Beaufort Memorial Hospital
Beaufort Memorial Hospital in Beaufort, SC publishes cash prices for 434 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the South Carolina median for 334 of 428 procedures and above it for 75. By typical cash price it ranks #7 of 43 South Carolina hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
955 Ribaut Road, Beaufort, SC 29902 Collected Sep 22, 2026 Source price file Check a bill from this hospital (843) 522-5200
Acute care hospital Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 420067 · CMS hospital register NPI 1366436073
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Beaufort Memorial Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
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 3 actions for a hospital named Beaufort Memorial Hospital in Beaufort, SC:
- Jan 22, 2025 Warning notice
- Feb 17, 2025 Case closed
- Jul 27, 2026 Warning notice
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 ABD WWO CONT | $2,119.80 | $3,533.00 | $1,240.08–$3,533.00 | 15% above | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 ABD WWO CONT | $2,119.80 | $3,533.00 | $1,066.97–$2,897.06 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 ABD AP AND UPRIGHT | $237.60 | $396.00 | $139.00–$396.00 | 36% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABD AP AND UPRIGHT | $237.60 | $396.00 | $119.59–$324.72 | — | 40% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BI | $421.80 | $703.00 | $246.75–$703.00 | — | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT | $341.40 | $569.00 | $199.72–$569.00 | 5% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT | $341.40 | $569.00 | $199.72–$569.00 | 5% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE BI | $421.80 | $703.00 | $212.31–$576.46 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RIGHT | $341.40 | $569.00 | $171.84–$466.58 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LEFT | $341.40 | $569.00 | $171.84–$466.58 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 TCOM ABI BI 1-2 OR UNI >=3 LEV | $472.20 | $787.00 | $276.24–$787.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TCOM ABI UNI 1-2 LEV | $472.20 | $787.00 | $276.24–$787.00 | 10% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STDY SGL LVL BIL MOD | $472.20 | $787.00 | $276.24–$787.00 | 10% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI DOPPLER WAVEFORM | $496.20 | $827.00 | $290.28–$827.00 | 6% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TRANSCUTANEOUS O2 MONITR SGL | $496.20 | $827.00 | $290.28–$827.00 | 6% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 TCOM ABI BI 1-2 OR UNI >=3 LEV | $472.20 | $787.00 | $237.67–$645.34 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TCOM ABI UNI 1-2 LEV | $472.20 | $787.00 | $237.67–$645.34 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREMITY STDY SGL LVL BIL MOD | $472.20 | $787.00 | $237.67–$645.34 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI DOPPLER WAVEFORM | $496.20 | $827.00 | $249.75–$678.14 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TRANSCUTANEOUS O2 MONITR SGL | $496.20 | $827.00 | $249.75–$678.14 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 UPPER EXT BI WO CONT | $984.60 | $1,641.00 | $575.99–$1,641.00 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 UPPER EXTREMITY L WO CONT | $796.20 | $1,327.00 | $465.78–$1,327.00 | 48% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 UPPER EXTREMITY R WO CONT | $796.20 | $1,327.00 | $465.78–$1,327.00 | 48% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 UPPER EXT BI WO CONT | $984.60 | $1,641.00 | $495.58–$1,345.62 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 UPPER EXTREMITY R WO CONT | $796.20 | $1,327.00 | $400.75–$1,088.14 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 UPPER EXTREMITY L WO CONT | $796.20 | $1,327.00 | $400.75–$1,088.14 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM | $361.20 | $602.00 | $211.30–$602.00 | 23% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM | $361.20 | $602.00 | $181.80–$493.64 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY | $1,771.20 | $2,952.00 | $1,036.15–$2,952.00 | 22% above | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY | $1,771.20 | $2,952.00 | $891.50–$2,420.64 | — | 40% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST SCREENING BILAT | $292.80 | $488.00 | $171.29–$488.00 | — | 40% |
| Breast ultrasound, complete, one breast both sides CPT 76641 BREAST BI | $574.80 | $958.00 | $336.26–$958.00 | — | 40% |
| Breast ultrasound, complete, one breast CPT 76641 BREAST L | $465.00 | $775.00 | $272.02–$775.00 | 7% below | 40% |
| Breast ultrasound, complete, one breast CPT 76641 BREAST R | $465.00 | $775.00 | $272.02–$775.00 | 7% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US ABUS BREAST RT SCREENING | $195.00 | $325.00 | $114.07–$325.00 | 61% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 YS ABYS BREAST LT SCREENING | $195.00 | $325.00 | $114.07–$325.00 | 61% below | 40% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST SCREENING BILAT | $292.80 | $488.00 | $147.38–$400.16 | — | 40% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 BREAST BI | $574.80 | $958.00 | $289.32–$785.56 | — | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 BREAST R | $465.00 | $775.00 | $234.05–$635.50 | — | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 BREAST L | $465.00 | $775.00 | $234.05–$635.50 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 YS ABYS BREAST LT SCREENING | $195.00 | $325.00 | $98.15–$266.50 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US ABUS BREAST RT SCREENING | $195.00 | $325.00 | $98.15–$266.50 | — | 40% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 BREAST LTD BI | $360.00 | $600.00 | $210.60–$600.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LTD RT | $240.00 | $400.00 | $140.40–$400.00 | 53% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LTD LT | $240.00 | $400.00 | $140.40–$400.00 | 53% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 BREAST LTD BI | $360.00 | $600.00 | $181.20–$492.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST LTD RT | $240.00 | $400.00 | $120.80–$328.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST LTD LT | $240.00 | $400.00 | $120.80–$328.00 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 AORTIC STENT GRAFT PRE CMP | $3,592.80 | $5,988.00 | $2,101.79–$5,988.00 | 39% above | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PEL WWO CONT | $3,592.80 | $5,988.00 | $2,101.79–$5,988.00 | 39% above | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 AORTIC STENT GRAFT POST CMP | $3,592.80 | $5,988.00 | $2,101.79–$5,988.00 | 39% above | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 AORTIC STENT GRAFT POST CMP | $3,592.80 | $5,988.00 | $1,808.38–$4,910.16 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 AORTIC STENT GRAFT PRE CMP | $3,592.80 | $5,988.00 | $1,808.38–$4,910.16 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PEL WWO CONT | $3,592.80 | $5,988.00 | $1,808.38–$4,910.16 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD WWO CONT PP | $2,490.60 | $4,151.00 | $1,457.00–$4,151.00 | 20% above | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WWO CONT PP | $2,490.60 | $4,151.00 | $1,253.60–$3,403.82 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK WWO CONT PP | $2,034.60 | $3,391.00 | $1,190.24–$3,391.00 | at median | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK WWO CONT PP | $2,034.60 | $3,391.00 | $1,024.08–$2,780.62 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORAX WWO CONT | $1,807.80 | $3,013.00 | $1,057.56–$3,013.00 | 8% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA THORAX WWO CONT | $1,807.80 | $3,013.00 | $909.93–$2,470.66 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY WWO CONT | $425.40 | $709.00 | $248.86–$709.00 | 75% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY WWO CONT | $425.40 | $709.00 | $214.12–$581.38 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CORONARY CALCIUM SCORING | $85.20 | $142.00 | $49.84–$142.00 | 22% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CORONARY CALCIUM SCORING | $85.20 | $142.00 | $42.88–$116.44 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABD PELVIS WO CONT CMP | $3,148.20 | $5,247.00 | $1,841.70–$5,247.00 | 6% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABD PELVIS WO CONT CMP | $3,148.20 | $5,247.00 | $1,584.59–$4,302.54 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABD PELVIS W CONT CMP | $3,635.40 | $6,059.00 | $2,126.71–$6,059.00 | 2% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABD PELVIS W CONT CMP | $3,635.40 | $6,059.00 | $1,829.82–$4,968.38 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABD PELVIS WWO CONT CMP | $3,936.00 | $6,560.00 | $2,302.56–$6,560.00 | 5% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABD PELVIS WWO CONT CMP | $3,936.00 | $6,560.00 | $1,981.12–$5,379.20 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 ABD W CONT | $1,905.00 | $3,175.00 | $1,114.42–$3,175.00 | 23% above | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 ABD W CONT | $1,905.00 | $3,175.00 | $958.85–$2,603.50 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 ABD WO CONT | $1,639.80 | $2,733.00 | $959.28–$2,733.00 | 28% above | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 ABD WO CONT | $1,639.80 | $2,733.00 | $825.37–$2,241.06 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL WO CONT | $1,493.40 | $2,489.00 | $873.64–$2,489.00 | 17% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 SINUS WO CONT | $1,493.40 | $2,489.00 | $873.64–$2,489.00 | 17% above | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL WO CONT | $1,493.40 | $2,489.00 | $751.68–$2,040.98 | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 SINUS WO CONT | $1,493.40 | $2,489.00 | $751.68–$2,040.98 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT | $1,534.20 | $2,557.00 | $897.51–$2,557.00 | 12% above | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT | $1,534.20 | $2,557.00 | $772.21–$2,096.74 | — | 40% |
| CT scan of the head with contrast CPT 70460 HEAD W CONT | $1,352.40 | $2,254.00 | $791.15–$2,254.00 | 21% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT | $1,352.40 | $2,254.00 | $680.71–$1,848.28 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 HEAD WWO CONT | $1,559.40 | $2,599.00 | $912.25–$2,599.00 | 20% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HEAD WWO CONT | $1,559.40 | $2,599.00 | $784.90–$2,131.18 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT | $1,731.00 | $2,885.00 | $1,012.64–$2,885.00 | at median | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT | $1,731.00 | $2,885.00 | $871.27–$2,365.70 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT | $1,650.60 | $2,751.00 | $965.60–$2,751.00 | 12% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT | $1,650.60 | $2,751.00 | $830.80–$2,255.82 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT | $1,731.60 | $2,886.00 | $1,012.99–$2,886.00 | at median | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT | $1,731.60 | $2,886.00 | $871.57–$2,366.52 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX BI | $699.60 | $1,166.00 | $409.27–$1,166.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 EXTRACRANIAL ARTERIAL TEST | $699.60 | $1,166.00 | $409.27–$1,166.00 | 21% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DOPPLER VASC | $699.60 | $1,166.00 | $409.27–$1,166.00 | 21% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX BI | $699.60 | $1,166.00 | $352.13–$956.12 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 EXTRACRANIAL ARTERIAL TEST | $699.60 | $1,166.00 | $352.13–$956.12 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DOPPLER VASC | $699.60 | $1,166.00 | $352.13–$956.12 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 THORAX WWO CONT | $2,151.60 | $3,586.00 | $1,258.69–$3,586.00 | 4% above | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 THORAX WWO CONT | $2,151.60 | $3,586.00 | $1,082.97–$2,940.52 | — | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST PA AND LATERAL | $288.60 | $481.00 | $168.83–$481.00 | 14% above | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST FLUOROSCOPY | $430.80 | $718.00 | $252.02–$718.00 | 70% above | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST PA AND LATERAL | $288.60 | $481.00 | $145.26–$394.42 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST FLUOROSCOPY | $430.80 | $718.00 | $216.84–$588.76 | — | 40% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW FRONTAL | $201.60 | $336.00 | $117.94–$336.00 | 3% below | 40% |
| Chest X-ray, single view CPT 71045 CHEST PORTABLE | $201.60 | $336.00 | $117.94–$336.00 | 3% below | 40% |
| Chest X-ray, single view CPT 71045 CHEST DECUB VIEW | $235.20 | $392.00 | $137.59–$392.00 | 13% above | 40% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW FRONTAL | $201.60 | $336.00 | $101.47–$275.52 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 CHEST PORTABLE | $201.60 | $336.00 | $101.47–$275.52 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 CHEST DECUB VIEW | $235.20 | $392.00 | $118.38–$321.44 | — | 40% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BI | $338.40 | $564.00 | $197.96–$564.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT | $273.60 | $456.00 | $160.06–$456.00 | 14% below | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT | $273.60 | $456.00 | $160.06–$456.00 | 14% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE BI | $338.40 | $564.00 | $170.33–$462.48 | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RIGHT | $273.60 | $456.00 | $137.71–$373.92 | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LEFT | $273.60 | $456.00 | $137.71–$373.92 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 KIDNEY | $448.80 | $748.00 | $262.55–$748.00 | 20% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 KIDNEY | $448.80 | $748.00 | $225.90–$613.36 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL | $342.60 | $571.00 | $200.42–$571.00 | 19% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL | $342.60 | $571.00 | $172.44–$468.22 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPEND | $131.40 | $219.00 | $76.87–$219.00 | 18% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APPEND | $131.40 | $219.00 | $66.14–$179.58 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB DETAILED SGL FETUS | $413.40 | $689.00 | $241.84–$689.00 | 51% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB DETAILED SGL FETUS | $413.40 | $689.00 | $208.08–$564.98 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX WO CONT | $1,574.40 | $2,624.00 | $921.02–$2,624.00 | 23% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT DYNAMIC CHEST W/O | $1,574.40 | $2,624.00 | $921.02–$2,624.00 | 23% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT DYNAMIC CHEST W/O | $1,574.40 | $2,624.00 | $792.45–$2,151.68 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX WO CONT | $1,574.40 | $2,624.00 | $792.45–$2,151.68 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX W CONT | $1,956.60 | $3,261.00 | $1,144.61–$3,261.00 | 2% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 THORAX W CONT | $1,956.60 | $3,261.00 | $984.82–$2,674.02 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $143.40 | $239.00 | $83.89–$239.00 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MMG DIR DIGITAL BI | $171.60 | $286.00 | $100.39–$286.00 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MMMG DIGITAL BI | $257.40 | $429.00 | $150.58–$429.00 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $143.40 | $239.00 | $72.18–$195.98 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MMG DIR DIGITAL BI | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MMMG DIGITAL BI | $257.40 | $429.00 | $129.56–$351.78 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 DX MMG DIR DIGITAL UNI L | $137.40 | $229.00 | $80.38–$229.00 | 59% below | 40% |
| Diagnostic mammogram, one breast CPT 77065 DX MMG DIR DIGITAL UNI R | $137.40 | $229.00 | $80.38–$229.00 | 59% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI RIGHT | $110.40 | $184.00 | $64.58–$184.00 | 67% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI LEFT | $110.40 | $184.00 | $64.58–$184.00 | 67% below | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MMG DIR DIGITAL UNI L | $137.40 | $229.00 | $69.16–$187.78 | — | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MMG DIR DIGITAL UNI R | $137.40 | $229.00 | $69.16–$187.78 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI LEFT | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI RIGHT | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOWER EXTREMITIES ARTERIES BI | $586.20 | $977.00 | $342.93–$977.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LOWER EXTREMITIES ARTERIES BI | $586.20 | $977.00 | $295.05–$801.14 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXTREMITY BILAT | $1,035.60 | $1,726.00 | $605.83–$1,726.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UPPER EXTREMITY BILAT | $1,035.60 | $1,726.00 | $605.83–$1,726.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US.VMART | $1,035.60 | $1,726.00 | $605.83–$1,726.00 | 58% below | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LOWER EXTREMITY BILAT | $1,035.60 | $1,726.00 | $521.25–$1,415.32 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UPPER EXTREMITY BILAT | $1,035.60 | $1,726.00 | $521.25–$1,415.32 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US.VMART | $1,035.60 | $1,726.00 | $521.25–$1,415.32 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM 2D | $1,635.00 | $2,725.00 | $956.47–$2,725.00 | 3% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM 2D | $1,635.00 | $2,725.00 | $822.95–$2,234.50 | — | 40% |
| Elbow X-ray, 2 views both sides CPT 73070 ELBOW BI | $318.00 | $530.00 | $186.03–$530.00 | — | 40% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW RIGHT 2 VIEWS | $257.40 | $429.00 | $150.58–$429.00 | at median | 40% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW LEFT 2 VIEWS | $257.40 | $429.00 | $150.58–$429.00 | at median | 40% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW BI | $318.00 | $530.00 | $160.06–$434.60 | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LEFT 2 VIEWS | $257.40 | $429.00 | $129.56–$351.78 | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RIGHT 2 VIEWS | $257.40 | $429.00 | $129.56–$351.78 | — | 40% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW BI 3+ VIEWS | $109.80 | $183.00 | $64.23–$183.00 | — | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RIGHT 3+ VIEWS | $89.40 | $149.00 | $52.30–$149.00 | 75% below | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LEFT 3+ VIEWS | $89.40 | $149.00 | $52.30–$149.00 | 75% below | 40% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW BI 3+ VIEWS | $109.80 | $183.00 | $55.27–$150.06 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW LEFT 3+ VIEWS | $89.40 | $149.00 | $45.00–$122.18 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW RIGHT 3+ VIEWS | $89.40 | $149.00 | $45.00–$122.18 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HEAD SPECIAL AREA WO CONT | $1,392.00 | $2,320.00 | $814.32–$2,320.00 | 10% below | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 ORBITS WO CONT | $1,392.00 | $2,320.00 | $814.32–$2,320.00 | 10% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HEAD SPECIAL AREA WO CONT | $1,392.00 | $2,320.00 | $700.64–$1,902.40 | — | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBITS WO CONT | $1,392.00 | $2,320.00 | $700.64–$1,902.40 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3 VIEWS | $263.40 | $439.00 | $154.09–$439.00 | 27% below | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3 VIEWS | $263.40 | $439.00 | $132.58–$359.98 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM BI | $348.00 | $580.00 | $203.58–$580.00 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT | $282.00 | $470.00 | $164.97–$470.00 | 13% below | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT | $282.00 | $470.00 | $164.97–$470.00 | 13% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM BI | $348.00 | $580.00 | $175.16–$475.60 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LEFT | $282.00 | $470.00 | $141.94–$385.40 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RIGHT | $282.00 | $470.00 | $141.94–$385.40 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPTAOBILIARY SCAN | $1,472.40 | $2,454.00 | $861.35–$2,454.00 | 28% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPTAOBILIARY SCAN | $1,472.40 | $2,454.00 | $741.11–$2,012.28 | — | 40% |
| Hand X-ray, 2 views both sides CPT 73120 HAND BI AP AND LATERAL | $211.20 | $352.00 | $123.55–$352.00 | — | 40% |
| Hand X-ray, 2 views one side CPT 73120 HAND RIGHT AP AND LATERAL | $171.60 | $286.00 | $100.39–$286.00 | 24% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 HAND LEFT AP AND LATERAL | $171.60 | $286.00 | $100.39–$286.00 | 24% below | 40% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 HAND BI AP AND LATERAL | $211.20 | $352.00 | $106.30–$288.64 | — | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND RIGHT AP AND LATERAL | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND LEFT AP AND LATERAL | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 OS CALCIS HEEL BI | $147.00 | $245.00 | $85.99–$245.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS HEEL RIGHT | $118.80 | $198.00 | $69.50–$198.00 | 51% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS HEEL LEFT | $118.80 | $198.00 | $69.50–$198.00 | 51% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 OS CALCIS HEEL BI | $147.00 | $245.00 | $73.99–$200.90 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS HEEL LEFT | $118.80 | $198.00 | $59.80–$162.36 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS HEEL RIGHT | $118.80 | $198.00 | $59.80–$162.36 | — | 40% |
| Knee X-ray, 3 views both sides CPT 73562 KNEE BI 3 VIEWS | $210.00 | $350.00 | $122.85–$350.00 | — | 40% |
| Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT 3 VIEWS | $170.40 | $284.00 | $99.68–$284.00 | 43% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 KNEE LEFT 3 VIEWS | $170.40 | $284.00 | $99.68–$284.00 | 43% below | 40% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE BI 3 VIEWS | $210.00 | $350.00 | $105.70–$287.00 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RIGHT 3 VIEWS | $170.40 | $284.00 | $85.77–$232.88 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LEFT 3 VIEWS | $170.40 | $284.00 | $85.77–$232.88 | — | 40% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEE BI 4 VIEWS | $228.00 | $380.00 | $133.38–$380.00 | — | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT 4 VIEWS | $228.00 | $380.00 | $133.38–$380.00 | 43% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LEFT 4 VIEWS | $228.00 | $380.00 | $133.38–$380.00 | 43% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE BI 4 VIEWS | $228.00 | $380.00 | $114.76–$311.60 | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LEFT 4 VIEWS | $228.00 | $380.00 | $114.76–$311.60 | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RIGHT 4 VIEWS | $228.00 | $380.00 | $114.76–$311.60 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 LOWER EXT BI WO CONT | $991.20 | $1,652.00 | $579.85–$1,652.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CUSTOM HIP | $801.00 | $1,335.00 | $468.58–$1,335.00 | 46% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 LOWER EXTREMITY L WO CONT | $801.00 | $1,335.00 | $468.58–$1,335.00 | 46% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 LOWER EXTREMITY R WO CONT | $801.00 | $1,335.00 | $468.58–$1,335.00 | 46% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 LOWER EXT BI WO CONT | $991.20 | $1,652.00 | $498.90–$1,354.64 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CUSTOM HIP | $801.00 | $1,335.00 | $403.17–$1,094.70 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 LOWER EXTREMITY R WO CONT | $801.00 | $1,335.00 | $403.17–$1,094.70 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 LOWER EXTREMITY L WO CONT | $801.00 | $1,335.00 | $403.17–$1,094.70 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORIC STENOSIS | $748.20 | $1,247.00 | $437.70–$1,247.00 | 14% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SINGLE ORGAN | $748.20 | $1,247.00 | $437.70–$1,247.00 | 14% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN | $748.20 | $1,247.00 | $437.70–$1,247.00 | 14% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 RIGHT UPPER QUAD | $748.20 | $1,247.00 | $437.70–$1,247.00 | 14% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SPLEEN | $748.20 | $1,247.00 | $376.59–$1,022.54 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SINGLE ORGAN | $748.20 | $1,247.00 | $376.59–$1,022.54 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PYLORIC STENOSIS | $748.20 | $1,247.00 | $376.59–$1,022.54 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 RIGHT UPPER QUAD | $748.20 | $1,247.00 | $376.59–$1,022.54 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXT L LTD | $180.60 | $301.00 | $105.65–$301.00 | 69% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXT R LTD | $180.60 | $301.00 | $105.65–$301.00 | 69% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXT L LTD | $180.60 | $301.00 | $90.90–$246.82 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXT R LTD | $180.60 | $301.00 | $90.90–$246.82 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $942.60 | $1,571.00 | $551.42–$1,571.00 | 338% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING | $942.60 | $1,571.00 | $474.44–$1,288.22 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LOWER LEG BI | $375.60 | $626.00 | $219.73–$626.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG RIGHT | $303.60 | $506.00 | $177.61–$506.00 | 7% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG LEFT | $303.60 | $506.00 | $177.61–$506.00 | 7% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 LOWER LEG BI | $375.60 | $626.00 | $189.05–$513.32 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG LEFT | $303.60 | $506.00 | $152.81–$414.92 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG RIGHT | $303.60 | $506.00 | $152.81–$414.92 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONT | $2,286.60 | $3,811.00 | $1,337.66–$3,811.00 | 19% above | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WO CONTRAST | $2,286.60 | $3,811.00 | $1,337.66–$3,811.00 | 19% above | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD WO CONTRAST | $2,286.60 | $3,811.00 | $1,150.92–$3,125.02 | — | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONT | $2,286.60 | $3,811.00 | $1,150.92–$3,125.02 | — | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 BREAST BI W/WO CONT | $2,149.80 | $3,583.00 | $1,257.63–$3,583.00 | — | 40% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 BREAST BI W/WO CONT | $2,149.80 | $3,583.00 | $1,082.07–$2,938.06 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 LOWER EXT JOINT BI WO CONT | $2,658.60 | $4,431.00 | $1,555.28–$4,431.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LOWER EXT JOINT L WO CONT | $2,148.60 | $3,581.00 | $1,256.93–$3,581.00 | 12% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LOWER EXT JOINT R WO CONT | $2,148.60 | $3,581.00 | $1,256.93–$3,581.00 | 12% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 LOWER EXT JOINT BI WO CONT | $2,658.60 | $4,431.00 | $1,338.16–$3,633.42 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LOWER EXT JOINT R WO CONT | $2,148.60 | $3,581.00 | $1,081.46–$2,936.42 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LOWER EXT JOINT L WO CONT | $2,148.60 | $3,581.00 | $1,081.46–$2,936.42 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 LOWER EXT JOINT BI WWO CONT | $3,370.80 | $5,618.00 | $1,971.92–$5,618.00 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 LOWER EXT JOINT R WWO CONT | $2,722.80 | $4,538.00 | $1,592.84–$4,538.00 | 4% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 LOWER EXT JOINT L WWO CONT | $2,722.80 | $4,538.00 | $1,592.84–$4,538.00 | 4% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 LOWER EXT JOINT BI WWO CONT | $3,370.80 | $5,618.00 | $1,696.64–$4,606.76 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 LOWER EXT JOINT L WWO CONT | $2,722.80 | $4,538.00 | $1,370.48–$3,721.16 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 LOWER EXT JOINT R WWO CONT | $2,722.80 | $4,538.00 | $1,370.48–$3,721.16 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT | $1,320.00 | $2,200.00 | $772.20–$2,200.00 | 31% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT | $1,320.00 | $2,200.00 | $664.40–$1,804.00 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN WWO CONT | $1,702.80 | $2,838.00 | $996.14–$2,838.00 | 30% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN WWO CONT | $1,702.80 | $2,838.00 | $857.08–$2,327.16 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT | $2,100.00 | $3,500.00 | $1,228.50–$3,500.00 | at median | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT | $2,100.00 | $3,500.00 | $1,057.00–$2,870.00 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN WWO CONT | $3,067.20 | $5,112.00 | $1,794.31–$5,112.00 | 35% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN WWO CONT | $3,067.20 | $5,112.00 | $1,543.82–$4,191.84 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE WO CONT | $2,193.60 | $3,656.00 | $1,283.26–$3,656.00 | at median | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE WO CONT | $2,193.60 | $3,656.00 | $1,104.11–$2,997.92 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE WWO CONT | $2,859.60 | $4,766.00 | $1,672.87–$4,766.00 | 1% above | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE WWO CONT | $2,859.60 | $4,766.00 | $1,439.33–$3,908.12 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE WO CONT | $2,443.20 | $4,072.00 | $1,429.27–$4,072.00 | 13% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE WO CONT | $2,443.20 | $4,072.00 | $1,229.74–$3,339.04 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE WWO CONT | $3,449.40 | $5,749.00 | $2,017.90–$5,749.00 | 22% above | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE WWO CONT | $3,449.40 | $5,749.00 | $1,736.20–$4,714.18 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE WO CONT | $2,049.60 | $3,416.00 | $1,199.02–$3,416.00 | at median | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE WO CONT | $2,049.60 | $3,416.00 | $1,031.63–$2,801.12 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 PELVIS WWO CONT | $2,785.80 | $4,643.00 | $1,629.69–$4,643.00 | at median | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS WWO CONT | $2,785.80 | $4,643.00 | $1,402.19–$3,807.26 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT | $1,855.80 | $3,093.00 | $1,085.64–$3,093.00 | at median | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT | $1,855.80 | $3,093.00 | $934.09–$2,536.26 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 UPPER EXT JOINT BI WO CONT | $2,661.60 | $4,436.00 | $1,557.04–$4,436.00 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 UPPER EXT JOINT L WO CONT | $2,149.80 | $3,583.00 | $1,257.63–$3,583.00 | 7% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 UPPER EXT JOINT R WO CONT | $2,149.80 | $3,583.00 | $1,257.63–$3,583.00 | 7% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 UPPER EXT JOINT BI WO CONT | $2,661.60 | $4,436.00 | $1,339.67–$3,637.52 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 UPPER EXT JOINT L WO CONT | $2,149.80 | $3,583.00 | $1,082.07–$2,938.06 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 UPPER EXT JOINT R WO CONT | $2,149.80 | $3,583.00 | $1,082.07–$2,938.06 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE 4 OR 5 VIEWS | $258.60 | $431.00 | $151.28–$431.00 | 42% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL SPINE 4 OR 5 VIEWS | $258.60 | $431.00 | $130.16–$353.42 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 S T NECK W CONT | $1,702.20 | $2,837.00 | $995.79–$2,837.00 | 2% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 S T NECK W CONT | $1,702.20 | $2,837.00 | $856.77–$2,326.34 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 S T NECK WO CONT | $1,478.40 | $2,464.00 | $864.86–$2,464.00 | 11% above | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 S T NECK WO CONT | $1,478.40 | $2,464.00 | $744.13–$2,020.48 | — | 40% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE 1 VIEW | $159.00 | $265.00 | $93.02–$265.00 | 41% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE 1 VIEW | $159.00 | $265.00 | $80.03–$217.30 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $1,621.20 | $2,702.00 | $948.40–$2,702.00 | 57% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 SESTAMIBI ONE DAY | $3,193.20 | $5,322.00 | $1,868.02–$5,322.00 | 16% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $1,621.20 | $2,702.00 | $816.00–$2,215.64 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 SESTAMIBI ONE DAY | $3,193.20 | $5,322.00 | $1,607.24–$4,364.04 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CERIENNA INITIAL | $2,431.80 | $4,053.00 | $1,422.60–$4,053.00 | 43% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL TO THIGH SUBSQ | $3,873.00 | $6,455.00 | $2,265.70–$6,455.00 | 10% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL THIGH | $3,873.00 | $6,455.00 | $2,265.70–$6,455.00 | 10% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CERIENNA INITIAL | $2,431.80 | $4,053.00 | $1,224.01–$3,323.46 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL TO THIGH SUBSQ | $3,873.00 | $6,455.00 | $1,949.41–$5,293.10 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL THIGH | $3,873.00 | $6,455.00 | $1,949.41–$5,293.10 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 PELVIS WO CONT | $1,510.20 | $2,517.00 | $883.47–$2,517.00 | 18% above | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 PELVIS WO CONT | $1,510.20 | $2,517.00 | $760.13–$2,063.94 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 IUI FOLLICLE SCAN LIMITED | $685.20 | $1,142.00 | $400.84–$1,142.00 | 25% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS (NONOBSTETRIC) LMTD | $685.20 | $1,142.00 | $400.84–$1,142.00 | 25% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER | $685.20 | $1,142.00 | $400.84–$1,142.00 | 25% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 IVF FOLLICLE SCAN | $685.20 | $1,142.00 | $400.84–$1,142.00 | 25% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS (NONOBSTETRIC) LMTD | $685.20 | $1,142.00 | $344.88–$936.44 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER | $685.20 | $1,142.00 | $344.88–$936.44 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 IUI FOLLICLE SCAN LIMITED | $685.20 | $1,142.00 | $344.88–$936.44 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 IVF FOLLICLE SCAN | $685.20 | $1,142.00 | $344.88–$936.44 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC (NONOBSTETRIC) COMP | $654.60 | $1,091.00 | $382.94–$1,091.00 | 1% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC (NONOBSTETRIC) COMP | $654.60 | $1,091.00 | $329.48–$894.62 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB GREATER THAN 14WKS | $409.80 | $683.00 | $239.73–$683.00 | 44% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB GREATER THAN 14WKS | $409.80 | $683.00 | $206.27–$560.06 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB LESS THAN 14WKS SGL FETUS | $251.40 | $419.00 | $147.07–$419.00 | 52% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB LESS THAN 14WKS SGL FETUS | $251.40 | $419.00 | $126.54–$343.58 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 SONOGRAM,ULTRASOUND | $244.80 | $408.00 | $143.21–$408.00 | 45% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED FETUS | $257.40 | $429.00 | $150.58–$429.00 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 SONOGRAM,ULTRASOUND | $244.80 | $408.00 | $123.22–$334.56 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LIMITED FETUS | $257.40 | $429.00 | $129.56–$351.78 | — | 40% |
| Rib X-ray, one side, 2 views CPT 71100 RIBS UNI 2 VIEWS | $280.80 | $468.00 | $164.27–$468.00 | 6% below | 40% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 RIBS UNI 2 VIEWS | $280.80 | $468.00 | $141.34–$383.76 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W CHEST RIGHT 3 VIEWS | $366.60 | $611.00 | $214.46–$611.00 | 10% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W CHEST LEFT 3 VIEWS | $366.60 | $611.00 | $214.46–$611.00 | 10% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W CHEST LEFT 3 VIEWS | $366.60 | $611.00 | $184.52–$501.02 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W CHEST RIGHT 3 VIEWS | $366.60 | $611.00 | $184.52–$501.02 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $135.00 | $225.00 | $78.97–$225.00 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCREEN MMG DIR DIGITAL BI | $156.60 | $261.00 | $91.61–$261.00 | — | 40% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMOGRAM RT W CAD | $79.20 | $132.00 | $46.33–$132.00 | 71% below | 40% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMOGRAM LT W CAD | $79.20 | $132.00 | $46.33–$132.00 | 71% below | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $135.00 | $225.00 | $67.95–$184.50 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREEN MMG DIR DIGITAL BI | $156.60 | $261.00 | $78.82–$214.02 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMOGRAM RT W CAD | $79.20 | $132.00 | $39.86–$108.24 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMOGRAM LT W CAD | $79.20 | $132.00 | $39.86–$108.24 | — | 40% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BI 2 VIEWS | $399.60 | $666.00 | $233.77–$666.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT 2 VIEWS | $323.40 | $539.00 | $189.19–$539.00 | 3% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT 2 VIEWS | $323.40 | $539.00 | $189.19–$539.00 | 3% above | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER BI 2 VIEWS | $399.60 | $666.00 | $201.13–$546.12 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LEFT 2 VIEWS | $323.40 | $539.00 | $162.78–$441.98 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RIGHT 2 VIEWS | $323.40 | $539.00 | $162.78–$441.98 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3 VIEWS | $178.20 | $297.00 | $104.25–$297.00 | 52% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3 VIEWS | $178.20 | $297.00 | $89.69–$243.54 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS | $261.60 | $436.00 | $153.04–$436.00 | at median | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4 VIEWS | $261.60 | $436.00 | $131.67–$357.52 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 CH | $1,858.80 | $3,098.00 | $1,087.40–$3,098.00 | 49% below | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4 CH | $1,858.80 | $3,098.00 | $935.60–$2,540.36 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE CMP | $846.00 | $1,410.00 | $494.91–$1,410.00 | 44% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE CMP | $846.00 | $1,410.00 | $425.82–$1,156.20 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED SPEECH SWALLOW | $310.20 | $517.00 | $181.47–$517.00 | 31% below | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED SPEECH SWALLOW | $310.20 | $517.00 | $156.13–$423.94 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR BI 2 VIEWS | $296.40 | $494.00 | $173.39–$494.00 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LEFT 2 VIEWS | $148.20 | $247.00 | $86.70–$247.00 | 55% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RIGHT 2 VIEWS | $148.20 | $247.00 | $86.70–$247.00 | 55% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR BI 2 VIEWS | $296.40 | $494.00 | $149.19–$405.08 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LEFT 2 VIEWS | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RIGHT 2 VIEWS | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC SPINE WO CONT | $1,368.60 | $2,281.00 | $800.63–$2,281.00 | 11% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 THORACIC SPINE WO CONT | $1,368.60 | $2,281.00 | $688.86–$1,870.42 | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE L 3RD DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE R 2ND DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE L GREAT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE R GREAT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE R 5TH DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE L 4TH DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE R 4TH DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE L 2ND DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE R 3RD DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE L 5TH DIGIT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RIGHT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE LEFT | $228.60 | $381.00 | $133.73–$381.00 | 15% below | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 4TH DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 2ND DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 3RD DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 4TH DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 5TH DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE L GREAT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE R GREAT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 2ND DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 3RD DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 5TH DIGIT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LEFT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RIGHT | $228.60 | $381.00 | $115.06–$312.42 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL (NONOBSTETRIC) | $651.00 | $1,085.00 | $380.84–$1,085.00 | 11% below | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL (NONOBSTETRIC) | $651.00 | $1,085.00 | $327.67–$889.70 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL | $297.00 | $495.00 | $173.74–$495.00 | 56% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL | $297.00 | $495.00 | $149.49–$405.90 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN UPPER | $987.00 | $1,645.00 | $577.40–$1,645.00 | 6% above | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN UPPER | $987.00 | $1,645.00 | $496.79–$1,348.90 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM | $405.00 | $675.00 | $236.92–$675.00 | 32% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM | $405.00 | $675.00 | $203.85–$553.50 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK | $651.00 | $1,085.00 | $380.84–$1,085.00 | at median | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK | $651.00 | $1,085.00 | $327.67–$889.70 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB | $581.40 | $969.00 | $340.12–$969.00 | 26% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W KUB | $595.80 | $993.00 | $348.54–$993.00 | 25% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB | $581.40 | $969.00 | $292.64–$794.58 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W KUB | $595.80 | $993.00 | $299.89–$814.26 | — | 40% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 HUMERUS BI | $352.20 | $587.00 | $206.04–$587.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT | $285.00 | $475.00 | $166.72–$475.00 | 11% above | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT | $285.00 | $475.00 | $166.72–$475.00 | 11% above | 40% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HUMERUS BI | $352.20 | $587.00 | $177.27–$481.34 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RIGHT | $285.00 | $475.00 | $143.45–$389.50 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LEFT | $285.00 | $475.00 | $143.45–$389.50 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEINS EXTREMITY L LTD | $829.20 | $1,382.00 | $485.08–$1,382.00 | 21% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY VEINS R LIMITED | $829.20 | $1,382.00 | $485.08–$1,382.00 | 21% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY VEINS R LIMITED | $829.20 | $1,382.00 | $417.36–$1,133.24 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEINS EXTREMITY L LTD | $829.20 | $1,382.00 | $417.36–$1,133.24 | — | 40% |
| Wrist X-ray, 2 views both sides CPT 73100 WRIST BI 2 VIEWS | $289.20 | $482.00 | $169.18–$482.00 | — | 40% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST LEFT 2 VIEWS | $234.00 | $390.00 | $136.89–$390.00 | at median | 40% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST RIGHT 2 VIEWS | $234.00 | $390.00 | $136.89–$390.00 | at median | 40% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST BI 2 VIEWS | $289.20 | $482.00 | $145.56–$395.24 | — | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RIGHT 2 VIEWS | $234.00 | $390.00 | $117.78–$319.80 | — | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LEFT 2 VIEWS | $234.00 | $390.00 | $117.78–$319.80 | — | 40% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST NAVICULAR BI | $248.40 | $414.00 | $145.31–$414.00 | — | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST NAVICULAR LEFT | $201.00 | $335.00 | $117.58–$335.00 | 45% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST NAVICULAR RIGHT | $201.00 | $335.00 | $117.58–$335.00 | 45% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST NAVICULAR BI | $248.40 | $414.00 | $125.03–$339.48 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST NAVICULAR LEFT | $201.00 | $335.00 | $101.17–$274.70 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST NAVICULAR RIGHT | $201.00 | $335.00 | $101.17–$274.70 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP RIGHT2/3 VIEWS | $148.20 | $247.00 | $86.70–$247.00 | 41% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT 2/3 VIEWS | $148.20 | $247.00 | $86.70–$247.00 | 41% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP RIGHT2/3 VIEWS | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LEFT 2/3 VIEWS | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 KUB ABD AP | $157.20 | $262.00 | $91.96–$262.00 | 53% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 KUB ABD AP | $157.20 | $262.00 | $79.12–$214.84 | — | 40% |
| X-ray of the ankle, 2 views both sides CPT 73600 ANKLE BI AP AND LATERAL | $273.00 | $455.00 | $159.70–$455.00 | — | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT AP AND LATERAL | $220.80 | $368.00 | $129.17–$368.00 | 25% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT AP AND LATERAL | $220.80 | $368.00 | $129.17–$368.00 | 25% below | 40% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE BI AP AND LATERAL | $273.00 | $455.00 | $137.41–$373.10 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RIGHT AP AND LATERAL | $220.80 | $368.00 | $111.14–$301.76 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LEFT AP AND LATERAL | $220.80 | $368.00 | $111.14–$301.76 | — | 40% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER BI THUMB | $556.20 | $927.00 | $325.38–$927.00 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 5TH DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 2ND DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 4TH DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER L THUMB | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 3RD DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 2ND DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER R THUMB | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 5TH DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 4TH DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 3RD DIGIT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT | $229.80 | $383.00 | $134.43–$383.00 | 11% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGER BI THUMB | $556.20 | $927.00 | $279.95–$760.14 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 5TH DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 4TH DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L THUMB | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 2ND DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 3RD DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 5TH DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 4TH DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 3RD DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 2ND DIGIT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R THUMB | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LEFT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RIGHT | $229.80 | $383.00 | $115.67–$314.06 | — | 40% |
