Hospital Durant, OK

Alliancehealth Durant

Listed in its price file as “Durant HMA LLC”.

Alliancehealth Durant in Durant, OK publishes cash prices for 416 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oklahoma median for 304 of 408 procedures and below it for 97. By typical cash price it ranks #51 of 64 Oklahoma hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1800 University Blvd, Durant, OK 74701 Collected Sep 22, 2026 Source price file Check a bill from this hospital (405) 924-3080

Acute care hospital For-profit hospital Emergency department CMS star rating 1 of 5 CCN 370014 · CMS hospital register NPI 1770522906

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen WWO	$2,133.96	$17,783.00	$158.46–$16,004.70	60% above	88%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen WWO	$3,734.43	$17,783.00	$2,489.62–$16,004.70	—	79%
Abdominal X-ray, 2 views CPT 74019 74019 - XR Abdomen Complete DR	$230.76	$1,923.00	$21.02–$1,730.70	8% above	88%
Abdominal X-ray, 2 views CPT 74019 XR Abd w Decub or Upright DR	$230.76	$1,923.00	$21.02–$1,730.70	8% above	88%
Abdominal X-ray, 2 views CPT 74019 XR Abd Flat Upright CR	$230.76	$1,923.00	$21.02–$1,730.70	8% above	88%
Abdominal X-ray, 2 views CPT 74019 XR Abd W Decub or Upright CR	$230.76	$1,923.00	$21.02–$1,730.70	8% above	88%
Abdominal X-ray, 2 views CPT 74019 XR Abd Flat Upright DR	$230.76	$1,923.00	$21.02–$1,730.70	8% above	88%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abd w Decub or Upright DR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abd Flat Upright DR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abd W Decub or Upright CR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abd Flat Upright CR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Abdominal X-ray, 2 views inpatient CPT 74019 74019 - XR Abdomen Complete DR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR	$367.32	$3,061.00	$22.64–$2,754.90	—	88%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$367.32	$3,061.00	$22.64–$2,754.90	106% above	88%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$367.32	$3,061.00	$22.64–$2,754.90	106% above	88%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$367.32	$3,061.00	$22.64–$2,754.90	106% above	88%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$367.32	$3,061.00	$22.64–$2,754.90	106% above	88%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR	$642.81	$3,061.00	$428.54–$2,754.90	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$642.81	$3,061.00	$428.54–$2,754.90	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$642.81	$3,061.00	$428.54–$2,754.90	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$642.81	$3,061.00	$428.54–$2,754.90	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$642.81	$3,061.00	$428.54–$2,754.90	—	79%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207	$225.12	$1,876.00	$119.81–$1,688.40	11% below	88%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US LE Arterial Duplex W ABIP	$225.12	$1,876.00	$119.81–$1,688.40	11% below	88%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US LE Arterial Duplex W ABIP	$393.96	$1,876.00	$262.64–$1,688.40	—	79%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207	$393.96	$1,876.00	$262.64–$1,688.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Right WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Left WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Right WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Right WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Left WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Right WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Left WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Right WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Left WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Right WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Left WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Left WO	$1,240.32	$10,336.00	$94.77–$9,302.40	36% above	88%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Right WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Left WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Right WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Left WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Right WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Left WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Right WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Left WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Left WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Right WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Left WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Right WO	$2,170.56	$10,336.00	$1,447.04–$9,302.40	—	79%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin	$375.84	$3,132.00	$54.76–$2,818.80	28% above	88%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium	$375.84	$3,132.00	$54.76–$2,818.80	28% above	88%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium	$657.72	$3,132.00	$438.48–$2,818.80	—	79%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin	$657.72	$3,132.00	$438.48–$2,818.80	—	79%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,143.72	$9,531.00	$216.37–$8,577.90	20% above	88%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$2,001.51	$9,531.00	$1,334.34–$8,577.90	—	79%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral CM	$334.44	$2,787.00	$84.87–$2,508.30	—	88%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left CM	$334.44	$2,787.00	$84.87–$2,508.30	4% below	88%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right CM	$334.44	$2,787.00	$84.87–$2,508.30	4% below	88%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral CM	$585.27	$2,787.00	$390.18–$2,508.30	—	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right CM	$585.27	$2,787.00	$390.18–$2,508.30	—	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left CM	$585.27	$2,787.00	$390.18–$2,508.30	—	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM	$334.44	$2,787.00	$70.67–$2,508.30	at median	88%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM	$334.44	$2,787.00	$70.67–$2,508.30	at median	88%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM	$585.27	$2,787.00	$390.18–$2,508.30	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM	$585.27	$2,787.00	$390.18–$2,508.30	—	79%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis	$1,711.56	$14,263.00	$318.05–$12,836.70	24% below	88%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abd Pelv Renal Transplant Evaluation	$1,711.56	$14,263.00	$318.05–$12,836.70	24% below	88%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abd Pelv Renal Transplant Evaluation	$2,995.23	$14,263.00	$1,996.82–$12,836.70	—	79%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis	$2,995.23	$14,263.00	$1,996.82–$12,836.70	—	79%
CT angiography (CTA) of the head CPT 70496 CTA Head	$1,040.88	$8,674.00	$158.73–$7,806.60	22% below	88%
CT angiography (CTA) of the head CPT 70496 70496 CTA Head	$1,040.88	$8,674.00	$158.73–$7,806.60	22% below	88%
CT angiography (CTA) of the head CPT 70496 CTA Head Stroke	$1,040.88	$8,674.00	$158.73–$7,806.60	22% below	88%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head Stroke	$1,821.54	$8,674.00	$1,214.36–$7,806.60	—	79%
CT angiography (CTA) of the head inpatient CPT 70496 70496 CTA Head	$1,821.54	$8,674.00	$1,214.36–$7,806.60	—	79%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head	$1,821.54	$8,674.00	$1,214.36–$7,806.60	—	79%
CT angiography (CTA) of the neck CPT 70498 CTA Neck	$985.20	$8,210.00	$158.73–$7,389.00	25% below	88%
CT angiography (CTA) of the neck CPT 70498 70498 CTA Neck	$985.20	$8,210.00	$158.73–$7,389.00	25% below	88%
CT angiography (CTA) of the neck inpatient CPT 70498 70498 CTA Neck	$1,724.10	$8,210.00	$1,149.40–$7,389.00	—	79%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck	$1,724.10	$8,210.00	$1,149.40–$7,389.00	—	79%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE	$2,015.76	$16,798.00	$158.73–$15,118.20	34% above	88%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CTA Chest	$2,015.76	$16,798.00	$158.73–$15,118.20	34% above	88%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$2,015.76	$16,798.00	$158.73–$15,118.20	34% above	88%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest	$3,527.58	$16,798.00	$2,351.72–$15,118.20	—	79%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE	$3,527.58	$16,798.00	$2,351.72–$15,118.20	—	79%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 CTA Chest	$3,527.58	$16,798.00	$2,351.72–$15,118.20	—	79%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO	$120.96	$1,008.00	$78.34–$907.20	19% above	88%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart WO	$211.68	$1,008.00	$141.12–$907.20	—	79%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Trauma Abdomen Pelvis WO	$2,266.80	$18,890.00	$156.35–$17,001.00	69% above	88%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol	$2,266.80	$18,890.00	$156.35–$17,001.00	69% above	88%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO	$2,266.80	$18,890.00	$156.35–$17,001.00	69% above	88%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Stone Protocol	$2,266.80	$18,890.00	$156.35–$17,001.00	69% above	88%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Trauma Abdomen Pelvis WO	$3,966.90	$18,890.00	$2,644.60–$17,001.00	—	79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Stone Protocol	$3,966.90	$18,890.00	$2,644.60–$17,001.00	—	79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol	$3,966.90	$18,890.00	$2,644.60–$17,001.00	—	79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO	$3,966.90	$18,890.00	$2,644.60–$17,001.00	—	79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol	$2,938.20	$24,485.00	$253.72–$22,036.50	61% above	88%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W	$2,938.20	$24,485.00	$253.72–$22,036.50	61% above	88%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Trauma Abdomen Pelvis W	$2,938.20	$24,485.00	$253.72–$22,036.50	61% above	88%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol	$5,141.85	$24,485.00	$3,427.90–$22,036.50	—	79%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W	$5,141.85	$24,485.00	$3,427.90–$22,036.50	—	79%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Trauma Abdomen Pelvis W	$5,141.85	$24,485.00	$3,427.90–$22,036.50	—	79%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Urology Protocol	$2,570.40	$21,420.00	$284.00–$19,278.00	21% above	88%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO	$2,570.40	$21,420.00	$284.00–$19,278.00	21% above	88%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO	$4,498.20	$21,420.00	$2,998.80–$19,278.00	—	79%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Urology Protocol	$4,498.20	$21,420.00	$2,998.80–$19,278.00	—	79%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$2,013.48	$16,779.00	$157.95–$15,101.10	83% above	88%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$3,523.59	$16,779.00	$2,349.06–$15,101.10	—	79%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$1,269.72	$10,581.00	$94.51–$9,522.90	28% above	88%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$2,222.01	$10,581.00	$1,481.34–$9,522.90	—	79%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO	$1,354.08	$11,284.00	$94.79–$10,155.60	42% above	88%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$1,354.08	$11,284.00	$94.79–$10,155.60	42% above	88%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO	$2,369.64	$11,284.00	$1,579.76–$10,155.60	—	79%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$2,369.64	$11,284.00	$1,579.76–$10,155.60	—	79%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO	$1,471.92	$12,266.00	$90.39–$11,039.40	50% above	88%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert	$1,471.92	$12,266.00	$90.39–$11,039.40	50% above	88%
CT scan of the head or brain, no contrast dye CPT 70450 CT Trauma Head WO	$1,471.92	$12,266.00	$90.39–$11,039.40	50% above	88%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert	$2,575.86	$12,266.00	$1,717.24–$11,039.40	—	79%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO	$2,575.86	$12,266.00	$1,717.24–$11,039.40	—	79%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Trauma Head WO	$2,575.86	$12,266.00	$1,717.24–$11,039.40	—	79%
CT scan of the head with contrast CPT 70460 CT Head or Brain W	$1,541.64	$12,847.00	$125.54–$11,562.30	28% above	88%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W	$2,697.87	$12,847.00	$1,798.58–$11,562.30	—	79%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO	$1,953.60	$16,280.00	$146.48–$14,652.00	53% above	88%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO	$3,418.80	$16,280.00	$2,279.20–$14,652.00	—	79%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO	$2,073.24	$17,277.00	$94.14–$15,549.30	101% above	88%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO	$3,628.17	$17,277.00	$2,418.78–$15,549.30	—	79%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO	$2,170.08	$18,084.00	$94.51–$16,275.60	103% above	88%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO	$3,797.64	$18,084.00	$2,531.76–$16,275.60	—	79%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$1,409.88	$11,749.00	$157.95–$10,574.10	30% above	88%
CT scan of the pelvis, with contrast dye CPT 72193 CT Trauma Pelvis W	$1,409.88	$11,749.00	$157.95–$10,574.10	30% above	88%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Trauma Pelvis W	$2,467.29	$11,749.00	$1,644.86–$10,574.10	—	79%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$2,467.29	$11,749.00	$1,644.86–$10,574.10	—	79%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$535.68	$4,464.00	$214.86–$4,017.60	—	88%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 EXTRACRANIAL STUDY	$2,211.04	$18,425.37	$214.86–$16,582.83	359% above	88%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$937.44	$4,464.00	$624.96–$4,017.60	—	79%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR	$72.96	$608.00	$27.93–$547.20	59% below	88%
Chest X-ray, 2 views CPT 71046 71046 - XR Chest 2 V DR	$72.96	$608.00	$18.87–$547.20	59% below	88%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR	$72.96	$608.00	$27.93–$547.20	59% below	88%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Rt DR	$72.96	$608.00	$27.93–$547.20	59% below	88%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Lt DR	$72.96	$608.00	$27.93–$547.20	59% below	88%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR	$127.68	$608.00	$85.12–$547.20	—	79%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR	$127.68	$608.00	$85.12–$547.20	—	79%
Chest X-ray, 2 views inpatient CPT 71046 71046 - XR Chest 2 V DR	$127.68	$608.00	$85.12–$547.20	—	79%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Rt DR	$127.68	$608.00	$85.12–$547.20	—	79%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Lt DR	$127.68	$608.00	$85.12–$547.20	—	79%
Chest X-ray, single view CPT 71045 XR Chest 1V DR	$190.44	$1,587.00	$21.60–$1,428.30	15% above	88%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR	$190.44	$1,587.00	$21.60–$1,428.30	15% above	88%
Chest X-ray, single view CPT 71045 XR Chest 1V CR	$190.44	$1,587.00	$21.60–$1,428.30	15% above	88%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable CR	$190.44	$1,587.00	$21.60–$1,428.30	15% above	88%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR	$333.27	$1,587.00	$222.18–$1,428.30	—	79%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1V DR	$333.27	$1,587.00	$222.18–$1,428.30	—	79%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1V CR	$333.27	$1,587.00	$222.18–$1,428.30	—	79%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable CR	$333.27	$1,587.00	$222.18–$1,428.30	—	79%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR Clavicle Bilateral DR	$201.96	$1,683.00	$19.95–$1,514.70	—	88%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR	$201.96	$1,683.00	$19.95–$1,514.70	13% above	88%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left CR	$201.96	$1,683.00	$19.95–$1,514.70	13% above	88%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right CR	$201.96	$1,683.00	$19.95–$1,514.70	13% above	88%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR	$201.96	$1,683.00	$19.95–$1,514.70	13% above	88%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR Clavicle Bilateral DR	$353.43	$1,683.00	$235.62–$1,514.70	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right CR	$353.43	$1,683.00	$235.62–$1,514.70	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left CR	$353.43	$1,683.00	$235.62–$1,514.70	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR	$353.43	$1,683.00	$235.62–$1,514.70	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR	$353.43	$1,683.00	$235.62–$1,514.70	—	79%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$567.24	$4,727.00	$89.46–$4,254.30	21% above	88%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$992.67	$4,727.00	$661.78–$4,254.30	—	79%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$243.36	$2,028.00	$94.14–$1,825.20	6% below	88%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$425.88	$2,028.00	$283.92–$1,825.20	—	79%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton	$97.56	$813.00	$18.33–$731.70	10% below	88%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton	$170.73	$813.00	$113.82–$731.70	—	79%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest	$1,351.80	$11,265.00	$94.51–$10,138.50	42% above	88%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO	$1,351.80	$11,265.00	$94.51–$10,138.50	42% above	88%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Trauma Chest WO	$1,351.80	$11,265.00	$94.51–$10,138.50	42% above	88%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO	$2,365.65	$11,265.00	$1,577.10–$10,138.50	—	79%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Trauma Chest WO	$2,365.65	$11,265.00	$1,577.10–$10,138.50	—	79%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest	$2,365.65	$11,265.00	$1,577.10–$10,138.50	—	79%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W	$1,612.56	$13,438.00	$157.95–$12,094.20	42% above	88%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Trauma Chest W	$1,612.56	$13,438.00	$157.95–$12,094.20	42% above	88%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W	$2,821.98	$13,438.00	$1,881.32–$12,094.20	—	79%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Trauma Chest W	$2,821.98	$13,438.00	$1,881.32–$12,094.20	—	79%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$203.28	$1,694.00	$96.50–$1,524.60	—	88%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$355.74	$1,694.00	$237.16–$1,524.60	—	79%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$160.92	$1,341.00	$75.68–$1,206.90	20% below	88%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$160.92	$1,341.00	$75.68–$1,206.90	20% below	88%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$281.61	$1,341.00	$187.74–$1,206.90	—	79%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$281.61	$1,341.00	$187.74–$1,206.90	—	79%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat	$543.96	$4,533.00	$193.46–$4,079.70	—	88%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral	$543.96	$4,533.00	$193.46–$4,079.70	—	88%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$1,073.85	$8,948.76	$215.16–$8,053.88	98% above	88%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat	$951.93	$4,533.00	$634.62–$4,079.70	—	79%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral	$951.93	$4,533.00	$634.62–$4,079.70	—	79%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral	$550.80	$4,590.00	$151.35–$4,131.00	—	88%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral	$550.80	$4,590.00	$151.35–$4,131.00	—	88%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe	$550.80	$4,590.00	$151.35–$4,131.00	14% below	88%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe	$550.80	$4,590.00	$151.35–$4,131.00	14% below	88%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$1,829.78	$15,248.13	$215.16–$13,723.32	186% above	88%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral	$963.90	$4,590.00	$642.60–$4,131.00	—	79%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral	$963.90	$4,590.00	$642.60–$4,131.00	—	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe	$963.90	$4,590.00	$642.60–$4,131.00	—	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe	$963.90	$4,590.00	$642.60–$4,131.00	—	79%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Pediatric Echo Complete w Color Dop	$879.48	$7,329.00	$161.44–$6,596.10	20% below	88%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$879.48	$7,329.00	$161.44–$6,596.10	20% below	88%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$3,474.03	$28,950.23	$488.18–$26,055.21	216% above	88%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Pediatric Echo Complete w Color Dop	$1,539.09	$7,329.00	$1,026.06–$6,596.10	—	79%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$1,539.09	$7,329.00	$1,026.06–$6,596.10	—	79%
Elbow X-ray, 2 views both sides CPT 73070 XR Elbow 2 V Bilateral DR	$249.96	$2,083.00	$17.25–$1,874.70	—	88%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right DR	$249.96	$2,083.00	$17.25–$1,874.70	44% above	88%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right CR	$249.96	$2,083.00	$17.25–$1,874.70	44% above	88%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left DR	$249.96	$2,083.00	$17.25–$1,874.70	44% above	88%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left CR	$249.96	$2,083.00	$17.25–$1,874.70	44% above	88%
