Hospital Boston-Cambridge-Newton, MA-NH

Boston Medical Center Brighton

Boston Medical Center Brighton in Boston, MA publishes cash prices for 438 common procedures listed here, from its own machine-readable price file updated Mar 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Massachusetts median for 426 of 431 procedures and above it for 5. By typical cash price it ranks #2 of 33 Massachusetts hospitals and #2 of 27 hospitals in the Boston, MA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

736 Cambridge Street, Boston MA 02135 Collected Sep 22, 2026 Source price file Check a bill from this hospital (617) 789-3000

Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 220036 · CMS hospital register NPI 1720814072

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Boston Medical Center Brighton in Boston, MA:

Aug 25, 2021 Warning notice
Apr 12, 2022 Case closed
Feb 18, 2025 Corrective action plan requested
May 22, 2025 Corrective action plan requested
Aug 20, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen With and Without Contrast	$442.32	$982.93	$210.21–$1,108.00	75% below	55%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen With and Without Contrast	$442.32	$982.93	$210.21–$1,108.00	—	55%
Abdominal X-ray, 2 views CPT 74019 HC Xray Abd 2 Views	$140.34	$311.87	$88.66–$475.07	62% below	55%
Abdominal X-ray, 2 views inpatient CPT 74019 HC Xray Abd 2 Views	$140.34	$311.87	$88.66–$475.07	—	55%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Chg Radex Ankle Complete Minimum 3 Views	$130.01	$288.90	$62.86–$475.07	50% below	55%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Chg Radex Ankle Complete Minimum 3 Views	$130.01	$288.90	$62.86–$475.07	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Non-Invas Physiologic Std Extremity Art 2 Level	$179.65	$399.23	$159.45–$475.07	50% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Non-Invas Physiologic Std Extremity Art 2 Level	$179.65	$399.23	$159.45–$475.07	—	55%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC Chg CT Upper Extremity W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	79% below	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC Chg CT Upper Extremity W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	—	55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Chg Radex Esophagus	$257.02	$571.15	$129.08–$659.83	52% below	55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Chg Radex Esophagus	$257.02	$571.15	$129.08–$659.83	—	55%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Chg Bone &/Joint Imaging Whole Body	$672.86	$1,495.24	$343.17–$1,422.24	49% below	55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Chg Bone &/Joint Imaging Whole Body	$672.86	$1,495.24	$343.17–$1,422.24	—	55%
Breast ultrasound, complete, one breast CPT 76641 HC Chg US Breast Uni Real Time With Image Complete	$158.10	$351.34	$125.29–$475.07	62% below	55%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC Chg US Breast Uni Real Time With Image Complete	$158.10	$351.34	$125.29–$475.07	—	55%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC Chg US Breast Uni Real Time With Image Limited	$151.54	$336.76	$89.05–$475.07	65% below	55%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC Chg US Breast Uni Real Time With Image Limited	$151.54	$336.76	$89.05–$475.07	—	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Chg CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img	$603.66	$1,341.46	$418.11–$1,348.00	74% below	55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Chg CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img	$603.66	$1,341.46	$418.11–$1,348.00	—	55%
CT angiography (CTA) of the head CPT 70496 HC Chg CT Angiography Head W/Contrast/Noncontrast	$417.29	$927.30	$210.21–$1,108.00	76% below	55%
CT angiography (CTA) of the head inpatient CPT 70496 HC Chg CT Angiography Head W/Contrast/Noncontrast	$417.29	$927.30	$210.21–$1,108.00	—	55%
CT angiography (CTA) of the neck CPT 70498 HC Chg CT Angiography Neck W/Contrast/Noncontrast	$417.29	$927.30	$210.21–$1,108.00	68% below	55%
CT angiography (CTA) of the neck inpatient CPT 70498 HC Chg CT Angiography Neck W/Contrast/Noncontrast	$417.29	$927.30	$210.21–$1,108.00	—	55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Chg CT Angiography Chest W/Contrast/Noncontrast	$417.29	$927.30	$210.21–$1,108.00	74% below	55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Chg CT Angiography Chest W/Contrast/Noncontrast	$417.29	$927.30	$210.21–$1,108.00	—	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Chg Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$442.32	$982.93	$418.11–$1,108.00	41% below	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Chg Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$442.32	$982.93	$418.11–$1,108.00	—	55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT,Heart;W/Ocm;Cor Cal	$81.62	$181.38	$23.88–$1,108.00	59% below	55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT,Heart;W/Ocm;Cor Cal	$81.62	$181.38	$23.88–$1,108.00	—	55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC Chg CT Abdomen & Pelvis W/O Contrast Material	$376.56	$836.80	$285.95–$1,108.00	75% below	55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC Chg CT Abdomen & Pelvis W/O Contrast Material	$376.56	$836.80	$285.95–$1,108.00	—	55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC Chg CT Abdomen & Pelvis W/Contrast Material	$639.88	$1,421.95	$418.11–$1,348.00	74% below	55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC Chg CT Abdomen & Pelvis W/Contrast Material	$639.88	$1,421.95	$418.11–$1,348.00	—	55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC Chg CT Abdomen & Pelvis W/O Contrst 1/> Body Re	$639.88	$1,421.95	$418.11–$1,348.00	76% below	55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC Chg CT Abdomen & Pelvis W/O Contrst 1/> Body Re	$639.88	$1,421.95	$418.11–$1,348.00	—	55%
CT scan of the abdomen with contrast CPT 74160 HC Chg CT Abdomen W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	71% below	55%
CT scan of the abdomen with contrast inpatient CPT 74160 HC Chg CT Abdomen W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	—	55%
CT scan of the abdomen without contrast CPT 74150 HC Chg CT Abdomen W/O Contrast Material	$216.79	$481.75	$125.29–$1,108.00	78% below	55%
CT scan of the abdomen without contrast inpatient CPT 74150 HC Chg CT Abdomen W/O Contrast Material	$216.79	$481.75	$125.29–$1,108.00	—	55%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC Chg CT Maxillofacial W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	79% below	55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC Chg CT Maxillofacial W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	—	55%
CT scan of the head or brain, no contrast dye CPT 70450 HC Chg CT Head/Brain W/O Contrast Material	$203.08	$451.28	$125.29–$1,108.00	81% below	55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC Chg CT Head/Brain W/O Contrast Material	$203.08	$451.28	$125.29–$1,108.00	—	55%
CT scan of the head with contrast CPT 70460 HC Chg CT Head/Brain W/Contrast Material	$417.29	$927.30	$210.21–$1,108.00	65% below	55%
CT scan of the head with contrast inpatient CPT 70460 HC Chg CT Head/Brain W/Contrast Material	$417.29	$927.30	$210.21–$1,108.00	—	55%
CT scan of the head without and with contrast CPT 70470 HC Chg CT Head/Brain W/O & W/Contrast Material	$417.29	$927.30	$210.21–$1,108.00	72% below	55%
CT scan of the head without and with contrast inpatient CPT 70470 HC Chg CT Head/Brain W/O & W/Contrast Material	$417.29	$927.30	$210.21–$1,108.00	—	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC Chg CT Lumbar Spine W/O Contrast Material	$216.79	$481.75	$125.29–$1,108.00	78% below	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC Chg CT Lumbar Spine W/O Contrast Material	$216.79	$481.75	$125.29–$1,108.00	—	55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC Chg CT Cervical Spine W/O Contrast Material	$229.79	$510.65	$125.29–$1,108.00	83% below	55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC Chg CT Cervical Spine W/O Contrast Material	$229.79	$510.65	$125.29–$1,108.00	—	55%
CT scan of the pelvis, with contrast dye CPT 72193 HC Chg CT Pelvis W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	73% below	55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC Chg CT Pelvis W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	—	55%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial Art Compl Bi Study	$348.40	$774.23	$261.47–$853.39	—	55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial Art Compl Bi Study	$348.40	$774.23	$261.47–$853.39	—	55%
Chest CT scan without and with contrast CPT 71270 HC Chg CT Thorax W/O & W/Contrast Material	$386.37	$858.60	$210.21–$1,108.00	79% below	55%
Chest CT scan without and with contrast inpatient CPT 71270 HC Chg CT Thorax W/O & W/Contrast Material	$386.37	$858.60	$210.21–$1,108.00	—	55%
Chest X-ray, 2 views CPT 71046 HC Chg Radiologic Exam Chest 2 Views	$119.40	$265.34	$80.47–$475.07	53% below	55%
Chest X-ray, 2 views inpatient CPT 71046 HC Chg Radiologic Exam Chest 2 Views	$119.40	$265.34	$80.47–$475.07	—	55%
Chest X-ray, single view CPT 71045 HC Chg Radiologic Exam Chest Single View	$112.64	$250.32	$59.40–$475.07	58% below	55%
Chest X-ray, single view inpatient CPT 71045 HC Chg Radiologic Exam Chest Single View	$112.64	$250.32	$59.40–$475.07	—	55%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Chg Radex Clavicle Complete	$119.40	$265.34	$62.86–$475.07	55% below	55%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Chg Radex Clavicle Complete	$119.40	$265.34	$62.86–$475.07	—	55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC Chg US Retroperitoneal Real Time W/Image Complete	$222.39	$494.20	$125.29–$475.07	65% below	55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC Chg US Retroperitoneal Real Time W/Image Complete	$222.39	$494.20	$125.29–$475.07	—	55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Chg DXA Bone Density Study 1/> Sites Axial Skel	$184.87	$410.82	$104.00–$475.07	63% below	55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Chg DXA Bone Density Study 1/> Sites Axial Skel	$184.87	$410.82	$104.00–$475.07	—	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Chg DXA Bone Density Study 1/>Sites Appendiclr Skel	$103.38	$229.73	$62.94–$475.07	58% below	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Chg DXA Bone Density Study 1/>Sites Appendiclr Skel	$103.38	$229.73	$62.94–$475.07	—	55%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC Chg US Preg Uterus W/Detail Fetal Anat 1st Gestation	$371.96	$826.58	$198.03–$856.13	53% below	55%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC Chg US Preg Uterus W/Detail Fetal Anat 1st Gestation	$371.96	$826.58	$198.03–$856.13	—	55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC Chg CT Thorax W/O Contrast Material	$203.08	$451.28	$125.29–$1,108.00	83% below	55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC Chg CT Thorax W/O Contrast Material	$203.08	$451.28	$125.29–$1,108.00	—	55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Chg CT Thorax W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	71% below	55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC Chg CT Thorax W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	—	55%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Chg Diagnostic Mammography Computer-Aided Detcj Bi	$224.07	$497.94	$131.80–$475.07	—	55%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Chg Diagnostic Mammography Computer-Aided Detcj Bi	$224.07	$497.94	$131.80–$475.07	—	55%
Diagnostic mammogram, one breast CPT 77065 HC Chg Diagnostic Mammography Computer-Aided Detcj Uni	$175.44	$389.86	$102.79–$475.07	56% below	55%
Diagnostic mammogram, one breast inpatient CPT 77065 HC Chg Diagnostic Mammography Computer-Aided Detcj Uni	$175.44	$389.86	$102.79–$475.07	—	55%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$348.40	$774.23	$261.47–$853.39	—	55%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$348.40	$774.23	$261.47–$853.39	—	55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Dup-Scan Xtr Veins Complete Bilateral Study	$348.40	$774.23	$261.47–$853.39	—	55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Dup-Scan Xtr Veins Complete Bilateral Study	$348.40	$774.23	$261.47–$853.39	—	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$860.35	$1,911.89	$475.07–$1,836.65	51% below	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$860.35	$1,911.89	$475.07–$1,836.65	—	55%
Elbow X-ray, 2 views CPT 73070 HC Chg Radex Elbow 2 Views	$119.40	$265.34	$62.86–$475.07	50% below	55%
Elbow X-ray, 2 views inpatient CPT 73070 HC Chg Radex Elbow 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Chg Radex Elbow Complete Minimum 3 Views	$130.01	$288.90	$62.86–$475.07	54% below	55%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Chg Radex Elbow Complete Minimum 3 Views	$130.01	$288.90	$62.86–$475.07	—	55%
Eye socket (orbit) CT scan without contrast CPT 70480 HC Chg CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl	$215.26	$478.36	$125.29–$1,108.00	78% below	55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC Chg CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl	$215.26	$478.36	$125.29–$1,108.00	—	55%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Chg Radex Facial Bones Complete Minimum 3 Views	$202.42	$449.81	$62.86–$475.07	49% below	55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Chg Radex Facial Bones Complete Minimum 3 Views	$202.42	$449.81	$62.86–$475.07	—	55%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Chg Radex Forearm 2 Views	$130.01	$288.90	$62.86–$475.07	53% below	55%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Chg Radex Forearm 2 Views	$130.01	$288.90	$62.86–$475.07	—	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Chg Hepatobiliary Syst Imaging Including Gallbladder	$587.75	$1,306.11	$475.07–$1,422.24	55% below	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Chg Hepatobiliary Syst Imaging Including Gallbladder	$587.75	$1,306.11	$475.07–$1,422.24	—	55%
Hand X-ray, 2 views CPT 73120 HC Chg Radex Hand 2 Views	$183.74	$408.31	$62.86–$475.07	34% below	55%
Hand X-ray, 2 views inpatient CPT 73120 HC Chg Radex Hand 2 Views	$183.74	$408.31	$62.86–$475.07	—	55%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Chg Radex Calcaneus Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	55% below	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Chg Radex Calcaneus Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
Knee X-ray, 3 views CPT 73562 HC Chg Radiologic Examination Knee 3 Views	$119.40	$265.34	$62.86–$475.07	62% below	55%
Knee X-ray, 3 views inpatient CPT 73562 HC Chg Radiologic Examination Knee 3 Views	$119.40	$265.34	$62.86–$475.07	—	55%