| X-ray of the foot, 2 views both sides CPT 73620 FOOT BI 2 VIEWS | $387.60 | $646.00 | $226.75–$646.00 | — | 40% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT 2 VIEWS | $313.20 | $522.00 | $183.22–$522.00 | 16% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT LEFT 2 VIEWS | $313.20 | $522.00 | $183.22–$522.00 | 16% above | 40% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT BI 2 VIEWS | $387.60 | $646.00 | $195.09–$529.72 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LEFT 2 VIEWS | $313.20 | $522.00 | $157.64–$428.04 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RIGHT 2 VIEWS | $313.20 | $522.00 | $157.64–$428.04 | — | 40% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BI 3 VIEWS | $393.60 | $656.00 | $230.26–$656.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT 3 VIEWS | $318.00 | $530.00 | $186.03–$530.00 | 25% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT 3 VIEWS | $318.00 | $530.00 | $186.03–$530.00 | 25% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT BI 3 VIEWS | $393.60 | $656.00 | $198.11–$537.92 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RIGHT 3 VIEWS | $318.00 | $530.00 | $160.06–$434.60 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LEFT 3 VIEWS | $318.00 | $530.00 | $160.06–$434.60 | — | 40% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND BI 3 VIEWS | $428.40 | $714.00 | $250.61–$714.00 | — | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT 3 VIEWS | $346.80 | $578.00 | $202.88–$578.00 | at median | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT 3 VIEWS | $346.80 | $578.00 | $202.88–$578.00 | at median | 40% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND BI 3 VIEWS | $428.40 | $714.00 | $215.63–$585.48 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LEFT 3 VIEWS | $346.80 | $578.00 | $174.56–$473.96 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RIGHT 3 VIEWS | $346.80 | $578.00 | $174.56–$473.96 | — | 40% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE BI AP AND LATERAL | $354.00 | $590.00 | $207.09–$590.00 | — | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT AP AND LATERAL | $286.20 | $477.00 | $167.43–$477.00 | 7% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT AP AND LATERAL | $286.20 | $477.00 | $167.43–$477.00 | 7% above | 40% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE BI AP AND LATERAL | $354.00 | $590.00 | $178.18–$483.80 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LEFT AP AND LATERAL | $286.20 | $477.00 | $144.05–$391.14 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RIGHT AP AND LATERAL | $286.20 | $477.00 | $144.05–$391.14 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE | $426.60 | $711.00 | $249.56–$711.00 | 22% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE | $426.60 | $711.00 | $214.72–$583.02 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W OBLIQUES | $534.00 | $890.00 | $312.39–$890.00 | at median | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE W OBLIQUES | $534.00 | $890.00 | $268.78–$729.80 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS | $341.40 | $569.00 | $199.72–$569.00 | 24% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS | $341.40 | $569.00 | $171.84–$466.58 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NOSE 3 VIEWS | $287.40 | $479.00 | $168.13–$479.00 | 13% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE 3 VIEWS | $287.40 | $479.00 | $144.66–$392.78 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2 OR 3 VIEWS | $380.40 | $634.00 | $222.53–$634.00 | 11% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2 OR 3 VIEWS | $380.40 | $634.00 | $191.47–$519.88 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS | $178.80 | $298.00 | $104.60–$298.00 | 26% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS | $178.80 | $298.00 | $90.00–$244.36 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX SACRUM | $324.00 | $540.00 | $189.54–$540.00 | 18% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX SACRUM | $324.00 | $540.00 | $163.08–$442.80 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPHIC HORMONE | $201.00 | $335.00 | $117.58–$335.00 | 21% below | 40% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPHIC HORMONE | $201.00 | $335.00 | $101.17–$274.70 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 AMINO ALANINE TRANSFERASE ALT | $12.00 | $20.00 | $7.02–$20.00 | 73% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $52.80 | $88.00 | $30.89–$88.00 | 17% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE TRANSAMINASE (ALT) | $52.80 | $88.00 | $30.89–$88.00 | 17% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT,BODY FLUID | $52.80 | $88.00 | $30.89–$88.00 | 17% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 AMINO ALANINE TRANSFERASE ALT | $12.00 | $20.00 | $6.04–$16.40 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $52.80 | $88.00 | $26.58–$72.16 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT,BODY FLUID | $52.80 | $88.00 | $26.58–$72.16 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE TRANSAMINASE (ALT) | $52.80 | $88.00 | $26.58–$72.16 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST,BODY FLUID | $43.80 | $73.00 | $25.62–$73.00 | 1% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARATE TRANSAMINASE (SGOT) | $43.80 | $73.00 | $25.62–$73.00 | 1% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT,BODY FLUID | $43.80 | $73.00 | $25.62–$73.00 | 1% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARATE TRANSAMINASE (SGOT) | $43.80 | $73.00 | $22.05–$59.86 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST,BODY FLUID | $43.80 | $73.00 | $22.05–$59.86 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT,BODY FLUID | $43.80 | $73.00 | $22.05–$59.86 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL,ACUTE | $450.00 | $750.00 | $263.25–$750.00 | 63% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL,ACUTE | $450.00 | $750.00 | $226.50–$615.00 | — | 40% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $11.40 | $19.00 | $6.67–$19.00 | 72% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN (S) | $237.60 | $396.00 | $139.00–$396.00 | 487% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN | $237.60 | $396.00 | $139.00–$396.00 | 487% above | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $11.40 | $19.00 | $5.74–$15.58 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $237.60 | $396.00 | $119.59–$324.72 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN (S) | $237.60 | $396.00 | $119.59–$324.72 | — | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $70.20 | $117.00 | $41.07–$117.00 | 67% below | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, 24HR URINE | $77.40 | $129.00 | $45.28–$129.00 | 64% below | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE LC MS MS | $90.60 | $151.00 | $53.00–$151.00 | 58% below | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM | $70.20 | $117.00 | $35.33–$95.94 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, 24HR URINE | $77.40 | $129.00 | $38.96–$105.78 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE LC MS MS | $90.60 | $151.00 | $45.60–$123.82 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $37.80 | $63.00 | $22.11–$63.00 | 20% below | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $37.80 | $63.00 | $19.03–$51.66 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST (ANIMALS) | $12.00 | $20.00 | $7.02–$20.00 | 70% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,SEAFOOD PANEL IGE | $12.00 | $20.00 | $7.02–$20.00 | 70% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SOUTHEAST REGION III | $12.00 | $20.00 | $7.02–$20.00 | 70% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WALNUT TREE (TIO) IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, BAHAI GRASS IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, RAGWEED (SHORT) IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,ALTERNARIA ALTERNATA IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,DERMATOPHAGOIDES PTER IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,DERMATOPHAGOIDES FARI IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CRAB IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST LOBSTER IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST TUNA IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST DOG EPITHELIA (E2) IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL (RESPIRATORY), R | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL (TREES), REGION | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL (GRASS), REGION | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOLD ALLERGY PROFILE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGY COCKROACH I6 IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SUNFLOWER SEEDS (K84) IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH WALNUT IGE (FOOD) | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST KY BLUE GRASS (G8) IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO I71 IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL 19 (SEAFOOD) | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST (HOUSE DUST) | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,PENICILLIUM NOTATUM IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,OYSTER IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER & EPITHELIAL (E) LG | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST STINGING INSECTS IGE | $24.00 | $40.00 | $14.04–$40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,SCALLOPS IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, CLAM (F207) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SALMON F41 IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EGG WHITE (FI) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CASHEW NUTS (F202) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALMOND (F20) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BRAZIL NUT (F18) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST HAZELNUT (F17) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PECAN NUT (F201) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHRIMP IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PEANUT IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLIS FUMIGATUS (M3) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,MILK IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, SOYBEAN IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, OAK (LIVE) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CODFISH IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE ALLERGY | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE ALLERGY | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE ALLERGY | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,FIRE ANT (I70) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, TOMATO (F25) IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PISTACHIO F203 IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,MUSSELS IGE | $33.60 | $56.00 | $19.66–$56.00 | 17% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BLACK WALNUT IGE FOOD | $112.80 | $188.00 | $65.99–$188.00 | 179% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WALNUT IGG SPECIFIC(FOOD) | $123.00 | $205.00 | $71.96–$205.00 | 204% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SOUTHEAST REGION III | $12.00 | $20.00 | $6.04–$16.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST (ANIMALS) | $12.00 | $20.00 | $6.04–$16.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,SEAFOOD PANEL IGE | $12.00 | $20.00 | $6.04–$16.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER & EPITHELIAL (E) LG | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,OYSTER IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,PENICILLIUM NOTATUM IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST (HOUSE DUST) | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL 19 (SEAFOOD) | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO I71 IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST KY BLUE GRASS (G8) IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,ALTERNARIA ALTERNATA IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST, RAGWEED (SHORT) IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST, BAHAI GRASS IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TUNA IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST DOG EPITHELIA (E2) IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH WALNUT IGE (FOOD) | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SUNFLOWER SEEDS (K84) IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WALNUT TREE (TIO) IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST STINGING INSECTS IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL (RESPIRATORY), R | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL (TREES), REGION | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGY COCKROACH I6 IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD ALLERGY PROFILE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,DERMATOPHAGOIDES FARI IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL (GRASS), REGION | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,DERMATOPHAGOIDES PTER IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CRAB IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST LOBSTER IGE | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SHRIMP IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PISTACHIO F203 IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,SCALLOPS IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,MUSSELS IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST, TOMATO (F25) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,FIRE ANT (I70) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IGE ALLERGY | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE ALLERGY | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE ALLERGY | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLIS FUMIGATUS (M3) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PECAN NUT (F201) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HAZELNUT (F17) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BRAZIL NUT (F18) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALMOND (F20) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CASHEW NUTS (F202) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST, CLAM (F207) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SALMON F41 IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EGG WHITE (FI) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PEANUT IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,MILK IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST, SOYBEAN IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST, OAK (LIVE) IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CODFISH IGE | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BLACK WALNUT IGE FOOD | $112.80 | $188.00 | $56.78–$154.16 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WALNUT IGG SPECIFIC(FOOD) | $123.00 | $205.00 | $61.91–$168.10 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALFA FETOPROTEIN AFP | $12.60 | $21.00 | $7.37–$21.00 | 89% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN TUMOR MARKER | $25.20 | $42.00 | $14.74–$42.00 | 78% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, SERUM | $28.80 | $48.00 | $16.85–$48.00 | 75% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA 1 FETOPROTEIN | $63.00 | $105.00 | $36.85–$105.00 | 45% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALAPH-FETOPROTEIN,MATERNAL | $75.00 | $125.00 | $43.88–$125.00 | 34% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP | $159.00 | $265.00 | $93.02–$265.00 | 39% above | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALFA FETOPROTEIN AFP | $12.60 | $21.00 | $6.34–$17.22 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN TUMOR MARKER | $25.20 | $42.00 | $12.68–$34.44 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, SERUM | $28.80 | $48.00 | $14.50–$39.36 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA 1 FETOPROTEIN | $63.00 | $105.00 | $31.71–$86.10 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALAPH-FETOPROTEIN,MATERNAL | $75.00 | $125.00 | $37.75–$102.50 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP | $159.00 | $265.00 | $80.03–$217.30 | — | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $77.40 | $129.00 | $45.28–$129.00 | 26% below | 40% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $77.40 | $129.00 | $38.96–$105.78 | — | 40% |
| Amylase blood test CPT 82150 MACROAMYLASE QL | $49.80 | $83.00 | $29.13–$83.00 | 47% below | 40% |
| Amylase blood test CPT 82150 AMYLASE,BODY FLUID | $96.60 | $161.00 | $56.51–$161.00 | 2% above | 40% |
| Amylase blood test CPT 82150 AMYLASE,SERUM | $96.60 | $161.00 | $56.51–$161.00 | 2% above | 40% |
| Amylase blood test CPT 82150 AMYLASE,URINE | $96.60 | $161.00 | $56.51–$161.00 | 2% above | 40% |
| Amylase blood test CPT 82150 AMYLASE,8HR URINE | $96.60 | $161.00 | $56.51–$161.00 | 2% above | 40% |
| Amylase blood test CPT 82150 AMYLASE,2HR URINE | $96.60 | $161.00 | $56.51–$161.00 | 2% above | 40% |
| Amylase blood test CPT 82150 AMYLASE,12HR URINE | $96.60 | $161.00 | $56.51–$161.00 | 2% above | 40% |
| Amylase blood test CPT 82150 AMYLASE,24HR URINE | $96.60 | $161.00 | $56.51–$161.00 | 2% above | 40% |
| Amylase blood test CPT 82150 AMYLASE,TOTAL | $141.00 | $235.00 | $82.48–$235.00 | 49% above | 40% |
| Amylase blood test CPT 82150 PANCREATIC ISOAMYLASE | $141.00 | $235.00 | $82.48–$235.00 | 49% above | 40% |
| Amylase blood test inpatient CPT 82150 MACROAMYLASE QL | $49.80 | $83.00 | $25.07–$68.06 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,URINE | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,8HR URINE | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,2HR URINE | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,12HR URINE | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,24HR URINE | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,BODY FLUID | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,SERUM | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Amylase blood test inpatient CPT 82150 PANCREATIC ISOAMYLASE | $141.00 | $235.00 | $70.97–$192.70 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,TOTAL | $141.00 | $235.00 | $70.97–$192.70 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $121.80 | $203.00 | $71.25–$203.00 | 49% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $121.80 | $203.00 | $61.31–$166.46 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN W/REFLEX TO TITER | $23.40 | $39.00 | $13.69–$39.00 | 66% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B ANTIBODY | $182.40 | $304.00 | $106.70–$304.00 | 164% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN W/REFLEX TO TITER | $23.40 | $39.00 | $11.78–$31.98 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B ANTIBODY | $182.40 | $304.00 | $91.81–$249.28 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP POINT OF CARE | $91.20 | $152.00 | $53.35–$152.00 | 50% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $91.20 | $152.00 | $53.35–$152.00 | 50% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE | $91.20 | $152.00 | $53.35–$152.00 | 50% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE | $91.20 | $152.00 | $45.90–$124.64 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP POINT OF CARE | $91.20 | $152.00 | $45.90–$124.64 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $91.20 | $152.00 | $45.90–$124.64 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,CSF | $59.40 | $99.00 | $34.75–$99.00 | 45% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,EYE | $96.60 | $161.00 | $56.51–$161.00 | 11% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,AEROBIC | $96.60 | $161.00 | $56.51–$161.00 | 11% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,WOUND | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GC | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,CATH TIP | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL CULTURE | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE QUANT (QUEST) | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA BY CULTURE | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,EAR | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,OTHER RESPIRATORY | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,SPUTUM | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,OTHER | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,NEW BORN | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, ENVIRONMENTAL | $110.40 | $184.00 | $64.58–$184.00 | 2% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,CSF | $59.40 | $99.00 | $29.90–$81.18 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,EYE | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,AEROBIC | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,NEW BORN | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,OTHER | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,SPUTUM | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,OTHER RESPIRATORY | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,WOUND | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,CATH TIP | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, ENVIRONMENTAL | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA CULTURE | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL CULTURE | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA BY CULTURE | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE CULTURE QUANT (QUEST) | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,EAR | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,GC | $110.40 | $184.00 | $55.57–$150.88 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 CHEMISTRY PANEL 7 | $123.00 | $205.00 | $71.96–$205.00 | 43% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHEMISTRY PANEL 7 | $123.00 | $205.00 | $61.91–$168.10 | — | 40% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN | $11.40 | $19.00 | $6.67–$19.00 | 73% below | 40% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN (NEONATAL) | $35.40 | $59.00 | $20.71–$59.00 | 16% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL | $35.40 | $59.00 | $20.71–$59.00 | 16% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN (TOTAL) | $35.40 | $59.00 | $20.71–$59.00 | 16% below | 40% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN | $11.40 | $19.00 | $5.74–$15.58 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN (NEONATAL) | $35.40 | $59.00 | $17.82–$48.38 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN (TOTAL) | $35.40 | $59.00 | $17.82–$48.38 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL | $35.40 | $59.00 | $17.82–$48.38 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH,LEVEL 4 | $190.80 | $318.00 | $111.62–$318.00 | at median | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH,LEVEL 4 | $190.80 | $318.00 | $96.04–$260.76 | — | 40% |