Elbow X-ray, 2 views inpatient both sides CPT 73070 XR Elbow 2 V Bilateral DR	$437.43	$2,083.00	$291.62–$1,874.70	—	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left CR	$437.43	$2,083.00	$291.62–$1,874.70	—	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right CR	$437.43	$2,083.00	$291.62–$1,874.70	—	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left DR	$437.43	$2,083.00	$291.62–$1,874.70	—	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right DR	$437.43	$2,083.00	$291.62–$1,874.70	—	79%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR Elbow Complete Min 3 V Bilateral DR	$246.48	$2,054.00	$19.68–$1,848.60	—	88%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR Elbow Complete Min 3 V Bilateral CR	$246.48	$2,054.00	$19.68–$1,848.60	—	88%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right CR - XR Elbow Com	$246.48	$2,054.00	$19.68–$1,848.60	37% above	88%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$246.48	$2,054.00	$19.68–$1,848.60	37% above	88%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR	$246.48	$2,054.00	$19.68–$1,848.60	37% above	88%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left CR	$246.48	$2,054.00	$19.68–$1,848.60	37% above	88%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR Elbow Complete Min 3 V Bilateral CR	$431.34	$2,054.00	$287.56–$1,848.60	—	79%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR Elbow Complete Min 3 V Bilateral DR	$431.34	$2,054.00	$287.56–$1,848.60	—	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$431.34	$2,054.00	$287.56–$1,848.60	—	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left CR	$431.34	$2,054.00	$287.56–$1,848.60	—	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right CR - XR Elbow Com	$431.34	$2,054.00	$287.56–$1,848.60	—	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR	$431.34	$2,054.00	$287.56–$1,848.60	—	79%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit WO	$1,247.16	$10,393.00	$94.77–$9,353.70	36% above	88%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Sella WO	$1,247.16	$10,393.00	$94.77–$9,353.70	36% above	88%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC Temporal WO	$1,247.16	$10,393.00	$94.77–$9,353.70	36% above	88%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Mastoids WO	$1,247.16	$10,393.00	$94.77–$9,353.70	36% above	88%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit WO	$2,182.53	$10,393.00	$1,455.02–$9,353.70	—	79%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC Temporal WO	$2,182.53	$10,393.00	$1,455.02–$9,353.70	—	79%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Sella WO	$2,182.53	$10,393.00	$1,455.02–$9,353.70	—	79%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Mastoids WO	$2,182.53	$10,393.00	$1,455.02–$9,353.70	—	79%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$230.76	$1,923.00	$27.77–$1,730.70	4% above	88%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR Forearm 2 V Bilateral DR	$188.88	$1,574.00	$17.52–$1,416.60	—	88%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left CR	$188.88	$1,574.00	$17.52–$1,416.60	5% above	88%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR	$188.88	$1,574.00	$17.52–$1,416.60	5% above	88%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right CR	$188.88	$1,574.00	$17.52–$1,416.60	5% above	88%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR	$188.88	$1,574.00	$17.52–$1,416.60	5% above	88%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR Forearm 2 V Bilateral DR	$330.54	$1,574.00	$220.36–$1,416.60	—	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR	$330.54	$1,574.00	$220.36–$1,416.60	—	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right CR	$330.54	$1,574.00	$220.36–$1,416.60	—	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR	$330.54	$1,574.00	$220.36–$1,416.60	—	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left CR	$330.54	$1,574.00	$220.36–$1,416.60	—	79%
Hand X-ray, 2 views both sides CPT 73120 XR Hand 2 V Bilateral DR	$184.56	$1,538.00	$18.87–$1,384.20	—	88%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right DR	$184.56	$1,538.00	$18.87–$1,384.20	1% below	88%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left CR	$184.56	$1,538.00	$18.87–$1,384.20	1% below	88%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left DR	$184.56	$1,538.00	$18.87–$1,384.20	1% below	88%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right CR	$184.56	$1,538.00	$18.87–$1,384.20	1% below	88%
Hand X-ray, 2 views inpatient both sides CPT 73120 XR Hand 2 V Bilateral DR	$322.98	$1,538.00	$215.32–$1,384.20	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right DR	$322.98	$1,538.00	$215.32–$1,384.20	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right CR	$322.98	$1,538.00	$215.32–$1,384.20	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left DR	$322.98	$1,538.00	$215.32–$1,384.20	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left CR	$322.98	$1,538.00	$215.32–$1,384.20	—	79%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR Calcaneus Min 2 V Bilateral DR	$125.76	$1,048.00	$16.71–$943.20	—	88%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right DR	$125.76	$1,048.00	$16.71–$943.20	22% below	88%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Left DR	$125.76	$1,048.00	$16.71–$943.20	22% below	88%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XR Calcaneus Min 2 V Bilateral DR	$220.08	$1,048.00	$146.72–$943.20	—	79%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Left DR	$220.08	$1,048.00	$146.72–$943.20	—	79%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right DR	$220.08	$1,048.00	$146.72–$943.20	—	79%
Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 V Bilateral DR	$265.20	$2,210.00	$25.61–$1,989.00	—	88%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR	$265.20	$2,210.00	$25.61–$1,989.00	37% above	88%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left CR	$265.20	$2,210.00	$25.61–$1,989.00	37% above	88%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right CR	$265.20	$2,210.00	$25.61–$1,989.00	37% above	88%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR	$265.20	$2,210.00	$25.61–$1,989.00	37% above	88%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 V Bilateral DR	$464.10	$2,210.00	$309.40–$1,989.00	—	79%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left CR	$464.10	$2,210.00	$309.40–$1,989.00	—	79%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR	$464.10	$2,210.00	$309.40–$1,989.00	—	79%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right CR	$464.10	$2,210.00	$309.40–$1,989.00	—	79%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR	$464.10	$2,210.00	$309.40–$1,989.00	—	79%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XR Knee Complete 4 V Bilateral DR	$266.40	$2,220.00	$29.39–$1,998.00	—	88%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left DR	$266.40	$2,220.00	$29.39–$1,998.00	7% below	88%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right DR	$266.40	$2,220.00	$29.39–$1,998.00	7% below	88%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left DR	$266.40	$2,220.00	$29.39–$1,998.00	7% below	88%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right DR	$266.40	$2,220.00	$29.39–$1,998.00	7% below	88%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XR Knee Complete 4 V Bilateral DR	$466.20	$2,220.00	$310.80–$1,998.00	—	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right DR	$466.20	$2,220.00	$310.80–$1,998.00	—	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left DR	$466.20	$2,220.00	$310.80–$1,998.00	—	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left DR	$466.20	$2,220.00	$310.80–$1,998.00	—	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right DR	$466.20	$2,220.00	$310.80–$1,998.00	—	79%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Left WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Right WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Left WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Right WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Left WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Right WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Left WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Left WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Right WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Left WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Right WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Right WO	$1,383.36	$11,528.00	$94.51–$10,375.20	53% above	88%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Right WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Right WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Left WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Right WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Left WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Left WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Right WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Left WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Right WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Left WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Right WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Left WO	$2,420.88	$11,528.00	$1,613.92–$10,375.20	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus	$571.80	$4,765.00	$72.01–$4,288.50	47% above	88%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen	$571.80	$4,765.00	$72.01–$4,288.50	47% above	88%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver	$571.80	$4,765.00	$72.01–$4,288.50	47% above	88%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$571.80	$4,765.00	$72.01–$4,288.50	47% above	88%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder	$571.80	$4,765.00	$72.01–$4,288.50	47% above	88%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder	$1,000.65	$4,765.00	$667.10–$4,288.50	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$1,000.65	$4,765.00	$667.10–$4,288.50	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen	$1,000.65	$4,765.00	$667.10–$4,288.50	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus	$1,000.65	$4,765.00	$667.10–$4,288.50	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver	$1,000.65	$4,765.00	$667.10–$4,288.50	—	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt	$177.96	$1,483.00	$54.24–$1,334.70	31% below	88%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Left CM	$177.96	$1,483.00	$54.24–$1,334.70	31% below	88%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt	$177.96	$1,483.00	$54.24–$1,334.70	31% below	88%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Right CM	$177.96	$1,483.00	$54.24–$1,334.70	31% below	88%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt	$311.43	$1,483.00	$207.62–$1,334.70	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Right CM	$311.43	$1,483.00	$207.62–$1,334.70	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt	$311.43	$1,483.00	$207.62–$1,334.70	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Left CM	$311.43	$1,483.00	$207.62–$1,334.70	—	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cncr Scrn Rtn Annual WO	$46.68	$389.00	$54.46–$350.10	88% below	88%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cancer Screening WO	$46.68	$389.00	$54.46–$350.10	88% below	88%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cncr Scrn Rtn Annual WO	$81.69	$389.00	$54.46–$350.10	—	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO	$81.69	$389.00	$54.46–$350.10	—	79%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia Fibula Bilateral CR	$253.44	$2,112.00	$19.41–$1,900.80	—	88%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia Fibula Bilateral DR	$253.44	$2,112.00	$19.41–$1,900.80	—	88%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR	$253.44	$2,112.00	$19.41–$1,900.80	50% above	88%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left CR	$253.44	$2,112.00	$19.41–$1,900.80	50% above	88%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR	$253.44	$2,112.00	$19.41–$1,900.80	50% above	88%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right CR	$253.44	$2,112.00	$19.41–$1,900.80	50% above	88%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia Fibula Bilateral CR	$443.52	$2,112.00	$295.68–$1,900.80	—	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia Fibula Bilateral DR	$443.52	$2,112.00	$295.68–$1,900.80	—	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR	$443.52	$2,112.00	$295.68–$1,900.80	—	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right CR	$443.52	$2,112.00	$295.68–$1,900.80	—	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR	$443.52	$2,112.00	$295.68–$1,900.80	—	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left CR	$443.52	$2,112.00	$295.68–$1,900.80	—	79%
MR angiography (MRA) of the head without contrast CPT 70544 MRV Head WO	$1,680.84	$14,007.00	$180.79–$12,606.30	56% above	88%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head WO	$1,680.84	$14,007.00	$180.79–$12,606.30	56% above	88%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV Head WO	$2,941.47	$14,007.00	$1,960.98–$12,606.30	—	79%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head WO	$2,941.47	$14,007.00	$1,960.98–$12,606.30	—	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO	$1,935.00	$16,125.00	$171.28–$14,512.50	44% above	88%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO	$1,935.00	$16,125.00	$171.28–$14,512.50	44% above	88%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO	$1,935.00	$16,125.00	$171.28–$14,512.50	44% above	88%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO	$1,935.00	$16,125.00	$171.28–$14,512.50	44% above	88%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO	$1,935.00	$16,125.00	$171.28–$14,512.50	44% above	88%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO	$1,935.00	$16,125.00	$171.28–$14,512.50	44% above	88%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO	$3,386.25	$16,125.00	$2,257.50–$14,512.50	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO	$3,386.25	$16,125.00	$2,257.50–$14,512.50	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO	$3,386.25	$16,125.00	$2,257.50–$14,512.50	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO	$3,386.25	$16,125.00	$2,257.50–$14,512.50	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO	$3,386.25	$16,125.00	$2,257.50–$14,512.50	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO	$3,386.25	$16,125.00	$2,257.50–$14,512.50	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO	$1,805.64	$15,047.00	$318.08–$13,542.30	1% above	88%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO	$1,805.64	$15,047.00	$318.08–$13,542.30	1% above	88%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO	$1,805.64	$15,047.00	$318.08–$13,542.30	1% above	88%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO	$1,805.64	$15,047.00	$318.08–$13,542.30	1% above	88%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO	$1,805.64	$15,047.00	$318.08–$13,542.30	1% above	88%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO	$1,805.64	$15,047.00	$318.08–$13,542.30	1% above	88%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO	$3,159.87	$15,047.00	$2,106.58–$13,542.30	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO	$3,159.87	$15,047.00	$2,106.58–$13,542.30	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO	$3,159.87	$15,047.00	$2,106.58–$13,542.30	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO	$3,159.87	$15,047.00	$2,106.58–$13,542.30	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO	$3,159.87	$15,047.00	$2,106.58–$13,542.30	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO	$3,159.87	$15,047.00	$2,106.58–$13,542.30	—	79%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$1,367.88	$11,399.00	$165.17–$10,259.10	17% above	88%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$2,393.79	$11,399.00	$1,595.86–$10,259.10	—	79%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO	$1,875.24	$15,627.00	$284.31–$14,064.30	2% below	88%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO	$3,281.67	$15,627.00	$2,187.78–$14,064.30	—	79%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$1,489.32	$12,411.00	$166.04–$11,169.90	20% above	88%
MRI of the brain, no contrast dye CPT 70551 MRV Brain WO	$1,489.32	$12,411.00	$166.04–$11,169.90	20% above	88%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert	$1,489.32	$12,411.00	$166.04–$11,169.90	20% above	88%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert	$2,606.31	$12,411.00	$1,737.54–$11,169.90	—	79%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$2,606.31	$12,411.00	$1,737.54–$11,169.90	—	79%
MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO	$2,606.31	$12,411.00	$1,737.54–$11,169.90	—	79%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO	$2,640.60	$22,005.00	$269.20–$19,804.50	77% above	88%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO	$2,640.60	$22,005.00	$269.20–$19,804.50	77% above	88%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO	$4,621.05	$22,005.00	$3,080.70–$19,804.50	—	79%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO	$4,621.05	$22,005.00	$3,080.70–$19,804.50	—	79%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO	$2,045.16	$17,043.00	$161.72–$15,338.70	62% above	88%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO	$3,579.03	$17,043.00	$2,386.02–$15,338.70	—	79%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO	$2,679.84	$22,332.00	$269.47–$20,098.80	66% above	88%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO	$4,689.72	$22,332.00	$3,126.48–$20,098.80	—	79%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO	$2,389.44	$19,912.00	$161.45–$17,920.80	113% above	88%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO	$4,181.52	$19,912.00	$2,787.68–$17,920.80	—	79%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO	$2,451.96	$20,433.00	$270.01–$18,389.70	50% above	88%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO	$4,290.93	$20,433.00	$2,860.62–$18,389.70	—	79%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO	$2,204.76	$18,373.00	$161.19–$16,535.70	86% above	88%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO	$3,858.33	$18,373.00	$2,572.22–$16,535.70	—	79%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO	$1,578.48	$13,154.00	$283.23–$11,838.60	3% below	88%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO	$2,762.34	$13,154.00	$1,841.56–$11,838.60	—	79%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$1,614.12	$13,451.00	$191.88–$12,105.90	57% above	88%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$2,824.71	$13,451.00	$1,883.14–$12,105.90	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Wrist Bilateral WO	$2,102.76	$17,523.00	$171.55–$15,770.70	—	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Elbow Bilateral WO	$2,102.76	$17,523.00	$171.55–$15,770.70	—	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Shoulder Bilateral WO	$2,102.76	$17,523.00	$171.55–$15,770.70	—	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO	$2,102.76	$17,523.00	$171.55–$15,770.70	49% above	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO	$2,102.76	$17,523.00	$171.55–$15,770.70	49% above	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO	$2,102.76	$17,523.00	$171.55–$15,770.70	49% above	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO	$2,102.76	$17,523.00	$171.55–$15,770.70	49% above	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO	$2,102.76	$17,523.00	$171.55–$15,770.70	49% above	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO	$2,102.76	$17,523.00	$171.55–$15,770.70	49% above	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Elbow Bilateral WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Shoulder Bilateral WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Wrist Bilateral WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO	$3,679.83	$17,523.00	$2,453.22–$15,770.70	—	79%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V DR	$723.60	$6,030.00	$33.17–$5,427.00	162% above	88%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V DR	$1,266.30	$6,030.00	$844.20–$5,427.00	—	79%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W	$1,238.88	$10,324.00	$155.48–$9,291.60	13% above	88%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W	$2,168.04	$10,324.00	$1,445.36–$9,291.60	—	79%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck WO	$828.84	$6,907.00	$94.79–$6,216.30	2% below	88%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck WO	$1,450.47	$6,907.00	$966.98–$6,216.30	—	79%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue CR	$181.20	$1,510.00	$18.33–$1,359.00	12% above	88%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue DR	$181.20	$1,510.00	$18.33–$1,359.00	12% above	88%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1	$3,002.76	$25,023.00	$346.15–$22,520.70	12% above	88%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1	$3,002.76	$25,023.00	$346.15–$22,520.70	12% above	88%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$3,002.76	$25,023.00	$346.15–$22,520.70	12% above	88%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1	$5,254.83	$25,023.00	$3,503.22–$22,520.70	—	79%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1	$5,254.83	$25,023.00	$3,503.22–$22,520.70	—	79%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$5,254.83	$25,023.00	$3,503.22–$22,520.70	—	79%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$1,616.40	$13,470.00	$94.51–$12,123.00	67% above	88%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$2,828.70	$13,470.00	$1,885.80–$12,123.00	—	79%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU	$153.96	$1,283.00	$42.06–$1,154.70	49% below	88%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU	$269.43	$1,283.00	$179.62–$1,154.70	—	79%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete	$625.80	$5,215.00	$86.89–$4,693.50	28% above	88%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete	$1,095.15	$5,215.00	$730.10–$4,693.50	—	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$464.28	$3,869.00	$94.14–$3,482.10	at median	88%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$812.49	$3,869.00	$541.66–$3,482.10	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal	$420.00	$3,500.00	$94.77–$3,150.00	9% above	88%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal	$735.00	$3,500.00	$490.00–$3,150.00	—	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited	$336.72	$2,806.00	$67.35–$2,525.40	at median	88%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited	$589.26	$2,806.00	$392.84–$2,525.40	—	79%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR	$302.16	$2,518.00	$21.02–$2,266.20	51% above	88%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left CR	$302.16	$2,518.00	$21.02–$2,266.20	51% above	88%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR	$302.16	$2,518.00	$21.02–$2,266.20	51% above	88%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right CR	$302.16	$2,518.00	$21.02–$2,266.20	51% above	88%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR	$528.78	$2,518.00	$352.52–$2,266.20	—	79%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left CR	$528.78	$2,518.00	$352.52–$2,266.20	—	79%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR	$528.78	$2,518.00	$352.52–$2,266.20	—	79%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right CR	$528.78	$2,518.00	$352.52–$2,266.20	—	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$230.76	$1,923.00	$23.72–$1,730.70	5% below	88%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$230.76	$1,923.00	$23.72–$1,730.70	5% below	88%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$230.76	$1,923.00	$23.72–$1,730.70	5% below	88%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$230.76	$1,923.00	$23.72–$1,730.70	5% below	88%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$403.83	$1,923.00	$269.22–$1,730.70	—	79%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$176.76	$1,473.00	$79.76–$1,325.70	—	88%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD CM	$176.76	$1,473.00	$79.76–$1,325.70	2% below	88%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD CM	$176.76	$1,473.00	$79.76–$1,325.70	2% below	88%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$309.33	$1,473.00	$206.22–$1,325.70	—	79%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD CM	$309.33	$1,473.00	$206.22–$1,325.70	—	79%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD CM	$309.33	$1,473.00	$206.22–$1,325.70	—	79%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR	$305.40	$2,545.00	$20.75–$2,290.50	—	88%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$305.40	$2,545.00	$20.75–$2,290.50	58% above	88%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$305.40	$2,545.00	$20.75–$2,290.50	58% above	88%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$305.40	$2,545.00	$20.75–$2,290.50	58% above	88%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$305.40	$2,545.00	$20.75–$2,290.50	58% above	88%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete CR	$362.40	$3,020.00	$22.10–$2,718.00	75% above	88%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete DR	$362.40	$3,020.00	$22.10–$2,718.00	75% above	88%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete DR	$634.20	$3,020.00	$422.80–$2,718.00	—	79%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete CR	$634.20	$3,020.00	$422.80–$2,718.00	—	79%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR	$234.48	$1,954.00	$22.10–$1,758.60	14% above	88%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V CR	$234.48	$1,954.00	$22.10–$1,758.60	14% above	88%