Knee X-ray, complete, 4 or more views CPT 73564 HC Chg Radiologic Exam Knee Complete 4/More Views	$164.96	$366.58	$62.86–$475.07	53% below	55%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Chg Radiologic Exam Knee Complete 4/More Views	$164.96	$366.58	$62.86–$475.07	—	55%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC Chg CT Lower Extremity W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	79% below	55%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC Chg CT Lower Extremity W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Chg US Abdominal Real Time W/Image Limited	$235.73	$523.84	$125.29–$475.07	56% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Chg US Abdominal Real Time W/Image Limited	$235.73	$523.84	$125.29–$475.07	—	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC Chg US Extremity or Focal Evaluation of Non-Vasc Real-Time Img Lmtd	$181.01	$402.25	$112.05–$475.07	47% below	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC Chg US Extremity Focal Evaluation of Non-Vasc Real-Time Img Lmtd	$181.01	$402.25	$112.05–$475.07	47% below	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC Chg US Extremity Focal Evaluation of Non-Vasc Real-Time Img Lmtd	$181.01	$402.25	$112.05–$475.07	—	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC Chg US Extremity or Focal Evaluation of Non-Vasc Real-Time Img Lmtd	$181.01	$402.25	$112.05–$475.07	—	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer Scr C-	$157.45	$349.89	$114.30–$1,108.00	67% below	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Lung Cancer Scr C-	$157.45	$349.89	$114.30–$1,108.00	—	55%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Chg Radiologic Examination Tibia & Fibula 2 Views	$119.40	$265.34	$62.86–$475.07	56% below	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Chg Radiologic Examination Tibia & Fibula 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
MR angiography (MRA) of the head without contrast CPT 70544 HC Chg Mra Head W/O Contrst Material	$449.36	$998.58	$285.95–$1,548.00	75% below	55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Chg Mra Head W/O Contrst Material	$449.36	$998.58	$285.95–$1,548.00	—	55%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast C-+ W/Cad Bi	$929.99	$2,066.64	$278.86–$1,565.07	—	55%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast C-+ W/Cad Bi	$929.99	$2,066.64	$278.86–$1,565.07	—	55%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC Chg MRI Any Jt Lower Extrem W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	76% below	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC Chg MRI Any Jt Lower Extrem W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	—	55%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC Chg MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$749.99	$1,666.64	$418.11–$1,548.00	75% below	55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC Chg MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$749.99	$1,666.64	$418.11–$1,548.00	—	55%
MRI of the abdomen without contrast CPT 74181 HC Chg MRI Abdomen W/O Contrast Material	$423.92	$942.05	$285.95–$1,548.00	72% below	55%
MRI of the abdomen without contrast inpatient CPT 74181 HC Chg MRI Abdomen W/O Contrast Material	$423.92	$942.05	$285.95–$1,548.00	—	55%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC Chg MRI Abdomen W/O & W/Contrast Material	$844.62	$1,876.94	$418.11–$1,548.00	70% below	55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC Chg MRI Abdomen W/O & W/Contrast Material	$844.62	$1,876.94	$418.11–$1,548.00	—	55%
MRI of the brain, no contrast dye CPT 70551 HC Chg MRI Brain Brain Stem W/O Contrast Material	$449.36	$998.58	$285.95–$1,548.00	78% below	55%
MRI of the brain, no contrast dye inpatient CPT 70551 HC Chg MRI Brain Brain Stem W/O Contrast Material	$449.36	$998.58	$285.95–$1,548.00	—	55%
MRI of the brain, with and without contrast dye CPT 70553 HC Chg MRI Brain Brain Stem W/O W/Contrast Material	$844.62	$1,876.94	$418.11–$1,548.00	72% below	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC Chg MRI Brain Brain Stem W/O W/Contrast Material	$844.62	$1,876.94	$418.11–$1,548.00	—	55%
MRI of the lower back, no contrast dye CPT 72148 HC Chg MRI Spinal Canal Lumbar W/O Contrast Material	$449.36	$998.58	$285.95–$1,548.00	75% below	55%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC Chg MRI Spinal Canal Lumbar W/O Contrast Material	$449.36	$998.58	$285.95–$1,548.00	—	55%
MRI of the lower back, without and then with contrast dye CPT 72158 HC Chg MRI Spinal Canal Lumbar W/O & W/Contr Matrl	$844.62	$1,876.94	$418.11–$1,548.00	69% below	55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC Chg MRI Spinal Canal Lumbar W/O & W/Contr Matrl	$844.62	$1,876.94	$418.11–$1,548.00	—	55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC Chg MRI Spinal Canal Thoracic W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	75% below	55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC Chg MRI Spinal Canal Thoracic W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	—	55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC Chg MRI Spinal Canal Cervical W/O & W/Contr Matrl	$844.62	$1,876.94	$418.11–$1,548.00	71% below	55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC Chg MRI Spinal Canal Cervical W/O & W/Contr Matrl	$844.62	$1,876.94	$418.11–$1,548.00	—	55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC Chg MRI Spinal Canal Cervical W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	75% below	55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC Chg MRI Spinal Canal Cervical W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	—	55%
MRI of the pelvis without and with contrast CPT 72197 HC Chg MRI Pelvis W/O & W/Contrast Material	$844.62	$1,876.94	$418.11–$1,548.00	70% below	55%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC Chg MRI Pelvis W/O & W/Contrast Material	$844.62	$1,876.94	$418.11–$1,548.00	—	55%
MRI of the pelvis, no contrast dye CPT 72195 HC Chg MRI Pelvis W/O Contrast Material	$449.36	$998.58	$285.95–$1,548.00	75% below	55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC Chg MRI Pelvis W/O Contrast Material	$449.36	$998.58	$285.95–$1,548.00	—	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC Chg MRI Any Jt Upper Extremity W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	75% below	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC Chg MRI Any Jt Upper Extremity W/O Contrast Matrl	$449.36	$998.58	$285.95–$1,548.00	—	55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Chg Radex Spine Cervical 4 or 5 Views	$229.10	$509.11	$109.03–$475.07	49% below	55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Chg Radex Spine Cervical 4 or 5 Views	$229.10	$509.11	$109.03–$475.07	—	55%
Neck soft tissue CT scan with contrast CPT 70491 HC Chg CT Soft Tissue Neck W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	70% below	55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC Chg CT Soft Tissue Neck W/Contrast Material	$442.32	$982.93	$210.21–$1,108.00	—	55%
Neck soft tissue CT scan without contrast CPT 70490 HC Chg CT Soft Tissue Neck W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	82% below	55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC Chg CT Soft Tissue Neck W/O Contrast Material	$215.26	$478.36	$125.29–$1,108.00	—	55%
Neck soft tissue X-ray CPT 70360 HC Chg Radiologic Examination Neck Soft Tissue	$119.40	$265.34	$62.86–$475.07	59% below	55%
Neck soft tissue X-ray inpatient CPT 70360 HC Chg Radiologic Examination Neck Soft Tissue	$119.40	$265.34	$62.86–$475.07	—	55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Myo Perf Multi Spect	$2,150.89	$4,779.76	$475.07–$4,863.98	48% below	55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Myo Perf Multi Spect	$2,150.89	$4,779.76	$475.07–$4,863.98	—	55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Chg Pet Imaging CT Attenuation Skull Base Mid-Thigh	$2,299.69	$5,110.42	$475.07–$5,429.80	59% below	55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Chg Pet Imaging CT Attenuation Skull Base Mid-Thigh	$2,299.69	$5,110.42	$475.07–$5,429.80	—	55%
Pelvic CT scan without contrast CPT 72192 HC Chg CT Pelvis W/O Contrast Material	$203.08	$451.28	$125.29–$1,108.00	81% below	55%
Pelvic CT scan without contrast inpatient CPT 72192 HC Chg CT Pelvis W/O Contrast Material	$203.08	$451.28	$125.29–$1,108.00	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Chg US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$181.01	$402.25	$85.51–$475.07	50% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Chg US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$181.01	$402.25	$85.51–$475.07	—	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Chg US Pelvic Nonobstetric Real-Time Image Complete	$235.73	$523.84	$125.29–$475.07	63% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Chg US Pelvic Nonobstetric Real-Time Image Complete	$235.73	$523.84	$125.29–$475.07	—	55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Chg US Preg Uterus After 1st Trimest 1/1st Gestation	$242.28	$538.39	$125.29–$475.07	58% below	55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Chg US Preg Uterus After 1st Trimest 1/1st Gestation	$242.28	$538.39	$125.29–$475.07	—	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Chg US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat	$216.16	$480.36	$125.29–$475.07	56% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Chg US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat	$216.16	$480.36	$125.29–$475.07	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC Chg US Pregnant Uterus Limited 1/> Fetuses	$209.81	$466.25	$85.51–$475.07	48% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC Chg US Pregnant Uterus Limited 1/> Fetuses	$209.81	$466.25	$85.51–$475.07	—	55%
Rib X-ray, one side, 2 views one side CPT 71100 HC Chg X-Ray Ribs 2vw Unilat	$119.40	$265.34	$62.86–$475.07	61% below	55%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Chg X-Ray Ribs 2vw Unilat	$119.40	$265.34	$62.86–$475.07	—	55%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Chg Radex Ribs Uni W/Posteroant Ch Minimum 3 Views	$184.87	$410.82	$62.86–$475.07	51% below	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC Chg Radex Ribs Uni W/Posteroant Ch Minimum 3 Views	$184.87	$410.82	$62.86–$475.07	—	55%
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mamm Cad, Bi	$185.30	$411.77	$108.77–$475.07	—	55%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mamm Cad, Bi	$185.30	$411.77	$108.77–$475.07	—	55%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Chg Radex Shoulder Complete Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	58% below	55%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Chg Radex Shoulder Complete Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Chg Radex Sinuses Paranasal Compl Minimum 3 Views	$120.38	$267.51	$62.86–$475.07	67% below	55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Chg Radex Sinuses Paranasal Compl Minimum 3 Views	$120.38	$267.51	$62.86–$475.07	—	55%
Skull X-ray, fewer than 4 views CPT 70250 HC Chg Radiologic Examination Skull 4/> Views	$155.62	$345.82	$62.86–$475.07	50% below	55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Chg Radiologic Examination Skull 4/> Views	$155.62	$345.82	$62.86–$475.07	—	55%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$1,632.86	$3,628.58	$475.07–$3,412.01	53% below	55%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$1,632.86	$3,628.58	$475.07–$3,412.01	—	55%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$903.67	$2,008.15	$475.07–$1,836.65	47% below	55%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$903.67	$2,008.15	$475.07–$1,836.65	—	55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Chg Swallowing Funcj W/Cineradiograpy/Vidradiog	$202.42	$449.81	$129.08–$630.77	64% below	55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Chg Swallowing Funcj W/Cineradiograpy/Vidradiog	$202.42	$449.81	$129.08–$630.77	—	55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Chg Radiologic Examination Femur Minimum 2 Views	$119.40	$265.34	$89.05–$475.07	48% below	55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Chg Radiologic Examination Femur Minimum 2 Views	$119.40	$265.34	$89.05–$475.07	—	55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC Chg CT Thoracic Spine W/O Contrast Material	$216.79	$481.75	$125.29–$1,108.00	83% below	55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC Chg CT Thoracic Spine W/O Contrast Material	$216.79	$481.75	$125.29–$1,108.00	—	55%
Toe X-ray, 2 or more views CPT 73660 HC Chg Radex Toe Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	49% below	55%
Toe X-ray, 2 or more views inpatient CPT 73660 HC Chg Radex Toe Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
Transvaginal pelvic ultrasound CPT 76830 HC Chg US Transvaginal	$216.16	$480.36	$125.29–$475.07	58% below	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC Chg US Transvaginal	$216.16	$480.36	$125.29–$475.07	—	55%
Transvaginal ultrasound during pregnancy CPT 76817 HC Chg US Preg Uterus Real Time W/Image Dcmtn Transvag	$224.34	$498.54	$125.29–$475.07	62% below	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Chg US Preg Uterus Real Time W/Image Dcmtn Transvag	$224.34	$498.54	$125.29–$475.07	—	55%
Ultrasound of the abdomen, complete CPT 76700 HC Chg US Abdominal Real Time W/Image Documentation	$279.53	$621.18	$125.29–$475.07	59% below	55%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC Chg US Abdominal Real Time W/Image Documentation	$279.53	$621.18	$125.29–$475.07	—	55%
Ultrasound of the scrotum and testicles CPT 76870 HC Chg US Scrotum & Contents	$229.79	$510.65	$125.29–$475.07	60% below	55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Chg US Scrotum & Contents	$229.79	$510.65	$125.29–$475.07	—	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Chg US Soft Tissue Head & Neck Real Time Imge Docm	$229.79	$510.65	$125.29–$475.07	52% below	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Chg US Soft Tissue Head & Neck Real Time Imge Docm	$229.79	$510.65	$125.29–$475.07	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xray Upper GI Tract	$290.75	$646.11	$129.08–$659.83	53% below	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xray Upper GI Tract	$290.75	$646.11	$129.08–$659.83	—	55%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Chg Radex Humerus Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	53% below	55%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Chg Radex Humerus Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Dup-Scan Xtr Veins Unilateral/Limited Study	$208.30	$462.89	$125.29–$475.07	64% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Dup-Scan Xtr Veins Unilateral/Limited Study	$208.30	$462.89	$125.29–$475.07	—	55%