| Blood culture for bacteria CPT 87040 CULTURE,BLOOD | $79.20 | $132.00 | $46.33–$132.00 | 48% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE,BLOOD | $79.20 | $132.00 | $39.86–$108.24 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $26.40 | $44.00 | $15.44–$44.00 | 16% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PATERNITY TEST COLLECTION | $26.40 | $44.00 | $15.44–$44.00 | 16% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE | $26.40 | $44.00 | $15.44–$44.00 | 16% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 TIMED COLLECTION | $26.40 | $44.00 | $15.44–$44.00 | 16% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 TIMED COLLECTION | $26.40 | $44.00 | $13.29–$36.08 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $26.40 | $44.00 | $13.29–$36.08 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PATERNITY TEST COLLECTION | $26.40 | $44.00 | $13.29–$36.08 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE | $26.40 | $44.00 | $13.29–$36.08 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $27.00 | $45.00 | $15.79–$45.00 | 20% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE EPOC | $27.00 | $45.00 | $15.79–$45.00 | 20% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, RANDOM | $27.00 | $45.00 | $15.79–$45.00 | 20% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, FASTING | $28.80 | $48.00 | $16.85–$48.00 | 14% below | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE EPOC | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, RANDOM | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, FASTING | $28.80 | $48.00 | $14.50–$39.36 | — | 40% |
| Blood lead test CPT 83655 LEAD, URINE | $28.80 | $48.00 | $16.85–$48.00 | 63% below | 40% |
| Blood lead test CPT 83655 LEAD,BLOOD | $34.20 | $57.00 | $20.01–$57.00 | 56% below | 40% |
| Blood lead test CPT 83655 LEAD URINE | $37.20 | $62.00 | $21.76–$62.00 | 53% below | 40% |
| Blood lead test inpatient CPT 83655 LEAD, URINE | $28.80 | $48.00 | $14.50–$39.36 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD,BLOOD | $34.20 | $57.00 | $17.21–$46.74 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD URINE | $37.20 | $62.00 | $18.72–$50.84 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG,SERUM | $34.20 | $57.00 | $20.01–$57.00 | 78% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST | $133.80 | $223.00 | $78.27–$223.00 | 14% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG,SERUM | $34.20 | $57.00 | $17.21–$46.74 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST | $133.80 | $223.00 | $67.35–$182.86 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING | $45.00 | $75.00 | $26.32–$75.00 | 26% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPING | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN | $37.20 | $62.00 | $21.76–$62.00 | 17% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN EPOC | $37.20 | $62.00 | $21.76–$62.00 | 17% below | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN | $37.20 | $62.00 | $18.72–$50.84 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN EPOC | $37.20 | $62.00 | $18.72–$50.84 | — | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $159.00 | $265.00 | $93.02–$265.00 | 42% above | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $159.00 | $265.00 | $80.03–$217.30 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QN | $81.60 | $136.00 | $47.74–$136.00 | 21% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP) | $81.60 | $136.00 | $47.74–$136.00 | 21% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN (CRP) | $81.60 | $136.00 | $41.07–$111.52 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QN | $81.60 | $136.00 | $41.07–$111.52 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFIC TOXIN A/B | $43.20 | $72.00 | $25.27–$72.00 | 78% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFIC TOXIN A/B | $43.20 | $72.00 | $21.74–$59.04 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN 19-9 | $78.00 | $130.00 | $45.63–$130.00 | 46% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE ANTIGEN 19-9 | $78.00 | $130.00 | $39.26–$106.60 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $125.40 | $209.00 | $73.36–$209.00 | 25% below | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 | $125.40 | $209.00 | $63.12–$171.38 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RVP SARS-CoV-2 (Covid-19) PCR | $92.40 | $154.00 | $54.05–$154.00 | 13% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RVP SARS-CoV-2 (Covid-19) PCR | $92.40 | $154.00 | $46.51–$126.28 | — | 40% |
| Calcium blood test, total CPT 82310 CALCIUM | $12.00 | $20.00 | $7.02–$20.00 | 73% below | 40% |
| Calcium blood test, total CPT 82310 CALCIUM (SERUM) | $45.00 | $75.00 | $26.32–$75.00 | 1% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM, URINE | $45.00 | $75.00 | $26.32–$75.00 | 1% above | 40% |
| Calcium blood test, total CPT 82310 PTH-CALCIUM | $45.00 | $75.00 | $26.32–$75.00 | 1% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM,BODY FLUID | $45.00 | $75.00 | $26.32–$75.00 | 1% above | 40% |
| Calcium blood test, total CPT 82310 PTH-CALCUIM | $45.00 | $75.00 | $26.32–$75.00 | 1% above | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $12.00 | $20.00 | $6.04–$16.40 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, URINE | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 PTH-CALCIUM | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM,BODY FLUID | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM (SERUM) | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 PTH-CALCUIM | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINEMBRYONIC ANTIGEN (CEA) | $97.20 | $162.00 | $56.86–$162.00 | 38% below | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINEMBRYONIC ANTIGEN (CEA) | $97.20 | $162.00 | $48.92–$132.84 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG | $20.40 | $34.00 | $11.93–$34.00 | 75% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV-IGM | $91.20 | $152.00 | $53.35–$152.00 | 13% above | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG | $20.40 | $34.00 | $10.27–$27.88 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV-IGM | $91.20 | $152.00 | $45.90–$124.64 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CANDIDA SP RRNA | $63.00 | $105.00 | $36.85–$105.00 | 60% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA PCR | $81.00 | $135.00 | $47.38–$135.00 | 48% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHO.,DNA,LRC,URIN | $91.80 | $153.00 | $53.70–$153.00 | 41% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA | $91.80 | $153.00 | $53.70–$153.00 | 41% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR DNA | $99.60 | $166.00 | $58.27–$166.00 | 36% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CANDIDA SP RRNA | $63.00 | $105.00 | $31.71–$86.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA PCR | $81.00 | $135.00 | $40.77–$110.70 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHO.,DNA,LRC,URIN | $91.80 | $153.00 | $46.21–$125.46 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA | $91.80 | $153.00 | $46.21–$125.46 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR DNA | $99.60 | $166.00 | $50.13–$136.12 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $138.60 | $231.00 | $81.08–$231.00 | 49% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE,HDL | $138.60 | $231.00 | $81.08–$231.00 | 49% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE,HDL | $138.60 | $231.00 | $69.76–$189.42 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $138.60 | $231.00 | $69.76–$189.42 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT,CBC AND DIFF | $86.40 | $144.00 | $50.54–$144.00 | 26% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT W/DIFF | $91.80 | $153.00 | $53.70–$153.00 | 22% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HEMAGRAM | $91.80 | $153.00 | $53.70–$153.00 | 22% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT,CBC AND DIFF | $86.40 | $144.00 | $43.49–$118.08 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE BLOOD COUNT W/DIFF | $91.80 | $153.00 | $46.21–$125.46 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMAGRAM | $91.80 | $153.00 | $46.21–$125.46 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HEMAGRAM (MANUAL CBC) | $13.80 | $23.00 | $8.07–$23.00 | 84% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HEMAGRAM | $48.00 | $80.00 | $28.08–$80.00 | 44% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC HANDWRITTEN ORDER | $48.00 | $80.00 | $28.08–$80.00 | 44% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMAGRAM (MANUAL CBC) | $13.80 | $23.00 | $6.95–$18.86 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC HANDWRITTEN ORDER | $48.00 | $80.00 | $24.16–$65.60 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMAGRAM | $48.00 | $80.00 | $24.16–$65.60 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP PICCOLO | $134.40 | $224.00 | $78.62–$224.00 | 46% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PROFILE | $134.40 | $224.00 | $78.62–$224.00 | 46% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP PICCOLO | $134.40 | $224.00 | $67.65–$183.68 | — | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PROFILE | $134.40 | $224.00 | $67.65–$183.68 | — | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL LC MS MS | $37.20 | $62.00 | $21.76–$62.00 | 73% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL,SERUM | $111.60 | $186.00 | $65.29–$186.00 | 18% below | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL LC MS MS | $37.20 | $62.00 | $18.72–$50.84 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL,SERUM | $111.60 | $186.00 | $56.17–$152.52 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK,BODY FLUID | $37.80 | $63.00 | $22.11–$63.00 | 27% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE,PHOSPHOKINASE | $37.80 | $63.00 | $22.11–$63.00 | 27% below | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE,PHOSPHOKINASE | $37.80 | $63.00 | $19.03–$51.66 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK,BODY FLUID | $37.80 | $63.00 | $19.03–$51.66 | — | 40% |
| Creatinine blood test CPT 82565 CREATINE EPOC | $42.00 | $70.00 | $24.57–$70.00 | 7% below | 40% |
| Creatinine blood test CPT 82565 CREATININE,SERUM | $42.00 | $70.00 | $24.57–$70.00 | 7% below | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE,SERUM | $42.00 | $70.00 | $21.14–$57.40 | — | 40% |
| Creatinine blood test inpatient CPT 82565 CREATINE EPOC | $42.00 | $70.00 | $21.14–$57.40 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV-IGG (CSF/BF) | $23.40 | $39.00 | $13.69–$39.00 | 75% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG ANTIBODY | $66.60 | $111.00 | $38.96–$111.00 | 28% below | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV-IGG (CSF/BF) | $23.40 | $39.00 | $11.78–$31.98 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG ANTIBODY | $66.60 | $111.00 | $33.52–$91.02 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $135.00 | $225.00 | $78.97–$225.00 | 24% below | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $135.00 | $225.00 | $67.95–$184.50 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NIDA DRUG+ETOH (BFT COUNTY) | $17.40 | $29.00 | $10.18–$29.00 | 85% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NIDA DRUG (ONLY)(BFT DRUG CT) | $17.40 | $29.00 | $10.18–$29.00 | 85% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECOH LABBASED 5PNL NDOT SCRN | $27.00 | $45.00 | $15.79–$45.00 | 77% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECOH LABBASED 9PNL NDOT SCRN | $30.00 | $50.00 | $17.55–$50.00 | 75% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECOH LABBASED 10PNL NDOT SCRN | $30.00 | $50.00 | $17.55–$50.00 | 75% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECOH DOT DRUG SCREEN | $33.00 | $55.00 | $19.30–$55.00 | 72% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PM HEROIN METABO W/CONF UR | $87.60 | $146.00 | $51.25–$146.00 | 26% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PM OXYCODONE W/CONFIRM URINE | $87.60 | $146.00 | $51.25–$146.00 | 26% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $87.60 | $146.00 | $51.25–$146.00 | 26% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL, URINE | $87.60 | $146.00 | $51.25–$146.00 | 26% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 STAT DRUG PANEL | $87.60 | $146.00 | $51.25–$146.00 | 26% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NIDA HPP1A TEST/COLLECTION | $96.60 | $161.00 | $56.51–$161.00 | 18% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COLLECTION | $96.60 | $161.00 | $56.51–$161.00 | 18% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NIDA DRUG CHAIN OF CUSTODY | $166.20 | $277.00 | $97.23–$277.00 | 41% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NIDA MECONIUM TEST/COLLECTION | $166.20 | $277.00 | $97.23–$277.00 | 41% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 KETAMINE URINE DRUG SCREEN | $327.60 | $546.00 | $191.65–$546.00 | 178% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NIDA DRUG (ONLY)(BFT DRUG CT) | $17.40 | $29.00 | $8.76–$23.78 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NIDA DRUG+ETOH (BFT COUNTY) | $17.40 | $29.00 | $8.76–$23.78 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ECOH LABBASED 5PNL NDOT SCRN | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ECOH LABBASED 9PNL NDOT SCRN | $30.00 | $50.00 | $15.10–$41.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ECOH LABBASED 10PNL NDOT SCRN | $30.00 | $50.00 | $15.10–$41.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ECOH DOT DRUG SCREEN | $33.00 | $55.00 | $16.61–$45.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 STAT DRUG PANEL | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL, URINE | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PM OXYCODONE W/CONFIRM URINE | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PM HEROIN METABO W/CONF UR | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NIDA HPP1A TEST/COLLECTION | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN COLLECTION | $96.60 | $161.00 | $48.62–$132.02 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NIDA MECONIUM TEST/COLLECTION | $166.20 | $277.00 | $83.65–$227.14 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NIDA DRUG CHAIN OF CUSTODY | $166.20 | $277.00 | $83.65–$227.14 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 KETAMINE URINE DRUG SCREEN | $327.60 | $546.00 | $164.89–$447.72 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES,BLOOD | $49.20 | $82.00 | $28.78–$82.00 | 53% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES,BLOOD | $49.20 | $82.00 | $24.76–$67.24 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM | $89.40 | $149.00 | $52.30–$149.00 | 16% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBB IGG | $89.40 | $149.00 | $52.30–$149.00 | 16% below | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM | $89.40 | $149.00 | $45.00–$122.18 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBB IGG | $89.40 | $149.00 | $45.00–$122.18 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $27.00 | $45.00 | $15.79–$45.00 | 78% below | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL EXTRACTION | $76.80 | $128.00 | $44.93–$128.00 | 37% below | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL EXTRACTION | $76.80 | $128.00 | $38.66–$104.96 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH,SERUM | $22.20 | $37.00 | $12.99–$37.00 | 84% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH BY ICMA | $111.00 | $185.00 | $64.94–$185.00 | 19% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH,SERUM | $22.20 | $37.00 | $11.17–$30.34 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH BY ICMA | $111.00 | $185.00 | $55.87–$151.70 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN (STOOL) | $185.40 | $309.00 | $108.46–$309.00 | 1% below | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN (STOOL) | $185.40 | $309.00 | $93.32–$253.38 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $105.00 | $175.00 | $61.42–$175.00 | 6% below | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $105.00 | $175.00 | $52.85–$143.50 | — | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $97.20 | $162.00 | $56.86–$162.00 | 25% below | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $97.20 | $162.00 | $48.92–$132.84 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID,SERUM | $67.80 | $113.00 | $39.66–$113.00 | 43% below | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID,SERUM | $67.80 | $113.00 | $34.13–$92.66 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $111.00 | $185.00 | $64.94–$185.00 | 6% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $111.00 | $185.00 | $55.87–$151.70 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE,FREE | $100.80 | $168.00 | $58.97–$168.00 | at median | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $100.80 | $168.00 | $58.97–$168.00 | at median | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE,FREE | $100.80 | $168.00 | $50.74–$137.76 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $100.80 | $168.00 | $50.74–$137.76 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTYL TRANFERASE (GGT) | $17.40 | $29.00 | $10.18–$29.00 | 71% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE GGT | $64.80 | $108.00 | $37.91–$108.00 | 9% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT GAMMA GLUTYL-TRANSFERASE | $64.80 | $108.00 | $37.91–$108.00 | 9% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTYL TRANFERASE (GGT) | $17.40 | $29.00 | $8.76–$23.78 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE GGT | $64.80 | $108.00 | $32.62–$88.56 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT GAMMA GLUTYL-TRANSFERASE | $64.80 | $108.00 | $32.62–$88.56 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL 2 (CHAMP VA) | $183.00 | $305.00 | $107.06–$305.00 | 51% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL 1 | $214.20 | $357.00 | $125.31–$357.00 | 77% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HEALTH PANEL 2 (CHAMP VA) | $183.00 | $305.00 | $92.11–$250.10 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HEALTH PANEL 1 | $214.20 | $357.00 | $107.81–$292.74 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR SCREEN OB | $22.80 | $38.00 | $13.34–$38.00 | 62% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR SCREEN OB | $22.80 | $38.00 | $11.48–$31.16 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 FG | $112.20 | $187.00 | $65.64–$187.00 | 13% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE GTT 3 SPECM | $112.20 | $187.00 | $65.64–$187.00 | 13% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 FG | $112.20 | $187.00 | $56.47–$153.34 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE GTT 3 SPECM | $112.20 | $187.00 | $56.47–$153.34 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TRICHOMONAS VAGINALIS RRNA | $63.00 | $105.00 | $36.85–$105.00 | 58% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA PCR | $81.00 | $135.00 | $47.38–$135.00 | 46% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NISSERIA GONORRHEA PCR DNA | $99.60 | $166.00 | $58.27–$166.00 | 34% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORHOEAE,DNA,LCR,URINE | $121.20 | $202.00 | $70.90–$202.00 | 19% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TRICHOMONAS VAGINALIS RRNA | $63.00 | $105.00 | $31.71–$86.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA PCR | $81.00 | $135.00 | $40.77–$110.70 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NISSERIA GONORRHEA PCR DNA | $99.60 | $166.00 | $50.13–$136.12 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORHOEAE,DNA,LCR,URINE | $121.20 | $202.00 | $61.00–$165.64 | — | 40% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PLYORI IGM | $40.20 | $67.00 | $23.52–$67.00 | 65% below | 40% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG | $40.20 | $67.00 | $23.52–$67.00 | 65% below | 40% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGA | $40.20 | $67.00 | $23.52–$67.00 | 65% below | 40% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG AB (LCMG) | $40.20 | $67.00 | $23.52–$67.00 | 65% below | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGA | $40.20 | $67.00 | $20.23–$54.94 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG | $40.20 | $67.00 | $20.23–$54.94 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG AB (LCMG) | $40.20 | $67.00 | $20.23–$54.94 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PLYORI IGM | $40.20 | $67.00 | $20.23–$54.94 | — | 40% |
| H. pylori stool antigen test CPT 87338 H. PYLORI AG DETECTION (STOOL) | $195.60 | $326.00 | $114.43–$326.00 | 5% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI AG DETECTION (STOOL) | $195.60 | $326.00 | $98.45–$267.32 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR | $411.60 | $686.00 | $240.79–$686.00 | 7% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA BY PCR | $411.60 | $686.00 | $207.17–$562.52 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 Ag/Ab w/Reflex (Quest) | $60.00 | $100.00 | $35.10–$100.00 | 38% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 Ag/Ab w/Reflex (Quest) | $60.00 | $100.00 | $30.20–$82.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HEMOGLOBIN (GHB A1C) | $72.60 | $121.00 | $42.47–$121.00 | 16% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED HEMOGLOBIN (GHB A1C) | $72.60 | $121.00 | $36.54–$99.22 | — | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $19.80 | $33.00 | $11.58–$33.00 | 38% below | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $19.80 | $33.00 | $9.97–$27.06 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB,TOTAL | $61.80 | $103.00 | $36.15–$103.00 | 11% below | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB,TOTAL | $61.80 | $103.00 | $31.11–$84.46 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB (HBSAB) | $33.60 | $56.00 | $19.66–$56.00 | 60% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $33.60 | $56.00 | $19.66–$56.00 | 60% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB (HBSAB) | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN | $75.60 | $126.00 | $44.23–$126.00 | 11% below | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN | $75.60 | $126.00 | $38.05–$103.32 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $81.00 | $135.00 | $47.38–$135.00 | at median | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $81.00 | $135.00 | $40.77–$110.70 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR (QUANT) | $397.20 | $662.00 | $232.36–$662.00 | at median | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR (QUANT) | $397.20 | $662.00 | $199.92–$542.84 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGM AB | $30.60 | $51.00 | $17.90–$51.00 | 58% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG | $75.00 | $125.00 | $43.88–$125.00 | 3% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 TITER | $142.80 | $238.00 | $83.54–$238.00 | 95% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE1 IGM | $142.80 | $238.00 | $83.54–$238.00 | 95% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGM AB | $30.60 | $51.00 | $15.40–$41.82 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG | $75.00 | $125.00 | $37.75–$102.50 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 TITER | $142.80 | $238.00 | $71.88–$195.16 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE1 IGM | $142.80 | $238.00 | $71.88–$195.16 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGM AB | $45.00 | $75.00 | $26.32–$75.00 | 45% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE-2 IGG | $75.00 | $125.00 | $43.88–$125.00 | 8% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGM | $142.80 | $238.00 | $83.54–$238.00 | 75% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 TITER | $142.80 | $238.00 | $83.54–$238.00 | 75% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGM AB | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE-2 IGG | $75.00 | $125.00 | $37.75–$102.50 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 TITER | $142.80 | $238.00 | $71.88–$195.16 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGM | $142.80 | $238.00 | $71.88–$195.16 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP SUPER SENSITIVE | $90.60 | $151.00 | $53.00–$151.00 | 8% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP SUPER SENSITIVE | $90.60 | $151.00 | $45.60–$123.82 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE,CARDIOVASCULAR | $24.60 | $41.00 | $14.39–$41.00 | 91% below | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE (S) | $28.20 | $47.00 | $16.50–$47.00 | 89% below | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (MEGA ANEMIA PRO) | $28.20 | $47.00 | $16.50–$47.00 | 89% below | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE,NUTRIT./CONGENITA | $52.80 | $88.00 | $30.89–$88.00 | 80% below | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE,CARDIOVASCULAR | $24.60 | $41.00 | $12.38–$33.62 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE (MEGA ANEMIA PRO) | $28.20 | $47.00 | $14.19–$38.54 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE (S) | $28.20 | $47.00 | $14.19–$38.54 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE,NUTRIT./CONGENITA | $52.80 | $88.00 | $26.58–$72.16 | — | 40% |