Skull X-ray, fewer than 4 views CPT 70250 70250 - XR Skull Less Than 4 V DR	$234.48	$1,954.00	$22.10–$1,758.60	14% above	88%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR	$410.34	$1,954.00	$273.56–$1,758.60	—	79%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V CR	$410.34	$1,954.00	$273.56–$1,758.60	—	79%
Skull X-ray, fewer than 4 views inpatient CPT 70250 70250 - XR Skull Less Than 4 V DR	$410.34	$1,954.00	$273.56–$1,758.60	—	79%
Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow	$170.88	$1,424.00	$78.23–$1,281.60	48% below	88%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow	$299.04	$1,424.00	$199.36–$1,281.60	—	79%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR Femur Minimum 2 Views Bilat DR	$249.36	$2,078.00	$21.83–$1,870.20	—	88%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right CR	$249.36	$2,078.00	$21.83–$1,870.20	29% above	88%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left CR	$249.36	$2,078.00	$21.83–$1,870.20	29% above	88%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR	$249.36	$2,078.00	$21.83–$1,870.20	29% above	88%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR	$249.36	$2,078.00	$21.83–$1,870.20	29% above	88%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR Femur Minimum 2 Views Bilat DR	$436.38	$2,078.00	$290.92–$1,870.20	—	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR	$436.38	$2,078.00	$290.92–$1,870.20	—	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR	$436.38	$2,078.00	$290.92–$1,870.20	—	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right CR	$436.38	$2,078.00	$290.92–$1,870.20	—	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left CR	$436.38	$2,078.00	$290.92–$1,870.20	—	79%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic WO	$1,691.88	$14,099.00	$94.51–$12,689.10	67% above	88%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic WO	$2,960.79	$14,099.00	$1,973.86–$12,689.10	—	79%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right CR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$181.20	$1,510.00	$18.33–$1,359.00	11% above	88%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$193.68	$1,614.00	$94.74–$1,452.60	54% below	88%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$338.94	$1,614.00	$225.96–$1,452.60	—	79%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$195.00	$1,625.00	$76.59–$1,462.50	39% below	88%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$341.25	$1,625.00	$227.50–$1,462.50	—	79%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$602.76	$5,023.00	$94.74–$4,520.70	14% above	88%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$1,054.83	$5,023.00	$703.22–$4,520.70	—	79%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents	$510.00	$4,250.00	$82.68–$3,825.00	44% above	88%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents	$892.50	$4,250.00	$595.00–$3,825.00	—	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid	$388.44	$3,237.00	$90.24–$2,913.30	5% below	88%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$388.44	$3,237.00	$90.24–$2,913.30	5% below	88%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue	$388.44	$3,237.00	$90.24–$2,913.30	5% below	88%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parotid	$388.44	$3,237.00	$90.24–$2,913.30	5% below	88%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parotid	$679.77	$3,237.00	$453.18–$2,913.30	—	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$679.77	$3,237.00	$453.18–$2,913.30	—	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue	$679.77	$3,237.00	$453.18–$2,913.30	—	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid	$679.77	$3,237.00	$453.18–$2,913.30	—	79%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Esophagus w Upper GI Barium	$422.88	$3,524.00	$66.90–$3,171.60	11% above	88%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Barium	$422.88	$3,524.00	$66.90–$3,171.60	11% above	88%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Gastrografin	$422.88	$3,524.00	$66.90–$3,171.60	11% above	88%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Gastrografin	$740.04	$3,524.00	$493.36–$3,171.60	—	79%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Esophagus w Upper GI Barium	$740.04	$3,524.00	$493.36–$3,171.60	—	79%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Barium	$740.04	$3,524.00	$493.36–$3,171.60	—	79%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR Humerus Min 2 V Bilateral DR	$188.04	$1,567.00	$19.68–$1,410.30	—	88%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR	$188.04	$1,567.00	$19.68–$1,410.30	8% above	88%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right CR	$188.04	$1,567.00	$19.68–$1,410.30	8% above	88%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right DR	$188.04	$1,567.00	$19.68–$1,410.30	8% above	88%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left CR	$188.04	$1,567.00	$19.68–$1,410.30	8% above	88%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR Humerus Min 2 V Bilateral DR	$329.07	$1,567.00	$219.38–$1,410.30	—	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right CR	$329.07	$1,567.00	$219.38–$1,410.30	—	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR	$329.07	$1,567.00	$219.38–$1,410.30	—	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left CR	$329.07	$1,567.00	$219.38–$1,410.30	—	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right DR	$329.07	$1,567.00	$219.38–$1,410.30	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$1,594.71	$13,289.28	$94.14–$11,960.35	246% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left.	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Left	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Right	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Right	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right	$554.76	$4,623.00	$94.14–$4,160.70	20% above	88%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left.	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Right	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Left	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Right	$970.83	$4,623.00	$647.22–$4,160.70	—	79%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right CR	$181.20	$1,510.00	$20.75–$1,359.00	11% above	88%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right DR	$181.20	$1,510.00	$20.75–$1,359.00	11% above	88%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left CR	$181.20	$1,510.00	$20.75–$1,359.00	11% above	88%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left DR	$181.20	$1,510.00	$20.75–$1,359.00	11% above	88%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Complete Min 3 V Bilateral DR	$291.84	$2,432.00	$26.69–$2,188.80	—	88%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$291.84	$2,432.00	$26.69–$2,188.80	63% above	88%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$291.84	$2,432.00	$26.69–$2,188.80	63% above	88%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$291.84	$2,432.00	$26.69–$2,188.80	63% above	88%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$291.84	$2,432.00	$26.69–$2,188.80	63% above	88%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Complete Min 3 V Bilateral DR	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views DR	$181.20	$1,510.00	$29.93–$1,359.00	5% below	88%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views CR	$181.20	$1,510.00	$29.93–$1,359.00	5% below	88%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views CR	$181.20	$1,510.00	$29.93–$1,359.00	5% below	88%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views DR	$181.20	$1,510.00	$29.93–$1,359.00	5% below	88%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR	$220.68	$1,839.00	$17.25–$1,655.10	27% above	88%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR	$220.68	$1,839.00	$17.25–$1,655.10	27% above	88%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR	$386.19	$1,839.00	$257.46–$1,655.10	—	79%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR	$386.19	$1,839.00	$257.46–$1,655.10	—	79%
X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle 2 V Bilateral DR	$188.40	$1,570.00	$19.68–$1,413.00	—	88%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR	$188.40	$1,570.00	$19.68–$1,413.00	5% above	88%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left CR	$188.40	$1,570.00	$19.68–$1,413.00	5% above	88%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR	$188.40	$1,570.00	$19.68–$1,413.00	5% above	88%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right CR	$188.40	$1,570.00	$19.68–$1,413.00	5% above	88%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle 2 V Bilateral DR	$329.70	$1,570.00	$219.80–$1,413.00	—	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR	$329.70	$1,570.00	$219.80–$1,413.00	—	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR	$329.70	$1,570.00	$219.80–$1,413.00	—	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left CR	$329.70	$1,570.00	$219.80–$1,413.00	—	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right CR	$329.70	$1,570.00	$219.80–$1,413.00	—	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$181.20	$1,510.00	$25.61–$1,359.00	12% above	88%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$317.10	$1,510.00	$211.40–$1,359.00	—	79%
X-ray of the foot, 2 views both sides CPT 73620 XR Foot 2 V Bilateral DR	$190.20	$1,585.00	$16.98–$1,426.50	—	88%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR	$190.20	$1,585.00	$16.98–$1,426.50	9% above	88%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right CR	$190.20	$1,585.00	$16.98–$1,426.50	9% above	88%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left CR	$190.20	$1,585.00	$16.98–$1,426.50	9% above	88%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR	$190.20	$1,585.00	$16.98–$1,426.50	9% above	88%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot 2 V Bilateral DR	$332.85	$1,585.00	$221.90–$1,426.50	—	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left CR	$332.85	$1,585.00	$221.90–$1,426.50	—	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right CR	$332.85	$1,585.00	$221.90–$1,426.50	—	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR	$332.85	$1,585.00	$221.90–$1,426.50	—	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR	$332.85	$1,585.00	$221.90–$1,426.50	—	79%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR	$292.20	$2,435.00	$21.02–$2,191.50	—	88%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR	$292.20	$2,435.00	$21.02–$2,191.50	48% above	88%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR	$292.20	$2,435.00	$21.02–$2,191.50	48% above	88%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR	$292.20	$2,435.00	$21.02–$2,191.50	48% above	88%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR	$292.20	$2,435.00	$21.02–$2,191.50	48% above	88%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR	$511.35	$2,435.00	$340.90–$2,191.50	—	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR	$511.35	$2,435.00	$340.90–$2,191.50	—	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR	$511.35	$2,435.00	$340.90–$2,191.50	—	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR	$511.35	$2,435.00	$340.90–$2,191.50	—	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR	$511.35	$2,435.00	$340.90–$2,191.50	—	79%
X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR	$253.32	$2,111.00	$23.45–$1,899.90	—	88%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR	$253.32	$2,111.00	$23.45–$1,899.90	29% above	88%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR	$253.32	$2,111.00	$23.45–$1,899.90	29% above	88%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR	$253.32	$2,111.00	$23.45–$1,899.90	29% above	88%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR	$253.32	$2,111.00	$23.45–$1,899.90	29% above	88%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR	$443.31	$2,111.00	$295.54–$1,899.90	—	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR	$443.31	$2,111.00	$295.54–$1,899.90	—	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR	$443.31	$2,111.00	$295.54–$1,899.90	—	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR	$443.31	$2,111.00	$295.54–$1,899.90	—	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR	$443.31	$2,111.00	$295.54–$1,899.90	—	79%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR	$253.56	$2,113.00	$21.02–$1,901.70	—	88%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 V Bilateral CR	$253.56	$2,113.00	$21.02–$1,901.70	—	88%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR	$253.56	$2,113.00	$21.02–$1,901.70	46% above	88%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR	$253.56	$2,113.00	$21.02–$1,901.70	46% above	88%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR	$253.56	$2,113.00	$21.02–$1,901.70	46% above	88%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR	$253.56	$2,113.00	$21.02–$1,901.70	46% above	88%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 V Bilateral CR	$443.73	$2,113.00	$295.82–$1,901.70	—	79%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR	$443.73	$2,113.00	$295.82–$1,901.70	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR	$443.73	$2,113.00	$295.82–$1,901.70	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR	$443.73	$2,113.00	$295.82–$1,901.70	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR	$443.73	$2,113.00	$295.82–$1,901.70	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR	$443.73	$2,113.00	$295.82–$1,901.70	—	79%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$346.32	$2,886.00	$23.45–$2,597.40	64% above	88%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$346.32	$2,886.00	$23.45–$2,597.40	64% above	88%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$606.06	$2,886.00	$404.04–$2,597.40	—	79%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$606.06	$2,886.00	$404.04–$2,597.40	—	79%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$613.68	$5,114.00	$31.82–$4,602.60	96% above	88%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$613.68	$5,114.00	$31.82–$4,602.60	96% above	88%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$1,073.94	$5,114.00	$715.96–$4,602.60	—	79%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$1,073.94	$5,114.00	$715.96–$4,602.60	—	79%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V CR	$346.32	$2,886.00	$18.87–$2,597.40	64% above	88%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR	$346.32	$2,886.00	$18.87–$2,597.40	64% above	88%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V CR	$606.06	$2,886.00	$404.04–$2,597.40	—	79%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR	$606.06	$2,886.00	$404.04–$2,597.40	—	79%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$241.56	$2,013.00	$23.72–$1,811.70	48% above	88%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$241.56	$2,013.00	$23.72–$1,811.70	48% above	88%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$422.73	$2,013.00	$281.82–$1,811.70	—	79%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$422.73	$2,013.00	$281.82–$1,811.70	—	79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR	$241.56	$2,013.00	$23.45–$1,811.70	18% above	88%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V CR	$241.56	$2,013.00	$23.45–$1,811.70	18% above	88%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 - XR Spine Cervical 2 or 3 V CR	$241.56	$2,013.00	$23.45–$1,811.70	18% above	88%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040 - XR Spine Cervical 2 or 3 V CR	$422.73	$2,013.00	$281.82–$1,811.70	—	79%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR	$422.73	$2,013.00	$281.82–$1,811.70	—	79%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V CR	$422.73	$2,013.00	$281.82–$1,811.70	—	79%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR	$212.04	$1,767.00	$15.90–$1,590.30	10% above	88%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR	$212.04	$1,767.00	$15.90–$1,590.30	10% above	88%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR	$371.07	$1,767.00	$247.38–$1,590.30	—	79%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR	$371.07	$1,767.00	$247.38–$1,590.30	—	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$241.56	$2,013.00	$19.68–$1,811.70	36% above	88%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$422.73	$2,013.00	$281.82–$1,811.70	—	79%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
ACTH blood test CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$371.28	$3,094.00	$34.35–$2,784.60	185% above	88%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone Plasma (LC)	$649.74	$3,094.00	$433.16–$2,784.60	—	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$107.40	$895.00	$4.71–$805.50	229% above	88%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT	$107.40	$895.00	$4.71–$805.50	229% above	88%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase Body Fluid	$107.40	$895.00	$4.71–$805.50	229% above	88%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT	$187.95	$895.00	$125.30–$805.50	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$187.95	$895.00	$125.30–$805.50	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase Body Fluid	$187.95	$895.00	$125.30–$805.50	—	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid	$107.76	$898.00	$4.61–$808.20	187% above	88%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$107.76	$898.00	$4.61–$808.20	187% above	88%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid	$188.58	$898.00	$125.72–$808.20	—	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$188.58	$898.00	$125.72–$808.20	—	79%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC	$258.96	$2,158.00	$42.37–$1,942.20	40% above	88%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC	$453.18	$2,158.00	$302.12–$1,942.20	—	79%
Albumin blood test CPT 82040 Albumin Level	$98.40	$820.00	$4.40–$738.00	216% above	88%
Albumin blood test CPT 82040 82040 L123390 ALB SER	$98.40	$820.00	$4.40–$738.00	216% above	88%
Albumin blood test CPT 82040 82040 ALBUMIN SERUM	$98.40	$820.00	$4.40–$738.00	216% above	88%
Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM	$172.20	$820.00	$114.80–$738.00	—	79%
Albumin blood test inpatient CPT 82040 82040 L123390 ALB SER	$172.20	$820.00	$114.80–$738.00	—	79%
Albumin blood test inpatient CPT 82040 Albumin Level	$172.20	$820.00	$114.80–$738.00	—	79%
Aldosterone blood test CPT 82088 82088 L4354 ALDOSTERONE	$137.28	$1,144.00	$36.25–$1,029.60	2% below	88%
Aldosterone blood test CPT 82088 Aldosterone LCMS Level LC	$137.28	$1,144.00	$36.25–$1,029.60	2% below	88%
Aldosterone blood test CPT 82088 Aldosterone Urine LC	$137.28	$1,144.00	$36.25–$1,029.60	2% below	88%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine LC	$240.24	$1,144.00	$160.16–$1,029.60	—	79%
Aldosterone blood test inpatient CPT 82088 82088 L4354 ALDOSTERONE	$240.24	$1,144.00	$160.16–$1,029.60	—	79%
Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS Level LC	$240.24	$1,144.00	$160.16–$1,029.60	—	79%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$131.04	$1,092.00	$4.61–$982.80	337% above	88%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 PHOSPHATASE ALKALINE	$131.04	$1,092.00	$4.61–$982.80	337% above	88%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$131.04	$1,092.00	$4.61–$982.80	337% above	88%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE	$229.32	$1,092.00	$152.88–$982.80	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 PHOSPHATASE ALKALINE	$229.32	$1,092.00	$152.88–$982.80	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$229.32	$1,092.00	$152.88–$982.80	—	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F083-IgE Chicken LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F009-IgE Rice LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk (Cow) LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F025-IgE Tomato LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 M004-IgE Mucor racemosus LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F081-IgE Cheese Cheddar LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F152 IgE Green Bell Pepper LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607899 ALG IGE QT	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN IGE QUANT	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mucor racemosus IgE Quant	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L660423ALLERGEN IGE	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F045-IgE Yeast Baker's LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F095-IgE Peach Sendout to LabCorp	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 K087-IgE Alpha-Amylase (LC)	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC	$11.40	$95.00	$4.64–$85.50	47% below	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M004-IgE Mucor racemosus LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F152 IgE Green Bell Pepper LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F081-IgE Cheese Cheddar LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F025-IgE Tomato LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F009-IgE Rice LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K087-IgE Alpha-Amylase (LC)	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F045-IgE Yeast Baker's LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F095-IgE Peach Sendout to LabCorp	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk (Cow) LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L660423ALLERGEN IGE	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F083-IgE Chicken LC	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mucor racemosus IgE Quant	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN IGE QUANT	$19.95	$95.00	$13.30–$85.50	—	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607899 ALG IGE QT	$19.95	$95.00	$13.30–$85.50	—	79%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$143.52	$1,196.00	$14.92–$1,076.40	161% above	88%