Wrist X-ray, 2 views CPT 73100 Xtrnl Ecg & 48 Hr Recording	$119.40	$265.34	$62.86–$475.07	54% below	55%
Wrist X-ray, 2 views inpatient CPT 73100 Xtrnl Ecg & 48 Hr Recording	$119.40	$265.34	$62.86–$475.07	—	55%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Chg Radex Wrist Complete Minimum 3 Views	$119.40	$265.34	$62.86–$475.07	57% below	55%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Chg Radex Wrist Complete Minimum 3 Views	$119.40	$265.34	$62.86–$475.07	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Chg Radex Hip Unilateral With Pelvis 2-3 Views	$110.56	$245.69	$89.05–$475.07	59% below	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Chg Radex Hip Unilateral With Pelvis 2-3 Views	$110.56	$245.69	$89.05–$475.07	—	55%
X-ray of the abdomen, 1 view CPT 74018 HC Chg Radiologic Exam Abdomen 1 View	$112.64	$250.32	$73.43–$475.07	60% below	55%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Chg Radiologic Exam Abdomen 1 View	$112.64	$250.32	$73.43–$475.07	—	55%
X-ray of the ankle, 2 views CPT 73600 HC Chg Radiologic Examination Ankle 2 Views	$122.65	$272.55	$62.86–$475.07	51% below	55%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Chg Radiologic Examination Ankle 2 Views	$122.65	$272.55	$62.86–$475.07	—	55%
X-ray of the finger(s), 2 or more views CPT 73140 HC Chg Radex Fingr Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	49% below	55%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Chg Radex Fingr Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
X-ray of the foot, 2 views CPT 73620 HC Chg Radiologic Examination Foot 2 Views	$119.40	$265.34	$62.86–$475.07	50% below	55%
X-ray of the foot, 2 views inpatient CPT 73620 HC Chg Radiologic Examination Foot 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Chg Radex Foot Complete Minimum 3 Views	$119.40	$265.34	$62.86–$475.07	55% below	55%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Chg Radex Foot Complete Minimum 3 Views	$119.40	$265.34	$62.86–$475.07	—	55%
X-ray of the hand, 3 or more views CPT 73130 HC Chg Radex Hand Minimum 3 Views	$130.01	$288.90	$62.86–$475.07	57% below	55%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Chg Radex Hand Minimum 3 Views	$130.01	$288.90	$62.86–$475.07	—	55%
X-ray of the knee, 1 or 2 views CPT 73560 HC Chg Radiologic Examination Knee 1/2 Views	$112.64	$250.32	$62.86–$475.07	63% below	55%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Chg Radiologic Examination Knee 1/2 Views	$112.64	$250.32	$62.86–$475.07	—	55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Chg Radex Spine Lumbosacral 2/3 Views	$164.96	$366.58	$62.86–$475.07	55% below	55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Chg Radex Spine Lumbosacral 2/3 Views	$164.96	$366.58	$62.86–$475.07	—	55%
X-ray of the lower back, 4 or more views CPT 72110 HC Chg Radex Spine Lumbosacral Minimum 4 Views	$229.10	$509.11	$109.03–$475.07	54% below	55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Chg Radex Spine Lumbosacral Minimum 4 Views	$229.10	$509.11	$109.03–$475.07	—	55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Chg Radex Spine Thoracic 2 Views	$198.44	$440.98	$62.86–$475.07	45% below	55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Chg Radex Spine Thoracic 2 Views	$198.44	$440.98	$62.86–$475.07	—	55%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Chg Radex Nasal Bones Complete Minimum 3 Views	$119.40	$265.34	$62.86–$475.07	62% below	55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Chg Radex Nasal Bones Complete Minimum 3 Views	$119.40	$265.34	$62.86–$475.07	—	55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Chg Radex Spine Cervical 2 or 3 Views	$119.40	$265.34	$62.86–$475.07	61% below	55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Chg Radex Spine Cervical 2 or 3 Views	$119.40	$265.34	$62.86–$475.07	—	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Chg Radiologic Examination Pelvis 1/2 Views	$183.74	$408.31	$62.86–$475.07	37% below	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Chg Radiologic Examination Pelvis 1/2 Views	$183.74	$408.31	$62.86–$475.07	—	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Chg Radex Sacrum & Coccyx Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	60% below	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Chg Radex Sacrum & Coccyx Minimum 2 Views	$119.40	$265.34	$62.86–$475.07	—	55%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
ACTH blood test CPT 82024 HC Chg Adrenocorticotropic Hormone Acth	$73.65	$163.67	$34.06–$475.07	60% below	55%
ACTH blood test inpatient CPT 82024 HC Chg Adrenocorticotropic Hormone Acth	$73.65	$163.67	$34.06–$475.07	—	55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Chg Transferase Alanine Amino Alt Sgpt	$10.10	$22.45	$4.67–$475.07	76% below	55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Chg Transferase Alanine Amino Alt Sgpt	$10.10	$22.45	$4.67–$475.07	—	55%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Chg Transferase Aspartate Amino Ast Sgot	$9.86	$21.92	$4.57–$475.07	72% below	55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Chg Transferase Aspartate Amino Ast Sgot	$9.86	$21.92	$4.57–$475.07	—	55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Chg Acute Hepatitis Panel	$90.85	$201.89	$42.00–$475.07	50% below	55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Chg Acute Hepatitis Panel	$90.85	$201.89	$42.00–$475.07	—	55%
Albumin blood test CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood Lss	$10.00	$22.21	$4.37–$475.07	63% below	55%
Albumin blood test CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood	$10.00	$22.21	$4.37–$475.07	63% below	55%
Albumin blood test inpatient CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood	$10.00	$22.21	$4.37–$475.07	—	55%
Albumin blood test inpatient CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood Lss	$10.00	$22.21	$4.37–$475.07	—	55%
Aldosterone blood test CPT 82088 HC Chg Assay of Aldosterone	$59.96	$133.25	$35.94–$475.07	62% below	55%
Aldosterone blood test inpatient CPT 82088 HC Chg Assay of Aldosterone	$59.96	$133.25	$35.94–$475.07	—	55%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Chg Assay of Phosphatase Alkaline	$10.46	$23.24	$4.57–$475.07	71% below	55%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Chg Assay of Phosphatase Alkaline Lss	$10.46	$23.24	$4.57–$475.07	71% below	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Chg Assay of Phosphatase Alkaline	$10.46	$23.24	$4.57–$475.07	—	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Chg Assay of Phosphatase Alkaline Lss	$10.46	$23.24	$4.57–$475.07	—	55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Chg Allergen Specific Ige Quan/Semiquan Ea Allergen	$10.55	$23.45	$4.60–$475.07	73% below	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Chg Allergen Specific Ige Quan/Semiquan Ea Allergen	$10.55	$23.45	$4.60–$475.07	—	55%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Chg Alpha-Fetoprotein Serum	$33.92	$75.37	$14.79–$475.07	58% below	55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Chg Alpha-Fetoprotein Serum	$33.92	$75.37	$14.79–$475.07	—	55%
Ammonia blood test CPT 82140 HC Chg Assay of Ammonia	$27.79	$61.76	$12.85–$475.07	70% below	55%
Ammonia blood test inpatient CPT 82140 HC Chg Assay of Ammonia	$27.79	$61.76	$12.85–$475.07	—	55%
Amylase blood test CPT 82150 HC Assay of Amylase	$12.36	$27.47	$5.71–$475.07	73% below	55%
Amylase blood test CPT 82150 HC Chg Assay of Amylase	$12.36	$27.47	$5.71–$475.07	73% below	55%
Amylase blood test inpatient CPT 82150 HC Chg Assay of Amylase	$12.36	$27.47	$5.71–$475.07	—	55%
Amylase blood test inpatient CPT 82150 HC Assay of Amylase	$12.36	$27.47	$5.71–$475.07	—	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Chg Cyclic Citrullinated Peptide Antibody	$24.69	$54.86	$11.42–$475.07	51% below	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Chg Cyclic Citrullinated Peptide Antibody	$24.69	$54.86	$11.42–$475.07	—	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Chg Antinuclear Antibodies Ana	$23.05	$51.21	$10.66–$475.07	54% below	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Chg Antinuclear Antibodies Ana	$23.05	$51.21	$10.66–$475.07	—	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Chg Natriuretic Peptide	$64.74	$143.86	$34.62–$475.07	61% below	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Chg Natriuretic Peptide	$64.74	$143.86	$34.62–$475.07	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Chg Cul Bact Xcpt Urine Blood/Stool Aerobic Isol	$17.42	$38.71	$7.60–$475.07	56% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Chg Cul Bact Xcpt Urine Blood/Stool Aerobic Isol	$17.42	$38.71	$7.60–$475.07	—	55%
Basic metabolic panel (blood test) CPT 80048 HC Chg Basic Metabolic Panel Calcium Total	$16.14	$35.86	$7.46–$475.07	79% below	55%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Chg Basic Metabolic Panel Calcium Total	$16.14	$35.86	$7.46–$475.07	—	55%
Bilirubin blood test, total CPT 82247 HC Chg Bilirubin Total	$9.57	$21.26	$4.43–$475.07	69% below	55%
Bilirubin blood test, total inpatient CPT 82247 HC Chg Bilirubin Total	$9.57	$21.26	$4.43–$475.07	—	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam	$86.66	$192.58	$62.45–$475.07	49% below	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam Hema	$86.66	$192.58	$62.45–$475.07	49% below	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam	$86.66	$192.58	$62.45–$475.07	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam Hema	$86.66	$192.58	$62.45–$475.07	—	55%
Blood culture for bacteria CPT 87040 HC Chg Culture Bacterial Blood Aerobic W/ID Isolates	$19.68	$43.74	$9.10–$475.07	75% below	55%
Blood culture for bacteria inpatient CPT 87040 HC Chg Culture Bacterial Blood Aerobic W/ID Isolates	$19.68	$43.74	$9.10–$475.07	—	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture	$4.35	$9.67	$2.40–$475.07	71% below	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture	$4.35	$9.67	$2.40–$475.07	—	55%
Blood glucose (sugar) test CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip	$7.49	$16.64	$3.47–$475.07	76% below	55%
Blood glucose (sugar) test CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip POC	$7.49	$16.64	$3.47–$475.07	76% below	55%
Blood glucose (sugar) test inpatient CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip	$7.49	$16.64	$3.47–$475.07	—	55%
Blood glucose (sugar) test inpatient CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip POC	$7.49	$16.64	$3.47–$475.07	—	55%
Blood lead test CPT 83655 HC Chg Assay of Lead	$24.48	$54.39	$10.68–$475.07	66% below	55%
Blood lead test inpatient CPT 83655 HC Chg Assay of Lead	$24.48	$54.39	$10.68–$475.07	—	55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonad,Chor(Hcg);Ql	$15.22	$33.82	$6.63–$475.07	67% below	55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Gonad,Chor(Hcg);Ql	$15.22	$33.82	$6.63–$475.07	—	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Chg Blood Typing Serologic Abo	$111.67	$248.16	$2.64–$475.07	43% below	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Chg Blood Typing Serologic Abo	$111.67	$248.16	$2.64–$475.07	—	55%
Blood urea nitrogen (BUN) test CPT 84520 HC Chg Assay of Urea Nitrogen Quantitative	$7.99	$17.76	$3.48–$475.07	70% below	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Chg Assay of Urea Nitrogen Quantitative	$7.99	$17.76	$3.48–$475.07	—	55%
C-peptide blood test CPT 84681 HC Chg Assay of C-Peptide	$39.71	$88.24	$18.35–$475.07	66% below	55%
C-peptide blood test inpatient CPT 84681 HC Chg Assay of C-Peptide	$39.71	$88.24	$18.35–$475.07	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$9.86	$21.92	$5.18–$475.07	75% below	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$9.86	$21.92	$5.18–$475.07	—	55%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Chg Inf Agent Det Nucleic Acid Clostridium Amp Probe	$66.94	$148.75	$32.87–$475.07	61% below	55%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$66.94	$148.75	$32.87–$475.07	61% below	55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe	$66.94	$148.75	$32.87–$475.07	—	55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Chg Inf Agent Det Nucleic Acid Clostridium Amp Probe	$66.94	$148.75	$32.87–$475.07	—	55%
CA 19-9 blood test (tumor marker) CPT 86301 HC Chg Immunoassay Tumor Antigen Quantitative Ca 19-9	$14.74	$32.75	$18.35–$475.07	84% below	55%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Chg Immunoassay Tumor Antigen Quantitative Ca 19-9	$14.74	$32.75	$18.35–$475.07	—	55%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Crl;Ca-125	$14.74	$32.75	$18.35–$475.07	87% below	55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Crl;Ca-125	$14.74	$32.75	$18.35–$475.07	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb	$110.36	$245.25	$45.81–$475.07	33% below	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb	$110.36	$245.25	$45.81–$475.07	—	55%
Calcium blood test, total CPT 82310 HC Chg Calcium Total	$10.43	$23.17	$4.55–$475.07	69% below	55%
Calcium blood test, total inpatient CPT 82310 HC Chg Calcium Total	$10.43	$23.17	$4.55–$475.07	—	55%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Chg Carcinoembryonic Antigen Cea	$36.17	$80.37	$16.72–$475.07	62% below	55%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen Cea	$36.17	$80.37	$16.72–$475.07	62% below	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen Cea	$36.17	$80.37	$16.72–$475.07	—	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Chg Carcinoembryonic Antigen Cea	$36.17	$80.37	$16.72–$475.07	—	55%
Chickenpox (varicella) immunity blood test CPT 86787 HC Chg Antibody Varicella-Zoster	$26.05	$57.88	$11.36–$475.07	58% below	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Chg Antibody Varicella-Zoster	$26.05	$57.88	$11.36–$475.07	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chg Iadna Chlamydia Trachomatis Amplified Probe Tq	$70.96	$157.68	$28.79–$475.07	58% below	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chg Iadna Chlamydia Trachomatis Amplified Probe Tq	$70.96	$157.68	$28.79–$475.07	—	55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Chg Lipid Panel	$25.54	$56.76	$11.81–$475.07	75% below	55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Chg Lipid Panel	$25.54	$56.76	$11.81–$475.07	—	55%
Complete blood count (CBC) with differential CPT 85025 HC Chg Blood Count Complete Auto&Auto Difrntl Wbc	$14.82	$32.94	$6.85–$475.07	72% below	55%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Chg Blood Count Complete Auto&Auto Difrntl Wbc	$14.82	$32.94	$6.85–$475.07	—	55%
Complete blood count (CBC), no differential CPT 85027 HC Chg Blood Count Complete Automated	$12.33	$27.39	$5.71–$475.07	71% below	55%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Chg Blood Count Complete Automated	$12.33	$27.39	$5.71–$475.07	—	55%