| Insulin blood test CPT 83525 INSULIN SERUM | $49.20 | $82.00 | $28.78–$82.00 | 49% below | 40% |
| Insulin blood test CPT 83525 INSULIN,SERUM | $54.60 | $91.00 | $31.94–$91.00 | 43% below | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN SERUM | $49.20 | $82.00 | $24.76–$67.24 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN,SERUM | $54.60 | $91.00 | $27.48–$74.62 | — | 40% |
| Iron blood test (serum iron) CPT 83540 TOTAL IRON | $15.60 | $26.00 | $9.13–$26.00 | 74% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $41.40 | $69.00 | $24.22–$69.00 | 30% below | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 TOTAL IRON | $15.60 | $26.00 | $7.85–$21.32 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $41.40 | $69.00 | $20.84–$56.58 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $42.60 | $71.00 | $24.92–$71.00 | 44% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY | $42.60 | $71.00 | $21.44–$58.22 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $64.80 | $108.00 | $37.91–$108.00 | 53% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $64.80 | $108.00 | $32.62–$88.56 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE,SERUM | $22.20 | $37.00 | $12.99–$37.00 | 86% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LH BY ICMA | $24.00 | $40.00 | $14.04–$40.00 | 85% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE,SERUM | $22.20 | $37.00 | $11.17–$30.34 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH BY ICMA | $24.00 | $40.00 | $12.08–$32.80 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (BODY FLUID) | $53.40 | $89.00 | $31.24–$89.00 | 43% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID EPOC | $53.40 | $89.00 | $31.24–$89.00 | 43% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (CSF) | $53.40 | $89.00 | $31.24–$89.00 | 43% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PLASMA | $53.40 | $89.00 | $31.24–$89.00 | 43% below | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (BODY FLUID) | $53.40 | $89.00 | $26.88–$72.98 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (CSF) | $53.40 | $89.00 | $26.88–$72.98 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID EPOC | $53.40 | $89.00 | $26.88–$72.98 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID PLASMA | $53.40 | $89.00 | $26.88–$72.98 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, TOTAL | $15.00 | $25.00 | $8.77–$25.00 | 75% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FL | $64.20 | $107.00 | $37.56–$107.00 | 9% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LDH) | $64.20 | $107.00 | $37.56–$107.00 | 9% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE(LDH) CSF | $64.20 | $107.00 | $37.56–$107.00 | 9% above | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH, TOTAL | $15.00 | $25.00 | $7.55–$20.50 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE BODY FL | $64.20 | $107.00 | $32.31–$87.74 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE(LDH) CSF | $64.20 | $107.00 | $32.31–$87.74 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LDH) | $64.20 | $107.00 | $32.31–$87.74 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $77.40 | $129.00 | $45.28–$129.00 | 10% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $77.40 | $129.00 | $38.96–$105.78 | — | 40% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $58.80 | $98.00 | $34.40–$98.00 | 62% below | 40% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $58.80 | $98.00 | $29.60–$80.36 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME AB SCRN w REFLEX WB | $103.20 | $172.00 | $60.37–$172.00 | 21% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB SCRN w REFLEX WB | $103.20 | $172.00 | $51.94–$141.04 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, RANDOM URINE | $16.20 | $27.00 | $9.48–$27.00 | 70% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, 24 HOUR URINE | $16.20 | $27.00 | $9.48–$27.00 | 70% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $19.20 | $32.00 | $11.23–$32.00 | 64% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, 24HR URINE | $19.20 | $32.00 | $11.23–$32.00 | 64% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM,SERUM | $42.00 | $70.00 | $24.57–$70.00 | 22% below | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24 HOUR URINE | $16.20 | $27.00 | $8.15–$22.14 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, RANDOM URINE | $16.20 | $27.00 | $8.15–$22.14 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24HR URINE | $19.20 | $32.00 | $9.66–$26.24 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $19.20 | $32.00 | $9.66–$26.24 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM,SERUM | $42.00 | $70.00 | $21.14–$57.40 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM AB MEASLES | $36.60 | $61.00 | $21.41–$61.00 | 53% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA,IGG ANTIBODY | $36.60 | $61.00 | $21.41–$61.00 | 53% below | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA,IGG ANTIBODY | $36.60 | $61.00 | $18.42–$50.02 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM AB MEASLES | $36.60 | $61.00 | $18.42–$50.02 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE DIFF ABSOLRPTION | $52.20 | $87.00 | $30.54–$87.00 | 17% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $69.60 | $116.00 | $40.72–$116.00 | 10% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE DIFF ABSOLRPTION | $52.20 | $87.00 | $26.27–$71.34 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $69.60 | $116.00 | $35.03–$95.12 | — | 40% |
| Mumps immunity blood test CPT 86735 MUMPS TITRE | $20.40 | $34.00 | $11.93–$34.00 | 76% below | 40% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AB LGG/LGM | $20.40 | $34.00 | $11.93–$34.00 | 76% below | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB LGG/LGM | $20.40 | $34.00 | $10.27–$27.88 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS TITRE | $20.40 | $34.00 | $10.27–$27.88 | — | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PROFILE OUTPATIENT | $156.00 | $260.00 | $91.26–$260.00 | 26% above | 40% |
| Obstetric blood test panel CPT 80055 RPR/OB PROFILE | $156.00 | $260.00 | $91.26–$260.00 | 26% above | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PROFILE OUTPATIENT | $156.00 | $260.00 | $78.52–$213.20 | — | 40% |
| Obstetric blood test panel inpatient CPT 80055 RPR/OB PROFILE | $156.00 | $260.00 | $78.52–$213.20 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $42.60 | $71.00 | $24.92–$71.00 | 64% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $42.60 | $71.00 | $21.44–$58.22 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $42.60 | $71.00 | $24.92–$71.00 | 61% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC AG | $129.60 | $216.00 | $75.82–$216.00 | 19% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING TEST | $132.60 | $221.00 | $77.57–$221.00 | 21% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA | $42.60 | $71.00 | $21.44–$58.22 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC AG | $129.60 | $216.00 | $65.23–$177.12 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING TEST | $132.60 | $221.00 | $66.74–$181.22 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH BIOINTACT 1-84 | $94.80 | $158.00 | $55.46–$158.00 | 53% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $94.80 | $158.00 | $55.46–$158.00 | 53% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N-TERMINAL SPECIFIC | $115.80 | $193.00 | $67.74–$193.00 | 42% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C-TERMINAL | $115.80 | $193.00 | $67.74–$193.00 | 42% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID (INTACT) | $115.80 | $193.00 | $67.74–$193.00 | 42% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH (INTACT) | $115.80 | $193.00 | $67.74–$193.00 | 42% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH BIOINTACT 1-84 | $94.80 | $158.00 | $47.72–$129.56 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $94.80 | $158.00 | $47.72–$129.56 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH C-TERMINAL | $115.80 | $193.00 | $58.29–$158.26 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH N-TERMINAL SPECIFIC | $115.80 | $193.00 | $58.29–$158.26 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID (INTACT) | $115.80 | $193.00 | $58.29–$158.26 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (INTACT) | $115.80 | $193.00 | $58.29–$158.26 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-MIXING STUDY | $15.00 | $25.00 | $8.77–$25.00 | 72% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $51.60 | $86.00 | $30.19–$86.00 | 4% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (LAC) SCREEN | $106.20 | $177.00 | $62.13–$177.00 | 97% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR 8 SCREEN (PTT) | $106.20 | $177.00 | $62.13–$177.00 | 97% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-MIXING STUDY | $15.00 | $25.00 | $7.55–$20.50 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME | $51.60 | $86.00 | $25.97–$70.52 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 FACTOR 8 SCREEN (PTT) | $106.20 | $177.00 | $53.45–$145.14 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (LAC) SCREEN | $106.20 | $177.00 | $53.45–$145.14 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $27.00 | $45.00 | $15.79–$45.00 | 39% below | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Potassium blood test CPT 84132 POTASSIUM,SERUM | $37.20 | $62.00 | $21.76–$62.00 | 17% below | 40% |
| Potassium blood test CPT 84132 POTASSIUM EPOC | $37.20 | $62.00 | $21.76–$62.00 | 17% below | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM,SERUM | $37.20 | $62.00 | $18.72–$50.84 | — | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM EPOC | $37.20 | $62.00 | $18.72–$50.84 | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL ADVANCED | $1,654.20 | $2,757.00 | $967.71–$2,757.00 | 8% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL ADVANCED | $1,654.20 | $2,757.00 | $832.61–$2,260.74 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $138.60 | $231.00 | $81.08–$231.00 | 4% below | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $138.60 | $231.00 | $69.76–$189.42 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $136.80 | $228.00 | $80.03–$228.00 | at median | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $136.80 | $228.00 | $68.86–$186.96 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME PT | $30.60 | $51.00 | $17.90–$51.00 | 21% below | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME PT | $30.60 | $51.00 | $15.40–$41.82 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN RAPID THROAT | $109.80 | $183.00 | $64.23–$183.00 | 25% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN RAPID THROAT | $109.80 | $183.00 | $55.27–$150.06 | — | 40% |
| Renin blood test CPT 84244 RENIN,PLASMA | $115.20 | $192.00 | $67.39–$192.00 | 26% below | 40% |
| Renin blood test inpatient CPT 84244 RENIN,PLASMA | $115.20 | $192.00 | $57.98–$157.44 | — | 40% |
| Rh blood typing CPT 86901 RH BLOOD TYPING | $45.00 | $75.00 | $26.32–$75.00 | 9% below | 40% |
| Rh blood typing inpatient CPT 86901 RH BLOOD TYPING | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR PLEURAL FL | $28.20 | $47.00 | $16.50–$47.00 | 59% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR PLEURAL FL | $28.20 | $47.00 | $14.19–$38.54 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGM (EIA) | $33.00 | $55.00 | $19.30–$55.00 | 49% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER | $35.40 | $59.00 | $20.71–$59.00 | 46% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA G | $35.40 | $59.00 | $20.71–$59.00 | 46% below | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGM (EIA) | $33.00 | $55.00 | $16.61–$45.10 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA G | $35.40 | $59.00 | $17.82–$48.38 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER | $35.40 | $59.00 | $17.82–$48.38 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE WESTERGREN | $41.40 | $69.00 | $24.22–$69.00 | 24% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE WESTERGREN | $41.40 | $69.00 | $20.84–$56.58 | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS & SMEAR | $138.60 | $231.00 | $81.08–$231.00 | 8% below | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS & SMEAR | $138.60 | $231.00 | $69.76–$189.42 | — | 40% |
| Sodium blood test CPT 84295 SODIUM,SERUM | $27.00 | $45.00 | $15.79–$45.00 | 37% below | 40% |
| Sodium blood test CPT 84295 SODIUM EPOC | $27.00 | $45.00 | $15.79–$45.00 | 37% below | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM EPOC | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM,SERUM | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Stool ova and parasites exam CPT 87177 O&P CONCENTRATE RESULTS | $67.80 | $113.00 | $39.66–$113.00 | 36% below | 40% |
| Stool ova and parasites exam inpatient CPT 87177 O&P CONCENTRATE RESULTS | $67.80 | $113.00 | $34.13–$92.66 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT WO SIGNS & SYMPTMS | $18.00 | $30.00 | $10.53–$30.00 | 40% below | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCULT WO SIGNS & SYMPTMS | $18.00 | $30.00 | $9.06–$24.60 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IFOB | $19.20 | $32.00 | $11.23–$32.00 | 67% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD (IFOB) LCMG | $19.20 | $32.00 | $11.23–$32.00 | 67% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD IFOB | $19.20 | $32.00 | $9.66–$26.24 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD (IFOB) LCMG | $19.20 | $32.00 | $9.66–$26.24 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL PALLIDIM IG/IGM PA | $31.20 | $52.00 | $18.25–$52.00 | 54% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $43.80 | $73.00 | $25.62–$73.00 | 35% below | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMAL PALLIDIM IG/IGM PA | $31.20 | $52.00 | $15.70–$42.64 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $43.80 | $73.00 | $22.05–$59.86 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL,SPINAL FLUID | $22.80 | $38.00 | $13.34–$38.00 | 51% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $28.20 | $47.00 | $16.50–$47.00 | 40% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL,SPINAL FLUID | $22.80 | $38.00 | $11.48–$31.16 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $28.20 | $47.00 | $14.19–$38.54 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $172.20 | $287.00 | $100.74–$287.00 | 18% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $172.20 | $287.00 | $86.67–$235.34 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL | $59.40 | $99.00 | $34.75–$99.00 | 47% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,SERUM | $175.20 | $292.00 | $102.49–$292.00 | 55% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL | $59.40 | $99.00 | $29.90–$81.18 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,SERUM | $175.20 | $292.00 | $88.18–$239.44 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB MICROSOM | $30.60 | $51.00 | $17.90–$51.00 | 71% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL AB SCR | $70.20 | $117.00 | $41.07–$117.00 | 34% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AUTOANTIBODIES | $457.20 | $762.00 | $267.46–$762.00 | 329% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB MICROSOM | $30.60 | $51.00 | $15.40–$41.82 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL AB SCR | $70.20 | $117.00 | $35.33–$95.94 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AUTOANTIBODIES | $457.20 | $762.00 | $230.12–$624.84 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (NEONATE) | $36.00 | $60.00 | $21.06–$60.00 | 74% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $117.00 | $195.00 | $68.44–$195.00 | 16% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 60 MINUTE POST | $148.20 | $247.00 | $86.70–$247.00 | 6% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE-HS | $148.20 | $247.00 | $86.70–$247.00 | 6% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 30 MINUTE POST | $148.20 | $247.00 | $86.70–$247.00 | 6% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 40 MINUTE POST | $148.20 | $247.00 | $86.70–$247.00 | 6% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 20 MINUTE POST | $148.20 | $247.00 | $86.70–$247.00 | 6% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (PKU) 50177 | $148.20 | $247.00 | $86.70–$247.00 | 6% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (NEONATE) | $36.00 | $60.00 | $18.12–$49.20 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $117.00 | $195.00 | $58.89–$159.90 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 20 MINUTE POST | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE-HS | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 30 MINUTE POST | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 40 MINUTE POST | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 60 MINUTE POST | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (PKU) 50177 | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Total IgE blood test CPT 82785 RAST SOUTHEAST REGION III | $33.60 | $56.00 | $19.66–$56.00 | 75% below | 40% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $800.40 | $1,334.00 | $468.23–$1,334.00 | 490% above | 40% |
| Total IgE blood test CPT 82785 RAST IGE | $880.20 | $1,467.00 | $514.92–$1,467.00 | 549% above | 40% |
| Total IgE blood test inpatient CPT 82785 RAST SOUTHEAST REGION III | $33.60 | $56.00 | $16.91–$45.92 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E | $800.40 | $1,334.00 | $402.87–$1,093.88 | — | 40% |
| Total IgE blood test inpatient CPT 82785 RAST IGE | $880.20 | $1,467.00 | $443.03–$1,202.94 | — | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $49.80 | $83.00 | $29.13–$83.00 | 26% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL,SERUM | $49.80 | $83.00 | $29.13–$83.00 | 26% above | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL,SERUM | $49.80 | $83.00 | $25.07–$68.06 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $49.80 | $83.00 | $25.07–$68.06 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $18.00 | $30.00 | $10.53–$30.00 | 73% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE) | $52.20 | $87.00 | $30.54–$87.00 | 22% below | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL | $18.00 | $30.00 | $9.06–$24.60 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE) | $52.20 | $87.00 | $26.27–$71.34 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (T3) | $22.20 | $37.00 | $12.99–$37.00 | 82% below | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (T3 BY RIA) | $122.40 | $204.00 | $71.60–$204.00 | 2% above | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE (T3) | $22.20 | $37.00 | $11.17–$30.34 | — | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE (T3 BY RIA) | $122.40 | $204.00 | $61.61–$167.28 | — | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN (S) | $30.00 | $50.00 | $17.55–$50.00 | 74% below | 40% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN (S) | $30.00 | $50.00 | $15.10–$41.00 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 LACTOBACILLUS CRISPATUS+5 RRNA | $63.00 | $105.00 | $36.85–$105.00 | 54% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $75.60 | $126.00 | $44.23–$126.00 | 44% below | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 LACTOBACILLUS CRISPATUS+5 RRNA | $63.00 | $105.00 | $31.71–$86.10 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $75.60 | $126.00 | $38.05–$103.32 | — | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES,SERUM | $45.60 | $76.00 | $26.68–$76.00 | 2% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $45.60 | $76.00 | $26.68–$76.00 | 2% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES,BODY FLUID | $45.60 | $76.00 | $26.68–$76.00 | 2% above | 40% |
| Triglycerides blood test CPT 84478 CHYLURIA TRIGLYCERIDES | $45.60 | $76.00 | $26.68–$76.00 | 2% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE/CHOLESTEROLS | $139.80 | $233.00 | $81.78–$233.00 | 214% above | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $45.60 | $76.00 | $22.95–$62.32 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES,BODY FLUID | $45.60 | $76.00 | $22.95–$62.32 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES,SERUM | $45.60 | $76.00 | $22.95–$62.32 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 CHYLURIA TRIGLYCERIDES | $45.60 | $76.00 | $22.95–$62.32 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE/CHOLESTEROLS | $139.80 | $233.00 | $70.37–$191.06 | — | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN 1 POINT OF CARE | $73.20 | $122.00 | $42.82–$122.00 | 47% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN | $73.20 | $122.00 | $42.82–$122.00 | 47% below | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN 1 POINT OF CARE | $73.20 | $122.00 | $36.84–$100.04 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $73.20 | $122.00 | $36.84–$100.04 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $49.20 | $82.00 | $28.78–$82.00 | 17% below | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $49.20 | $82.00 | $24.76–$67.24 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $57.00 | $95.00 | $33.34–$95.00 | 13% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/O CULTURE | $73.20 | $122.00 | $42.82–$122.00 | 12% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $57.00 | $95.00 | $28.69–$77.90 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/O CULTURE | $73.20 | $122.00 | $36.84–$100.04 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY | $27.00 | $45.00 | $15.79–$45.00 | 3% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK W/O MICRO | $27.00 | $45.00 | $15.79–$45.00 | 3% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 OB-UA | $27.00 | $45.00 | $15.79–$45.00 | 3% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OB-UA | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK W/O MICRO | $27.00 | $45.00 | $13.59–$36.90 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE,URINARY TRACT | $60.60 | $101.00 | $35.45–$101.00 | 41% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE,URINE | $60.60 | $101.00 | $35.45–$101.00 | 41% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE,URINARY TRACT | $60.60 | $101.00 | $30.50–$82.82 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE,URINE | $60.60 | $101.00 | $30.50–$82.82 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR URINE | $46.80 | $78.00 | $27.38–$78.00 | 35% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, URINE | $46.80 | $78.00 | $27.38–$78.00 | 35% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN RANDOM | $46.80 | $78.00 | $27.38–$78.00 | 35% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24HR URINE | $46.80 | $78.00 | $23.56–$63.96 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, URINE | $46.80 | $78.00 | $23.56–$63.96 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN RANDOM | $46.80 | $78.00 | $23.56–$63.96 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST (URINE) | $87.00 | $145.00 | $50.90–$145.00 | 5% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST (URINE) | $87.00 | $145.00 | $43.79–$118.90 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $74.40 | $124.00 | $43.52–$124.00 | 32% below | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $74.40 | $124.00 | $37.45–$101.68 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH TOTAL | $66.60 | $111.00 | $38.96–$111.00 | 57% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH (LC/MS/MS) | $141.00 | $235.00 | $82.48–$235.00 | 8% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH TOTAL | $66.60 | $111.00 | $33.52–$91.02 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH (LC/MS/MS) | $141.00 | $235.00 | $70.97–$192.70 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D,DIHYDROXY | $125.40 | $209.00 | $73.36–$209.00 | 21% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D,DIHYDROXY | $125.40 | $209.00 | $63.12–$171.38 | — | 40% |