Alpha-fetoprotein (AFP) blood test CPT 82105 82105 L17319 AFP SERUM	$143.52	$1,196.00	$14.92–$1,076.40	161% above	88%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (LC)	$251.16	$1,196.00	$167.44–$1,076.40	—	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 L17319 AFP SERUM	$251.16	$1,196.00	$167.44–$1,076.40	—	79%
Ammonia blood test CPT 82140 Ammonia Level	$150.36	$1,253.00	$12.96–$1,127.70	116% above	88%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$263.13	$1,253.00	$175.42–$1,127.70	—	79%
Amylase blood test CPT 82150 Amylase, Body Fluid (LC)	$144.24	$1,202.00	$5.76–$1,081.80	212% above	88%
Amylase blood test CPT 82150 Amylase Blood	$144.24	$1,202.00	$5.76–$1,081.80	212% above	88%
Amylase blood test CPT 82150 Pancreatic Amylase Blood	$144.24	$1,202.00	$5.76–$1,081.80	212% above	88%
Amylase blood test CPT 82150 Amylase Urine	$144.24	$1,202.00	$5.76–$1,081.80	212% above	88%
Amylase blood test CPT 82150 Amylase Body Fluid	$144.24	$1,202.00	$5.76–$1,081.80	212% above	88%
Amylase blood test CPT 82150 Amylase Urine Timed	$144.24	$1,202.00	$5.76–$1,081.80	212% above	88%
Amylase blood test CPT 82150 Amylase 24 Hour Urine	$144.24	$1,202.00	$5.76–$1,081.80	212% above	88%
Amylase blood test inpatient CPT 82150 Amylase, Body Fluid (LC)	$252.42	$1,202.00	$168.28–$1,081.80	—	79%
Amylase blood test inpatient CPT 82150 Amylase 24 Hour Urine	$252.42	$1,202.00	$168.28–$1,081.80	—	79%
Amylase blood test inpatient CPT 82150 Amylase Urine	$252.42	$1,202.00	$168.28–$1,081.80	—	79%
Amylase blood test inpatient CPT 82150 Amylase Urine Timed	$252.42	$1,202.00	$168.28–$1,081.80	—	79%
Amylase blood test inpatient CPT 82150 Amylase Blood	$252.42	$1,202.00	$168.28–$1,081.80	—	79%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$252.42	$1,202.00	$168.28–$1,081.80	—	79%
Amylase blood test inpatient CPT 82150 Pancreatic Amylase Blood	$252.42	$1,202.00	$168.28–$1,081.80	—	79%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$28.56	$238.00	$11.52–$214.20	57% below	88%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$49.98	$238.00	$33.32–$214.20	—	79%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA (LC)	$92.16	$768.00	$10.75–$691.20	51% above	88%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 L52373 ANA	$92.16	$768.00	$10.75–$691.20	51% above	88%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA (LC)	$161.28	$768.00	$107.52–$691.20	—	79%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 L52373 ANA	$161.28	$768.00	$107.52–$691.20	—	79%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone	$81.72	$681.00	$34.92–$612.90	31% below	88%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP (LC)	$81.72	$681.00	$34.92–$612.90	31% below	88%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide	$81.72	$681.00	$34.92–$612.90	31% below	88%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide	$143.01	$681.00	$95.34–$612.90	—	79%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP (LC)	$143.01	$681.00	$95.34–$612.90	—	79%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone	$143.01	$681.00	$95.34–$612.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Alveolar Lavage Quantitative Culture wit	$64.44	$537.00	$7.67–$483.30	46% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brush Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Wash Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasopharyngeal Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Trachea Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Aspirate Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Feeding Tube Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sinus Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Miscellaneous Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Skin Culture without Gram Stain Panel	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gastric Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Foreign Body Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Alveolar Lavage Culture without Gram Sta	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aspirate Culture without Gram Stain	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$138.12	$1,151.00	$7.67–$1,035.90	213% above	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Alveolar Lavage Quantitative Culture wit	$112.77	$537.00	$75.18–$483.30	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Feeding Tube Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Device Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Skin Culture without Gram Stain Panel	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sinus Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Aspirate Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Trachea Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Wash Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brush Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Alveolar Lavage Culture without Gram Sta	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Foreign Body Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gastric Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aspirate Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasopharyngeal Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Miscellaneous Culture without Gram Stain	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$241.71	$1,151.00	$161.14–$1,035.90	—	79%
Basic metabolic panel (blood test) CPT 80048 BMPWTCA	$189.00	$1,575.00	$7.53–$1,417.50	244% above	88%
Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA	$330.75	$1,575.00	$220.50–$1,417.50	—	79%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$12.12	$101.00	$4.47–$90.90	69% below	88%
Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL	$12.12	$101.00	$4.47–$90.90	69% below	88%
Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid	$12.12	$101.00	$4.47–$90.90	69% below	88%
Bilirubin blood test, total CPT 82247 Bilirubin Total Neo	$12.12	$101.00	$4.47–$90.90	69% below	88%
Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood	$12.12	$101.00	$4.47–$90.90	69% below	88%
Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL	$21.21	$101.00	$14.14–$90.90	—	79%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Neo	$21.21	$101.00	$14.14–$90.90	—	79%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$21.21	$101.00	$14.14–$90.90	—	79%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid	$21.21	$101.00	$14.14–$90.90	—	79%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood	$21.21	$101.00	$14.14–$90.90	—	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$56.28	$469.00	$30.81–$422.10	60% below	88%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$98.49	$469.00	$65.66–$422.10	—	79%
Blood culture for bacteria CPT 87040 Blood Culture	$168.00	$1,400.00	$9.18–$1,260.00	128% above	88%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$294.00	$1,400.00	$196.00–$1,260.00	—	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg	$24.00	$200.00	$8.31–$180.00	140% above	88%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE	$24.00	$200.00	$8.31–$180.00	140% above	88%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING BLOOD	$2,525.13	$21,042.79	$9.09–$18,938.51	25151% above	88%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 $ Contract Collection Charge Blood	$2.10	$10.00	$1.40–$9.00	—	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg	$42.00	$200.00	$28.00–$180.00	—	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE	$42.00	$200.00	$28.00–$180.00	—	79%
Blood glucose (sugar) test CPT 82947 .Glucose POC	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test CPT 82947 Glucose Level	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test CPT 82947 .Glucose Fasting	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test CPT 82947 .GTT 3rd Hr OB	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test CPT 82947 Glucose 4 Hour Postprandial	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test CPT 82947 Glucose 3 Hour Postprandial	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB	$108.00	$900.00	$3.50–$810.00	286% above	88%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$189.00	$900.00	$126.00–$810.00	—	79%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 3 Hour Postprandial	$189.00	$900.00	$126.00–$810.00	—	79%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 3rd Hr OB	$189.00	$900.00	$126.00–$810.00	—	79%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting	$189.00	$900.00	$126.00–$810.00	—	79%
Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB	$189.00	$900.00	$126.00–$810.00	—	79%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB	$189.00	$900.00	$126.00–$810.00	—	79%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC	$189.00	$900.00	$126.00–$810.00	—	79%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 4 Hour Postprandial	$189.00	$900.00	$126.00–$810.00	—	79%
Blood lead test CPT 83655 83655 L42580 LEAD	$71.16	$593.00	$10.77–$533.70	50% above	88%
Blood lead test CPT 83655 83655 LEAD	$71.16	$593.00	$10.77–$533.70	50% above	88%
Blood lead test CPT 83655 Lead Blood Pediatric (LC)	$71.16	$593.00	$10.77–$533.70	50% above	88%
Blood lead test CPT 83655 83655 L7046 LEAD	$71.16	$593.00	$10.77–$533.70	50% above	88%
Blood lead test inpatient CPT 83655 83655 L42580 LEAD	$124.53	$593.00	$83.02–$533.70	—	79%
Blood lead test inpatient CPT 83655 83655 L7046 LEAD	$124.53	$593.00	$83.02–$533.70	—	79%
Blood lead test inpatient CPT 83655 83655 LEAD	$124.53	$593.00	$83.02–$533.70	—	79%
Blood lead test inpatient CPT 83655 Lead Blood Pediatric (LC)	$124.53	$593.00	$83.02–$533.70	—	79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCGQLS	$241.44	$2,012.00	$6.69–$1,810.80	429% above	88%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Qual, Urine CQ	$241.44	$2,012.00	$6.69–$1,810.80	429% above	88%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Qual, Urine CQ	$422.52	$2,012.00	$281.68–$1,810.80	—	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCGQLS	$422.52	$2,012.00	$281.68–$1,810.80	—	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward	$162.36	$1,353.00	$2.66–$1,217.70	167% above	88%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO	$162.36	$1,353.00	$2.66–$1,217.70	167% above	88%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO	$162.36	$1,353.00	$2.66–$1,217.70	167% above	88%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh	$162.36	$1,353.00	$2.66–$1,217.70	167% above	88%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse	$162.36	$1,353.00	$2.66–$1,217.70	167% above	88%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh	$284.13	$1,353.00	$189.42–$1,217.70	—	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO	$284.13	$1,353.00	$189.42–$1,217.70	—	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward	$284.13	$1,353.00	$189.42–$1,217.70	—	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO	$284.13	$1,353.00	$189.42–$1,217.70	—	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse	$284.13	$1,353.00	$189.42–$1,217.70	—	79%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Body Fluid	$71.04	$592.00	$3.51–$532.80	184% above	88%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$71.04	$592.00	$3.51–$532.80	184% above	88%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$124.32	$592.00	$82.88–$532.80	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Body Fluid	$124.32	$592.00	$82.88–$532.80	—	79%
C-peptide blood test CPT 84681 C-Peptide Level LC	$137.88	$1,149.00	$18.51–$1,034.10	51% above	88%
C-peptide blood test inpatient CPT 84681 C-Peptide Level LC	$241.29	$1,149.00	$160.86–$1,034.10	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (LC)	$7.77	$37.00	$5.18–$33.30	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein	$7.77	$37.00	$5.18–$33.30	—	79%
C. difficile toxin gene test (stool PCR) CPT 87493 Verigene C difficile Panel	$84.24	$702.00	$33.15–$631.80	12% below	88%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe	$84.24	$702.00	$33.15–$631.80	12% below	88%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff AB PCR	$84.24	$702.00	$33.15–$631.80	12% below	88%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation	$84.24	$702.00	$33.15–$631.80	12% below	88%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$84.24	$702.00	$33.15–$631.80	12% below	88%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR	$84.24	$702.00	$33.15–$631.80	12% below	88%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp	$84.24	$702.00	$33.15–$631.80	12% below	88%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Verigene C difficile Panel	$147.42	$702.00	$98.28–$631.80	—	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff AB PCR	$147.42	$702.00	$98.28–$631.80	—	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$147.42	$702.00	$98.28–$631.80	—	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp	$147.42	$702.00	$98.28–$631.80	—	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR	$147.42	$702.00	$98.28–$631.80	—	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe	$147.42	$702.00	$98.28–$631.80	—	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation	$147.42	$702.00	$98.28–$631.80	—	79%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$156.84	$1,307.00	$18.51–$1,176.30	72% above	88%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC	$274.47	$1,307.00	$182.98–$1,176.30	—	79%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC	$151.68	$1,264.00	$18.51–$1,137.60	65% above	88%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125	$151.68	$1,264.00	$18.51–$1,137.60	65% above	88%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC	$265.44	$1,264.00	$176.96–$1,137.60	—	79%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125	$265.44	$1,264.00	$176.96–$1,137.60	—	79%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NAA (LC)	$27.48	$229.00	$32.06–$206.10	66% below	88%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID-19 RT-PCR LIAT	$27.48	$229.00	$32.06–$206.10	66% below	88%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NAA (LC)	$48.09	$229.00	$32.06–$206.10	—	79%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID-19 RT-PCR LIAT	$48.09	$229.00	$32.06–$206.10	—	79%
Calcium blood test, total CPT 82310 Calcium Urine	$123.48	$1,029.00	$4.59–$926.10	240% above	88%
Calcium blood test, total CPT 82310 Calcium BF	$123.48	$1,029.00	$4.59–$926.10	240% above	88%
Calcium blood test, total CPT 82310 Calcium Level	$123.48	$1,029.00	$4.59–$926.10	240% above	88%
Calcium blood test, total CPT 82310 Calcium, Random Urine (CQ)	$123.48	$1,029.00	$4.59–$926.10	240% above	88%
Calcium blood test, total inpatient CPT 82310 Calcium Urine	$216.09	$1,029.00	$144.06–$926.10	—	79%
Calcium blood test, total inpatient CPT 82310 Calcium Level	$216.09	$1,029.00	$144.06–$926.10	—	79%
Calcium blood test, total inpatient CPT 82310 Calcium, Random Urine (CQ)	$216.09	$1,029.00	$144.06–$926.10	—	79%
Calcium blood test, total inpatient CPT 82310 Calcium BF	$216.09	$1,029.00	$144.06–$926.10	—	79%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$214.08	$1,784.00	$16.86–$1,605.60	106% above	88%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA Pericardial Fluid CQ	$214.08	$1,784.00	$16.86–$1,605.60	106% above	88%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA CQ	$214.08	$1,784.00	$16.86–$1,605.60	106% above	88%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (LC)	$214.08	$1,784.00	$16.86–$1,605.60	106% above	88%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA Pericardial Fluid CQ	$374.64	$1,784.00	$249.76–$1,605.60	—	79%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (LC)	$374.64	$1,784.00	$249.76–$1,605.60	—	79%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA CQ	$374.64	$1,784.00	$249.76–$1,605.60	—	79%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$374.64	$1,784.00	$249.76–$1,605.60	—	79%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$42.72	$356.00	$11.46–$320.40	26% below	88%
Chickenpox (varicella) immunity blood test CPT 86787 zzVaricella Zoster Virus Ab IgM (LC)	$42.72	$356.00	$11.46–$320.40	26% below	88%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgG (LC)	$74.76	$356.00	$49.84–$320.40	—	79%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 zzVaricella Zoster Virus Ab IgM (LC)	$74.76	$356.00	$49.84–$320.40	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe	$84.24	$702.00	$31.21–$631.80	6% above	88%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP	$84.24	$702.00	$31.21–$631.80	6% above	88%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183160 C TRACH AMP	$84.24	$702.00	$31.21–$631.80	6% above	88%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2	$84.24	$702.00	$31.21–$631.80	6% above	88%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis NAA LC	$84.24	$702.00	$31.21–$631.80	6% above	88%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH	$84.24	$702.00	$31.21–$631.80	6% above	88%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP	$147.42	$702.00	$98.28–$631.80	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183160 C TRACH AMP	$147.42	$702.00	$98.28–$631.80	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH	$147.42	$702.00	$98.28–$631.80	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe	$147.42	$702.00	$98.28–$631.80	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis NAA LC	$147.42	$702.00	$98.28–$631.80	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2	$147.42	$702.00	$98.28–$631.80	—	79%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID	$189.48	$1,579.00	$11.91–$1,421.10	172% above	88%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio	$189.48	$1,579.00	$11.91–$1,421.10	172% above	88%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID	$331.59	$1,579.00	$221.06–$1,421.10	—	79%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio	$331.59	$1,579.00	$221.06–$1,421.10	—	79%
Complete blood count (CBC) with differential CPT 85025 CBCADIFF	$100.32	$836.00	$6.91–$752.40	121% above	88%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$100.32	$836.00	$6.91–$752.40	121% above	88%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$175.56	$836.00	$117.04–$752.40	—	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF	$175.56	$836.00	$117.04–$752.40	—	79%
Complete blood count (CBC), no differential CPT 85027 CBC	$46.32	$386.00	$5.75–$347.40	5% above	88%
Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT	$46.32	$386.00	$5.75–$347.40	5% above	88%
Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT	$81.06	$386.00	$54.04–$347.40	—	79%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$81.06	$386.00	$54.04–$347.40	—	79%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$240.60	$2,005.00	$9.39–$1,804.50	235% above	88%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$421.05	$2,005.00	$280.70–$1,804.50	—	79%
Cortisol blood test, total CPT 82533 Cortisol PM (LC)	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol 90 Minute	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol Sendout to LabCorp	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol AM	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol 60 Minute	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol Baseline	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol - AM Sendout to LabCorp	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol PM	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol 30 Minute	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total CPT 82533 Cortisol Level	$40.68	$339.00	$14.50–$305.10	47% below	88%
Cortisol blood test, total inpatient CPT 82533 Cortisol PM (LC)	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol Baseline	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol AM	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol PM	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol 90 Minute	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol - AM Sendout to LabCorp	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol 60 Minute	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol 30 Minute	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol Sendout to LabCorp	$71.19	$339.00	$47.46–$305.10	—	79%
Cortisol blood test, total inpatient CPT 82533 Cortisol Level	$71.19	$339.00	$47.46–$305.10	—	79%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index	$102.00	$850.00	$5.79–$765.00	143% above	88%
Creatine kinase (CK) blood test, total CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$102.00	$850.00	$5.79–$765.00	143% above	88%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$102.00	$850.00	$5.79–$765.00	143% above	88%
Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL	$102.00	$850.00	$5.79–$765.00	143% above	88%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 L2154 CREATINE KINASE TOTAL	$178.50	$850.00	$119.00–$765.00	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index	$178.50	$850.00	$119.00–$765.00	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL	$178.50	$850.00	$119.00–$765.00	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$178.50	$850.00	$119.00–$765.00	—	79%
Creatinine blood test CPT 82565 ISCREA	$77.04	$642.00	$4.55–$577.80	160% above	88%
Creatinine blood test CPT 82565 CREA	$77.04	$642.00	$4.55–$577.80	160% above	88%
Creatinine blood test inpatient CPT 82565 CREA	$134.82	$642.00	$89.88–$577.80	—	79%
Creatinine blood test inpatient CPT 82565 ISCREA	$134.82	$642.00	$89.88–$577.80	—	79%
Cytomegalovirus (CMV) antibody test CPT 86644 86644 CMV AB	$60.00	$500.00	$12.80–$450.00	21% below	88%