Comprehensive metabolic panel (blood test) CPT 80053 HC Chg Comprehensive Metabolic Panel	$20.15	$44.78	$9.31–$475.07	80% below	55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Chg Comprehensive Metabolic Panel	$20.15	$44.78	$9.31–$475.07	—	55%
Cortisol blood test, total CPT 82533 HC Chg Cortisol Total	$31.07	$69.05	$14.37–$475.07	61% below	55%
Cortisol blood test, total inpatient CPT 82533 HC Chg Cortisol Total	$31.07	$69.05	$14.37–$475.07	—	55%
Creatine kinase (CK) blood test, total CPT 82550 HC Chg Creatine Kinase Total	$12.42	$27.60	$5.74–$475.07	71% below	55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Chg Creatine Kinase Total	$12.42	$27.60	$5.74–$475.07	—	55%
Creatinine blood test CPT 82565 HC Chg Creatinine Blood	$10.36	$23.03	$4.52–$475.07	66% below	55%
Creatinine blood test CPT 82565 HC Chg Creatinine Blood POC	$10.36	$23.03	$4.52–$475.07	66% below	55%
Creatinine blood test inpatient CPT 82565 HC Chg Creatinine Blood	$10.36	$23.03	$4.52–$475.07	—	55%
Creatinine blood test inpatient CPT 82565 HC Chg Creatinine Blood POC	$10.36	$23.03	$4.52–$475.07	—	55%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Chg Antibody Cytomegalovirus Cmv	$27.45	$60.99	$12.69–$475.07	61% below	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Chg Antibody Cytomegalovirus Cmv	$27.45	$60.99	$12.69–$475.07	—	55%
D-dimer blood test (blood clot marker) CPT 85379 HC Chg Fibrin Dgradj Products D-Dimer Quantitative	$19.40	$43.12	$8.98–$475.07	67% below	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Chg Fibrin Dgradj Products D-Dimer Quantitative	$19.40	$43.12	$8.98–$475.07	—	55%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Chg Dehydroepiandrosterone-Sulfate	$44.95	$99.89	$19.60–$475.07	62% below	55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Chg Dehydroepiandrosterone-Sulfate	$44.95	$99.89	$19.60–$475.07	—	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers Lss	$110.92	$246.49	$47.55–$475.07	33% below	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers	$110.92	$246.49	$47.55–$475.07	33% below	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers Lss	$110.92	$246.49	$47.55–$475.07	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers	$110.92	$246.49	$47.55–$475.07	—	55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Chg Electrolyte Panel	$13.37	$29.71	$6.18–$475.07	73% below	55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Chg Electrolyte Panel	$13.37	$29.71	$6.18–$475.07	—	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Chg Antibody Epstein-Barr Eb Virus Viral Capsid Vca	$34.60	$76.88	$15.80–$475.07	61% below	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Chg Antibody Epstein-Barr Eb Virus Viral Capsid Vca	$34.60	$76.88	$15.80–$475.07	—	55%
Estradiol blood test CPT 82670 HC Q;Estradiol, Ultrasens Lss	$56.48	$125.51	$24.64–$475.07	68% below	55%
Estradiol blood test CPT 82670 HC Chg Assay of Estradiol	$56.48	$125.51	$24.64–$475.07	68% below	55%
Estradiol blood test inpatient CPT 82670 HC Chg Assay of Estradiol	$56.48	$125.51	$24.64–$475.07	—	55%
Estradiol blood test inpatient CPT 82670 HC Q;Estradiol, Ultrasens Lss	$56.48	$125.51	$24.64–$475.07	—	55%
FSH (follicle-stimulating hormone) test CPT 83001 HC Chg Gonadotropin Follicle Stimulating Hormone	$13.16	$29.24	$16.39–$475.07	89% below	55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Chg Gonadotropin Follicle Stimulating Hormone	$13.16	$29.24	$16.39–$475.07	—	55%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Chg Assay of Calprotectin Fecal	$37.45	$83.22	$17.31–$475.07	70% below	55%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Chg Assay of Calprotectin Fecal	$37.45	$83.22	$17.31–$475.07	—	55%
Ferritin blood test (iron stores) CPT 82728 HC Chg Assay of Ferritin	$26.00	$57.78	$12.02–$475.07	68% below	55%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Chg Assay of Ferritin	$26.00	$57.78	$12.02–$475.07	—	55%
Fibrinogen blood test CPT 85384 HC Chg Fibrinogen Activity	$16.21	$36.02	$8.57–$475.07	69% below	55%
Fibrinogen blood test inpatient CPT 85384 HC Chg Fibrinogen Activity	$16.21	$36.02	$8.57–$475.07	—	55%
Folate (folic acid) blood test CPT 82746 HC Chg Assay of Folic Acid Serum	$28.05	$62.33	$12.96–$475.07	61% below	55%
Folate (folic acid) blood test inpatient CPT 82746 HC Chg Assay of Folic Acid Serum	$28.05	$62.33	$12.96–$475.07	—	55%
Free T3 thyroid hormone test CPT 84481 HC Chg Assay of Triiodothyronine T3 Free	$32.32	$71.81	$14.94–$475.07	68% below	55%
Free T3 thyroid hormone test inpatient CPT 84481 HC Chg Assay of Triiodothyronine T3 Free	$32.32	$71.81	$14.94–$475.07	—	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Chg Assay of Free Thyroxine	$17.20	$38.22	$7.95–$475.07	74% below	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Chg Assay of Free Thyroxine	$17.20	$38.22	$7.95–$475.07	—	55%
Free testosterone test CPT 84402 HC Chg Assay of Testosterone Free	$51.50	$114.44	$22.46–$475.07	58% below	55%
Free testosterone test inpatient CPT 84402 HC Chg Assay of Testosterone Free	$51.50	$114.44	$22.46–$475.07	—	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Chg Assay of Ggt	$13.73	$30.51	$6.35–$475.07	72% below	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Chg Assay of Glutamyltrase Gamma	$13.73	$30.51	$6.35–$475.07	72% below	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Chg Assay of Glutamyltrase Gamma	$13.73	$30.51	$6.35–$475.07	—	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Chg Assay of Ggt	$13.73	$30.51	$6.35–$475.07	—	55%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$92.98	$206.62	$22.19–$475.07	52% below	55%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel	$92.98	$206.62	$22.19–$475.07	—	55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Chg Glucose Post Glucose Dose	$9.60	$21.34	$4.75–$475.07	60% below	55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Chg Glucose Post Glucose Dose	$9.60	$21.34	$4.75–$475.07	—	55%
Glucose tolerance test, 3 samples CPT 82951 HC Chg Glucose Tolerance Test Gtt 3 Specimens	$26.03	$57.84	$11.35–$475.07	52% below	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Chg Glucose Tolerance Test Gtt 3 Specimens	$26.03	$57.84	$11.35–$475.07	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Chg Iadna Neisseria Gonorrhoeae Amplified Probe Tq	$70.96	$157.68	$28.79–$475.07	58% below	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Chg Iadna Neisseria Gonorrhoeae Amplified Probe Tq	$70.96	$157.68	$28.79–$475.07	—	55%
H. pylori antibody blood test CPT 86677 HC Chg Antibody Helicobacter Pylori	$25.62	$56.94	$16.04–$475.07	70% below	55%
H. pylori antibody blood test inpatient CPT 86677 HC Chg Antibody Helicobacter Pylori	$25.62	$56.94	$16.04–$475.07	—	55%
H. pylori stool antigen test CPT 87338 HC Chg Iaad Ia Hpylori Stool	$27.43	$60.96	$12.68–$475.07	74% below	55%
H. pylori stool antigen test inpatient CPT 87338 HC Chg Iaad Ia Hpylori Stool	$27.43	$60.96	$12.68–$475.07	—	55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Chg Iadna Hiv-1 Quant & Reverse Transcription	$159.30	$353.99	$62.14–$475.07	58% below	55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Chg Iadna Hiv-1 Quant & Reverse Transcription	$159.30	$353.99	$62.14–$475.07	—	55%
HIV-1 and HIV-2 antibody test CPT 86703 HC Chg Antibody Hiv-1&Hiv-2 Single Result	$7.48	$16.61	$11.67–$475.07	89% below	55%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv 1/2 Antibody	$7.48	$16.61	$11.67–$475.07	89% below	55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv 1/2 Antibody	$7.48	$16.61	$11.67–$475.07	—	55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Chg Antibody Hiv-1&Hiv-2 Single Result	$7.48	$16.61	$11.67–$475.07	—	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Chg Laad La Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (Lss)	$45.93	$102.06	$21.24–$475.07	59% below	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Chg Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$45.93	$102.06	$21.24–$475.07	59% below	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Chg Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$45.93	$102.06	$21.24–$475.07	—	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Chg Laad La Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (Lss)	$45.93	$102.06	$21.24–$475.07	—	55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Chg Iadna Human Papillomavirus High-Risk Types	$61.54	$136.75	$30.94–$475.07	55% below	55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Chg Iadna Human Papillomavirus High-Risk Types	$61.54	$136.75	$30.94–$475.07	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Chg Hemoglobin Glycosylated A1c	$19.64	$43.64	$8.56–$475.07	61% below	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c Lss	$19.64	$43.64	$8.56–$475.07	61% below	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Chg Hemoglobin Glycosylated A1c POC	$19.64	$43.64	$8.56–$475.07	61% below	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Chg Hemoglobin Glycosylated A1c	$19.64	$43.64	$8.56–$475.07	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Chg Hemoglobin Glycosylated A1c POC	$19.64	$43.64	$8.56–$475.07	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated A1c Lss	$19.64	$43.64	$8.56–$475.07	—	55%
Hepatitis B core antibody test (total) CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total (Lss)	$22.99	$51.08	$10.63–$475.07	71% below	55%
Hepatitis B core antibody test (total) CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total	$22.99	$51.08	$10.63–$475.07	71% below	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total (Lss)	$22.99	$51.08	$10.63–$475.07	—	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total	$22.99	$51.08	$10.63–$475.07	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Chg Hepatitis B Surf Antibody Hbsab	$7.40	$16.45	$9.47–$475.07	89% below	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Chg Hepatitis B Surf Antibody Hbsab	$7.40	$16.45	$9.47–$475.07	—	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Chg Laad La Hepatitis B Surface Antigen (Lss)	$19.71	$43.79	$9.11–$475.07	79% below	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Chg Iaad Ia Hepatitis B Surface Antigen	$19.71	$43.79	$9.11–$475.07	79% below	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Chg Laad La Hepatitis B Surface Antigen (Lss)	$19.71	$43.79	$9.11–$475.07	—	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Chg Iaad Ia Hepatitis B Surface Antigen	$19.71	$43.79	$9.11–$475.07	—	55%
Hepatitis C antibody blood test (screening) CPT 86803 HC Chg Hepatitis C Antibody (Lss)	$27.21	$60.46	$12.58–$475.07	76% below	55%
Hepatitis C antibody blood test (screening) CPT 86803 HC Chg Hepatitis C Antibody	$27.21	$60.46	$12.58–$475.07	76% below	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Chg Hepatitis C Antibody	$27.21	$60.46	$12.58–$475.07	—	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Chg Hepatitis C Antibody (Lss)	$27.21	$60.46	$12.58–$475.07	—	55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Chg Iadna Hepatitis C Quant & Reverse Transcription	$81.69	$181.53	$37.78–$475.07	59% below	55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Chg Iadna Hepatitis C Quant & Reverse Transcription	$81.69	$181.53	$37.78–$475.07	—	55%
Herpes blood test, HSV-1 antibody CPT 86695 HC Chg Antibody Herpes Smplx Type 1	$26.66	$59.24	$11.63–$475.07	54% below	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Chg Antibody Herpes Smplx Type 1	$26.66	$59.24	$11.63–$475.07	—	55%
Herpes blood test, HSV-2 antibody CPT 86696 HC Chg Antibody Herpes Smplx Type 2	$32.59	$72.43	$17.06–$475.07	50% below	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Chg Antibody Herpes Smplx Type 2	$32.59	$72.43	$17.06–$475.07	—	55%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC Crl;Cardio Crp	$24.69	$54.86	$11.42–$475.07	59% below	55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Crl;Cardio Crp	$24.69	$54.86	$11.42–$475.07	—	55%
Homocysteine blood test CPT 83090 HC Chg Assay of Homocysteine	$32.18	$71.51	$15.80–$475.07	72% below	55%
Homocysteine blood test inpatient CPT 83090 HC Chg Assay of Homocysteine	$32.18	$71.51	$15.80–$475.07	—	55%
Insulin blood test CPT 83525 HC Chg Assay of Insulin Total	$21.39	$47.53	$10.08–$475.07	64% below	55%
Insulin blood test inpatient CPT 83525 HC Chg Assay of Insulin Total	$21.39	$47.53	$10.08–$475.07	—	55%
Iron blood test (serum iron) CPT 83540 HC Chg Assay of Iron	$12.34	$27.42	$5.71–$475.07	61% below	55%
Iron blood test (serum iron) inpatient CPT 83540 HC Chg Assay of Iron	$12.34	$27.42	$5.71–$475.07	—	55%
Iron-binding capacity (TIBC) test CPT 83550 HC Chg Iron Binding Capacity	$15.44	$34.30	$7.71–$475.07	59% below	55%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Chg Iron Binding Capacity	$15.44	$34.30	$7.71–$475.07	—	55%
Kidney function blood test panel CPT 80069 HC Chg Renal Function Panel	$16.57	$36.81	$7.65–$475.07	79% below	55%
Kidney function blood test panel inpatient CPT 80069 HC Chg Renal Function Panel	$16.57	$36.81	$7.65–$475.07	—	55%
LH (luteinizing hormone) test CPT 83002 HC Chg Gonadotropin Luteinizing Hormone	$37.43	$83.18	$16.33–$475.07	63% below	55%
LH (luteinizing hormone) test inpatient CPT 83002 HC Chg Gonadotropin Luteinizing Hormone	$37.43	$83.18	$16.33–$475.07	—	55%
Lactate (lactic acid) blood test CPT 83605 HC Chg Assay of Lactate	$20.38	$45.28	$10.20–$475.07	71% below	55%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Chg Assay of Lactate	$20.38	$45.28	$10.20–$475.07	—	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Chg Lactate Dehydrogenase Ldh	$11.51	$25.57	$5.33–$475.07	68% below	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Chg Lactate Dehydrogenase Ldh	$11.51	$25.57	$5.33–$475.07	—	55%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase	$13.15	$29.22	$6.08–$475.07	69% below	55%
Lipase blood test (pancreas enzyme) CPT 83690 HC Chg Assay of Lipase	$13.15	$29.22	$6.08–$475.07	69% below	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase	$13.15	$29.22	$6.08–$475.07	—	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Chg Assay of Lipase	$13.15	$29.22	$6.08–$475.07	—	55%
Liver function blood test panel CPT 80076 HC Chg Hepatic Function Panel	$15.58	$34.62	$7.20–$475.07	84% below	55%
Liver function blood test panel inpatient CPT 80076 HC Chg Hepatic Function Panel	$15.58	$34.62	$7.20–$475.07	—	55%
Lyme disease antibody test CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease	$32.48	$72.17	$15.02–$475.07	60% below	55%
Lyme disease antibody test CPT 86618 HC Q;Lyme Ab Index Cns Infec	$32.48	$72.17	$15.02–$475.07	60% below	55%
Lyme disease antibody test inpatient CPT 86618 HC Q;Lyme Ab Index Cns Infec	$32.48	$72.17	$15.02–$475.07	—	55%
Lyme disease antibody test inpatient CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease	$32.48	$72.17	$15.02–$475.07	—	55%
Magnesium blood test CPT 83735 HC Chg Assay of Magnesium	$12.78	$28.39	$5.91–$475.07	66% below	55%