| Zinc blood test CPT 84630 ZINC LEVEL | $63.00 | $105.00 | $36.85–$105.00 | 56% below | 40% |
| Zinc blood test inpatient CPT 84630 ZINC LEVEL | $63.00 | $105.00 | $31.71–$86.10 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B HCG | $21.00 | $35.00 | $12.28–$35.00 | 76% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG,SERUM (QUANTITY) | $108.00 | $180.00 | $63.18–$180.00 | 23% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-HCG TUMOR MARKER | $118.80 | $198.00 | $69.50–$198.00 | 35% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, SERUM | $118.80 | $198.00 | $69.50–$198.00 | 35% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG | $179.40 | $299.00 | $104.95–$299.00 | 104% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B HCG | $21.00 | $35.00 | $10.57–$28.70 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG,SERUM (QUANTITY) | $108.00 | $180.00 | $54.36–$147.60 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-HCG TUMOR MARKER | $118.80 | $198.00 | $59.80–$162.36 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, SERUM | $118.80 | $198.00 | $59.80–$162.36 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG | $179.40 | $299.00 | $90.30–$245.18 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY PRIMARY; <12 YO | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 70% below | 40% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTH AID ANT LIG REPR/AUG/RECO | $5,249.40 | $8,749.00 | $3,070.90–$8,749.00 | 81% below | 40% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTH SHLDR SRG W/ RCUF REPAIR | $4,612.80 | $7,688.00 | $2,698.49–$7,688.00 | 85% below | 40% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 SIN ENDO W/BAL DIL MAX SINUS | $8,761.20 | $14,602.00 | $5,125.30–$14,602.00 | at median | 40% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 SIN ENDO W/BAL DIL MAX SIN BIL | $13,141.80 | $21,903.00 | $7,687.95–$21,903.00 | 50% above | 40% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 SIN ENDO W/BAL DIL MAX SIN BIL | $13,141.80 | $21,903.00 | $6,614.71–$17,960.46 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 BREAST BX 1ST LESION STEREO BI | $5,781.60 | $9,636.00 | $3,382.24–$9,636.00 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BREAST BX 1ST LESION STEREO RT | $3,854.40 | $6,424.00 | $2,254.82–$6,424.00 | 13% above | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BREAST BX 1ST LESION STEREO LT | $3,854.40 | $6,424.00 | $2,254.82–$6,424.00 | 13% above | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient both sides CPT 19081 BREAST BX 1ST LESION STEREO BI | $5,781.60 | $9,636.00 | $2,910.07–$7,901.52 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST BX 1ST LESION STEREO LT | $3,854.40 | $6,424.00 | $1,940.05–$5,267.68 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST BX 1ST LESION STEREO RT | $3,854.40 | $6,424.00 | $1,940.05–$5,267.68 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $178.80 | $298.00 | $104.60–$298.00 | 41% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE | $178.80 | $298.00 | $90.00–$244.36 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $276.00 | $460.00 | $161.46–$460.00 | 49% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX WO MANIP | $338.40 | $564.00 | $197.96–$564.00 | 37% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE | $276.00 | $460.00 | $138.92–$377.20 | — | 40% |
| Bunion correction with a bone cut near the head of the first metatarsal both sides CPT 28296 BILAT BUNION CORR W/MTRSL INC | $3,649.80 | $6,083.00 | $2,135.13–$6,083.00 | — | 40% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORR BUNIN, RESECT W/MET OSTEO | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 81% below | 40% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient both sides CPT 28296 BILAT BUNION CORR W/MTRSL INC | $3,649.80 | $6,083.00 | $1,837.07–$4,988.06 | — | 40% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORR BUNIN KELER/MCBRIDE/MAYO | $3,471.00 | $5,785.00 | $2,030.54–$5,785.00 | 61% below | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC COR ANG W LVGRAM W SI | $11,196.60 | $18,661.00 | $6,550.01–$18,661.00 | 1% below | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC COR ANG W LVGRAM W SI | $11,196.60 | $18,661.00 | $5,635.62–$15,302.02 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $611.40 | $1,019.00 | $357.67–$1,019.00 | 56% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE, EXTNL | $1,058.40 | $1,764.00 | $619.16–$1,764.00 | 24% below | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $611.40 | $1,019.00 | $307.74–$835.58 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE, EXTNL | $1,058.40 | $1,764.00 | $532.73–$1,446.48 | — | 40% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL RELEASE OPEN | $2,739.00 | $4,565.00 | $1,602.31–$4,565.00 | 53% below | 40% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL RELEASE OPEN BIL | $4,108.80 | $6,848.00 | $2,403.65–$6,848.00 | 30% below | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL RELEASE OPEN BIL | $4,108.80 | $6,848.00 | $2,068.10–$5,615.36 | — | 40% |
| Cataract surgery with lens implant CPT 66984 REMOVE CATARACT, INSERT LENS | $6,457.80 | $10,763.00 | $3,777.81–$10,763.00 | 152% above | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCIS OTHER THAN NEWBORN | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 12% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/ULNA | $357.00 | $595.00 | $208.84–$595.00 | 6% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS/ULNA | $357.00 | $595.00 | $179.69–$487.90 | — | 40% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY, LESION REMOVAL | $1,455.60 | $2,426.00 | $851.53–$2,426.00 | 37% below | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $1,455.60 | $2,426.00 | $851.53–$2,426.00 | 65% below | 40% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,455.60 | $2,426.00 | $851.53–$2,426.00 | 51% below | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CERV COLP LEEP W BX | $3,864.60 | $6,441.00 | $2,260.79–$6,441.00 | 692% above | 40% |
| Complex cataract surgery with lens implant CPT 66982 CATARACT, EXTRACAPSULAR | $4,279.20 | $7,132.00 | $2,503.33–$7,132.00 | 67% above | 40% |
| Coronary stent placement, one artery CPT 92928 COR BM STENT SGL VSL ELECT RC | $5,622.00 | $9,370.00 | $3,288.87–$9,370.00 | 57% below | 40% |
| Coronary stent placement, one artery CPT 92928 PERC DES SGL ART LM | $5,622.00 | $9,370.00 | $3,288.87–$9,370.00 | 57% below | 40% |
| Coronary stent placement, one artery CPT 92928 COR BM STENT SGL VSL ELECT LM | $5,622.00 | $9,370.00 | $3,288.87–$9,370.00 | 57% below | 40% |
| Coronary stent placement, one artery CPT 92928 COR BM STENT SGL VSL ELECT LC | $5,622.00 | $9,370.00 | $3,288.87–$9,370.00 | 57% below | 40% |
| Coronary stent placement, one artery CPT 92928 COR BM STENT SGL VSL ELECT LD | $5,622.00 | $9,370.00 | $3,288.87–$9,370.00 | 57% below | 40% |
| Coronary stent placement, one artery CPT 92928 STENT CARD W ANGIO 1 VSL | $8,014.80 | $13,358.00 | $4,688.66–$13,358.00 | 39% below | 40% |
| Coronary stent placement, one artery CPT 92928 PERC DES SGL ART LC | $33,104.40 | $55,174.00 | $19,366.07–$55,174.00 | 152% above | 40% |
| Coronary stent placement, one artery CPT 92928 PER DES SGL ART LD | $33,104.40 | $55,174.00 | $19,366.07–$55,174.00 | 152% above | 40% |
| Coronary stent placement, one artery CPT 92928 PERC DES SGL ART RC | $33,104.40 | $55,174.00 | $19,366.07–$55,174.00 | 152% above | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 PERC DES SGL ART LM | $5,622.00 | $9,370.00 | $2,829.74–$7,683.40 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 COR BM STENT SGL VSL ELECT RC | $5,622.00 | $9,370.00 | $2,829.74–$7,683.40 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 COR BM STENT SGL VSL ELECT LM | $5,622.00 | $9,370.00 | $2,829.74–$7,683.40 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 COR BM STENT SGL VSL ELECT LD | $5,622.00 | $9,370.00 | $2,829.74–$7,683.40 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 COR BM STENT SGL VSL ELECT LC | $5,622.00 | $9,370.00 | $2,829.74–$7,683.40 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT CARD W ANGIO 1 VSL | $8,014.80 | $13,358.00 | $4,034.12–$10,953.56 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 PER DES SGL ART LD | $33,104.40 | $55,174.00 | $16,662.55–$45,242.68 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 PERC DES SGL ART RC | $33,104.40 | $55,174.00 | $16,662.55–$45,242.68 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 PERC DES SGL ART LC | $33,104.40 | $55,174.00 | $16,662.55–$45,242.68 | — | 40% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY W/INSERTION STENT | $3,594.00 | $5,990.00 | $2,102.49–$5,990.00 | 51% below | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $1,674.60 | $2,791.00 | $979.64–$2,791.00 | 238% above | 40% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $1,456.80 | $2,428.00 | $852.23–$2,428.00 | 56% below | 40% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C DX AND/OR THERAPEUT NON-OB | $2,514.00 | $4,190.00 | $1,470.69–$4,190.00 | 24% below | 40% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE | $1,456.80 | $2,428.00 | $733.26–$1,990.96 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN/PREMAL LESION | $41.40 | $69.00 | $24.22–$69.00 | 73% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY BENIGN/PREMAL LESION | $41.40 | $69.00 | $20.84–$56.58 | — | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear both sides CPT 69436 BILAT TYMPANOSTOMY GEN ANEST | $4,816.20 | $8,027.00 | $2,817.48–$8,027.00 | — | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY GEN ANEST | $3,703.80 | $6,173.00 | $2,166.72–$6,173.00 | 29% below | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient both sides CPT 69436 BILAT TYMPANOSTOMY GEN ANEST | $4,816.20 | $8,027.00 | $2,424.15–$6,582.14 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $85.20 | $142.00 | $49.84–$142.00 | 27% below | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI | $85.20 | $142.00 | $42.88–$116.44 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $70.20 | $117.00 | $41.07–$117.00 | 45% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $95.40 | $159.00 | $55.81–$159.00 | 25% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX BIL | $143.40 | $239.00 | $83.89–$239.00 | 13% above | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX | $70.20 | $117.00 | $35.33–$95.94 | — | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX BIL | $143.40 | $239.00 | $72.18–$195.98 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $179.40 | $299.00 | $104.95–$299.00 | 46% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $179.40 | $299.00 | $90.30–$245.18 | — | 40% |
| Endoscopic sinus surgery: full ethmoid sinus opening both sides CPT 31255 BILAT ETHMOIDECTOMY | $6,117.60 | $10,196.00 | $3,578.80–$10,196.00 | — | 40% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 ETHOMOIDECTOMY | $8,271.00 | $13,785.00 | $4,838.54–$13,785.00 | at median | 40% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient both sides CPT 31255 BILAT ETHMOIDECTOMY | $6,117.60 | $10,196.00 | $3,079.19–$8,360.72 | — | 40% |
| Endoscopic sinus surgery: opening the frontal sinus both sides CPT 31276 SINUS SURGICAL ENDOSCOPY BILAT | $7,299.60 | $12,166.00 | $4,270.27–$12,166.00 | — | 40% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 SINUS SURGICAL ENDOSCOPY | $5,614.80 | $9,358.00 | $3,284.66–$9,358.00 | 58% below | 40% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient both sides CPT 31276 SINUS SURGICAL ENDOSCOPY BILAT | $7,299.60 | $12,166.00 | $3,674.13–$9,976.12 | — | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NAS/SIN ENDO W/MAX ANSTRO UNI | $4,377.60 | $7,296.00 | $2,560.90–$7,296.00 | at median | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NAS/SIN ENDO W/MAX ANSTRO BIL | $6,566.40 | $10,944.00 | $3,841.34–$10,944.00 | 50% above | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 NAS/SIN ENDO W/MAX ANSTRO BIL | $6,566.40 | $10,944.00 | $3,305.09–$8,974.08 | — | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue both sides CPT 31267 ENDOSCOP MAXILLARY SINUS BILAT | $6,158.40 | $10,264.00 | $3,602.66–$10,264.00 | — | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY, MAXILLARY SINUS | $4,737.60 | $7,896.00 | $2,771.50–$7,896.00 | 14% below | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient both sides CPT 31267 ENDOSCOP MAXILLARY SINUS BILAT | $6,158.40 | $10,264.00 | $3,099.73–$8,416.48 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 BILAT FACET INJ LUMB/SAC | $2,385.00 | $3,975.00 | $1,395.22–$3,975.00 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET BLOCK LS 1ST LEVEL | $431.40 | $719.00 | $252.37–$719.00 | 81% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT FACET LS 1ST LEVE | $832.80 | $1,388.00 | $487.19–$1,388.00 | 64% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ, FACET, LUMBAR/SAC; SINGLE | $1,834.20 | $3,057.00 | $1,073.01–$3,057.00 | 20% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 BILAT FACET INJ LUMB/SAC | $2,385.00 | $3,975.00 | $1,200.45–$3,259.50 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET BLOCK LS 1ST LEVEL | $431.40 | $719.00 | $217.14–$589.58 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT FACET LS 1ST LEVE | $832.80 | $1,388.00 | $419.18–$1,138.16 | — | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10CM RED | $6,375.60 | $10,626.00 | $3,729.73–$10,626.00 | 76% below | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR AA HERNIA 1ST <3CM RDC | $8,313.00 | $13,855.00 | $4,863.10–$13,855.00 | 49% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 31% below | 40% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY; CHOLECYSTECOMY | $8,391.00 | $13,985.00 | $4,908.73–$13,985.00 | 56% below | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 GALLBLADDER REMOVAL | $9,895.80 | $16,493.00 | $5,789.04–$16,493.00 | 44% below | 40% |
| Hammertoe correction surgery CPT 28285 CORRECTION, HAMMERTOE | $3,223.20 | $5,372.00 | $1,885.57–$5,372.00 | 47% below | 40% |
| Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE BIL | $4,834.80 | $8,058.00 | $2,828.36–$8,058.00 | 20% below | 40% |
| Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMERTOE BIL | $4,834.80 | $8,058.00 | $2,433.52–$6,607.56 | — | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY BAND LIGATION | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 19% below | 40% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $2,375.40 | $3,959.00 | $1,389.61–$3,959.00 | 68% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO SURG | $329.40 | $549.00 | $192.70–$549.00 | at median | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO SURG | $329.40 | $549.00 | $165.80–$450.18 | — | 40% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, D & C W/ABLATION | $4,030.80 | $6,718.00 | $2,358.02–$6,718.00 | 63% below | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY W/D & C | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 64% below | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD | $949.45 | $1,582.41 | $555.43–$1,582.41 | 227% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL | $264.60 | $441.00 | $154.79–$441.00 | 27% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $324.60 | $541.00 | $189.89–$541.00 | 11% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE | $324.60 | $541.00 | $189.89–$541.00 | 11% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION ABSCESS SMPL OR SGL | $324.60 | $541.00 | $189.89–$541.00 | 11% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE OR SINGLE | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 242% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL | $264.60 | $441.00 | $133.18–$361.62 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS | $324.60 | $541.00 | $163.38–$443.62 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION ABSCESS SMPL OR SGL | $324.60 | $541.00 | $163.38–$443.62 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE | $324.60 | $541.00 | $163.38–$443.62 | — | 40% |
| Inguinal (groin) hernia repair, age 5 or older both sides CPT 49505 INGUIN HERNIA RPR >5YO BILAT | $5,239.80 | $8,733.00 | $3,065.28–$8,733.00 | — | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $3,079.20 | $5,132.00 | $1,801.33–$5,132.00 | 45% below | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 INGUIN HERNIA REPAIR > 5 YO | $4,030.80 | $6,718.00 | $2,358.02–$6,718.00 | 29% below | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient both sides CPT 49505 INGUIN HERNIA RPR >5YO BILAT | $5,239.80 | $8,733.00 | $2,637.37–$7,161.06 | — | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INGUINAL HERNIA | $3,079.20 | $5,132.00 | $1,549.86–$4,208.24 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH/LIGAMENT | $145.80 | $243.00 | $85.29–$243.00 | 70% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST | $163.20 | $272.00 | $95.47–$272.00 | 67% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON/LIGAMENT/CYST | $163.20 | $272.00 | $82.14–$223.04 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHTH/LIGAMENT | $415.80 | $693.00 | $209.29–$568.26 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 DRAIN/INJCT MAJ JNT/BRSA BILAT | $1,621.20 | $2,702.00 | $948.40–$2,702.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP OR INJ MAJOR JOINT BURSA | $220.20 | $367.00 | $128.82–$367.00 | 66% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT,JOINT/BURSA | $220.20 | $367.00 | $128.82–$367.00 | 66% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HIP INJ SURG | $231.60 | $386.00 | $135.49–$386.00 | 64% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT CYST ASP L | $231.60 | $386.00 | $135.49–$386.00 | 64% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LARGE JOINT | $231.60 | $386.00 | $135.49–$386.00 | 64% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CYST ASP MAJOR JOINT SURG R | $231.60 | $386.00 | $135.49–$386.00 | 64% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT MAJ JOINT/BURSA | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 93% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 DRAIN/INJCT MAJ JNT/BRSA BILAT | $1,621.20 | $2,702.00 | $816.00–$2,215.64 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT,JOINT/BURSA | $220.20 | $367.00 | $110.83–$300.94 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP OR INJ MAJOR JOINT BURSA | $220.20 | $367.00 | $110.83–$300.94 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LARGE JOINT | $231.60 | $386.00 | $116.57–$316.52 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT CYST ASP L | $231.60 | $386.00 | $116.57–$316.52 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HIP INJ SURG | $231.60 | $386.00 | $116.57–$316.52 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CYST ASP MAJOR JOINT SURG R | $231.60 | $386.00 | $116.57–$316.52 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT | $181.20 | $302.00 | $106.00–$302.00 | 44% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP OR INJ INTERM JOINT BURSA | $168.00 | $280.00 | $98.28–$280.00 | 61% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT,JOINT/BURSA | $168.00 | $280.00 | $98.28–$280.00 | 61% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INT JOINT/BURSA UNI | $396.00 | $660.00 | $231.66–$660.00 | 9% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA BIL | $594.00 | $990.00 | $347.49–$990.00 | 36% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT,JOINT/BURSA | $168.00 | $280.00 | $84.56–$229.60 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP OR INJ INTERM JOINT BURSA | $168.00 | $280.00 | $84.56–$229.60 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA BIL | $594.00 | $990.00 | $298.98–$811.80 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 DRAIN/INJCT SM JNT/BURSA BILAT | $2,025.60 | $3,376.00 | $1,184.98–$3,376.00 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP OR INJ SMALL JOINT BURSA | $163.20 | $272.00 | $95.47–$272.00 | 57% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT,JOINT/BURSA | $163.20 | $272.00 | $95.47–$272.00 | 57% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT | $171.60 | $286.00 | $100.39–$286.00 | 54% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SM JOINT/BURSA | $1,558.20 | $2,597.00 | $911.55–$2,597.00 | 315% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient both sides CPT 20600 DRAIN/INJCT SM JNT/BURSA BILAT | $2,025.60 | $3,376.00 | $1,019.55–$2,768.32 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT,JOINT/BURSA | $163.20 | $272.00 | $82.14–$223.04 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP OR INJ SMALL JOINT BURSA | $163.20 | $272.00 | $82.14–$223.04 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTH SUR KNEE W/MENISCUS REPAR | $4,523.40 | $7,539.00 | $2,646.19–$7,539.00 | 81% below | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTH SUR KNEE MENISCEC MED/LAT | $4,545.00 | $7,575.00 | $2,658.82–$7,575.00 | 62% below | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTH SUR KNEE MENISCEC MED/LAT | $5,908.20 | $9,847.00 | $2,973.79–$8,074.54 | — | 40% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTH SUR KNEE MENISCEC MED&LAT | $4,523.40 | $7,539.00 | $2,646.19–$7,539.00 | 63% below | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTH SURG KNEE DEBRID/SHV CART | $4,594.20 | $7,657.00 | $2,687.61–$7,657.00 | 58% below | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTH KNEE DEBRID/SHV CART BILA | $5,972.40 | $9,954.00 | $3,493.85–$9,954.00 | 45% below | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTH KNEE DEBRID/SHV CART BILA | $5,972.40 | $9,954.00 | $3,006.11–$8,162.28 | — | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $7,822.20 | $13,037.00 | $4,575.99–$13,037.00 | 58% below | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries both sides CPT 58661 LAP; W REM ADNEXAL STRUC BILAT | $7,519.80 | $12,533.00 | $4,399.08–$12,533.00 | — | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP; W REM ADNEXAL STRUCTURES | $5,013.00 | $8,355.00 | $2,932.60–$8,355.00 | 70% below | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient both sides CPT 58661 LAP; W REM ADNEXAL STRUC BILAT | $7,519.80 | $12,533.00 | $3,784.97–$10,277.06 | — | 40% |
| Laser treatment of clouding after cataract surgery (YAG) both sides CPT 66821 BILATERAL YAG CAPSULOTOMY | $1,621.20 | $2,702.00 | $948.40–$2,702.00 | — | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG CAPSULOTOMY | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 64% above | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient both sides CPT 66821 BILATERAL YAG CAPSULOTOMY | $1,621.20 | $2,702.00 | $816.00–$2,215.64 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S) | $204.00 | $340.00 | $119.34–$340.00 | 61% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT | $283.80 | $473.00 | $166.02–$473.00 | 46% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE OF WOUND(S) | $204.00 | $340.00 | $102.68–$278.80 | — | 40% |