Cytomegalovirus (CMV) antibody test CPT 86644 86644 L221085 CMV AB	$60.00	$500.00	$12.80–$450.00	21% below	88%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody IgG (LC)	$60.00	$500.00	$12.80–$450.00	21% below	88%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibody IgG (LC)	$105.00	$500.00	$70.00–$450.00	—	79%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 CMV AB	$105.00	$500.00	$70.00–$450.00	—	79%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 L221085 CMV AB	$105.00	$500.00	$70.00–$450.00	—	79%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant	$137.04	$1,142.00	$9.05–$1,027.80	38% above	88%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant	$239.82	$1,142.00	$159.88–$1,027.80	—	79%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$53.40	$445.00	$19.77–$400.50	29% below	88%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$93.45	$445.00	$62.30–$400.50	—	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 w/Conf,Meconium (LC)	$106.70	$889.17	$55.27–$800.25	10% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Comp Drug Scrn EIG (LC)	$106.70	$889.17	$55.27–$800.25	10% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Panel 8 MedTox RLNI	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Qual	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Umbil. Cord Tissue LC	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UTHCQl	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS 8C Qual Auto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UPCPQl	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS6QualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UOpiQl	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UCocQl	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 8 w/Conf WB (LC)	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBenzQl	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UAmpQl	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS13QualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen, Urine (LC)	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen, Urine (LC)	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 oxyCODONE Qual Urine	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HYDROcodone Qual Urine	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS9AQualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBarbQl	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS11QA	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen Panel 7 Qual Auto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10BQualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite Urine LC	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS12QualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS8AQualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10QualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10AQualAuto	$276.24	$2,302.00	$55.27–$2,071.80	185% above	88%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .Differential Smear Review Evaluation	$13.05	$62.14	$8.70–$55.93	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9 w/Conf,Meconium (LC)	$186.73	$889.17	$124.48–$800.25	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Comp Drug Scrn EIG (LC)	$186.73	$889.17	$124.48–$800.25	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS6QualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10BQualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10AQualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10QualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS12QualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS11QA	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 8 w/Conf WB (LC)	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Qual	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite Urine LC	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS8AQualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UAmpQl	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBarbQl	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBenzQl	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UCocQl	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UOpiQl	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UPCPQl	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UTHCQl	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS9AQualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HYDROcodone Qual Urine	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 oxyCODONE Qual Urine	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen, Urine (LC)	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen, Urine (LC)	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS13QualAuto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen Panel 7 Qual Auto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Panel 8 MedTox RLNI	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Umbil. Cord Tissue LC	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS 8C Qual Auto	$483.42	$2,302.00	$322.28–$2,071.80	—	79%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES	$162.72	$1,356.00	$6.24–$1,220.40	169% above	88%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine Panel	$162.72	$1,356.00	$6.24–$1,220.40	169% above	88%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LYTES	$284.76	$1,356.00	$189.84–$1,220.40	—	79%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine Panel	$284.76	$1,356.00	$189.84–$1,220.40	—	79%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgM (LC)	$49.08	$409.00	$16.14–$368.10	29% below	88%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgG (LC)	$49.08	$409.00	$16.14–$368.10	29% below	88%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L240610 EBV VCA	$49.08	$409.00	$16.14–$368.10	29% below	88%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L240610 EBV VCA	$85.89	$409.00	$57.26–$368.10	—	79%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgM (LC)	$85.89	$409.00	$57.26–$368.10	—	79%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgG (LC)	$85.89	$409.00	$57.26–$368.10	—	79%
Estradiol blood test CPT 82670 Estradiol Sendout to LabCorp	$64.20	$535.00	$24.85–$481.50	29% below	88%
Estradiol blood test CPT 82670 Estradiol Level	$64.20	$535.00	$24.85–$481.50	29% below	88%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$112.35	$535.00	$74.90–$481.50	—	79%
Estradiol blood test inpatient CPT 82670 Estradiol Sendout to LabCorp	$112.35	$535.00	$74.90–$481.50	—	79%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum	$296.64	$2,472.00	$16.53–$2,224.80	321% above	88%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone (LC)	$296.64	$2,472.00	$16.53–$2,224.80	321% above	88%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum	$519.12	$2,472.00	$346.08–$2,224.80	—	79%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone (LC)	$519.12	$2,472.00	$346.08–$2,224.80	—	79%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (LC)	$209.64	$1,747.00	$17.46–$1,572.30	45% above	88%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (LC)	$366.87	$1,747.00	$244.58–$1,572.30	—	79%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$83.16	$693.00	$12.12–$623.70	29% above	88%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$145.53	$693.00	$97.02–$623.70	—	79%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$153.24	$1,277.00	$8.65–$1,149.30	118% above	88%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level	$268.17	$1,277.00	$178.78–$1,149.30	—	79%
Folate (folic acid) blood test CPT 82746 Folate Level	$12.36	$103.00	$13.08–$92.70	81% below	88%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$21.63	$103.00	$14.42–$92.70	—	79%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free	$40.68	$339.00	$15.07–$305.10	55% below	88%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free Serum (LC)	$40.68	$339.00	$15.07–$305.10	55% below	88%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free Serum (LC)	$71.19	$339.00	$47.46–$305.10	—	79%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free	$71.19	$339.00	$47.46–$305.10	—	79%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$81.00	$675.00	$8.02–$607.50	32% above	88%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free	$81.00	$675.00	$8.02–$607.50	32% above	88%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$81.00	$675.00	$8.02–$607.50	32% above	88%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$141.75	$675.00	$94.50–$607.50	—	79%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$141.75	$675.00	$94.50–$607.50	—	79%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free	$141.75	$675.00	$94.50–$607.50	—	79%
Free testosterone test CPT 84402 84402 L140103 TESTOST FREE	$40.44	$337.00	$22.66–$303.30	53% below	88%
Free testosterone test CPT 84402 Testosterone Free Direct LC	$40.44	$337.00	$22.66–$303.30	53% below	88%
Free testosterone test inpatient CPT 84402 84402 L140103 TESTOST FREE	$70.77	$337.00	$47.18–$303.30	—	79%
Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC	$70.77	$337.00	$47.18–$303.30	—	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GGT	$137.76	$1,148.00	$6.40–$1,033.20	181% above	88%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase (LC)	$137.76	$1,148.00	$6.40–$1,033.20	181% above	88%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase Body Fluid	$137.76	$1,148.00	$6.40–$1,033.20	181% above	88%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$137.76	$1,148.00	$6.40–$1,033.20	181% above	88%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 GGT	$241.08	$1,148.00	$160.72–$1,033.20	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$241.08	$1,148.00	$160.72–$1,033.20	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase Body Fluid	$241.08	$1,148.00	$160.72–$1,033.20	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase (LC)	$241.08	$1,148.00	$160.72–$1,033.20	—	79%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 $ General Health Panel	$503.64	$4,197.00	$31.24–$3,777.30	158% above	88%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 $ General Health Panel	$881.37	$4,197.00	$587.58–$3,777.30	—	79%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB	$94.80	$790.00	$4.23–$711.00	210% above	88%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial	$94.80	$790.00	$4.23–$711.00	210% above	88%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial	$94.80	$790.00	$4.23–$711.00	210% above	88%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB	$165.90	$790.00	$110.60–$711.00	—	79%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial	$165.90	$790.00	$110.60–$711.00	—	79%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial	$165.90	$790.00	$110.60–$711.00	—	79%
Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting	$146.64	$1,222.00	$11.45–$1,099.80	118% above	88%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting	$256.62	$1,222.00	$171.08–$1,099.80	—	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183160 N GONO AMP	$70.20	$585.00	$31.21–$526.50	16% below	88%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN	$77.40	$645.00	$31.21–$580.50	7% below	88%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183160 N GONO AMP	$122.85	$585.00	$81.90–$526.50	—	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN	$135.45	$645.00	$90.30–$580.50	—	79%
H. pylori antibody blood test CPT 86677 86677 L163683H PYLOR AB QL	$47.76	$398.00	$14.99–$358.20	36% below	88%
H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgG	$47.76	$398.00	$14.99–$358.20	36% below	88%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG	$83.58	$398.00	$55.72–$358.20	—	79%
H. pylori antibody blood test inpatient CPT 86677 86677 L163683H PYLOR AB QL	$83.58	$398.00	$55.72–$358.20	—	79%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$102.60	$855.00	$12.79–$769.50	9% below	88%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Fecal IA	$102.60	$855.00	$12.79–$769.50	9% below	88%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Fecal IA	$179.55	$855.00	$119.70–$769.50	—	79%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$179.55	$855.00	$119.70–$769.50	—	79%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA Real Time PCR (Non-Graph) Sendout to LabCorp	$285.24	$2,377.00	$75.70–$2,139.30	40% above	88%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA Real Time PCR (Non-Graph) Sendout to LabCorp	$499.17	$2,377.00	$332.78–$2,139.30	—	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (LC)	$105.60	$880.00	$8.64–$792.00	146% above	88%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$105.60	$880.00	$8.64–$792.00	146% above	88%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$184.80	$880.00	$123.20–$792.00	—	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (LC)	$184.80	$880.00	$123.20–$792.00	—	79%
Hemoglobin blood test CPT 85018 85018 HEMOGLOBIN 131	$62.76	$523.00	$2.11–$470.70	212% above	88%
Hemoglobin blood test CPT 85018 Hemoglobin	$62.76	$523.00	$2.11–$470.70	212% above	88%
Hemoglobin blood test inpatient CPT 85018 85018 HEMOGLOBIN 131	$109.83	$523.00	$73.22–$470.70	—	79%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$109.83	$523.00	$73.22–$470.70	—	79%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total (LC)	$119.76	$998.00	$10.72–$898.20	144% above	88%
Hepatitis B core antibody test (total) CPT 86704 HBCABT	$119.76	$998.00	$10.72–$898.20	144% above	88%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total (LC)	$209.58	$998.00	$139.72–$898.20	—	79%
Hepatitis B core antibody test (total) inpatient CPT 86704 HBCABT	$209.58	$998.00	$139.72–$898.20	—	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab w/Interp	$142.32	$1,186.00	$9.55–$1,067.40	202% above	88%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody w/Interp	$142.32	$1,186.00	$9.55–$1,067.40	202% above	88%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab (LC)	$142.32	$1,186.00	$9.55–$1,067.40	202% above	88%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab w/Interp	$249.06	$1,186.00	$166.04–$1,067.40	—	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp	$249.06	$1,186.00	$166.04–$1,067.40	—	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab (LC)	$249.06	$1,186.00	$166.04–$1,067.40	—	79%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$76.80	$640.00	$9.19–$576.00	68% above	88%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Screen (LC)	$76.80	$640.00	$9.19–$576.00	68% above	88%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp	$76.80	$640.00	$9.19–$576.00	68% above	88%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Screen (LC)	$134.40	$640.00	$89.60–$576.00	—	79%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp	$134.40	$640.00	$89.60–$576.00	—	79%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$134.40	$640.00	$89.60–$576.00	—	79%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC)	$135.24	$1,127.00	$12.69–$1,014.30	141% above	88%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$135.24	$1,127.00	$12.69–$1,014.30	141% above	88%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody	$135.24	$1,127.00	$12.69–$1,014.30	141% above	88%
Hepatitis C antibody blood test (screening) CPT 86803 HCAB2	$135.24	$1,127.00	$12.69–$1,014.30	141% above	88%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$236.67	$1,127.00	$157.78–$1,014.30	—	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2	$236.67	$1,127.00	$157.78–$1,014.30	—	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC)	$236.67	$1,127.00	$157.78–$1,014.30	—	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody	$236.67	$1,127.00	$157.78–$1,014.30	—	79%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Diagnosis LC	$208.56	$1,738.00	$38.11–$1,564.20	6% below	88%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC)	$208.56	$1,738.00	$38.11–$1,564.20	6% below	88%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$194.88	$1,624.00	$38.11–$1,461.60	12% below	88%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$208.56	$1,738.00	$38.11–$1,564.20	6% below	88%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC)	$364.98	$1,738.00	$243.32–$1,564.20	—	79%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Diagnosis LC	$364.98	$1,738.00	$243.32–$1,564.20	—	79%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$341.04	$1,624.00	$227.36–$1,461.60	—	79%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$364.98	$1,738.00	$243.32–$1,564.20	—	79%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC	$96.36	$803.00	$11.73–$722.70	51% above	88%
Herpes blood test, HSV-1 antibody CPT 86695 86695 L164099 HSV1	$96.36	$803.00	$11.73–$722.70	51% above	88%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Ab IgG	$96.36	$803.00	$11.73–$722.70	51% above	88%
Herpes blood test, HSV-1 antibody CPT 86695 86695 L164922 HSV1	$96.36	$803.00	$11.73–$722.70	51% above	88%
Herpes blood test, HSV-1 antibody CPT 86695 86695 HERPES SIMP TYPE 1	$96.36	$803.00	$11.73–$722.70	51% above	88%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164922 HSV1	$168.63	$803.00	$112.42–$722.70	—	79%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164099 HSV1	$168.63	$803.00	$112.42–$722.70	—	79%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Type Spec LC	$168.63	$803.00	$112.42–$722.70	—	79%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 HERPES SIMP TYPE 1	$168.63	$803.00	$112.42–$722.70	—	79%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Ab IgG	$168.63	$803.00	$112.42–$722.70	—	79%
Herpes blood test, HSV-2 antibody CPT 86696 86696 L164922 HSV2	$42.60	$355.00	$17.21–$319.50	28% below	88%
Herpes blood test, HSV-2 antibody CPT 86696 86696 L164099 HSV2	$60.00	$500.00	$17.21–$450.00	1% above	88%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164922 HSV2	$74.55	$355.00	$49.70–$319.50	—	79%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164099 HSV2	$105.00	$500.00	$70.00–$450.00	—	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity	$91.80	$765.00	$11.52–$688.50	66% above	88%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Cardiac (LC)	$91.80	$765.00	$11.52–$688.50	66% above	88%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein High Sensitivity	$160.65	$765.00	$107.10–$688.50	—	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein Cardiac (LC)	$160.65	$765.00	$107.10–$688.50	—	79%
Homocysteine blood test CPT 83090 Homocyst(e)ine Plasma LC	$161.16	$1,343.00	$15.94–$1,208.70	38% above	88%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine Plasma LC	$282.03	$1,343.00	$188.02–$1,208.70	—	79%
Insulin blood test CPT 83525 Insulin LC	$99.00	$825.00	$10.17–$742.50	88% above	88%
Insulin blood test CPT 83525 83525 INSULIN, TOTAL	$99.00	$825.00	$10.17–$742.50	88% above	88%
Insulin blood test CPT 83525 83525 L501561 INSULIN TOT	$99.00	$825.00	$10.17–$742.50	88% above	88%
Insulin blood test inpatient CPT 83525 83525 INSULIN, TOTAL	$173.25	$825.00	$115.50–$742.50	—	79%
Insulin blood test inpatient CPT 83525 83525 L501561 INSULIN TOT	$173.25	$825.00	$115.50–$742.50	—	79%
Insulin blood test inpatient CPT 83525 Insulin LC	$173.25	$825.00	$115.50–$742.50	—	79%
Iron blood test (serum iron) CPT 83540 IRON	$90.84	$757.00	$5.75–$681.30	150% above	88%
Iron blood test (serum iron) CPT 83540 83540 IRON	$90.84	$757.00	$5.75–$681.30	150% above	88%
Iron blood test (serum iron) inpatient CPT 83540 83540 IRON	$158.97	$757.00	$105.98–$681.30	—	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$158.97	$757.00	$105.98–$681.30	—	79%
Kidney function blood test panel CPT 80069 RFP	$199.92	$1,666.00	$7.72–$1,499.40	166% above	88%
Kidney function blood test panel inpatient CPT 80069 RFP	$349.86	$1,666.00	$233.24–$1,499.40	—	79%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$273.24	$2,277.00	$16.47–$2,049.30	274% above	88%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone S (LC)	$273.24	$2,277.00	$16.47–$2,049.30	274% above	88%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone S (LC)	$478.17	$2,277.00	$318.78–$2,049.30	—	79%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$478.17	$2,277.00	$318.78–$2,049.30	—	79%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2	$120.12	$1,001.00	$10.29–$900.90	104% above	88%
Lactate (lactic acid) blood test CPT 83605 .ISTAT Lactate POC	$120.12	$1,001.00	$10.29–$900.90	104% above	88%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$120.12	$1,001.00	$10.29–$900.90	104% above	88%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA	$120.12	$1,001.00	$10.29–$900.90	104% above	88%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex	$120.12	$1,001.00	$10.29–$900.90	104% above	88%
Lactate (lactic acid) blood test CPT 83605 .Lactate POC	$120.12	$1,001.00	$10.29–$900.90	104% above	88%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex	$210.21	$1,001.00	$140.14–$900.90	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2	$210.21	$1,001.00	$140.14–$900.90	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 .ISTAT Lactate POC	$210.21	$1,001.00	$140.14–$900.90	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactate POC	$210.21	$1,001.00	$140.14–$900.90	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA	$210.21	$1,001.00	$140.14–$900.90	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$210.21	$1,001.00	$140.14–$900.90	—	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid (LC)	$97.56	$813.00	$5.37–$731.70	178% above	88%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 L1842 LACTATE DEHYDR	$97.56	$813.00	$5.37–$731.70	178% above	88%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$97.56	$813.00	$5.37–$731.70	178% above	88%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROLDH	$97.56	$813.00	$5.37–$731.70	178% above	88%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$97.56	$813.00	$5.37–$731.70	178% above	88%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 L1842 LACTATE DEHYDR	$170.73	$813.00	$113.82–$731.70	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$170.73	$813.00	$113.82–$731.70	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid (LC)	$170.73	$813.00	$113.82–$731.70	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$170.73	$813.00	$113.82–$731.70	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROLDH	$170.73	$813.00	$113.82–$731.70	—	79%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$119.88	$999.00	$6.13–$899.10	124% above	88%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid	$119.88	$999.00	$6.13–$899.10	124% above	88%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pleural Fluid (CQ)	$119.88	$999.00	$6.13–$899.10	124% above	88%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$209.79	$999.00	$139.86–$899.10	—	79%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid	$209.79	$999.00	$139.86–$899.10	—	79%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Pleural Fluid (CQ)	$209.79	$999.00	$139.86–$899.10	—	79%
Liver function blood test panel CPT 80076 HFP	$48.60	$405.00	$7.27–$364.50	16% below	88%
Liver function blood test panel inpatient CPT 80076 HFP	$85.05	$405.00	$56.70–$364.50	—	79%
Lyme disease antibody test CPT 86618 86618 LYME DIS AB L164705	$108.84	$907.00	$15.15–$816.30	34% above	88%
Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$108.84	$907.00	$15.15–$816.30	34% above	88%