Magnesium blood test inpatient CPT 83735 HC Chg Assay of Magnesium	$12.78	$28.39	$5.91–$475.07	—	55%
Measles (rubeola) antibody test CPT 86765 HC Chg Antibody Rubeola	$26.05	$57.88	$11.36–$475.07	66% below	55%
Measles (rubeola) antibody test inpatient CPT 86765 HC Chg Antibody Rubeola	$26.05	$57.88	$11.36–$475.07	—	55%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Chg Heterophile Antibodies Screen	$10.46	$23.24	$4.57–$475.07	77% below	55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Chg Heterophile Antibodies Screen	$10.46	$23.24	$4.57–$475.07	—	55%
Mumps immunity blood test CPT 86735 HC Chg Antibody Mumps	$26.38	$58.61	$11.51–$475.07	61% below	55%
Mumps immunity blood test inpatient CPT 86735 HC Chg Antibody Mumps	$26.38	$58.61	$11.51–$475.07	—	55%
Obstetric blood test panel CPT 80055 HC Chg Obstetric Panel	$84.43	$187.61	$18.32–$475.07	39% below	55%
Obstetric blood test panel inpatient CPT 80055 HC Chg Obstetric Panel	$84.43	$187.61	$18.32–$475.07	—	55%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free	$37.19	$82.65	$16.22–$475.07	62% below	55%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free	$37.19	$82.65	$16.22–$475.07	—	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Chg Assay of Prostate Specific Antigen Total	$13.03	$28.95	$16.22–$475.07	85% below	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Chg Assay of Prostate Specific Antigen Total	$13.03	$28.95	$16.22–$475.07	—	55%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Chg Cytopat,Cer/Vag,Thin Layer,Man Res,Inter	$53.57	$119.04	$26.61–$475.07	49% below	55%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Chg Cytopat,Cer/Vag,Thin Layer,Man Res,Inter	$53.57	$119.04	$26.61–$475.07	—	55%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Chg Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen	$37.93	$84.29	$17.87–$475.07	59% below	55%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Chg Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen	$37.93	$84.29	$17.87–$475.07	—	55%
Parathyroid hormone (PTH) blood test CPT 83970 HC Chg Assay of Parathormone	$83.45	$185.45	$36.40–$475.07	54% below	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Chg Assay of Parathormone	$83.45	$185.45	$36.40–$475.07	—	55%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Chg Thromboplastin Time Partial Plasma/Whole Blood	$11.46	$25.47	$5.30–$475.07	61% below	55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Chg Thromboplastin Time Partial Plasma/Whole Blood	$11.46	$25.47	$5.30–$475.07	—	55%
Phosphorus (phosphate) blood test CPT 84100 HC Chg Assay of Phosphorus Inorganic	$9.03	$20.07	$4.18–$475.07	65% below	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Chg Assay of Phosphorus Inorganic	$9.03	$20.07	$4.18–$475.07	—	55%
Potassium blood test CPT 84132 HC Chg Potassium Serum Plasma/Whole Blood	$8.78	$19.51	$4.20–$475.07	72% below	55%
Potassium blood test inpatient CPT 84132 HC Chg Potassium Serum Plasma/Whole Blood	$8.78	$19.51	$4.20–$475.07	—	55%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Chg Fetal Chromosomal Aneuploidy Genomic Seq Analys	$645.47	$1,434.37	$475.07–$2,305.51	75% below	55%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Chg Fetal Chromosomal Aneuploidy Genomic Seq Analys	$645.47	$1,434.37	$475.07–$2,305.51	—	55%
Progesterone blood test CPT 84144 HC Chg Assay of Progesterone	$42.18	$93.73	$18.40–$475.07	69% below	55%
Progesterone blood test inpatient CPT 84144 HC Chg Assay of Progesterone	$42.18	$93.73	$18.40–$475.07	—	55%
Prolactin blood test CPT 84146 HC Chg Assay of Prolactin	$36.95	$82.12	$17.09–$475.07	61% below	55%
Prolactin blood test inpatient CPT 84146 HC Chg Assay of Prolactin	$36.95	$82.12	$17.09–$475.07	—	55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Chg Prothrombin Time	$7.94	$17.65	$3.78–$475.07	58% below	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Chg Prothrombin Time	$7.94	$17.65	$3.78–$475.07	—	55%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Chg Drug Test Prsmv Read Direct Optical Obs HC Date	$19.11	$42.46	$12.60–$475.07	61% below	55%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Chg Drug Test Prsmv Read Direct Optical Obs HC Date	$19.11	$42.46	$12.60–$475.07	—	55%
Rapid flu test (influenza antigen) CPT 87804 HC Chg Detect Agent,Immun,Dir Obs,Influenza	$25.57	$56.81	$12.67–$475.07	47% below	55%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Chg Detect Agent,Immun,Dir Obs,Influenza	$25.57	$56.81	$12.67–$475.07	—	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Chg Iaadiadoo Streptococcus Group A	$25.54	$56.76	$12.67–$475.07	60% below	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Chg Iaadiadoo Streptococcus Group A	$25.54	$56.76	$12.67–$475.07	—	55%
Renin blood test CPT 84244 HC Chg Assay of Renin	$41.94	$93.20	$19.39–$475.07	61% below	55%
Renin blood test inpatient CPT 84244 HC Chg Assay of Renin	$41.94	$93.20	$19.39–$475.07	—	55%
Rh blood typing CPT 86901 HC Chg Blood Typing Serologic Rh (D)	$45.95	$102.10	$2.64–$475.07	49% below	55%
Rh blood typing inpatient CPT 86901 HC Chg Blood Typing Serologic Rh (D)	$45.95	$102.10	$2.64–$475.07	—	55%
Rheumatoid factor (RF) test CPT 86431 HC Chg Rheumatoid Factor Quantitative	$10.02	$22.27	$5.00–$475.07	66% below	55%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Chg Rheumatoid Factor Quantitative	$10.02	$22.27	$5.00–$475.07	—	55%
Rubella antibody test (immunity check) CPT 86762 HC Chg Antibody Rubella	$29.09	$64.65	$12.69–$475.07	63% below	55%
Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella Lss	$29.09	$64.65	$12.69–$475.07	63% below	55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella Lss	$29.09	$64.65	$12.69–$475.07	—	55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Chg Antibody Rubella	$29.09	$64.65	$12.69–$475.07	—	55%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Chg Sedimentation Rate RBC Automated	$5.15	$11.45	$2.38–$475.07	61% below	55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Chg Sedimentation Rate RBC Automated	$5.15	$11.45	$2.38–$475.07	—	55%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Chg Semen Analysis Volume Count Motility Different	$21.29	$47.30	$10.86–$475.07	69% below	55%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Chg Semen Analysis Volume Count Motility Different	$21.29	$47.30	$10.86–$475.07	—	55%
Sodium blood test CPT 84295 HC Chg Sodium Serum Plasma or Whole Blood	$9.18	$20.40	$4.24–$475.07	67% below	55%
Sodium blood test inpatient CPT 84295 HC Chg Sodium Serum Plasma or Whole Blood	$9.18	$20.40	$4.24–$475.07	—	55%
Stool ova and parasites exam CPT 87177 HC Chg Ova&Parasites Direct Smears Concentration & ID	$21.12	$46.94	$7.85–$475.07	50% below	55%
Stool ova and parasites exam inpatient CPT 87177 HC Chg Ova&Parasites Direct Smears Concentration & ID	$21.12	$46.94	$7.85–$475.07	—	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Chg Blood Occult Peroxidase Actv Qual Feces 1 Deter	$6.76	$15.02	$3.59–$475.07	66% below	55%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Chg Blood Occult Peroxidase Actv Qual Feces 1 Deter	$6.76	$15.02	$3.59–$475.07	—	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Chg Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3	$28.10	$62.44	$14.04–$475.07	58% below	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Chg Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3	$28.10	$62.44	$14.04–$475.07	—	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Syphillis Igg/Igm Eia	$25.24	$56.08	$11.68–$475.07	59% below	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Syphillis Igg/Igm Eia	$25.24	$56.08	$11.68–$475.07	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Chg Syphilis Test Non-Treponemal Antibody Qual	$8.14	$18.08	$3.77–$475.07	67% below	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Chg Syphilis Test Non-Treponemal Antibody Qual	$8.14	$18.08	$3.77–$475.07	—	55%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Chg TB Cell Mediated Antign Respnse Gamma Interferon	$125.30	$278.45	$61.98–$475.07	40% below	55%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Chg TB Cell Mediated Antign Respnse Gamma Interferon	$125.30	$278.45	$61.98–$475.07	—	55%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Chg Assay of Testosterone Total	$18.29	$40.64	$22.76–$475.07	87% below	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Chg Assay of Testosterone Total	$18.29	$40.64	$22.76–$475.07	—	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Chg Microsomal Antibodies Each	$25.69	$57.09	$12.83–$475.07	64% below	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Chg Microsomal Antibodies Each	$25.69	$57.09	$12.83–$475.07	—	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Chg Assay of Thyroid Stimulating Hormone Tsh	$32.06	$71.24	$14.82–$475.07	56% below	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Chg Assay of Thyroid Stimulating Hormone Tsh	$32.06	$71.24	$14.82–$475.07	—	55%
Total IgE blood test CPT 82785 HC Chg Assay of Gammaglobulin Ige	$24.92	$55.37	$14.52–$475.07	72% below	55%
Total IgE blood test inpatient CPT 82785 HC Chg Assay of Gammaglobulin Ige	$24.92	$55.37	$14.52–$475.07	—	55%
Total cholesterol blood test CPT 82465 HC Chg Cholesterol Serum/Whole Blood Total	$8.30	$18.44	$3.84–$475.07	71% below	55%
Total cholesterol blood test inpatient CPT 82465 HC Chg Cholesterol Serum/Whole Blood Total	$8.30	$18.44	$3.84–$475.07	—	55%
Total thyroxine (T4) blood test CPT 84436 HC Chg Assay of Thyroxine Total	$13.10	$29.12	$6.06–$475.07	61% below	55%
Total thyroxine (T4) blood test inpatient CPT 84436 HC Chg Assay of Thyroxine Total	$13.10	$29.12	$6.06–$475.07	—	55%
Total triiodothyronine (T3) blood test CPT 84480 HC Chg Assay of Triiodothyronine T3 Total Tt3	$27.04	$60.09	$12.50–$475.07	69% below	55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Chg Assay of Triiodothyronine T3 Total Tt3	$27.04	$60.09	$12.50–$475.07	—	55%
Transferrin blood test CPT 84466 HC Chg Assay of L7383transferrin	$9.04	$20.09	$11.25–$475.07	85% below	55%
Transferrin blood test inpatient CPT 84466 HC Chg Assay of L7383transferrin	$9.04	$20.09	$11.25–$475.07	—	55%
Trichomonas test (NAAT) CPT 87661 HC Chg Iadna Trichomonas Vaginalis Amplified Probe Tech	$70.96	$157.68	$30.94–$475.07	32% below	55%
Trichomonas test (NAAT) inpatient CPT 87661 HC Chg Iadna Trichomonas Vaginalis Amplified Probe Tech	$70.96	$157.68	$30.94–$475.07	—	55%
Triglycerides blood test CPT 84478 HC Chg Assay of Triglycerides	$10.95	$24.34	$5.06–$475.07	61% below	55%
Triglycerides blood test inpatient CPT 84478 HC Chg Assay of Triglycerides	$10.95	$24.34	$5.06–$475.07	—	55%
Troponin test, quantitative CPT 84484 HC Chg Assay of Troponin Quantitative	$19.27	$42.82	$10.88–$475.07	73% below	55%
Troponin test, quantitative inpatient CPT 84484 HC Chg Assay of Troponin Quantitative	$19.27	$42.82	$10.88–$475.07	—	55%
Uric acid blood test CPT 84550 HC Chg Assay of Blood/Uric Acid	$8.63	$19.17	$3.99–$475.07	71% below	55%
Uric acid blood test inpatient CPT 84550 HC Chg Assay of Blood/Uric Acid	$8.63	$19.17	$3.99–$475.07	—	55%
Urinalysis with microscope exam, automated CPT 81001 HC Chg Urnls Dip Stick/Tablet Reagent Auto Microscopy	$6.06	$13.47	$2.80–$475.07	82% below	55%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Chg Urnls Dip Stick/Tablet Reagent Auto Microscopy	$6.06	$13.47	$2.80–$475.07	—	55%
Urinalysis without microscope exam, automated CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy POC	$4.29	$9.53	$1.98–$475.07	80% below	55%
Urinalysis without microscope exam, automated CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy	$4.29	$9.53	$1.98–$475.07	80% below	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy	$4.29	$9.53	$1.98–$475.07	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy POC	$4.29	$9.53	$1.98–$475.07	—	55%
Urinalysis without microscope exam, manual CPT 81002 HC Chg Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp	$5.69	$12.65	$2.83–$475.07	75% below	55%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Chg Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp	$5.69	$12.65	$2.83–$475.07	—	55%
Urine culture for bacteria, with colony count CPT 87086 HC Chg Culture Bacterial Quanttative Colony Count Urine	$16.31	$36.24	$7.12–$475.07	58% below	55%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Chg Culture Bacterial Quanttative Colony Count Urine	$16.31	$36.24	$7.12–$475.07	—	55%
Urine microalbumin (albumin) test CPT 82043 HC Chg Albumin Urine Microalbumin Quantiative	$11.03	$24.51	$5.10–$475.07	74% below	55%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Chg Albumin Urine Microalbumin Quantiative	$11.03	$24.51	$5.10–$475.07	—	55%
Urine pregnancy test, read by color change CPT 81025 HC Chg Urine Pregnancy Test Visual Color Cmprsn Meths	$14.10	$31.33	$6.99–$475.07	50% below	55%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Chg Urine Pregnancy Test Visual Color Cmprsn Meths	$14.10	$31.33	$6.99–$475.07	—	55%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Chg Cyanocobalamin Vitamin B-12	$28.75	$63.88	$13.30–$475.07	62% below	55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Chg Cyanocobalamin Vitamin B-12	$28.75	$63.88	$13.30–$475.07	—	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Chg 25 Hydroxy Includes Fractions if Performed	$56.47	$125.48	$26.10–$475.07	62% below	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Chg 25 Hydroxy Includes Fractions if Performed	$56.47	$125.48	$26.10–$475.07	—	55%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Chg 1 25 Dihydroxy Includes Fractions if Performed	$73.43	$163.18	$33.95–$475.07	59% below	55%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Chg 1 25 Dihydroxy Includes Fractions if Performed	$73.43	$163.18	$33.95–$475.07	—	55%
Zinc blood test CPT 84630 HC Chg Assay of Zinc	$23.02	$51.15	$10.04–$475.07	69% below	55%
Zinc blood test inpatient CPT 84630 HC Chg Assay of Zinc	$23.02	$51.15	$10.04–$475.07	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chg Gonadotropin Chorionic Quantitative	$30.44	$67.65	$13.27–$475.07	70% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Tumor Marker	$30.44	$67.65	$13.27–$475.07	70% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Tumor Marker	$30.44	$67.65	$13.27–$475.07	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chg Gonadotropin Chorionic Quantitative	$30.44	$67.65	$13.27–$475.07	—	55%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine	$545.52	$1,212.27	$223.76–$1,231.40	2% above	55%