| Left heart catheterization, diagnostic CPT 93452 LHC W VGRAM W SI | $3,351.60 | $5,586.00 | $1,960.69–$5,586.00 | 56% below | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LHC W VGRAM W SI | $3,351.60 | $5,586.00 | $1,686.97–$4,580.52 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ, EPIDURAL SPACE W GUIDANCE | $1,186.20 | $1,977.00 | $693.93–$1,977.00 | 18% below | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ, EPIDURAL SPACE W GUIDANCE | $1,186.20 | $1,977.00 | $597.05–$1,621.14 | — | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $721.80 | $1,203.00 | $422.25–$1,203.00 | 54% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 BILAT INJ TRANSFORAM EPI LUMB | $2,260.80 | $3,768.00 | $1,322.57–$3,768.00 | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR INJ FORAMEN EPIDURAL L/S | $1,409.40 | $2,349.00 | $824.50–$2,349.00 | 25% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORAMINAL EPI LUMB | $1,740.00 | $2,900.00 | $1,017.90–$2,900.00 | 8% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 BILAT INJ TRANSFORAM EPI LUMB | $2,260.80 | $3,768.00 | $1,137.94–$3,089.76 | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IR INJ FORAMEN EPIDURAL L/S | $1,409.40 | $2,349.00 | $709.40–$1,926.18 | — | 40% |
| Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL (LUMPEC) | $3,345.00 | $5,575.00 | $1,956.82–$5,575.00 | 82% below | 40% |
| Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL(LUMPEC) BIL | $5,017.80 | $8,363.00 | $2,935.41–$8,363.00 | 73% below | 40% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL(LUMPEC) BIL | $5,017.80 | $8,363.00 | $2,525.63–$6,857.66 | — | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 D&C MISSED ABORTION | $2,049.60 | $3,416.00 | $1,199.02–$3,416.00 | 54% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION | $267.60 | $446.00 | $156.55–$446.00 | 69% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM/< | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 47% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 REMOVAL OF SKIN LESION | $267.60 | $446.00 | $134.69–$365.72 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF SKIN LESION | $221.40 | $369.00 | $129.52–$369.00 | 82% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5CM/< | $264.60 | $441.00 | $154.79–$441.00 | 79% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 REMOVAL OF SKIN LESION | $221.40 | $369.00 | $111.44–$302.58 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $64.80 | $108.00 | $37.91–$108.00 | 73% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE 1 | $64.80 | $108.00 | $37.91–$108.00 | 73% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL | $142.80 | $238.00 | $83.54–$238.00 | 41% below | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $64.80 | $108.00 | $32.62–$88.56 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE 1 | $64.80 | $108.00 | $32.62–$88.56 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH;OCCIPITAL NERVE | $396.00 | $660.00 | $231.66–$660.00 | 46% below | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH;OCCIPITAL NERVE | $396.00 | $660.00 | $199.32–$541.20 | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT/REPLACE PM ART & VENT | $7,442.40 | $12,404.00 | $4,353.80–$12,404.00 | 49% below | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT/REPLACE PM ART & VENT | $7,442.40 | $12,404.00 | $3,746.01–$10,171.28 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE ABD PELVIS SURG | $687.60 | $1,146.00 | $402.25–$1,146.00 | 54% below | 40% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS SURG | $900.00 | $1,500.00 | $526.50–$1,500.00 | 39% below | 40% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS INIT | $900.00 | $1,500.00 | $526.50–$1,500.00 | 39% below | 40% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W US | $900.00 | $1,500.00 | $526.50–$1,500.00 | 39% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAGING | $1,296.00 | $2,160.00 | $758.16–$2,160.00 | 13% below | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 DRAINAGE ABD PELVIS SURG | $687.60 | $1,146.00 | $346.09–$939.72 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS INIT | $900.00 | $1,500.00 | $453.00–$1,230.00 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W US | $900.00 | $1,500.00 | $453.00–$1,230.00 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS SURG | $900.00 | $1,500.00 | $453.00–$1,230.00 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $405.60 | $676.00 | $237.28–$676.00 | 40% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL | $405.60 | $676.00 | $237.28–$676.00 | 40% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 INGROWN NAIL EXC PERM REMOVAL | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 83% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $405.60 | $676.00 | $204.15–$554.32 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL | $405.60 | $676.00 | $204.15–$554.32 | — | 40% |
| Prostate biopsy CPT 55700 PROSTATE NEEDLE PUNCH BX | $1,455.60 | $2,426.00 | $851.53–$2,426.00 | 6% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $2,776.80 | $4,628.00 | $1,624.43–$4,628.00 | 29% below | 40% |
| Removal of a breast lump, open surgery both sides CPT 19120 EXC BREAST LES 1+ BILAT | $6,409.80 | $10,683.00 | $3,749.73–$10,683.00 | — | 40% |
| Removal of a breast lump, open surgery CPT 19120 EXC BREAST LESION WO/NDLE LOC | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 75% below | 40% |
| Removal of a breast lump, open surgery inpatient both sides CPT 19120 EXC BREAST LES 1+ BILAT | $6,409.80 | $10,683.00 | $3,226.27–$8,760.06 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SQ SIMPLE | $567.60 | $946.00 | $332.05–$946.00 | at median | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SQ SIMPLE | $567.60 | $946.00 | $285.69–$775.72 | — | 40% |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 TOTAL THYROID LOBECTOMY UNILAT | $4,030.80 | $6,718.00 | $2,358.02–$6,718.00 | 82% below | 40% |
| Septoplasty to straighten the nasal septum CPT 30520 REPR NASAL SEPTUM(SEPTOPLASTY) | $2,822.40 | $4,704.00 | $1,651.10–$4,704.00 | 52% below | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY | $13,364.40 | $22,274.00 | $7,818.17–$22,274.00 | 27% above | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY | $13,364.40 | $22,274.00 | $6,726.75–$18,264.68 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $87.60 | $146.00 | $51.25–$146.00 | 80% below | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Short arm splint (forearm and hand) both sides CPT 29125 APPLY SUGAR TONG SPLINT BILAT | $273.60 | $456.00 | $160.06–$456.00 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SUGAR TONG SPLINT | $182.40 | $304.00 | $106.70–$304.00 | 32% below | 40% |
| Short arm splint (forearm and hand) inpatient both sides CPT 29125 APPLY SUGAR TONG SPLINT BILAT | $273.60 | $456.00 | $137.71–$373.92 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SUGAR TONG SPLINT | $182.40 | $304.00 | $91.81–$249.28 | — | 40% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $91.80 | $153.00 | $53.70–$153.00 | 78% below | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST | $91.80 | $153.00 | $46.21–$125.46 | — | 40% |
| Short leg splint (calf to foot) both sides CPT 29515 BILATERAL SHORT LEG SPLINT | $84.60 | $141.00 | $49.49–$141.00 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $84.60 | $141.00 | $49.49–$141.00 | 69% below | 40% |
| Short leg splint (calf to foot) one side CPT 29515 SHORT RT LEG SPLINT | $84.60 | $141.00 | $49.49–$141.00 | 69% below | 40% |
| Short leg splint (calf to foot) one side CPT 29515 SHORT LT LEG SPLINT | $84.60 | $141.00 | $49.49–$141.00 | 69% below | 40% |
| Short leg splint (calf to foot) inpatient both sides CPT 29515 BILATERAL SHORT LEG SPLINT | $84.60 | $141.00 | $42.58–$115.62 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $84.60 | $141.00 | $42.58–$115.62 | — | 40% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 SHORT LT LEG SPLINT | $84.60 | $141.00 | $42.58–$115.62 | — | 40% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 SHORT RT LEG SPLINT | $84.60 | $141.00 | $42.58–$115.62 | — | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 DISTAL CLAVICULECTOMY | $4,523.40 | $7,539.00 | $2,646.19–$7,539.00 | 80% below | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTH SHLDR SRG DECOMP W/RELEAS | $4,523.40 | $7,539.00 | $2,646.19–$7,539.00 | 83% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR WOUND(S) 2.5CM OR LESS | $204.00 | $340.00 | $119.34–$340.00 | 37% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $204.00 | $340.00 | $119.34–$340.00 | 37% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/EXT 2.5CM/< | $300.60 | $501.00 | $175.85–$501.00 | 7% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $204.00 | $340.00 | $102.68–$278.80 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR WOUND(S) 2.5CM OR LESS | $204.00 | $340.00 | $102.68–$278.80 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SGL LESION | $671.40 | $1,119.00 | $392.77–$1,119.00 | 13% above | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SGL LESION | $671.40 | $1,119.00 | $337.94–$917.58 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 < CM | $768.00 | $1,280.00 | $449.28–$1,280.00 | 78% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 343% above | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS | $78.00 | $130.00 | $39.26–$106.60 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP,DIAGNOSTIC | $349.20 | $582.00 | $204.28–$582.00 | 66% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG WO INJ | $349.20 | $582.00 | $204.28–$582.00 | 66% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE | $367.20 | $612.00 | $214.81–$612.00 | 64% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP,DIAGNOSTIC | $349.20 | $582.00 | $175.76–$477.24 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG WO INJ | $349.20 | $582.00 | $175.76–$477.24 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE | $367.20 | $612.00 | $184.82–$501.84 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $196.20 | $327.00 | $114.78–$327.00 | 52% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR WOUND(S) 2.5CM - 7.5CM | $295.20 | $492.00 | $172.69–$492.00 | 28% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $196.20 | $327.00 | $98.75–$268.14 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR WOUND(S) 2.5CM - 7.5CM | $295.20 | $492.00 | $148.58–$403.44 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $173.40 | $289.00 | $101.44–$289.00 | 45% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $152.40 | $254.00 | $76.71–$208.28 | — | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTA TURP RESECT ELECTROSURG | $4,584.60 | $7,641.00 | $2,681.99–$7,641.00 | 71% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN LESION | $85.80 | $143.00 | $50.19–$143.00 | 69% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN ONE LESION | $85.80 | $143.00 | $50.19–$143.00 | 69% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $300.60 | $501.00 | $175.85–$501.00 | 9% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX-SKIN SQ/MM; SGL | $527.40 | $879.00 | $308.53–$879.00 | 90% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY SKIN ONE LESION | $85.80 | $143.00 | $43.19–$117.26 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY SKIN LESION | $85.80 | $143.00 | $43.19–$117.26 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $300.60 | $501.00 | $151.30–$410.82 | — | 40% |
| Thoracentesis with imaging guidance both sides CPT 32555 US THORACENTESIS BI CMP | $1,582.80 | $2,638.00 | $925.94–$2,638.00 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS FOR ASPIRATION L | $840.00 | $1,400.00 | $491.40–$1,400.00 | 40% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 DRAINAGE OF CHEST | $840.00 | $1,400.00 | $491.40–$1,400.00 | 40% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS FOR ASPIRATION R | $840.00 | $1,400.00 | $491.40–$1,400.00 | 40% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 DRAINAGE CHEST | $840.00 | $1,400.00 | $491.40–$1,400.00 | 40% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W TUBE INSERT | $840.00 | $1,400.00 | $491.40–$1,400.00 | 40% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS FOR ASP | $840.00 | $1,400.00 | $491.40–$1,400.00 | 40% below | 40% |
| Thoracentesis with imaging guidance inpatient both sides CPT 32555 US THORACENTESIS BI CMP | $1,582.80 | $2,638.00 | $796.68–$2,163.16 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS FOR ASP | $840.00 | $1,400.00 | $422.80–$1,148.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W TUBE INSERT | $840.00 | $1,400.00 | $422.80–$1,148.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 DRAINAGE OF CHEST | $840.00 | $1,400.00 | $422.80–$1,148.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS FOR ASPIRATION L | $840.00 | $1,400.00 | $422.80–$1,148.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS FOR ASPIRATION R | $840.00 | $1,400.00 | $422.80–$1,148.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 DRAINAGE CHEST | $840.00 | $1,400.00 | $422.80–$1,148.00 | — | 40% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 TONSIL & ADENOID; 12 YO AND > | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 67% below | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 TONSIL & ADENOID; <12 YO | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 55% below | 40% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY > 12 YO | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 73% below | 40% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | 48% below | 40% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $17,212.80 | $28,688.00 | $10,069.49–$28,688.00 | 49% below | 40% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY | $17,212.80 | $28,688.00 | $8,663.78–$23,524.16 | — | 40% |
| Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL OR CMPLT | $7,176.60 | $11,961.00 | $4,198.31–$11,961.00 | 75% below | 40% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION | $2,695.20 | $4,492.00 | $1,576.69–$4,492.00 | 183% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1 OR 2 MUSCLES | $178.20 | $297.00 | $104.25–$297.00 | 59% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION | $1,246.80 | $2,078.00 | $729.38–$2,078.00 | 186% above | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJ 1 OR 2 MUSCLES | $178.20 | $297.00 | $89.69–$243.54 | — | 40% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP TUB LIGATION W/BIPOL CAUT | $4,523.40 | $7,539.00 | $2,646.19–$7,539.00 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 US BREAST BX 1ST LESION BI | $3,160.20 | $5,267.00 | $1,848.72–$5,267.00 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BX 1ST LESION RT | $2,106.60 | $3,511.00 | $1,232.36–$3,511.00 | 20% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BX 1ST LESION LT | $2,106.60 | $3,511.00 | $1,232.36–$3,511.00 | 20% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 US BREAST BX 1ST LESION BI | $3,160.20 | $5,267.00 | $1,590.63–$4,318.94 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BREAST BX 1ST LESION RT | $2,106.60 | $3,511.00 | $1,060.32–$2,879.02 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BREAST BX 1ST LESION LT | $2,106.60 | $3,511.00 | $1,060.32–$2,879.02 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD/ENDO W/BALLOON DILA ESOPHA | $1,587.60 | $2,646.00 | $928.75–$2,646.00 | 69% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $1,455.60 | $2,426.00 | $851.53–$2,426.00 | 47% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $819.00 | $1,365.00 | $479.11–$1,365.00 | 70% below | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPR GAS ENDO W/PLYP SNRE REMOV | $1,926.00 | $3,210.00 | $1,126.71–$3,210.00 | 50% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPR GI EGD W/SAV DILA/GUIDEWIR | $1,455.60 | $2,426.00 | $851.53–$2,426.00 | 69% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS | $554.40 | $924.00 | $324.32–$924.00 | 72% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY, DX | $1,455.60 | $2,426.00 | $851.53–$2,426.00 | 25% below | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS | $554.40 | $924.00 | $279.05–$757.68 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNILATERAL/BILATERAL | $2,807.40 | $4,679.00 | $1,642.33–$4,679.00 | — | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESIONS UP TO 14 | $120.60 | $201.00 | $70.55–$201.00 | 69% below | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1 THRU 14 | $300.60 | $501.00 | $175.85–$501.00 | 23% below | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESIONS UP TO 14 | $120.60 | $201.00 | $60.70–$164.82 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ FIRST =<20 SQ CM | $778.20 | $1,297.00 | $455.25–$1,297.00 | 2% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE | $778.20 | $1,297.00 | $455.25–$1,297.00 | 2% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSU 20SQ CM/< | $778.20 | $1,297.00 | $455.25–$1,297.00 | 2% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ FIRST =<20 SQ CM | $778.20 | $1,297.00 | $391.69–$1,063.54 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE | $778.20 | $1,297.00 | $391.69–$1,063.54 | — | 40% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $4,279.20 | $7,132.00 | $2,503.33–$7,132.00 | 75% below | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION ADMINISTRATION | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 DIALYSIS TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ANP TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 L&D TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 5T TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 OR TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 REHAB TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 4T TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 3T TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 OBS TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 NSY TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 PP TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 PCU TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ICU TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 SCC TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 MOIC TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 CATH TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ANGIO TRANSFUSION ADMIN | $488.40 | $814.00 | $285.71–$814.00 | 52% below | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 DIALYSIS TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 SCC TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 MOIC TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CATH TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ANGIO TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION ADMINISTRATION | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ANP TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 L&D TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 REHAB TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 NSY TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PP TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PCU TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICU TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 5T TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 4T TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 3T TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBS TRANSFUSION ADMIN | $488.40 | $814.00 | $245.83–$667.48 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TX SUB LVL 1 | $277.20 | $462.00 | $162.16–$462.00 | 77% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TX SUB LVL 2 | $277.20 | $462.00 | $162.16–$462.00 | 77% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBTX SUB LVL 3 | $277.20 | $462.00 | $162.16–$462.00 | 77% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED/OBS INHALED MEDS | $277.20 | $462.00 | $162.16–$462.00 | 77% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB OR MDI TX INIT DAILY | $277.20 | $462.00 | $162.16–$462.00 | 77% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX SUB | $277.20 | $462.00 | $162.16–$462.00 | 77% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TX SUB LVL 2 | $277.20 | $462.00 | $139.52–$378.84 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TX SUB LVL 1 | $277.20 | $462.00 | $139.52–$378.84 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX SUB | $277.20 | $462.00 | $139.52–$378.84 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED/OBS INHALED MEDS | $277.20 | $462.00 | $139.52–$378.84 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB OR MDI TX INIT DAILY | $277.20 | $462.00 | $139.52–$378.84 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBTX SUB LVL 3 | $277.20 | $462.00 | $139.52–$378.84 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF 1ST HR SNGL OR INITL | $213.00 | $355.00 | $124.60–$355.00 | 72% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF 1ST HR SNGL OR INITL | $213.00 | $355.00 | $107.21–$291.10 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HR MOD 25 | $2,712.00 | $4,520.00 | $1,586.52–$4,520.00 | 4% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE,FIRST HOUR | $2,712.00 | $4,520.00 | $1,586.52–$4,520.00 | 4% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HR MOD 25 | $2,712.00 | $4,520.00 | $1,365.04–$3,706.40 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE,FIRST HOUR | $2,712.00 | $4,520.00 | $1,365.04–$3,706.40 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ROUTINE EEG | $436.20 | $727.00 | $255.18–$727.00 | 42% below | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG 20-40MIN AWAKE AND DROWSY | $538.20 | $897.00 | $314.85–$897.00 | 29% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ROUTINE EEG | $436.20 | $727.00 | $219.55–$596.14 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG 20-40MIN AWAKE AND DROWSY | $538.20 | $897.00 | $270.89–$735.54 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TECH FEE | $171.60 | $286.00 | $100.39–$286.00 | 33% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM,TRACING | $171.60 | $286.00 | $100.39–$286.00 | 33% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM,TRACING | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TECH FEE | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $1,640.40 | $2,734.00 | $959.63–$2,734.00 | 20% above | 40% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY | $1,640.40 | $2,734.00 | $825.67–$2,241.88 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT - I | $117.00 | $195.00 | $68.44–$195.00 | 61% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT 1 MOD 25 | $117.00 | $195.00 | $68.44–$195.00 | 61% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT - I | $117.00 | $195.00 | $58.89–$159.90 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT 1 MOD 25 | $117.00 | $195.00 | $58.89–$159.90 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT II MOD 25 | $234.00 | $390.00 | $136.89–$390.00 | 55% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT - II | $234.00 | $390.00 | $136.89–$390.00 | 55% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT - II | $234.00 | $390.00 | $117.78–$319.80 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT II MOD 25 | $234.00 | $390.00 | $117.78–$319.80 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT - 3 | $465.00 | $775.00 | $272.02–$775.00 | 47% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT 3 MOD 25 | $465.00 | $775.00 | $272.02–$775.00 | 47% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT 3 MOD 25 | $465.00 | $775.00 | $234.05–$635.50 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT - 3 | $465.00 | $775.00 | $234.05–$635.50 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT - 4 | $786.00 | $1,310.00 | $459.81–$1,310.00 | 47% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT 4 MOD 25 | $786.00 | $1,310.00 | $459.81–$1,310.00 | 47% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT 4 MOD 25 | $786.00 | $1,310.00 | $395.62–$1,074.20 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT - 4 | $786.00 | $1,310.00 | $395.62–$1,074.20 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT 5 MOD 25 | $1,353.60 | $2,256.00 | $791.86–$2,256.00 | 38% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT - 5 | $1,353.60 | $2,256.00 | $791.86–$2,256.00 | 38% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT - 5 | $1,353.60 | $2,256.00 | $681.31–$1,849.92 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT 5 MOD 25 | $1,353.60 | $2,256.00 | $681.31–$1,849.92 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TECH COMPONENT | $621.00 | $1,035.00 | $363.28–$1,035.00 | 40% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TECH COMPONENT | $621.00 | $1,035.00 | $312.57–$848.70 | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PT | $190.20 | $317.00 | $111.27–$317.00 | 41% below | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W PT | $190.20 | $317.00 | $95.73–$259.94 | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY GROUP WO PT | $190.20 | $317.00 | $111.27–$317.00 | 49% below | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY GROUP WO PT | $190.20 | $317.00 | $95.73–$259.94 | — | 40% |