Lyme disease antibody test CPT 86618 86618 L139825 LYME DIS AB	$108.84	$907.00	$15.15–$816.30	34% above	88%
Lyme disease antibody test CPT 86618 86618 LYME DISEASE AB	$108.84	$907.00	$15.15–$816.30	34% above	88%
Lyme disease antibody test inpatient CPT 86618 86618 L139825 LYME DIS AB	$190.47	$907.00	$126.98–$816.30	—	79%
Lyme disease antibody test inpatient CPT 86618 86618 LYME DIS AB L164705	$190.47	$907.00	$126.98–$816.30	—	79%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$190.47	$907.00	$126.98–$816.30	—	79%
Lyme disease antibody test inpatient CPT 86618 86618 LYME DISEASE AB	$190.47	$907.00	$126.98–$816.30	—	79%
Magnesium blood test CPT 83735 Magnesium Urine Sendout to LabCorp	$61.44	$512.00	$5.96–$460.80	65% above	88%
Magnesium blood test CPT 83735 Magnesium Serum Obstetric	$61.44	$512.00	$5.96–$460.80	65% above	88%
Magnesium blood test CPT 83735 Magnesium Serum	$61.44	$512.00	$5.96–$460.80	65% above	88%
Magnesium blood test CPT 83735 Magnesium Urine	$61.44	$512.00	$5.96–$460.80	65% above	88%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$107.52	$512.00	$71.68–$460.80	—	79%
Magnesium blood test inpatient CPT 83735 Magnesium Serum Obstetric	$107.52	$512.00	$71.68–$460.80	—	79%
Magnesium blood test inpatient CPT 83735 Magnesium Urine Sendout to LabCorp	$107.52	$512.00	$71.68–$460.80	—	79%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$107.52	$512.00	$71.68–$460.80	—	79%
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$35.28	$294.00	$11.46–$264.60	19% below	88%
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$61.74	$294.00	$41.16–$264.60	—	79%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$147.24	$1,227.00	$4.61–$1,104.30	257% above	88%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$257.67	$1,227.00	$171.78–$1,104.30	—	79%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgM Sendout to LabCorp	$35.04	$292.00	$11.61–$262.80	40% below	88%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgG LC	$35.04	$292.00	$11.61–$262.80	40% below	88%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgM Sendout to LabCorp	$61.32	$292.00	$40.88–$262.80	—	79%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgG LC	$61.32	$292.00	$40.88–$262.80	—	79%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE	$23.28	$194.00	$16.36–$174.60	75% below	88%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE	$40.74	$194.00	$27.16–$174.60	—	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL	$114.36	$953.00	$16.36–$857.70	49% above	88%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total	$122.40	$1,020.00	$16.36–$918.00	59% above	88%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultrasensitive W/O Serial LC	$122.40	$1,020.00	$16.36–$918.00	59% above	88%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum (RL)	$122.40	$1,020.00	$16.36–$918.00	59% above	88%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL	$200.13	$953.00	$133.42–$857.70	—	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultrasensitive W/O Serial LC	$214.20	$1,020.00	$142.80–$918.00	—	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total	$214.20	$1,020.00	$142.80–$918.00	—	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum (RL)	$214.20	$1,020.00	$142.80–$918.00	—	79%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$434.16	$3,618.00	$36.72–$3,256.20	211% above	88%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Surgical	$434.16	$3,618.00	$36.72–$3,256.20	211% above	88%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact (LC)	$434.16	$3,618.00	$36.72–$3,256.20	211% above	88%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop	$434.16	$3,618.00	$36.72–$3,256.20	211% above	88%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$759.78	$3,618.00	$506.52–$3,256.20	—	79%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop	$759.78	$3,618.00	$506.52–$3,256.20	—	79%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact (LC)	$759.78	$3,618.00	$506.52–$3,256.20	—	79%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Surgical	$759.78	$3,618.00	$506.52–$3,256.20	—	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT	$101.52	$846.00	$5.35–$761.40	213% above	88%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$101.52	$846.00	$5.35–$761.40	213% above	88%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L117199 THROMBO TIME	$101.52	$846.00	$5.35–$761.40	213% above	88%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L117199 THROMBO TIME	$177.66	$846.00	$118.44–$761.40	—	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$177.66	$846.00	$118.44–$761.40	—	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT	$177.66	$846.00	$118.44–$761.40	—	79%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum	$124.20	$1,035.00	$4.22–$931.50	279% above	88%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum	$217.35	$1,035.00	$144.90–$931.50	—	79%
Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB	$88.80	$740.00	$4.23–$666.00	165% above	88%
Potassium blood test CPT 84132 Potassium Serum	$88.80	$740.00	$4.23–$666.00	165% above	88%
Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB	$155.40	$740.00	$103.60–$666.00	—	79%
Potassium blood test inpatient CPT 84132 Potassium Serum	$155.40	$740.00	$103.60–$666.00	—	79%
Progesterone blood test CPT 84144 Progesterone Level	$234.00	$1,950.00	$18.55–$1,755.00	212% above	88%
Progesterone blood test CPT 84144 Progesterone Sendout to LabCorp	$234.00	$1,950.00	$18.55–$1,755.00	212% above	88%
Progesterone blood test inpatient CPT 84144 Progesterone Sendout to LabCorp	$409.50	$1,950.00	$273.00–$1,755.00	—	79%
Progesterone blood test inpatient CPT 84144 Progesterone Level	$409.50	$1,950.00	$273.00–$1,755.00	—	79%
Prolactin blood test CPT 84146 Prolactin Level	$233.04	$1,942.00	$17.24–$1,747.80	148% above	88%
Prolactin blood test CPT 84146 Prolactin (LC)	$233.04	$1,942.00	$17.24–$1,747.80	148% above	88%
Prolactin blood test inpatient CPT 84146 Prolactin (LC)	$407.82	$1,942.00	$271.88–$1,747.80	—	79%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$407.82	$1,942.00	$271.88–$1,747.80	—	79%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME	$98.64	$822.00	$3.82–$739.80	202% above	88%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR	$98.64	$822.00	$3.82–$739.80	202% above	88%
Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC	$98.64	$822.00	$3.82–$739.80	202% above	88%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME	$172.62	$822.00	$115.08–$739.80	—	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR	$172.62	$822.00	$115.08–$739.80	—	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC	$172.62	$822.00	$115.08–$739.80	—	79%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result	$32.28	$269.00	$14.72–$242.10	41% below	88%
Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP	$32.28	$269.00	$14.72–$242.10	41% below	88%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result	$32.28	$269.00	$14.72–$242.10	41% below	88%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result	$56.49	$269.00	$37.66–$242.10	—	79%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result	$56.49	$269.00	$37.66–$242.10	—	79%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP	$56.49	$269.00	$37.66–$242.10	—	79%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1	$58.08	$484.00	$14.70–$435.60	20% above	88%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A FIA	$58.08	$484.00	$14.70–$435.60	20% above	88%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 .Rapid Strep A POC	$58.08	$484.00	$14.70–$435.60	20% above	88%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A FIA	$101.64	$484.00	$67.76–$435.60	—	79%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1	$101.64	$484.00	$67.76–$435.60	—	79%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 .Rapid Strep A POC	$101.64	$484.00	$67.76–$435.60	—	79%
Renin blood test CPT 84244 Renin Activity Plasma LC	$72.96	$608.00	$19.56–$547.20	30% below	88%
Renin blood test CPT 84244 84244 L4354 RENIN	$72.96	$608.00	$19.56–$547.20	30% below	88%
Renin blood test inpatient CPT 84244 84244 L4354 RENIN	$127.68	$608.00	$85.12–$547.20	—	79%
Renin blood test inpatient CPT 84244 Renin Activity Plasma LC	$127.68	$608.00	$85.12–$547.20	—	79%
Rh blood typing CPT 86901 BB Bill Rh Test	$88.20	$735.00	$2.66–$661.50	95% above	88%
Rh blood typing CPT 86901 86901 BLOOD TYPING RH D	$88.20	$735.00	$2.66–$661.50	95% above	88%
Rh blood typing inpatient CPT 86901 BB Bill Rh Test	$154.35	$735.00	$102.90–$661.50	—	79%
Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH D	$154.35	$735.00	$102.90–$661.50	—	79%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (LC)	$12.48	$104.00	$5.04–$93.60	58% below	88%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor (LC)	$21.84	$104.00	$14.56–$93.60	—	79%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG LC	$92.88	$774.00	$12.80–$696.60	76% above	88%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp	$92.88	$774.00	$12.80–$696.60	76% above	88%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody	$92.88	$774.00	$12.80–$696.60	76% above	88%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody	$162.54	$774.00	$108.36–$696.60	—	79%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp	$162.54	$774.00	$108.36–$696.60	—	79%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgG LC	$162.54	$774.00	$108.36–$696.60	—	79%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESRA	$35.04	$292.00	$2.40–$262.80	43% above	88%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESRA	$61.32	$292.00	$40.88–$262.80	—	79%
Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB	$54.24	$452.00	$4.28–$406.80	68% above	88%
Sodium blood test CPT 84295 Sodium Serum	$54.24	$452.00	$4.28–$406.80	68% above	88%
Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB	$94.92	$452.00	$63.28–$406.80	—	79%
Sodium blood test inpatient CPT 84295 Sodium Serum	$94.92	$452.00	$63.28–$406.80	—	79%
Stool ova and parasites exam CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$119.28	$994.00	$7.92–$894.60	89% above	88%
Stool ova and parasites exam CPT 87177 87177 L188110 OP SMEAR	$119.28	$994.00	$7.92–$894.60	89% above	88%
Stool ova and parasites exam inpatient CPT 87177 87177 L188110 OP SMEAR	$208.74	$994.00	$139.16–$894.60	—	79%
Stool ova and parasites exam inpatient CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$208.74	$994.00	$139.16–$894.60	—	79%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$62.76	$523.00	$14.16–$470.70	8% above	88%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$62.76	$523.00	$14.16–$470.70	8% above	88%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$109.83	$523.00	$73.22–$470.70	—	79%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$109.83	$523.00	$73.22–$470.70	—	79%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies (LC)	$51.84	$432.00	$11.78–$388.80	25% above	88%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody w Rfx to RPR	$51.84	$432.00	$11.78–$388.80	25% above	88%
Syphilis antibody test (Treponema pallidum) CPT 86780 zzTreponema pallidum Ab FTA (LC)	$51.84	$432.00	$11.78–$388.80	25% above	88%
Syphilis antibody test (Treponema pallidum) CPT 86780 T pallidum Screening cascade LC	$51.84	$432.00	$11.78–$388.80	25% above	88%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 zzTreponema pallidum Ab FTA (LC)	$90.72	$432.00	$60.48–$388.80	—	79%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody w Rfx to RPR	$90.72	$432.00	$60.48–$388.80	—	79%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T pallidum Screening cascade LC	$90.72	$432.00	$60.48–$388.80	—	79%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibodies (LC)	$90.72	$432.00	$60.48–$388.80	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (LC)	$4.44	$37.00	$3.80–$33.30	86% below	88%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$4.44	$37.00	$3.80–$33.30	86% below	88%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$4.44	$37.00	$3.80–$33.30	86% below	88%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$4.44	$37.00	$3.80–$33.30	86% below	88%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$4.44	$37.00	$3.80–$33.30	86% below	88%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF LC	$4.44	$37.00	$3.80–$33.30	86% below	88%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual	$4.44	$37.00	$3.80–$33.30	86% below	88%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual	$7.77	$37.00	$5.18–$33.30	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$7.77	$37.00	$5.18–$33.30	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$7.77	$37.00	$5.18–$33.30	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$7.77	$37.00	$5.18–$33.30	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$7.77	$37.00	$5.18–$33.30	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (LC)	$7.77	$37.00	$5.18–$33.30	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF LC	$7.77	$37.00	$5.18–$33.30	—	79%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus (LC)	$148.80	$1,240.00	$55.13–$1,116.00	15% below	88%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$148.80	$1,240.00	$55.13–$1,116.00	15% below	88%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC	$260.40	$1,240.00	$173.60–$1,116.00	—	79%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus (LC)	$260.40	$1,240.00	$173.60–$1,116.00	—	79%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL	$305.40	$2,545.00	$22.96–$2,290.50	231% above	88%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 L140103 TESTOST TOTA	$305.40	$2,545.00	$22.96–$2,290.50	231% above	88%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$305.40	$2,545.00	$22.96–$2,290.50	231% above	88%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level (LC)	$305.40	$2,545.00	$22.96–$2,290.50	231% above	88%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 L140103 TESTOST TOTA	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level (LC)	$534.45	$2,545.00	$356.30–$2,290.50	—	79%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 L6684 MICROSOMAL AB	$36.24	$302.00	$12.94–$271.80	40% below	88%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (LC)	$36.24	$302.00	$12.94–$271.80	40% below	88%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL AB	$36.24	$302.00	$12.94–$271.80	40% below	88%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 MICROSOMAL AB	$63.42	$302.00	$42.28–$271.80	—	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC)	$63.42	$302.00	$42.28–$271.80	—	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 L6684 MICROSOMAL AB	$63.42	$302.00	$42.28–$271.80	—	79%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total	$154.92	$1,291.00	$14.94–$1,161.90	187% above	88%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$154.92	$1,291.00	$14.94–$1,161.90	187% above	88%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$154.92	$1,291.00	$14.94–$1,161.90	187% above	88%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$271.11	$1,291.00	$180.74–$1,161.90	—	79%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$271.11	$1,291.00	$180.74–$1,161.90	—	79%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total	$271.11	$1,291.00	$180.74–$1,161.90	—	79%
Total IgE blood test CPT 82785 Immunoglobulin E Total (LC)	$84.00	$700.00	$14.64–$630.00	63% above	88%
Total IgE blood test CPT 82785 82785 GAMMAGLOBULIN IGE	$84.00	$700.00	$14.64–$630.00	63% above	88%
Total IgE blood test inpatient CPT 82785 82785 GAMMAGLOBULIN IGE	$147.00	$700.00	$98.00–$630.00	—	79%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E Total (LC)	$147.00	$700.00	$98.00–$630.00	—	79%
Total cholesterol blood test CPT 82465 Cholesterol	$113.52	$946.00	$3.87–$851.40	239% above	88%
Total cholesterol blood test CPT 82465 Cholesterol Body Fluid	$113.52	$946.00	$3.87–$851.40	239% above	88%
Total cholesterol blood test inpatient CPT 82465 Cholesterol	$198.66	$946.00	$132.44–$851.40	—	79%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid	$198.66	$946.00	$132.44–$851.40	—	79%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 Total	$88.32	$736.00	$6.11–$662.40	104% above	88%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 (LC)	$88.32	$736.00	$6.11–$662.40	104% above	88%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 (LC)	$154.56	$736.00	$103.04–$662.40	—	79%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 Total	$154.56	$736.00	$103.04–$662.40	—	79%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (LC)	$172.20	$1,435.00	$12.61–$1,291.50	192% above	88%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (LC)	$301.35	$1,435.00	$200.90–$1,291.50	—	79%
Transferrin blood test CPT 84466 TRANSF	$90.12	$751.00	$11.35–$675.90	57% above	88%
Transferrin blood test CPT 84466 84466 TRANSFERRIN	$90.12	$751.00	$11.35–$675.90	57% above	88%
Transferrin blood test inpatient CPT 84466 TRANSF	$157.71	$751.00	$105.14–$675.90	—	79%
Transferrin blood test inpatient CPT 84466 84466 TRANSFERRIN	$157.71	$751.00	$105.14–$675.90	—	79%
Trichomonas test (NAAT) CPT 87661 87661 L183160 T VAG AMP	$35.76	$298.00	$31.21–$268.20	59% below	88%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC)	$77.40	$645.00	$31.21–$580.50	12% below	88%
Trichomonas test (NAAT) inpatient CPT 87661 87661 L183160 T VAG AMP	$62.58	$298.00	$41.72–$268.20	—	79%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC)	$135.45	$645.00	$90.30–$580.50	—	79%
Triglycerides blood test CPT 84478 Triglycerides Body Fluid	$165.24	$1,377.00	$5.11–$1,239.30	380% above	88%
Triglycerides blood test CPT 84478 Triglycerides	$165.24	$1,377.00	$5.11–$1,239.30	380% above	88%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$289.17	$1,377.00	$192.78–$1,239.30	—	79%
Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid	$289.17	$1,377.00	$192.78–$1,239.30	—	79%
Troponin test, quantitative CPT 84484 .Troponin I Quant 2 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin T Quant 4 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I HS 4 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin I HS x 3 Series	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin T Quant x 3 Series	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin I Quant	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .ISTAT cTroponin I POC	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin T Quant	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin T HS 1 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin I HS	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin T HS x 3 Series	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin T HS 3 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I Quant 1 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin T Quant 3 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin T Quant 1 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I HS 1 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I Quant 3 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I HS 3 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin T HS	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I Quant 4 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 Troponin I Quant x 3 Series	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I HS 2 Hour	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative CPT 84484 .Troponin I Quant POC	$118.56	$988.00	$11.09–$889.20	67% above	88%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 3 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS x 3 Series	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 4 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 4 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 2 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant x 3 Series	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 2 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant x 3 Series	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 4 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 3 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 3 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 1 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 1 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 3 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 1 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS x 3 Series	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 1 Hour	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .ISTAT cTroponin I POC	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant POC	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant	$207.48	$988.00	$138.32–$889.20	—	79%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS	$207.48	$988.00	$138.32–$889.20	—	79%
Uric acid blood test CPT 84550 Uric Acid Level	$98.28	$819.00	$4.02–$737.10	264% above	88%
Uric acid blood test inpatient CPT 84550 Uric Acid Level	$171.99	$819.00	$114.66–$737.10	—	79%
Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd	$75.12	$626.00	$2.82–$563.40	135% above	88%
Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes	$75.12	$626.00	$2.82–$563.40	135% above	88%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated	$75.12	$626.00	$2.82–$563.40	135% above	88%
Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes	$131.46	$626.00	$87.64–$563.40	—	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated	$131.46	$626.00	$87.64–$563.40	—	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd	$131.46	$626.00	$87.64–$563.40	—	79%
Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd	$18.96	$158.00	$3.58–$142.20	6% above	88%
Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd	$33.18	$158.00	$22.12–$142.20	—	79%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick	$52.44	$437.00	$2.00–$393.30	265% above	88%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto	$91.77	$437.00	$61.18–$393.30	—	79%
Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc	$16.44	$137.00	$3.10–$123.30	at median	88%
Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc	$28.77	$137.00	$19.18–$123.30	—	79%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn	$139.20	$1,160.00	$7.18–$1,044.00	188% above	88%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn	$243.60	$1,160.00	$162.40–$1,044.00	—	79%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant	$73.08	$609.00	$5.14–$548.10	91% above	88%
Urine microalbumin (albumin) test CPT 82043 MicroAlb QNT Random	$73.08	$609.00	$5.14–$548.10	91% above	88%
Urine microalbumin (albumin) test CPT 82043 82043 L140285 MICROALB QT	$73.08	$609.00	$5.14–$548.10	91% above	88%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour	$73.08	$609.00	$5.14–$548.10	91% above	88%