Botox injections for chronic migraine inpatient CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine	$545.52	$1,212.27	$223.76–$1,231.40	—	55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W/Device 1st Lesion Stereotactic Guid	$960.28	$2,133.95	$475.07–$2,573.16	59% below	55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast W/Device 1st Lesion Stereotactic Guid	$960.28	$2,133.95	$475.07–$2,573.16	—	55%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Cltx Dstl Fibular Fx Lat Malls W/O Manj	$889.15	$1,975.88	$237.50–$1,929.98	8% below	55%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Cltx Dstl Fibular Fx Lat Malls W/O Manj	$889.15	$1,975.88	$237.50–$1,929.98	—	55%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation	$261.17	$580.37	$172.33–$590.39	63% below	55%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation	$261.17	$580.37	$172.33–$590.39	—	55%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC Corrj Hallux Valgus W Bun/Sesmdc W/Dist Metar Osteot	$4,721.32	$10,491.83	$475.07–$7,945.46	34% below	55%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC Corrj Hallux Valgus W Bun/Sesmdc W/Dist Metar Osteot	$4,721.32	$10,491.83	$475.07–$7,945.46	—	55%
Cardiac catheterization with coronary angiogram CPT 93458 HC Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$3,761.86	$8,359.68	$475.07–$6,330.79	54% below	55%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$3,761.86	$8,359.68	$475.07–$6,330.79	—	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External	$933.03	$2,073.40	$475.07–$2,145.17	27% below	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Elective Arrhythmia External	$933.03	$2,073.40	$475.07–$2,145.17	—	55%
Carpal tunnel release, open surgery CPT 64721 HC Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,027.53	$4,505.62	$475.07–$4,600.37	56% below	55%
Carpal tunnel release, open surgery inpatient CPT 64721 HC Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,027.53	$4,505.62	$475.07–$4,600.37	—	55%
Catheter ablation for atrial fibrillation CPT 93656 HC Compre Ep Eval Abltj Atr Fib	$20,215.54	$44,923.41	$475.07–$40,722.30	55% below	55%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Compre Ep Eval Abltj Atr Fib	$20,215.54	$44,923.41	$475.07–$40,722.30	—	55%
Cervical biopsy CPT 57500 HC Biopsy Cervix Single/Mult/Excision of Lesion Spx	$838.81	$1,864.03	$475.07–$1,929.98	36% below	55%
Cervical biopsy inpatient CPT 57500 HC Biopsy Cervix Single/Mult/Excision of Lesion Spx	$838.81	$1,864.03	$475.07–$1,929.98	—	55%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circum 28 Days or Older	$2,027.53	$4,505.62	$475.07–$4,600.37	55% below	55%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC Circum 28 Days or Older	$2,027.53	$4,505.62	$475.07–$4,600.37	—	55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block	$1,571.55	$3,492.33	$475.07–$3,256.78	20% below	55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block	$1,571.55	$3,492.33	$475.07–$3,256.78	—	55%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate	$1,482.59	$3,294.64	$475.07–$2,495.03	26% below	55%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate	$1,482.59	$3,294.64	$475.07–$2,495.03	—	55%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$241.82	$537.38	$237.50–$590.39	61% below	55%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$241.82	$537.38	$237.50–$590.39	—	55%
Colonoscopy with endoscopic ultrasound CPT 45391 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$787.95	$1,751.00	$475.07–$1,929.98	70% below	55%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$787.95	$1,751.00	$475.07–$1,929.98	—	55%
Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$787.95	$1,751.00	$475.07–$1,929.98	72% below	55%
Colonoscopy with polyp removal inpatient CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$787.95	$1,751.00	$475.07–$1,929.98	—	55%
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple	$787.95	$1,751.00	$475.07–$1,929.98	66% below	55%
Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple	$787.95	$1,751.00	$475.07–$1,929.98	—	55%
Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$609.30	$1,354.00	$475.07–$2,658.00	73% below	55%
Colonoscopy, diagnostic CPT 45378 HC Colorectal Scn; Hi Risk Ind	$609.30	$1,354.00	$475.07–$2,658.00	73% below	55%
Colonoscopy, diagnostic inpatient CPT 45378 HC Colorectal Scn; Hi Risk Ind	$609.30	$1,354.00	$475.07–$2,658.00	—	55%
Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$609.30	$1,354.00	$475.07–$2,658.00	—	55%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$1,525.30	$3,389.56	$475.07–$5,043.38	52% below	55%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$1,525.30	$3,389.56	$475.07–$5,043.38	—	55%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposcopy Cervix Bx Cervix & Endocrv Curretage	$589.16	$1,309.25	$250.90–$1,231.40	52% below	55%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC Colposcopy Cervix Bx Cervix & Endocrv Curretage	$589.16	$1,309.25	$250.90–$1,231.40	—	55%
Coronary stent placement, one artery CPT 92928 HC Perq Tcat Plmt Ntrac St 1 Les 1+C Segments	$13,489.33	$29,976.29	$475.07–$22,734.48	29% below	55%
Coronary stent placement, one artery inpatient CPT 92928 HC Perq Tcat Plmt Ntrac St 1 Les 1+C Segments	$13,489.33	$29,976.29	$475.07–$22,734.48	—	55%
Cystoscopy with ureteral stent placement CPT 52332 HC Cystoscopy, Insert Ureteral Stent	$2,376.45	$5,281.00	$475.07–$5,491.86	65% below	55%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC Cystoscopy, Insert Ureteral Stent	$2,376.45	$5,281.00	$475.07–$5,491.86	—	55%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy	$960.28	$2,133.95	$475.07–$1,929.98	52% below	55%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy	$960.28	$2,133.95	$475.07–$1,929.98	—	55%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation & Curettage Dx&/Ther Nonobstetric	$1,438.97	$3,197.70	$475.07–$5,043.38	60% below	55%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC Dilation & Curettage Dx&/Ther Nonobstetric	$1,438.97	$3,197.70	$475.07–$5,043.38	—	55%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruction Premalignant Lesion 1st	$117.75	$261.67	$29.12–$475.07	57% below	55%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destruction Premalignant Lesion 1st	$117.75	$261.67	$29.12–$475.07	—	55%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC Create Eardrum Opening,Gen Anesth	$2,027.53	$4,505.62	$475.07–$4,600.37	56% below	55%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC Create Eardrum Opening,Gen Anesth	$2,027.53	$4,505.62	$475.07–$4,600.37	—	55%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC Tympanostomy Local/Topical Anesthesia	$889.15	$1,975.88	$312.93–$1,929.98	38% below	55%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC Tympanostomy Local/Topical Anesthesia	$889.15	$1,975.88	$312.93–$1,929.98	—	55%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat	$124.81	$277.36	$63.92–$475.07	40% below	55%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat	$124.81	$277.36	$63.92–$475.07	—	55%
Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat	$134.68	$299.28	$63.92–$475.07	51% below	55%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat	$134.68	$299.28	$63.92–$475.07	—	55%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$261.17	$580.37	$140.59–$590.39	51% below	55%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$261.17	$580.37	$140.59–$590.39	—	55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hr Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$960.28	$2,133.95	$475.07–$1,929.98	40% below	55%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hr Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$960.28	$2,133.95	$475.07–$1,929.98	—	55%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$1,235.98	$2,746.63	$475.07–$3,107.62	50% below	55%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$1,235.98	$2,746.63	$475.07–$3,107.62	—	55%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$609.30	$1,354.00	$338.00–$1,929.98	67% below	55%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$609.30	$1,354.00	$338.00–$1,929.98	—	55%
Hammertoe correction surgery CPT 28285 HC Correction Hammertoe	$4,721.32	$10,491.83	$475.07–$7,945.46	11% below	55%
Hammertoe correction surgery inpatient CPT 28285 HC Correction Hammertoe	$4,721.32	$10,491.83	$475.07–$7,945.46	—	55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath & Saline/Contrast Sonohyster/Hysterosalpi	$91.82	$204.04	$149.23–$475.07	77% below	55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath & Saline/Contrast Sonohyster/Hysterosalpi	$91.82	$204.04	$149.23–$475.07	—	55%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$2,105.39	$4,678.65	$475.07–$5,043.38	67% below	55%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$2,105.39	$4,678.65	$475.07–$5,043.38	—	55%
IUD insertion (the device itself billed separately) CPT 58300 HC Insertion Intrauterine Device Iud	$266.39	$591.98	$89.94–$590.39	56% below	55%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Insertion Intrauterine Device Iud	$266.39	$591.98	$89.94–$590.39	—	55%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single	$241.82	$537.38	$117.83–$590.39	51% below	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage Abscess Simple/Single	$241.82	$537.38	$117.83–$590.39	—	55%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection 1 Tendon Sheath/Ligament Aponeurosis	$261.17	$580.37	$223.76–$590.39	43% below	55%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection 1 Tendon Sheath/Ligament Aponeurosis	$261.17	$580.37	$223.76–$590.39	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$261.17	$580.37	$223.76–$590.39	54% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$261.17	$580.37	$223.76–$590.39	—	55%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Dlvr Implant	$241.82	$537.38	$121.77–$590.39	56% below	55%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insertion Drug Dlvr Implant	$241.82	$537.38	$121.77–$590.39	—	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$241.82	$537.38	$223.76–$590.39	55% below	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$241.82	$537.38	$223.76–$590.39	—	55%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$261.17	$580.37	$223.76–$590.39	52% below	55%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$261.17	$580.37	$223.76–$590.39	—	55%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC Laparoscopic Appendectomy	$4,075.65	$9,057.00	$475.07–$9,418.82	60% below	55%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC Laparoscopic Appendectomy	$4,075.65	$9,057.00	$475.07–$9,418.82	—	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/<	$514.64	$1,143.65	$225.55–$1,231.40	35% below	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/<	$514.64	$1,143.65	$225.55–$1,231.40	—	55%
Left heart catheterization, diagnostic CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I	$3,483.20	$7,740.44	$475.07–$5,861.84	61% below	55%
Left heart catheterization, diagnostic inpatient CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I	$3,483.20	$7,740.44	$475.07–$5,861.84	—	55%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$960.28	$2,133.95	$475.07–$1,929.98	45% below	55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$960.28	$2,133.95	$475.07–$1,929.98	—	55%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$838.81	$1,864.03	$475.07–$1,929.98	41% below	55%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$838.81	$1,864.03	$475.07–$1,929.98	—	55%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl	$960.28	$2,133.95	$475.07–$1,929.98	48% below	55%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl	$960.28	$2,133.95	$475.07–$1,929.98	—	55%
Miscarriage treatment with D&C, first trimester CPT 59820 HC Tx Missed Abortion First Trimester Surgical	$2,975.12	$6,611.38	$475.07–$7,199.65	37% below	55%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC Tx Missed Abortion First Trimester Surgical	$2,975.12	$6,611.38	$475.07–$7,199.65	—	55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$514.64	$1,143.65	$475.07–$1,231.40	45% below	55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$514.64	$1,143.65	$475.07–$1,231.40	—	55%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$514.64	$1,143.65	$475.07–$1,231.40	42% below	55%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$514.64	$1,143.65	$475.07–$1,231.40	—	55%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1	$241.82	$537.38	$117.83–$590.39	39% below	55%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1	$241.82	$537.38	$117.83–$590.39	—	55%
Occipital nerve block (injection for headaches) CPT 64405 HC Injection Anesthetic Agent Greater Occipital Nrv	$545.51	$1,212.25	$223.76–$1,231.40	39% below	55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection Anesthetic Agent Greater Occipital Nrv	$545.51	$1,212.25	$223.76–$1,231.40	—	55%
Pacemaker implant (dual chamber) CPT 33208 HC Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent	$9,046.45	$20,103.23	$475.07–$18,816.93	43% below	55%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent	$9,046.45	$20,103.23	$475.07–$18,816.93	—	55%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance	$434.26	$965.03	$475.07–$1,929.98	75% below	55%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance	$434.26	$965.03	$475.07–$1,929.98	—	55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail Matrix Permanent Removal	$545.52	$1,212.27	$228.27–$1,231.40	46% below	55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision Nail Matrix Permanent Removal	$545.52	$1,212.27	$228.27–$1,231.40	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$1,511.21	$3,358.25	$475.07–$3,042.31	52% below	55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$1,511.21	$3,358.25	$475.07–$3,042.31	—	55%
Removal of a breast lump, open surgery CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,975.12	$6,611.38	$475.07–$7,199.65	55% below	55%
Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,975.12	$6,611.38	$475.07–$7,199.65	—	55%
Removal of a foreign object under the skin, simple CPT 10120 HC Incision & Removal Foreign Body Subq Tiss Simple	$268.79	$597.30	$225.55–$633.34	51% below	55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incision & Removal Foreign Body Subq Tiss Simple	$268.79	$597.30	$225.55–$633.34	—	55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind	$627.30	$1,394.00	$475.07–$1,929.98	69% below	55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind	$627.30	$1,394.00	$475.07–$1,929.98	—	55%
Septoplasty to straighten the nasal septum CPT 30520 HC Repair of Nasal Septum	$2,975.12	$6,611.38	$475.07–$7,199.65	56% below	55%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC Repair of Nasal Septum	$2,975.12	$6,611.38	$475.07–$7,199.65	—	55%
Short arm cast (elbow to hand) CPT 29075 HC Application Cast Elbow Finger Short Arm	$389.13	$864.73	$269.40–$873.23	40% below	55%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Application Cast Elbow Finger Short Arm	$389.13	$864.73	$269.40–$873.23	—	55%
Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint Forearm-Hand Static	$202.46	$449.90	$121.77–$475.07	39% below	55%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Application Short Arm Splint Forearm-Hand Static	$202.46	$449.90	$121.77–$475.07	—	55%
Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast Below Knee-Toe	$389.13	$864.73	$269.40–$873.23	37% below	55%
Short leg cast (below the knee) inpatient CPT 29405 HC Application Short Leg Cast Below Knee-Toe	$389.13	$864.73	$269.40–$873.23	—	55%
Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf Foot	$230.54	$512.30	$153.95–$532.56	33% below	55%
Short leg splint (calf to foot) inpatient CPT 29515 HC Application Short Leg Splint Calf Foot	$230.54	$512.30	$153.95–$532.56	—	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$257.87	$573.05	$117.83–$590.39	44% below	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$257.87	$573.05	$117.83–$590.39	—	55%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Lesion	$632.26	$1,405.02	$201.78–$1,064.02	16% above	55%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Bx Skin Single Lesion	$632.26	$1,405.02	$201.78–$1,064.02	—	55%
Skin tag removal, up to 15 tags CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$228.13	$506.96	$29.12–$590.39	40% below	55%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$228.13	$506.96	$29.12–$590.39	—	55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnostic	$647.31	$1,438.47	$475.07–$1,929.98	56% below	55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnostic	$647.31	$1,438.47	$475.07–$1,929.98	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$261.17	$580.37	$117.83–$590.39	45% below	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$261.17	$580.37	$117.83–$590.39	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/<	$889.15	$1,975.88	$117.83–$1,929.98	2% above	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/<	$889.15	$1,975.88	$117.83–$1,929.98	—	55%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangntl Bx Skin Single Les	$152.29	$338.42	$201.78–$633.34	65% below	55%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangntl Bx Skin Single Les	$152.29	$338.42	$201.78–$633.34	—	55%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$838.81	$1,864.03	$475.07–$1,929.98	53% below	55%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$838.81	$1,864.03	$475.07–$1,929.98	—	55%
Trigger finger release surgery CPT 26055 HC Tendon Sheath Incision	$2,027.53	$4,505.62	$475.07–$4,600.37	54% below	55%
Trigger finger release surgery inpatient CPT 26055 HC Tendon Sheath Incision	$2,027.53	$4,505.62	$475.07–$4,600.37	—	55%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles	$261.17	$580.37	$223.76–$590.39	50% below	55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles	$261.17	$580.37	$223.76–$590.39	—	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid	$960.28	$2,133.95	$475.07–$2,573.16	56% below	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid	$960.28	$2,133.95	$475.07–$2,573.16	—	55%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam	$1,267.20	$2,816.00	$475.07–$2,989.62	57% below	55%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam	$1,267.20	$2,816.00	$475.07–$2,989.62	—	55%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple	$889.15	$1,975.88	$475.07–$1,929.98	53% below	55%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Transoral Biopsy Single/Multiple	$889.15	$1,975.88	$475.07–$1,929.98	—	55%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection	$611.55	$1,359.00	$475.07–$1,929.98	76% below	55%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection	$611.55	$1,359.00	$475.07–$1,929.98	—	55%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech	$1,267.20	$2,816.00	$475.07–$4,600.37	72% below	55%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech	$1,267.20	$2,816.00	$475.07–$4,600.37	—	55%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$905.92	$2,013.15	$475.07–$1,929.98	50% below	55%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$905.92	$2,013.15	$475.07–$1,929.98	—	55%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,368.45	$3,041.00	$475.07–$3,256.78	—	55%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,368.45	$3,041.00	$475.07–$3,256.78	—	55%
Vein ablation, radiofrequency, first vein CPT 36475 HC Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$3,405.92	$7,568.71	$475.07–$7,199.65	35% below	55%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$3,405.92	$7,568.71	$475.07–$7,199.65	—	55%
Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14	$319.44	$709.87	$29.12–$537.58	10% below	55%
Wart removal, up to 14 warts inpatient CPT 17110 HC Destruction Benign Lesions Up to 14	$319.44	$709.87	$29.12–$537.58	—	55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue 20 Sq Cm/<	$584.13	$1,298.06	$225.55–$983.02	37% below	55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement Subcutaneous Tissue 20 Sq Cm/<	$584.13	$1,298.06	$225.55–$983.02	—	55%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Components	$682.08	$1,515.74	$437.87–$1,487.10	26% below	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood/Blood Components	$682.08	$1,515.74	$437.87–$1,487.10	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment	$131.40	$291.99	$34.80–$692.45	55% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment	$131.40	$291.99	$34.80–$692.45	—	55%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug	$452.37	$1,005.26	$395.85–$1,212.82	49% below	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug	$452.37	$1,005.26	$395.85–$1,212.82	—	55%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Compre Audiometry Threshold Eval Sp Recognij	$233.02	$517.82	$49.51–$532.24	29% below	55%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Compre Audiometry Threshold Eval Sp Recognij	$233.02	$517.82	$49.51–$532.24	—	55%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care Ill/Injured Patient Init 30-74 Min	$1,503.27	$3,340.59	$475.07–$2,809.83	44% below	55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care Ill/Injured Patient Init 30-74 Min	$1,503.27	$3,340.59	$475.07–$2,809.83	—	55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Electroencephalogram W/Rec Awake&Drowsy	$421.30	$936.22	$245.71–$1,021.81	52% below	55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Electroencephalogram W/Rec Awake&Drowsy	$421.30	$936.22	$245.71–$1,021.81	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R	$95.30	$211.77	$41.10–$475.07	47% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R	$95.30	$211.77	$41.10–$475.07	—	55%
Electroconvulsive therapy (ECT), one session CPT 90870 HC Electroconvulsive Therapy,1 Seiz	$661.28	$1,469.52	$475.07–$1,337.90	35% below	55%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC Electroconvulsive Therapy,1 Seiz	$661.28	$1,469.52	$475.07–$1,337.90	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Visit That May Not Require the Presence of a Physician or Other Qualified Health Care Professional	$242.63	$539.17	$100.98–$718.26	42% below	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Emergency Department Visit That May Not Require the Presence of a Physician or Other Qualified Health Care Professional	$242.63	$539.17	$100.98–$718.26	—	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Straightforward Medical Decision Making	$327.71	$728.24	$100.98–$863.21	40% below	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Straightforward Medical Decision Making	$327.71	$728.24	$100.98–$863.21	—	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Low Level of Medical Decision Making	$483.60	$1,074.67	$178.39–$1,099.86	41% below	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Low Level of Medical Decision Making	$483.60	$1,074.67	$178.39–$1,099.86	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Moderate Level of Medical Decision Making	$689.86	$1,533.01	$306.72–$1,406.12	46% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Moderate Level of Medical Decision Making	$689.86	$1,533.01	$306.72–$1,406.12	—	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Dept Visit Which Requires a Medically Appropriate History and/or Examination and High Level of Medical Decision Making	$868.22	$1,929.37	$306.72–$1,781.43	48% below	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Dept Visit Which Requires a Medically Appropriate History and/or Examination and High Level of Medical Decision Making	$868.22	$1,929.37	$306.72–$1,781.43	—	55%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only	$446.58	$992.40	$258.77–$1,021.81	51% below	55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only	$446.58	$992.40	$258.77–$1,021.81	—	55%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W/Patient Present 50 Mins	$208.01	$462.25	$44.60–$475.07	20% below	55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psychotherapy W/Patient Present 50 Mins	$208.01	$462.25	$44.60–$475.07	—	55%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy W/O Patient Present 50 Mins	$196.24	$436.09	$44.60–$475.07	29% below	55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psychotherapy W/O Patient Present 50 Mins	$196.24	$436.09	$44.60–$475.07	—	55%
Group psychotherapy session CPT 90853 HC Group Psychotherapy	$111.60	$248.00	$22.56–$475.07	19% below	55%
Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy	$111.60	$248.00	$22.56–$475.07	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion, Hydration, 31-60 Min	$46.35	$103.00	$75.33–$753.56	91% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion Hydration Initial 31 Min-1 Hour	$265.48	$589.95	$115.52–$753.56	48% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion, Hydration, 31-60 Min	$46.35	$103.00	$75.33–$753.56	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Infusion Hydration Initial 31 Min-1 Hour	$265.48	$589.95	$115.52–$753.56	—	55%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr	$334.24	$742.75	$193.50–$753.56	42% below	55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr	$334.24	$742.75	$193.50–$753.56	—	55%
IV push of a medicine, first drug CPT 96374 HC Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug	$240.88	$535.28	$57.15–$733.16	34% below	55%
IV push of a medicine, first drug inpatient CPT 96374 HC Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug	$240.88	$535.28	$57.15–$733.16	—	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Therapeutic Prophylactic/Dx Injection Subq/Im	$102.57	$227.93	$39.19–$475.07	43% below	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Therapeutic Prophylactic/Dx Injection Subq/Im	$102.57	$227.93	$39.19–$475.07	—	55%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation	$199.68	$443.73	$40.19–$475.07	34% below	55%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psychiatric Diagnostic Evaluation	$199.68	$443.73	$40.19–$475.07	—	55%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction Studies 7-8 Studies	$416.44	$925.41	$420.10–$1,021.81	47% below	55%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction Studies 7-8 Studies	$416.44	$925.41	$420.10–$1,021.81	—	55%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca	$58.99	$131.08	$36.43–$475.07	51% below	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca	$58.99	$131.08	$36.43–$475.07	—	55%
New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Mins Met or Exceeded	$111.79	$248.43	$29.12–$475.07	48% below	55%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Office Outpatient New 30 Mins Met or Exceeded	$111.79	$248.43	$29.12–$475.07	—	55%
New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Mins Met or Exceeded	$191.42	$425.37	$29.12–$475.07	46% below	55%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Office Outpatient New 45 Mins Met or Exceeded	$191.42	$425.37	$29.12–$475.07	—	55%
New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New 60 Mins Met or Exceeded	$247.38	$549.74	$29.12–$475.07	36% below	55%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Office Outpatient New 60 Mins Met or Exceeded	$247.38	$549.74	$29.12–$475.07	—	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New 15 Mins Met or Exceeded	$73.67	$163.72	$29.12–$475.07	55% below	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Office Outpatient New 15 Mins Met or Exceeded	$73.67	$163.72	$29.12–$475.07	—	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$54.40	$120.88	$28.70–$475.07	46% below	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$54.40	$120.88	$28.70–$475.07	—	55%
Occupational therapy evaluation, low complexity CPT 97165 HC Occupational Therapy Eval Low Complex 30 Mins	$145.49	$323.30	$112.07–$475.07	57% below	55%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Occupational Therapy Eval Low Complex 30 Mins	$145.49	$323.30	$112.07–$475.07	—	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Physical Therapy Evaluation High Complex 45 Mins	$142.73	$317.17	$108.88–$475.07	61% below	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Physical Therapy Evaluation High Complex 45 Mins	$142.73	$317.17	$108.88–$475.07	—	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Physical Therapy Evaluation Low Complex 20 Mins	$142.73	$317.17	$108.88–$475.07	59% below	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Physical Therapy Evaluation Low Complex 20 Mins	$142.73	$317.17	$108.88–$475.07	—	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Physical Therapy Evaluation Mod Complex 30 Mins	$142.73	$317.17	$108.88–$475.07	60% below	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Physical Therapy Evaluation Mod Complex 30 Mins	$142.73	$317.17	$108.88–$475.07	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Tqs 1/> Regions Each 15 Minutes	$52.45	$116.56	$30.80–$475.07	56% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy Tqs 1/> Regions Each 15 Minutes	$52.45	$116.56	$30.80–$475.07	—	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Px 1/> Areas Each 15 Min Exercises	$59.68	$132.63	$32.29–$475.07	47% below	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Px 1/> Areas Each 15 Min Exercises	$59.68	$132.63	$32.29–$475.07	—	55%
Preventive checkup, new patient aged 18–39 CPT 99385 HC Initial Preventive Medicine New Pt Age 18-39yrs	$117.01	$260.03	$33.59–$475.07	36% below	55%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Initial Preventive Medicine New Pt Age 18-39yrs	$117.01	$260.03	$33.59–$475.07	—	55%
Preventive checkup, new patient aged 40–64 CPT 99386 HC Initial Preventive Medicine New Patient 40-64yrs	$117.01	$260.03	$33.59–$475.07	36% below	55%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Initial Preventive Medicine New Patient 40-64yrs	$117.01	$260.03	$33.59–$475.07	—	55%