| Group psychotherapy session CPT 90853 GROUP THERAPY 45-50 MIN | $169.20 | $282.00 | $98.98–$282.00 | 2% above | 40% |
| Group psychotherapy session CPT 90853 INTERACTIVE GRP THPY 45-50 MIN | $169.20 | $282.00 | $98.98–$282.00 | 2% above | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY 45-50 MIN | $169.20 | $282.00 | $85.16–$231.24 | — | 40% |
| Group psychotherapy session inpatient CPT 90853 INTERACTIVE GRP THPY 45-50 MIN | $169.20 | $282.00 | $85.16–$231.24 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HR INITIAL | $302.40 | $504.00 | $176.90–$504.00 | 31% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATE UP TO 1 HR INITIAL | $302.40 | $504.00 | $176.90–$504.00 | 31% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HR INITIAL | $302.40 | $504.00 | $152.21–$413.28 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATE UP TO 1 HR INITIAL | $302.40 | $504.00 | $152.21–$413.28 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THRPY UP TO ONE INITIAL | $555.00 | $925.00 | $324.67–$925.00 | 12% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THRPY INIT 1ST HR | $555.00 | $925.00 | $324.67–$925.00 | 12% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THRPY INIT 1ST HR | $555.00 | $925.00 | $279.35–$758.50 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THRPY UP TO ONE INITIAL | $555.00 | $925.00 | $279.35–$758.50 | — | 40% |
| IV push of a medicine, first drug CPT 96374 INJECTION,IV SINGLE OR INITIAL | $156.00 | $260.00 | $91.26–$260.00 | 33% below | 40% |
| IV push of a medicine, first drug CPT 96374 IV INJECTION/PUSH INITIAL | $156.00 | $260.00 | $91.26–$260.00 | 33% below | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 IV INJECTION/PUSH INITIAL | $156.00 | $260.00 | $78.52–$213.20 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION,IV SINGLE OR INITIAL | $156.00 | $260.00 | $78.52–$213.20 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (EPO,PROCRIT) | $107.40 | $179.00 | $62.83–$179.00 | 17% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ - IM | $107.40 | $179.00 | $62.83–$179.00 | 17% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SC/IM | $107.40 | $179.00 | $62.83–$179.00 | 17% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBCUTANEOUS/INTRAMUSCULAR | $107.40 | $179.00 | $62.83–$179.00 | 17% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ IM INJECTIONS | $107.40 | $179.00 | $62.83–$179.00 | 17% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, SC/IM | $107.40 | $179.00 | $54.06–$146.78 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBCUTANEOUS/INTRAMUSCULAR | $107.40 | $179.00 | $54.06–$146.78 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (EPO,PROCRIT) | $107.40 | $179.00 | $54.06–$146.78 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ IM INJECTIONS | $107.40 | $179.00 | $54.06–$146.78 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ - IM | $107.40 | $179.00 | $54.06–$146.78 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION 7-8 STUDIES | $70.80 | $118.00 | $41.42–$118.00 | 92% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION 7-8 STUDIES | $70.80 | $118.00 | $35.64–$96.76 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED,EA 15 | $57.60 | $96.00 | $33.70–$96.00 | 42% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED 15MIN EA | $57.60 | $96.00 | $33.70–$96.00 | 42% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE ED (OT)W HOTORCOLD PK | $77.40 | $129.00 | $45.28–$129.00 | 23% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE ED (PT)W HOTORCOLD PK | $77.40 | $129.00 | $45.28–$129.00 | 23% below | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED 15MIN EA | $57.60 | $96.00 | $28.99–$78.72 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE-ED,EA 15 | $57.60 | $96.00 | $28.99–$78.72 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE ED (PT)W HOTORCOLD PK | $77.40 | $129.00 | $38.96–$105.78 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE ED (OT)W HOTORCOLD PK | $77.40 | $129.00 | $38.96–$105.78 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LVL 3 MOD 25 | $138.00 | $230.00 | $80.73–$230.00 | 34% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $138.00 | $230.00 | $80.73–$230.00 | 34% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 NEW PAT. EVAL. L3 | $138.00 | $230.00 | $80.73–$230.00 | 34% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 PH II PULM REHAB EVAL L3 NP | $138.00 | $230.00 | $80.73–$230.00 | 34% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 NP | $138.00 | $230.00 | $80.73–$230.00 | 34% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 NEW PAT EVAL L3 | $185.40 | $309.00 | $108.46–$309.00 | 11% below | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LVL 3 MOD 25 | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PH II PULM REHAB EVAL L3 NP | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 NP | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PAT. EVAL. L3 | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PAT EVAL L3 | $185.40 | $309.00 | $93.32–$253.38 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 NEW PAT. EVAL. L4 | $175.20 | $292.00 | $102.49–$292.00 | 22% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $175.20 | $292.00 | $102.49–$292.00 | 22% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LVL 4 MOD 25 | $175.20 | $292.00 | $102.49–$292.00 | 22% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 LEVEL 4 NP | $175.20 | $292.00 | $102.49–$292.00 | 22% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 PH II PULM REHAB EVAL L4 NP | $175.20 | $292.00 | $102.49–$292.00 | 22% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 NEW PAT EVAL L4 | $284.40 | $474.00 | $166.37–$474.00 | 27% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PAT. EVAL. L4 | $175.20 | $292.00 | $88.18–$239.44 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LVL 4 MOD 25 | $175.20 | $292.00 | $88.18–$239.44 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $175.20 | $292.00 | $88.18–$239.44 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PH II PULM REHAB EVAL L4 NP | $175.20 | $292.00 | $88.18–$239.44 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL 4 NP | $175.20 | $292.00 | $88.18–$239.44 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PAT EVAL L4 | $284.40 | $474.00 | $143.15–$388.68 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $224.40 | $374.00 | $131.27–$374.00 | 29% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LVL 5 MOD 25 | $224.40 | $374.00 | $131.27–$374.00 | 29% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 NEW PAT. EVAL. L5 | $224.40 | $374.00 | $131.27–$374.00 | 29% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 LEVEL 5 NP | $224.40 | $374.00 | $131.27–$374.00 | 29% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 NEW PAT EVAL L5 | $356.40 | $594.00 | $208.49–$594.00 | 12% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PAT. EVAL. L5 | $224.40 | $374.00 | $112.95–$306.68 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 | $224.40 | $374.00 | $112.95–$306.68 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LVL 5 MOD 25 | $224.40 | $374.00 | $112.95–$306.68 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL 5 NP | $224.40 | $374.00 | $112.95–$306.68 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PAT EVAL L5 | $356.40 | $594.00 | $179.39–$487.08 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PAT. EVAL. L2 | $108.60 | $181.00 | $63.53–$181.00 | 44% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PH II PULM REHAB EVAL L2 NP | $108.60 | $181.00 | $63.53–$181.00 | 44% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 NP | $108.60 | $181.00 | $63.53–$181.00 | 44% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LVL 2 MOD 25 | $108.60 | $181.00 | $63.53–$181.00 | 44% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2 | $108.60 | $181.00 | $63.53–$181.00 | 44% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PAT EVAL L2 | $129.60 | $216.00 | $75.82–$216.00 | 33% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PH II PULM REHAB EVAL L2 NP | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL 2 NP | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LVL 2 MOD 25 | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2 | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PAT. EVAL. L2 | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PAT EVAL L2 | $129.60 | $216.00 | $65.23–$177.12 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRIT THPY INIT PER 15MIN | $37.20 | $62.00 | $21.76–$62.00 | 22% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRIT THPY INIT PER 15MIN | $37.20 | $62.00 | $18.72–$50.84 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY | $196.20 | $327.00 | $114.78–$327.00 | 5% above | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY | $196.20 | $327.00 | $98.75–$268.14 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $234.00 | $390.00 | $136.89–$390.00 | 6% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY | $234.00 | $390.00 | $117.78–$319.80 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $196.20 | $327.00 | $114.78–$327.00 | 2% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY | $196.20 | $327.00 | $98.75–$268.14 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY | $216.00 | $360.00 | $126.36–$360.00 | at median | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY | $216.00 | $360.00 | $108.72–$295.20 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $87.60 | $146.00 | $51.25–$146.00 | 31% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES 15 M | $87.60 | $146.00 | $51.25–$146.00 | 31% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THPY(PT) W HOTORCOLD PK | $108.00 | $180.00 | $63.18–$180.00 | 14% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THPY(OT)W HOTORCOLD PK | $108.00 | $180.00 | $63.18–$180.00 | 14% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECHNIQUES 15 M | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY | $87.60 | $146.00 | $44.09–$119.72 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THPY(OT)W HOTORCOLD PK | $108.00 | $180.00 | $54.36–$147.60 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THPY(PT) W HOTORCOLD PK | $108.00 | $180.00 | $54.36–$147.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA15M | $57.60 | $96.00 | $33.70–$96.00 | 48% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX EACH 15MIN | $57.60 | $96.00 | $33.70–$96.00 | 48% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX (OT) W HOTORCOLD PK | $77.40 | $129.00 | $45.28–$129.00 | 31% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX (PT) W HOTORCOLD PK | $77.40 | $129.00 | $45.28–$129.00 | 31% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA15M | $57.60 | $96.00 | $28.99–$78.72 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX EACH 15MIN | $57.60 | $96.00 | $28.99–$78.72 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX (PT) W HOTORCOLD PK | $77.40 | $129.00 | $38.96–$105.78 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX (OT) W HOTORCOLD PK | $77.40 | $129.00 | $38.96–$105.78 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST. PAT EVAL L5 | $171.60 | $286.00 | $100.39–$286.00 | 37% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT LEVEL 5 | $171.60 | $286.00 | $100.39–$286.00 | 37% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 EST P | $171.60 | $286.00 | $100.39–$286.00 | 37% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIETN LVL 5 MOD | $171.60 | $286.00 | $100.39–$286.00 | 37% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT VISIT L5 | $250.20 | $417.00 | $146.37–$417.00 | 8% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 EST P | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST. PAT EVAL L5 | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT LEVEL 5 | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIETN LVL 5 MOD | $171.60 | $286.00 | $86.37–$234.52 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT VISIT L5 | $250.20 | $417.00 | $125.93–$341.94 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PH II PULM REHAB EVAL L3 EST | $108.60 | $181.00 | $63.53–$181.00 | at median | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST. PAT EVAL L3 | $108.60 | $181.00 | $63.53–$181.00 | at median | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 EST P | $108.60 | $181.00 | $63.53–$181.00 | at median | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3 | $108.60 | $181.00 | $63.53–$181.00 | at median | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LVL 3 MOD | $108.60 | $181.00 | $63.53–$181.00 | at median | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT VISIT L3 | $126.00 | $210.00 | $73.71–$210.00 | 16% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST. PAT EVAL L3 | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PH II PULM REHAB EVAL L3 EST | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 EST P | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT LEVEL 3 | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT LVL 3 MOD | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT VISIT L3 | $126.00 | $210.00 | $63.42–$172.20 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PH II PULM REHAB EVAL L4 EST | $138.00 | $230.00 | $80.73–$230.00 | 32% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 EST P | $138.00 | $230.00 | $80.73–$230.00 | 32% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LVL 4 MOD | $138.00 | $230.00 | $80.73–$230.00 | 32% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST. PAT EVAL L4 | $138.00 | $230.00 | $80.73–$230.00 | 32% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4 | $138.00 | $230.00 | $80.73–$230.00 | 32% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT VISIT L4 | $185.40 | $309.00 | $108.46–$309.00 | 9% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 EST P | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT LVL 4 MOD | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT LEVEL 4 | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST. PAT EVAL L4 | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PH II PULM REHAB EVAL L4 EST | $138.00 | $230.00 | $69.46–$188.60 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT VISIT L4 | $185.40 | $309.00 | $93.32–$253.38 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT VISIT L2 | $75.60 | $126.00 | $44.23–$126.00 | 44% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 EST P | $108.60 | $181.00 | $63.53–$181.00 | 20% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PH II PULM REHAB EVAL L2 EST | $108.60 | $181.00 | $63.53–$181.00 | 20% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST. PAT EVAL L2 | $108.60 | $181.00 | $63.53–$181.00 | 20% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LEVEL 2 | $108.60 | $181.00 | $63.53–$181.00 | 20% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LVL 2 MOD | $108.60 | $181.00 | $63.53–$181.00 | 20% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT VISIT L2 | $75.60 | $126.00 | $38.05–$103.32 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LVL 2 MOD | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 EST P | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PH II PULM REHAB EVAL L2 EST | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST. PAT EVAL L2 | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LEVEL 2 | $108.60 | $181.00 | $54.66–$148.42 | — | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 | $172.20 | $287.00 | $100.74–$287.00 | — | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 | $172.20 | $287.00 | $86.67–$235.34 | — | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 | $274.80 | $458.00 | $160.76–$458.00 | 11% above | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 | $274.80 | $458.00 | $138.32–$375.56 | — | 40% |
| Speech and language evaluation CPT 92523 EVAL LANG COMP EXP ONLY | $108.00 | $180.00 | $63.18–$180.00 | 66% below | 40% |
| Speech and language evaluation CPT 92523 EVAL SPCH SOUND PROD COMP EXPR | $142.80 | $238.00 | $83.54–$238.00 | 55% below | 40% |
| Speech and language evaluation inpatient CPT 92523 EVAL LANG COMP EXP ONLY | $108.00 | $180.00 | $54.36–$147.60 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPCH SOUND PROD COMP EXPR | $142.80 | $238.00 | $71.88–$195.16 | — | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY 30 MIN | $109.20 | $182.00 | $63.88–$182.00 | 55% below | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY 45 MIN | $148.20 | $247.00 | $86.70–$247.00 | 39% below | 40% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY 30 MIN | $109.20 | $182.00 | $54.96–$149.24 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY 45 MIN | $148.20 | $247.00 | $74.59–$202.54 | — | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY/CONTRACT | $116.40 | $194.00 | $68.09–$194.00 | 50% below | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY/CONTRACT | $116.40 | $194.00 | $58.59–$159.08 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 BASIC SPIROMETRY W BEF&AFT DIA | $399.60 | $666.00 | $233.77–$666.00 | 9% below | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BASIC SPIROMETRY W BEF&AFT DIA | $399.60 | $666.00 | $201.13–$546.12 | — | 40% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TMS INITIAL PLAN AND TX | $439.20 | $732.00 | $256.93–$732.00 | 27% above | 40% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 TMS INITIAL PLAN AND TX | $439.20 | $732.00 | $221.06–$600.24 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 FXNAL THERAP. ACTIV. | $51.60 | $86.00 | $30.19–$86.00 | 48% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 FXNAL THER ACTIVITY EA15 PT | $51.60 | $86.00 | $30.19–$86.00 | 48% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FXNAL THER ACTIVITY EA15 PT | $51.60 | $86.00 | $25.97–$70.52 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FXNAL THERAP. ACTIV. | $51.60 | $86.00 | $25.97–$70.52 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $96.00 | $160.00 | $56.16–$160.00 | 64% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $96.00 | $160.00 | $48.32–$131.20 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE VIAL INJ | $263.83 | $439.72 | $154.34–$439.72 | 10% below | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE VIAL INJ | $263.83 | $439.72 | $132.80–$360.57 | — | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP DIP/PER/TET 0.5ML IM INJ | $35.65 | $59.41 | $20.85–$59.41 | 59% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP DIP/PER/TET 0.5ML IM INJ | $35.65 | $59.41 | $17.94–$48.72 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITUS A VACCINE | $104.44 | $174.06 | $61.10–$174.06 | 7% below | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITUS A VACCINE | $104.44 | $174.06 | $52.57–$142.73 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 20MCG | $74.23 | $123.72 | $43.43–$123.72 | 48% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 20MCG | $74.23 | $123.72 | $37.36–$101.45 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS PED | $32.09 | $53.49 | $18.77–$53.49 | 49% below | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS PED | $32.09 | $53.49 | $16.15–$43.86 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 65+ HD FLU VAC QUADVLNT (IIV4) | $86.66 | $144.43 | $50.69–$144.43 | 6% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 65+ HD FLU VAC QUADVLNT (IIV4) | $86.66 | $144.43 | $43.62–$118.43 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS, RUBELLA VACINE | $131.81 | $219.68 | $77.11–$219.68 | 9% below | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS, RUBELLA VACINE | $131.81 | $219.68 | $66.34–$180.14 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 UNIT VIAL | $565.57 | $942.62 | $330.86–$942.62 | 74% below | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE L 3ML SYRINGE | $592.96 | $988.26 | $346.88–$988.26 | 72% below | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5 UNIT VIAL | $565.57 | $942.62 | $284.67–$772.95 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE L 3ML SYRINGE | $592.96 | $988.26 | $298.45–$810.37 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA TET A D | $60.36 | $100.60 | $35.31–$100.60 | 29% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTHERIA TET A D | $60.36 | $100.60 | $30.38–$82.49 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA/TETANUS/PERTUSIS | $57.84 | $96.40 | $33.84–$96.40 | 51% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA/TETANUS/PERTUSIS | $57.84 | $96.40 | $29.11–$79.05 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADM | $12.00 | $20.00 | $7.02–$20.00 | 78% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADMIN | $22.20 | $37.00 | $12.99–$37.00 | 60% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN, IM | $25.80 | $43.00 | $15.09–$43.00 | 53% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADMINISTRATION | $43.20 | $72.00 | $25.27–$72.00 | 22% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INITIAL VACCINE OTH SNGL | $45.00 | $75.00 | $26.32–$75.00 | 19% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL VACCINE ADMIN | $45.00 | $75.00 | $26.32–$75.00 | 19% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL VACCINE ADM INJ | $45.00 | $75.00 | $26.32–$75.00 | 19% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INIT VACCINE OTH COMBO | $90.86 | $151.44 | $53.16–$151.44 | 64% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADM | $12.00 | $20.00 | $6.04–$16.40 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADMIN | $22.20 | $37.00 | $11.17–$30.34 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN, IM | $25.80 | $43.00 | $12.99–$35.26 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VACCINE ADMINISTRATION | $43.20 | $72.00 | $21.74–$59.04 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INITIAL VACCINE OTH SNGL | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL VACCINE ADM INJ | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL VACCINE ADMIN | $45.00 | $75.00 | $22.65–$61.50 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INIT VACCINE OTH COMBO | $90.86 | $151.44 | $45.73–$124.18 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADD VACCINE OTH COMBO | $21.89 | $36.48 | $12.80–$36.48 | 48% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL VACC OTHER SNGLE | $25.80 | $43.00 | $15.09–$43.00 | 39% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EA ADD'L VAC | $25.80 | $43.00 | $15.09–$43.00 | 39% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADD VACCINE OTH COMBO | $21.89 | $36.48 | $11.02–$29.91 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL VACC OTHER SNGLE | $25.80 | $43.00 | $12.99–$35.26 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM; EA ADD'L VAC | $25.80 | $43.00 | $12.99–$35.26 | — | 40% |
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.