Urine microalbumin (albumin) test CPT 82043 82043 MICROALB QNT	$73.08	$609.00	$5.14–$548.10	91% above	88%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 MICROALB QNT	$127.89	$609.00	$85.26–$548.10	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant	$127.89	$609.00	$85.26–$548.10	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 L140285 MICROALB QT	$127.89	$609.00	$85.26–$548.10	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine 24 Hour	$127.89	$609.00	$85.26–$548.10	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MicroAlb QNT Random	$127.89	$609.00	$85.26–$548.10	—	79%
Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC	$61.68	$514.00	$7.66–$462.60	122% above	88%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative	$61.68	$514.00	$7.66–$462.60	122% above	88%
Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$61.68	$514.00	$7.66–$462.60	122% above	88%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result	$61.68	$514.00	$7.66–$462.60	122% above	88%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive	$61.68	$514.00	$7.66–$462.60	122% above	88%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive	$107.94	$514.00	$71.96–$462.60	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC	$107.94	$514.00	$71.96–$462.60	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$107.94	$514.00	$71.96–$462.60	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative	$107.94	$514.00	$71.96–$462.60	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result	$107.94	$514.00	$71.96–$462.60	—	79%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (LC)	$97.56	$813.00	$13.41–$731.70	50% above	88%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$104.40	$870.00	$13.41–$783.00	60% above	88%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 (LC)	$170.73	$813.00	$113.82–$731.70	—	79%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$182.70	$870.00	$121.80–$783.00	—	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC	$85.20	$710.00	$26.33–$639.00	35% below	88%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy	$91.20	$760.00	$26.33–$684.00	30% below	88%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC	$149.10	$710.00	$99.40–$639.00	—	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy	$159.60	$760.00	$106.40–$684.00	—	79%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol Level (LC)	$84.96	$708.00	$34.25–$637.20	45% below	88%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol Level (LC)	$148.68	$708.00	$99.12–$637.20	—	79%
Zinc blood test CPT 84630 Zinc Plasma or Serum (LC)	$35.88	$299.00	$10.13–$269.10	38% below	88%
Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC)	$62.79	$299.00	$41.86–$269.10	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 L17319 HCG QUANT	$351.12	$2,926.00	$13.39–$2,633.40	466% above	88%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant	$351.12	$2,926.00	$13.39–$2,633.40	466% above	88%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 HCG QUANT	$351.12	$2,926.00	$13.39–$2,633.40	466% above	88%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 L17319 HCG QUANT	$614.46	$2,926.00	$409.64–$2,633.40	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant	$614.46	$2,926.00	$409.64–$2,633.40	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 HCG QUANT	$614.46	$2,926.00	$409.64–$2,633.40	—	79%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$13,607.64	$113,396.96	$590.59–$102,057.26	60% above	88%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$14,776.18	$123,134.82	$896.62–$110,821.34	11% below	88%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$13,372.96	$111,441.33	$983.13–$100,297.20	3% below	88%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$3,617.28	$30,143.98	$137.51–$27,129.58	1331% above	88%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION	$11,400.90	$95,007.52	$785.37–$85,506.77	109% above	88%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT[OKAH]	$6,717.96	$55,983.00	$610.59–$50,384.70	3% above	88%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$13,606.50	$113,387.50	$610.59–$102,048.75	108% above	88%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT[OKAH]	$11,756.43	$55,983.00	$7,837.62–$50,384.70	—	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation	$646.44	$5,387.00	$138.65–$4,848.30	33% below	88%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion	$646.44	$5,387.00	$138.65–$4,848.30	33% below	88%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION[OKAH]	$646.44	$5,387.00	$138.65–$4,848.30	33% below	88%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$646.44	$5,387.00	$138.65–$4,848.30	33% below	88%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT	$6,753.40	$56,278.36	$138.65–$50,650.52	595% above	88%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION[OKAH]	$1,131.27	$5,387.00	$754.18–$4,848.30	—	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion	$1,131.27	$5,387.00	$754.18–$4,848.30	—	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$1,131.27	$5,387.00	$754.18–$4,848.30	—	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation	$1,131.27	$5,387.00	$754.18–$4,848.30	—	79%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$8,071.47	$67,262.25	$410.45–$60,536.03	228% above	88%
Cataract surgery with lens implant CPT 66984 REMOVE CATARACT/INSERT LENS	$4,778.87	$39,823.92	$489.41–$35,841.53	39% above	88%
Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY	$8,871.35	$73,927.91	$2,445.01–$66,535.12	—	88%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION	$9,063.31	$75,527.56	$182.76–$67,974.80	162% above	88%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$1,648.49	$13,737.41	$134.35–$12,363.67	257% above	88%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION	$1,513.54	$12,612.85	$199.27–$11,351.57	186% above	88%
Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY	$3,275.00	$27,291.64	$402.63–$24,562.48	100% above	88%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$3,013.38	$25,111.48	$380.85–$22,600.33	93% above	88%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,696.26	$22,468.87	$302.36–$20,221.98	82% above	88%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CERVIX EXCISION	$6,253.70	$52,114.13	$275.05–$46,902.72	50% above	88%
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP	$5,634.17	$46,951.43	$670.80–$42,256.29	21% above	88%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG[OKAH]	$10,220.52	$85,171.00	$528.47–$76,653.90	3% above	88%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$17,816.03	$148,466.88	$528.47–$133,620.19	80% above	88%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG[OKAH]	$17,885.91	$85,171.00	$11,923.94–$76,653.90	—	79%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$12,849.26	$107,077.17	$332.14–$96,369.45	96% above	88%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$5,424.39	$45,203.21	$194.87–$40,682.89	714% above	88%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$6,183.33	$51,527.79	$268.80–$46,375.01	63% above	88%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$5,608.81	$46,740.07	$146.14–$42,066.06	80% above	88%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$459.97	$3,833.07	$13.52–$3,449.76	644% above	88%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT Inj Catheter Placement C-T w Imaging	$1,056.60	$8,805.00	$230.07–$7,924.50	60% above	88%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$2,041.10	$17,009.17	$230.07–$15,308.25	209% above	88%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT Inj Catheter Placement C-T w Imaging	$1,849.05	$8,805.00	$1,232.70–$7,924.50	—	79%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$2,059.19	$17,159.90	$158.28–$15,443.91	82% above	88%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$14,794.33	$123,286.08	$526.90–$110,957.47	214% above	88%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$10,069.44	$83,912.01	$314.45–$75,520.81	114% above	88%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,874.44	$15,620.32	$163.17–$14,058.29	85% above	88%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$14,545.86	$121,215.50	$608.45–$109,093.95	212% above	88%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$11,913.24	$99,276.98	$486.35–$89,349.28	209% above	88%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY	$8,328.85	$69,407.11	$466.89–$62,466.40	49% above	88%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$156.72	$1,306.00	$182.84–$1,175.40	18% below	88%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$274.26	$1,306.00	$182.84–$1,175.40	—	79%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION	$8,017.46	$66,812.13	$1,715.18–$60,130.92	at median	88%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY	$6,746.79	$56,223.22	$1,088.50–$50,600.90	20% above	88%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$4,475.87	$37,298.93	$46.82–$33,569.04	875% above	88%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$1,225.71	$10,214.28	$114.65–$9,192.85	370% above	88%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA	$12,991.61	$108,263.38	$482.45–$97,437.04	176% above	88%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN	$1,241.76	$10,348.00	$58.95–$9,313.20	239% above	88%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA	$3,534.26	$29,452.20	$58.95–$26,506.98	866% above	88%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN	$2,173.08	$10,348.00	$1,448.72–$9,313.20	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$10,144.88	$84,540.63	$90.82–$76,086.57	4473% above	88%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT, JOINT/BURSA	$9,916.26	$82,635.53	$48.81–$74,371.98	3974% above	88%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$9,354.56	$77,954.66	$500.86–$70,159.19	24% above	88%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$10,507.77	$87,564.76	$519.79–$78,808.28	53% above	88%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$9,764.74	$81,372.80	$574.45–$73,235.52	43% above	88%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY	$15,523.53	$129,362.79	$554.62–$116,426.51	601% above	88%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$16,855.65	$140,463.71	$743.84–$126,417.34	26% above	88%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$19,022.20	$158,518.33	$835.72–$142,666.50	15% above	88%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL	$16,992.94	$141,607.87	$399.42–$127,447.08	170% above	88%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR	$22,348.41	$186,236.75	$521.07–$167,613.08	105% above	88%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA	$10,125.33	$84,377.78	$601.53–$75,940.00	12% below	88%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S)	$2,312.60	$19,271.63	$231.82–$17,344.47	590% above	88%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC[OKAH]	$4,222.80	$35,190.00	$540.86–$31,671.00	11% below	88%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$4,779.00	$39,825.04	$540.86–$35,842.54	1% above	88%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC[OKAH]	$7,389.90	$35,190.00	$4,926.60–$31,671.00	—	79%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$2,009.10	$16,742.52	$225.82–$15,068.27	174% above	88%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S	$2,717.09	$22,642.39	$216.69–$20,378.15	183% above	88%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$25,024.33	$208,536.08	$881.27–$187,682.47	229% above	88%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$5,576.41	$46,470.07	$395.23–$41,823.06	32% above	88%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION	$8,556.31	$71,302.58	$113.52–$64,172.32	2860% above	88%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$3,905.58	$32,546.46	$102.07–$29,291.81	1667% above	88%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION FOR NERVE BLOCK	$3,749.32	$31,244.35	$68.18–$28,119.92	883% above	88%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER	$18,893.31	$157,444.26	$466.18–$141,699.83	107% above	88%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image	$867.60	$7,230.00	$253.54–$6,507.00	7% below	88%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$10,016.58	$83,471.53	$253.54–$75,124.38	978% above	88%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image	$1,518.30	$7,230.00	$1,012.20–$6,507.00	—	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$3,449.75	$28,747.95	$143.58–$25,873.16	698% above	88%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$7,508.32	$62,569.31	$210.92–$56,312.38	130% above	88%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,935.61	$24,463.38	$385.64–$22,017.04	65% above	88%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$7,043.64	$58,697.00	$471.98–$52,827.30	336% above	88%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$4,423.70	$36,864.20	$135.06–$33,177.78	1111% above	88%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,573.39	$21,444.94	$302.63–$19,300.45	94% above	88%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,639.16	$21,992.96	$302.36–$19,793.66	94% above	88%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy	$13,881.00	$115,675.00	$670.16–$104,107.50	44% above	88%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy ESWL	$13,881.00	$115,675.00	$670.16–$104,107.50	44% above	88%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$18,821.30	$156,844.14	$670.16–$141,159.73	95% above	88%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy	$24,291.75	$115,675.00	$16,194.50–$104,107.50	—	79%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy ESWL	$24,291.75	$115,675.00	$16,194.50–$104,107.50	—	79%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,522.32	$12,686.01	$61.51–$11,417.41	1018% above	88%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$1,581.55	$13,179.57	$67.41–$11,861.61	701% above	88%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$12,681.54	$105,679.53	$625.80–$95,111.58	76% above	88%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY	$12,420.82	$103,506.84	$157.52–$93,156.16	27% above	88%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$1,053.41	$8,778.41	$83.83–$7,900.57	434% above	88%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$7,127.90	$59,399.13	$109.02–$53,459.22	1934% above	88%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC	$4,689.37	$39,078.09	$129.83–$35,170.28	653% above	88%
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)	$1,556.73	$12,972.77	$102.32–$11,675.49	627% above	88%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S)	$1,963.09	$16,359.08	$100.37–$14,723.17	962% above	88%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$11,271.59	$93,929.93	$672.41–$84,536.94	142% above	88%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imaging Guidance	$714.72	$5,956.00	$254.99–$5,360.40	4% above	88%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imaging Guidance	$1,250.76	$5,956.00	$833.84–$5,360.40	—	79%
Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT	$24,395.82	$203,298.52	$1,181.03–$182,968.67	63% above	88%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT	$25,833.30	$215,277.46	$1,179.61–$193,749.71	at median	88%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$21,339.19	$177,826.61	$1,327.69–$160,043.95	8% below	88%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$8,655.48	$72,129.00	$516.98–$64,916.10	524% above	88%
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$1,619.54	$13,496.14	$47.40–$12,146.53	514% above	88%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY	$8,916.13	$74,301.07	$341.68–$66,870.96	14% above	88%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,376.24	$11,468.68	$425.19–$10,321.81	24% below	88%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right	$1,573.08	$13,109.00	$398.11–$11,798.10	13% below	88%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left	$1,573.08	$13,109.00	$398.11–$11,798.10	13% below	88%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left	$2,752.89	$13,109.00	$1,835.26–$11,798.10	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right	$2,752.89	$13,109.00	$1,835.26–$11,798.10	—	79%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY	$2,566.83	$21,390.26	$325.88–$19,251.23	140% above	88%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY	$2,193.74	$18,281.19	$428.19–$16,453.07	at median	88%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPR GI ENDOSCOPY/GUIDE WIRE	$5,612.02	$46,766.83	$359.52–$42,090.15	302% above	88%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS	$2,645.12	$22,042.65	$252.82–$19,838.39	132% above	88%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$11,290.79	$94,089.92	$358.52–$84,680.93	91% above	88%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$11,091.33	$92,427.73	$380.83–$83,184.96	6% below	88%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$6,959.84	$57,998.70	$897.70–$52,198.83	6% above	88%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$648.64	$5,405.32	$114.77–$4,864.79	37% above	88%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$14,014.26	$116,785.47	$688.07–$105,106.92	at median	88%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor)	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor)	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate	$291.84	$2,432.00	$37.10–$2,188.80	60% below	88%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$7,956.17	$66,301.41	$37.10–$59,671.27	998% above	88%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor)	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor)	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood	$510.72	$2,432.00	$340.48–$2,188.80	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$133.68	$1,114.00	$6.45–$1,002.60	1% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$6,261.99	$52,183.28	$6.89–$46,964.95	4644% above	88%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial	$233.94	$1,114.00	$155.96–$1,002.60	—	79%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$661.68	$5,514.00	$251.37–$4,962.60	45% below	88%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$1,157.94	$5,514.00	$771.96–$4,962.60	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Is the patient scheduled for a Cath Lab procedure	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BCE	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours	$100.80	$840.00	$5.10–$756.00	22% below	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM, TRACING	$3,087.46	$25,728.80	$59.40–$23,155.92	2299% above	88%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BCE	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Is the patient scheduled for a Cath Lab procedure	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours	$176.40	$840.00	$117.60–$756.00	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time	$176.40	$840.00	$117.60–$756.00	—	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$103.08	$859.00	$10.60–$773.10	37% below	88%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$180.39	$859.00	$120.26–$773.10	—	79%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$174.24	$1,452.00	$39.05–$1,306.80	45% below	88%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$304.92	$1,452.00	$203.28–$1,306.80	—	79%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$259.80	$2,165.00	$66.05–$1,948.50	51% below	88%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$454.65	$2,165.00	$303.10–$1,948.50	—	79%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$393.36	$3,278.00	$112.68–$2,950.20	48% below	88%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$688.38	$3,278.00	$458.92–$2,950.20	—	79%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$546.48	$4,554.00	$163.46–$4,098.60	53% below	88%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Trauma Notification Level - No Prior Notification	$601.44	$5,012.00	$163.46–$4,510.80	48% below	88%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$956.34	$4,554.00	$637.56–$4,098.60	—	79%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Trauma Notification Level - No Prior Notification	$1,052.52	$5,012.00	$701.68–$4,510.80	—	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$934.68	$7,789.00	$30.99–$7,010.10	142% above	88%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test	$934.68	$7,789.00	$30.99–$7,010.10	142% above	88%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$4,362.39	$36,353.29	$33.09–$32,717.96	1028% above	88%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test	$1,635.69	$7,789.00	$1,090.46–$7,010.10	—	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test	$1,635.69	$7,789.00	$1,090.46–$7,010.10	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$251.64	$2,097.00	$27.38–$1,887.30	38% above	88%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$251.64	$2,097.00	$27.38–$1,887.30	38% above	88%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$251.64	$2,097.00	$27.38–$1,887.30	38% above	88%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour	$251.64	$2,097.00	$27.38–$1,887.30	38% above	88%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$2,491.33	$20,761.06	$27.38–$18,684.95	1268% above	88%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$440.37	$2,097.00	$293.58–$1,887.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour	$440.37	$2,097.00	$293.58–$1,887.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$440.37	$2,097.00	$293.58–$1,887.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$440.37	$2,097.00	$293.58–$1,887.30	—	79%
IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour	$242.64	$2,022.00	$52.23–$1,819.80	3% above	88%
IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour	$242.64	$2,022.00	$52.23–$1,819.80	3% above	88%
IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$242.64	$2,022.00	$52.23–$1,819.80	3% above	88%
IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$242.64	$2,022.00	$52.23–$1,819.80	3% above	88%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$4,335.03	$36,125.27	$52.23–$32,512.74	1740% above	88%
IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$424.62	$2,022.00	$283.08–$1,819.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour	$424.62	$2,022.00	$283.08–$1,819.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour	$424.62	$2,022.00	$283.08–$1,819.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$424.62	$2,022.00	$283.08–$1,819.80	—	79%
IV push of a medicine, first drug CPT 96374 96374 - IV Injection, single/initial	$180.72	$1,506.00	$30.85–$1,355.40	21% above	88%
IV push of a medicine, first drug CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$180.72	$1,506.00	$30.85–$1,355.40	21% above	88%
IV push of a medicine, first drug CPT 96374 IV push initial	$180.72	$1,506.00	$30.85–$1,355.40	21% above	88%
IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$180.72	$1,506.00	$30.85–$1,355.40	21% above	88%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$3,449.33	$28,744.38	$30.85–$25,869.94	2215% above	88%
