inpatient CPT 90717 HCHG 90717 TRAVEL YELLOW FEVER $122.70 $265.00 $131.18–$238.50 — 54%
Yellow fever vaccine, live inpatient CPT 90717 HCHG 90717 TRAVEL YELLOW FEVER $122.70 $265.00 $131.18–$238.50 — 54%
Yellow fever vaccine, live inpatient CPT 90717 HCHG 90717 YELLOW FEVER VACCINE, LIVE $221.78 $479.00 $237.11–$431.10 — 54%
Yellow fever vaccine, live inpatient CPT 90717 HCHG 90717 YELLOW FEVER VACCINE, LIVE $221.78 $479.00 $237.11–$431.10 — 54%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-memorial