Preventive checkup, new patient aged 65 or older CPT 99387 HC Initial Preventive Medicine New Patient 65yrs&>	$108.35	$240.77	$33.59–$475.07	42% below	55%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Initial Preventive Medicine New Patient 65yrs&>	$108.35	$240.77	$33.59–$475.07	—	55%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC Periodic Preventive Med Est Patient 18-39 Yrs	$78.97	$175.49	$33.59–$475.07	20% below	55%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC Periodic Preventive Med Est Patient 18-39 Yrs	$78.97	$175.49	$33.59–$475.07	—	55%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC Periodic Preventive Med Est Patient 40-64yrs	$78.97	$175.49	$33.59–$475.07	49% below	55%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC Periodic Preventive Med Est Patient 40-64yrs	$78.97	$175.49	$33.59–$475.07	—	55%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC Periodic Preventive Med Est Patient 65yrs& Older	$78.97	$175.49	$33.59–$475.07	34% below	55%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC Periodic Preventive Med Est Patient 65yrs& Older	$78.97	$175.49	$33.59–$475.07	—	55%
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$184.89	$410.86	$40.19–$475.07	49% below	55%
Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$184.89	$410.86	$40.19–$475.07	—	55%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psychological Tst Eval Svc Phys/Qhp First Hour	$238.62	$530.26	$71.09–$475.07	48% below	55%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC Psychological Tst Eval Svc Phys/Qhp First Hour	$238.62	$530.26	$71.09–$475.07	—	55%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psychotherapy for Crisis Initial 60 Minutes	$938.29	$2,085.09	$29.12–$1,579.04	133% above	55%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Psychotherapy for Crisis Initial 60 Minutes	$938.29	$2,085.09	$29.12–$1,579.04	—	55%
Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy W/Patient 30 Minutes	$135.83	$301.85	$31.71–$475.07	46% below	55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy W/Patient 30 Minutes	$135.83	$301.85	$31.71–$475.07	—	55%
Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy W/Patient 45 Minutes	$184.89	$410.86	$40.19–$475.07	26% below	55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psychotherapy W/Patient 45 Minutes	$184.89	$410.86	$40.19–$475.07	—	55%
Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy W/Patient 60 Minutes	$184.89	$410.86	$40.19–$475.07	37% below	55%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psychotherapy W/Patient 60 Minutes	$184.89	$410.86	$40.19–$475.07	—	55%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes	$45.27	$100.60	$29.12–$475.07	60% below	55%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes	$45.27	$100.60	$29.12–$475.07	—	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Visit 40 Mins Met or Exceeded	$162.64	$361.43	$29.12–$475.07	46% below	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Office Outpatient Visit 40 Mins Met or Exceeded	$162.64	$361.43	$29.12–$475.07	—	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 20 Mins Met or Exceeded	$75.14	$166.97	$29.12–$475.07	60% below	55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office Outpatient Visit 20 Mins Met or Exceeded	$75.14	$166.97	$29.12–$475.07	—	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 30 Mins Met or Exceeded	$115.39	$256.43	$29.12–$475.07	48% below	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Office Outpatient Visit 30 Mins Met or Exceeded	$115.39	$256.43	$29.12–$475.07	—	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Mins Met or Exceeded	$36.91	$82.02	$28.71–$475.07	71% below	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR Office Outpatient Visit 10 Mins Met or Exceeded	$44.55	$99.00	$32.90–$475.07	66% below	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Office Outpatient Visit 10 Mins Met or Exceeded	$36.91	$82.02	$28.71–$475.07	—	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PR Office Outpatient Visit 10 Mins Met or Exceeded	$44.55	$99.00	$32.90–$475.07	—	55%
Speech and language evaluation CPT 92523 HC Eval Speech Sound Product Language Comprehension	$337.84	$750.75	$250.67–$753.59	42% below	55%
Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Product Language Comprehension	$337.84	$750.75	$250.67–$753.59	—	55%
Speech therapy session, individual CPT 92507 HC Tx Speech Lang Voice Commj &/Auditory Proc Ind	$138.18	$307.06	$84.18–$475.07	54% below	55%
Speech therapy session, individual inpatient CPT 92507 HC Tx Speech Lang Voice Commj &/Auditory Proc Ind	$138.18	$307.06	$84.18–$475.07	—	55%
Spirometry (breathing test) CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj	$225.14	$500.32	$102.05–$532.24	44% below	55%
Spirometry (breathing test) inpatient CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj	$225.14	$500.32	$102.05–$532.24	—	55%
Spirometry before and after a bronchodilator CPT 94060 HC Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$413.50	$918.89	$102.05–$1,021.81	41% below	55%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$413.50	$918.89	$102.05–$1,021.81	—	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeut Actvity Direct Pt Contact Each 15 Min	$67.81	$150.69	$39.52–$475.07	53% below	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeut Actvity Direct Pt Contact Each 15 Min	$67.81	$150.69	$39.52–$475.07	—	55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic Separate Procedure	$156.86	$348.57	$159.45–$475.07	45% below	55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic Separate Procedure	$156.86	$348.57	$159.45–$475.07	—	55%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$63.00	$140.00	$62.51–$475.07	55% below	55%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$121.61	$270.24	$62.51–$475.07	14% below	55%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$63.00	$140.00	$62.51–$475.07	—	55%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$121.61	$270.24	$62.51–$475.07	—	55%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Sarscov2 Vac 50 Mcg/0.5ml Im	$162.90	$362.00	$145.93–$475.07	32% below	55%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC Sarscov2 Vac 50 Mcg/0.5ml Im	$162.90	$362.00	$145.93–$475.07	—	55%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$277.99	$617.75	$66.89–$514.84	28% below	55%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$277.99	$617.75	$66.89–$514.84	—	55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$34.27	$76.16	$22.77–$475.07	47% below	55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$34.27	$76.16	$22.77–$475.07	—	55%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$101.54	$225.65	$66.89–$475.07	51% below	55%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$101.54	$225.65	$66.89–$475.07	—	55%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION	$185.94	$413.20	$68.67–$475.07	28% below	55%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION	$185.94	$413.20	$68.67–$475.07	—	55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Usage	$16.20	$36.00	$20.76–$475.07	69% below	55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE	$33.62	$74.71	$20.76–$475.07	36% below	55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Usage	$16.20	$36.00	$20.76–$475.07	—	55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE	$33.62	$74.71	$20.76–$475.07	—	55%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papilloma Virus Nonavalent Hpv 3 Dose Im	$118.35	$263.00	$177.99–$483.19	81% below	55%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$453.25	$1,007.22	$177.99–$883.34	27% below	55%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Human Papilloma Virus Nonavalent Hpv 3 Dose Im	$118.35	$263.00	$177.99–$483.19	—	55%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$453.25	$1,007.22	$177.99–$883.34	—	55%
Hepatitis A vaccine, adult dose CPT 90632 HC Hepa Vaccine Adult	$92.25	$205.00	$74.31–$475.07	46% below	55%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$106.32	$236.26	$74.31–$475.07	38% below	55%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Hepa Vaccine Adult	$92.25	$205.00	$74.31–$475.07	—	55%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$106.32	$236.26	$74.31–$475.07	—	55%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$53.49	$118.87	$86.94–$765.00	29% below	55%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$53.49	$118.87	$86.94–$765.00	—	55%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Vaccine Adult 3 Dose Im	$42.75	$95.00	$69.48–$475.07	68% below	55%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$70.99	$157.75	$73.03–$475.07	47% below	55%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC Hepatitis B Vaccine Adult 3 Dose Im	$42.75	$95.00	$69.48–$475.07	—	55%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$70.99	$157.75	$73.03–$475.07	—	55%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC Hepatitis B Vaccine Adult 2 Dose Im	$108.68	$241.50	$159.68–$475.07	66% below	55%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC Hepatitis B Vaccine Adult 2 Dose Im	$108.68	$241.50	$159.68–$475.07	—	55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$30.51	$67.80	$0.13–$475.07	48% below	55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$30.51	$67.80	$0.13–$475.07	—	55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Hib Vaccine Prp-T, Im	$13.95	$31.00	$22.67–$475.07	51% below	55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$18.20	$40.44	$24.20–$475.07	36% below	55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC Hib Vaccine Prp-T, Im	$13.95	$31.00	$22.67–$475.07	—	55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$18.20	$40.44	$24.20–$475.07	—	55%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$137.71	$306.01	$45.54–$475.07	25% below	55%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$137.71	$306.01	$45.54–$475.07	—	55%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT	$126.74	$281.64	$205.99–$475.07	59% below	55%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT	$126.74	$281.64	$205.99–$475.07	—	55%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Mcv4/Menacwy Conj Vacc Grps Acyw-135 Im Use	$178.65	$397.00	$169.96–$475.07	34% below	55%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC Mcv4/Menacwy Conj Vacc Grps Acyw-135 Im Use	$178.65	$397.00	$169.96–$475.07	—	55%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$252.38	$560.85	$147.75–$475.07	45% below	55%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im	$265.50	$590.00	$147.75–$475.07	42% below	55%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$252.38	$560.85	$147.75–$475.07	—	55%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im	$265.50	$590.00	$147.75–$475.07	—	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine Im	$279.90	$622.00	$297.91–$475.07	50% below	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$357.87	$795.27	$297.91–$602.26	37% below	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine Im	$279.90	$622.00	$297.91–$475.07	—	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$357.87	$795.27	$297.91–$602.26	—	55%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC Pcv21 Vaccine Im	$346.50	$770.00	$327.89–$583.12	60% below	55%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC Pcv21 Vaccine Im	$346.50	$770.00	$327.89–$583.12	—	55%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$70.31	$156.25	$25.97–$475.07	23% below	55%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$70.31	$156.25	$25.97–$475.07	—	55%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$660.04	$1,466.76	$317.67–$1,169.24	27% below	55%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$660.04	$1,466.76	$317.67–$1,169.24	—	55%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$409.45	$909.88	$151.41–$689.05	36% above	55%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$409.45	$909.88	$151.41–$689.05	—	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$60.77	$135.05	$34.75–$475.07	30% below	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$60.77	$135.05	$34.75–$475.07	—	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$57.53	$127.84	$40.08–$475.07	41% below	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im	$81.00	$180.00	$40.08–$475.07	16% below	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$57.53	$127.84	$40.08–$475.07	—	55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine >7 Yo, Im	$81.00	$180.00	$40.08–$475.07	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hepatitis B Vaccine	$24.30	$54.00	$39.50–$475.07	78% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Influenza Virus Vac	$29.70	$66.00	$48.27–$475.07	73% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Pneumococcal Vaccine	$89.24	$198.31	$56.12–$475.07	19% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Influenza Virus Vac	$89.24	$198.31	$56.12–$475.07	19% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Im Adm Prq ID Subq/Im Njxs 1 Vaccine	$89.24	$198.31	$86.29–$475.07	19% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Hepatitis B Vaccine	$89.24	$198.31	$56.12–$475.07	19% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hepatitis B Vaccine	$24.30	$54.00	$39.50–$475.07	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Influenza Virus Vac	$29.70	$66.00	$48.27–$475.07	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Hepatitis B Vaccine	$89.24	$198.31	$56.12–$475.07	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Im Adm Prq ID Subq/Im Njxs 1 Vaccine	$89.24	$198.31	$86.29–$475.07	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Influenza Virus Vac	$89.24	$198.31	$56.12–$475.07	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Pneumococcal Vaccine	$89.24	$198.31	$56.12–$475.07	—	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz,Admin,Each Addl	$18.90	$42.00	$30.72–$475.07	62% below	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Im Adm Prq ID Subq/Im Njxs Ea Vaccine	$30.32	$67.37	$49.27–$475.07	39% below	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Pneumococcal Vaccine	$61.96	$137.69	$56.12–$475.07	25% above	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Influenza Virus Vac	$61.96	$137.69	$56.12–$475.07	25% above	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Hepatitis B Vaccine	$61.96	$137.69	$56.12–$475.07	25% above	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniz,Admin,Each Addl	$18.90	$42.00	$30.72–$475.07	—	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Im Adm Prq ID Subq/Im Njxs Ea Vaccine	$30.32	$67.37	$49.27–$475.07	—	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Influenza Virus Vac	$61.96	$137.69	$56.12–$475.07	—	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Hepatitis B Vaccine	$61.96	$137.69	$56.12–$475.07	—	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Pneumococcal Vaccine	$61.96	$137.69	$56.12–$475.07	—	55%

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://www.bmchealthsystem.org/wp-content/uploads/272473667_BostonMedicalCenterBrighton_standardcharges.csv.zip