IV push of a medicine, first drug inpatient CPT 96374 IV push initial	$316.26	$1,506.00	$210.84–$1,355.40	—	79%
IV push of a medicine, first drug inpatient CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$316.26	$1,506.00	$210.84–$1,355.40	—	79%
IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection, single/initial	$316.26	$1,506.00	$210.84–$1,355.40	—	79%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$316.26	$1,506.00	$210.84–$1,355.40	—	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$113.16	$943.00	$12.97–$848.70	70% above	88%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection	$113.16	$943.00	$12.97–$848.70	70% above	88%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$113.16	$943.00	$12.97–$848.70	70% above	88%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection	$113.16	$943.00	$12.97–$848.70	70% above	88%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$1,609.28	$13,410.70	$12.97–$12,069.63	2321% above	88%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$198.03	$943.00	$132.02–$848.70	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection	$198.03	$943.00	$132.02–$848.70	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection	$198.03	$943.00	$132.02–$848.70	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$198.03	$943.00	$132.02–$848.70	—	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW	$661.86	$5,515.51	$102.36–$4,963.96	300% above	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH	$108.36	$903.00	$61.16–$812.70	34% below	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes	$108.36	$903.00	$61.16–$812.70	34% below	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181	$108.36	$903.00	$61.16–$812.70	34% below	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181	$189.63	$903.00	$126.42–$812.70	—	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes	$189.63	$903.00	$126.42–$812.70	—	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH	$189.63	$903.00	$126.42–$812.70	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181	$76.68	$639.00	$61.16–$575.10	32% below	88%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes	$76.68	$639.00	$61.16–$575.10	32% below	88%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW	$76.68	$639.00	$61.16–$575.10	32% below	88%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$19,882.46	$165,687.19	$91.67–$149,118.47	17573% above	88%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes	$134.19	$639.00	$89.46–$575.10	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181	$134.19	$639.00	$89.46–$575.10	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW	$134.19	$639.00	$89.46–$575.10	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181	$91.68	$764.00	$61.16–$687.60	32% below	88%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes	$91.68	$764.00	$61.16–$687.60	32% below	88%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD	$91.68	$764.00	$61.16–$687.60	32% below	88%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD	$160.44	$764.00	$106.96–$687.60	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes	$160.44	$764.00	$106.96–$687.60	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181	$160.44	$764.00	$106.96–$687.60	—	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$36.60	$305.00	$27.08–$274.50	47% below	88%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge	$36.60	$305.00	$27.08–$274.50	47% below	88%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges	$60.84	$507.00	$27.08–$456.30	11% below	88%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$60.84	$507.00	$27.08–$456.30	11% below	88%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$60.84	$507.00	$27.08–$456.30	11% below	88%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$22,477.74	$187,314.53	$27.08–$168,583.08	32600% above	88%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge	$64.05	$305.00	$42.70–$274.50	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$64.05	$305.00	$42.70–$274.50	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges	$106.47	$507.00	$70.98–$456.30	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$106.47	$507.00	$70.98–$456.30	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$106.47	$507.00	$70.98–$456.30	—	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT, EST	$4,807.12	$40,059.34	$165.84–$36,053.41	2019% above	88%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT, EST	$605.93	$5,049.42	$83.59–$4,544.48	355% above	88%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT, EST	$1,208.63	$10,071.93	$117.93–$9,064.74	591% above	88%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT, EST	$369.61	$3,080.12	$48.26–$2,772.11	202% above	88%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge	$392.16	$3,268.00	$111.15–$2,941.20	110% above	88%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Units	$392.16	$3,268.00	$111.15–$2,941.20	110% above	88%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 187	$392.16	$3,268.00	$111.15–$2,941.20	110% above	88%
Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit	$392.16	$3,268.00	$111.15–$2,941.20	110% above	88%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 187	$686.28	$3,268.00	$457.52–$2,941.20	—	79%
Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit	$686.28	$3,268.00	$457.52–$2,941.20	—	79%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge	$686.28	$3,268.00	$457.52–$2,941.20	—	79%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Units	$686.28	$3,268.00	$457.52–$2,941.20	—	79%
Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes	$101.52	$846.00	$71.37–$761.40	18% below	88%
Speech therapy session, individual CPT 92507 Speech Treatment Charge	$101.52	$846.00	$71.37–$761.40	18% below	88%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$101.52	$846.00	$71.37–$761.40	18% below	88%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$101.52	$846.00	$71.37–$761.40	18% below	88%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$177.66	$846.00	$118.44–$761.40	—	79%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes	$177.66	$846.00	$118.44–$761.40	—	79%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$177.66	$846.00	$118.44–$761.40	—	79%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge	$177.66	$846.00	$118.44–$761.40	—	79%
Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry	$102.00	$850.00	$22.64–$765.00	53% below	88%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$257.96	$2,149.68	$156.46–$1,934.71	20% above	88%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry	$178.50	$850.00	$119.00–$765.00	—	79%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$365.40	$3,045.00	$32.25–$2,740.50	7% below	88%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$805.89	$6,715.78	$311.40–$6,044.20	105% above	88%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$639.45	$3,045.00	$426.30–$2,740.50	—	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge	$45.12	$376.00	$32.32–$338.40	26% below	88%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge	$45.12	$376.00	$32.32–$338.40	26% below	88%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge	$78.96	$376.00	$52.64–$338.40	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge	$78.96	$376.00	$52.64–$338.40	—	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therap Phlebotomy	$70.92	$591.00	$72.49–$531.90	42% below	88%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$70.92	$591.00	$72.49–$531.90	42% below	88%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$70.92	$591.00	$72.49–$531.90	42% below	88%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$187.89	$1,565.77	$77.43–$1,409.19	52% above	88%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$124.11	$591.00	$82.74–$531.90	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therap Phlebotomy	$124.11	$591.00	$82.74–$531.90	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$124.11	$591.00	$82.74–$531.90	—	79%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$246.70	$2,055.81	$157.64–$1,850.23	129% above	88%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$246.70	$2,055.81	$157.64–$1,850.23	129% above	88%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$246.70	$2,055.81	$157.64–$1,850.23	129% above	88%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$431.72	$2,055.81	$287.81–$1,850.23	—	79%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$431.72	$2,055.81	$287.81–$1,850.23	—	79%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$431.72	$2,055.81	$287.81–$1,850.23	—	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$319.48	$2,662.35	$182.25–$2,396.11	17% above	88%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$319.48	$2,662.35	$182.25–$2,396.11	17% above	88%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$319.48	$2,662.35	$182.25–$2,396.11	17% above	88%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$319.48	$2,662.35	$182.25–$2,396.11	17% above	88%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$559.09	$2,662.35	$372.73–$2,396.11	—	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$559.09	$2,662.35	$372.73–$2,396.11	—	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$559.09	$2,662.35	$372.73–$2,396.11	—	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$559.09	$2,662.35	$372.73–$2,396.11	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/	$174.00	$1,450.00	$65.96–$1,305.00	144% above	88%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/	$174.00	$1,450.00	$65.96–$1,305.00	144% above	88%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/	$174.00	$1,450.00	$65.96–$1,305.00	144% above	88%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/	$174.00	$1,450.00	$65.96–$1,305.00	144% above	88%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-52 - diphtheria/pertussis, acellular/te	$174.00	$1,450.00	$65.96–$1,305.00	144% above	88%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0564-10 - diphtheria/pertussis, acellular/te	$174.00	$1,450.00	$65.96–$1,305.00	144% above	88%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0564-10 - diphtheria/pertussis, acellular/te	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-52 - diphtheria/pertussis, acellular/te	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel	$174.00	$1,450.00	$31.07–$1,305.00	157% above	88%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel	$174.00	$1,450.00	$31.07–$1,305.00	157% above	88%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel	$174.00	$1,450.00	$31.07–$1,305.00	157% above	88%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis acel	$174.00	$1,450.00	$31.07–$1,305.00	157% above	88%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel	$174.00	$1,450.00	$31.07–$1,305.00	157% above	88%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol	$174.00	$1,450.00	$93.51–$1,305.00	35% above	88%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan	$174.00	$1,450.00	$126.06–$1,305.00	127% above	88%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan	$174.00	$1,450.00	$126.06–$1,305.00	127% above	88%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine,	$174.00	$1,450.00	$91.91–$1,305.00	—	88%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 49281-0725-10 - influenza virus vaccine, inactivat	$174.00	$1,450.00	$91.91–$1,305.00	—	88%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine,	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 49281-0725-10 - influenza virus vaccine, inactivat	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat	$174.00	$1,450.00	$21.74–$1,305.00	242% above	88%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$174.00	$1,450.00	$21.74–$1,305.00	242% above	88%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$174.00	$1,450.00	$21.74–$1,305.00	242% above	88%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat	$174.00	$1,450.00	$21.74–$1,305.00	242% above	88%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$6,205.14	$51,709.49	$23.22–$46,538.54	12081% above	88%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$507.39	$4,228.28	$307.43–$3,805.45	111% above	88%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$887.94	$4,228.28	$591.96–$3,805.45	—	79%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$202.59	$1,688.25	$132.51–$1,519.42	22% above	88%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$354.53	$1,688.25	$236.36–$1,519.42	—	79%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$174.00	$1,450.00	$90.12–$1,305.00	at median	88%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$174.00	$1,450.00	$90.12–$1,305.00	at median	88%
Hepatitis A vaccine, adult dose CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$174.00	$1,450.00	$90.12–$1,305.00	at median	88%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$174.00	$1,450.00	$90.12–$1,305.00	at median	88%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$174.00	$1,450.00	$90.12–$1,305.00	at median	88%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720	$174.00	$1,450.00	$41.09–$1,305.00	105% above	88%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720.	$174.00	$1,450.00	$41.09–$1,305.00	105% above	88%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25.	$174.00	$1,450.00	$41.09–$1,305.00	105% above	88%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u	$174.00	$1,450.00	$41.09–$1,305.00	105% above	88%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u	$174.00	$1,450.00	$41.09–$1,305.00	105% above	88%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720.	$174.00	$1,450.00	$41.09–$1,305.00	105% above	88%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720.	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25.	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720.	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$174.00	$1,450.00	$70.36–$1,305.00	82% above	88%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m	$174.00	$1,450.00	$70.36–$1,305.00	82% above	88%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$174.00	$1,450.00	$70.36–$1,305.00	82% above	88%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$174.00	$1,450.00	$70.36–$1,305.00	82% above	88%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$174.00	$1,450.00	$70.36–$1,305.00	82% above	88%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp	$174.00	$1,450.00	$31.09–$1,305.00	190% above	88%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp	$174.00	$1,450.00	$31.09–$1,305.00	190% above	88%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m	$174.00	$1,450.00	$31.09–$1,305.00	190% above	88%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc	$174.00	$1,450.00	$31.09–$1,305.00	190% above	88%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc	$174.00	$1,450.00	$31.09–$1,305.00	190% above	88%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp	$174.00	$1,450.00	$31.09–$1,305.00	190% above	88%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp	$174.00	$1,450.00	$31.09–$1,305.00	190% above	88%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va	$174.00	$1,450.00	$13.83–$1,305.00	277% above	88%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va	$174.00	$1,450.00	$13.83–$1,305.00	277% above	88%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$174.00	$1,450.00	$91.91–$1,305.00	2% above	88%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$174.00	$1,450.00	$91.91–$1,305.00	2% above	88%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat	$174.00	$1,450.00	$91.91–$1,305.00	2% above	88%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$174.00	$1,450.00	$91.91–$1,305.00	2% above	88%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
MMR vaccine (measles, mumps and rubella), live CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$174.00	$1,450.00	$97.11–$1,305.00	6% above	88%
MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$174.00	$1,450.00	$97.11–$1,305.00	6% above	88%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi	$468.30	$3,902.47	$225.24–$3,512.22	152% above	88%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi	$468.30	$3,902.47	$225.24–$3,512.22	152% above	88%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi	$819.52	$3,902.47	$546.35–$3,512.22	—	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi	$819.52	$3,902.47	$546.35–$3,512.22	—	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$174.98	$1,458.18	$138.57–$1,312.36	9% above	88%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$252.45	$2,103.78	$138.57–$1,893.40	57% above	88%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$306.22	$1,458.18	$204.15–$1,312.36	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$441.79	$2,103.78	$294.53–$1,893.40	—	79%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po	$190.62	$1,588.46	$165.12–$1,429.61	9% below	88%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po	$333.58	$1,588.46	$222.38–$1,429.61	—	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$344.48	$2,870.70	$221.32–$2,583.63	8% above	88%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$602.85	$2,870.70	$401.90–$2,583.63	—	79%
Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0112-51 - influenza virus vaccine, live 0.2	$38.85	$323.71	$27.82–$291.34	—	88%
Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine,	$38.85	$323.71	$27.82–$291.34	—	88%
Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0112-10 - influenza virus vaccine, live triv	$38.85	$323.71	$27.82–$291.34	—	88%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0112-51 - influenza virus vaccine, live 0.2	$67.98	$323.71	$45.32–$291.34	—	79%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine,	$67.98	$323.71	$45.32–$291.34	—	79%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0112-10 - influenza virus vaccine, live triv	$67.98	$323.71	$45.32–$291.34	—	79%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v	$374.80	$3,123.30	$241.56–$2,810.97	39% above	88%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v	$374.80	$3,123.30	$241.56–$2,810.97	39% above	88%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v	$374.80	$3,123.30	$241.56–$2,810.97	39% above	88%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 50090-1944-00 - pneumococcal 13-valent conjugate v	$374.80	$3,123.30	$241.56–$2,810.97	39% above	88%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v	$655.89	$3,123.30	$437.26–$2,810.97	—	79%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 50090-1944-00 - pneumococcal 13-valent conjugate v	$655.89	$3,123.30	$437.26–$2,810.97	—	79%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v	$655.89	$3,123.30	$437.26–$2,810.97	—	79%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v	$655.89	$3,123.30	$437.26–$2,810.97	—	79%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v	$326.91	$2,724.22	$252.15–$2,451.80	104% above	88%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v	$326.91	$2,724.22	$252.15–$2,451.80	104% above	88%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v	$572.09	$2,724.22	$381.39–$2,451.80	—	79%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v	$572.09	$2,724.22	$381.39–$2,451.80	—	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$405.25	$3,377.05	$292.97–$3,039.34	46% below	88%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$405.25	$3,377.05	$292.97–$3,039.34	46% below	88%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$709.18	$3,377.05	$472.79–$3,039.34	—	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$709.18	$3,377.05	$472.79–$3,039.34	—	79%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v	$405.23	$3,376.90	$307.01–$3,039.21	at median	88%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v	$709.15	$3,376.90	$472.77–$3,039.21	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$179.45	$1,495.38	$124.97–$1,345.84	8% above	88%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$179.45	$1,495.38	$124.97–$1,345.84	8% above	88%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$179.45	$1,495.38	$124.97–$1,345.84	8% above	88%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$179.45	$1,495.38	$124.97–$1,345.84	8% above	88%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$314.03	$1,495.38	$209.35–$1,345.84	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$314.03	$1,495.38	$209.35–$1,345.84	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$314.03	$1,495.38	$209.35–$1,345.84	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$314.03	$1,495.38	$209.35–$1,345.84	—	79%
Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su	$174.00	$1,450.00	$46.97–$1,305.00	173% above	88%
Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su	$174.00	$1,450.00	$46.97–$1,305.00	173% above	88%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva	$772.86	$6,440.52	$463.47–$5,796.47	33% below	88%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva	$1,352.51	$6,440.52	$901.67–$5,796.47	—	79%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$772.86	$6,440.52	$463.47–$5,796.47	at median	88%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$772.86	$6,440.52	$463.47–$5,796.47	at median	88%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$1,352.51	$6,440.52	$901.67–$5,796.47	—	79%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$1,352.51	$6,440.52	$901.67–$5,796.47	—	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$443.09	$3,692.43	$276.21–$3,323.19	at median	88%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$443.09	$3,692.43	$276.21–$3,323.19	at median	88%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$775.41	$3,692.43	$516.94–$3,323.19	—	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$775.41	$3,692.43	$516.94–$3,323.19	—	79%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$443.18	$3,693.15	$286.83–$3,323.84	—	88%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$775.56	$3,693.15	$517.04–$3,323.84	—	79%
Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$593.64	$4,947.01	$299.38–$4,452.31	3% below	88%
Rabies vaccine, one dose CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$593.64	$4,947.01	$299.38–$4,452.31	3% below	88%
Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine human diploid cell	$593.64	$4,947.01	$299.38–$4,452.31	3% below	88%
Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$593.64	$4,947.01	$299.38–$4,452.31	3% below	88%
Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$680.94	$5,674.46	$299.38–$5,107.01	11% above	88%
Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$680.94	$5,674.46	$299.38–$5,107.01	11% above	88%
Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$680.94	$5,674.46	$299.38–$5,107.01	11% above	88%
Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$680.94	$5,674.46	$299.38–$5,107.01	11% above	88%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, IM	$1,212.27	$10,102.24	$386.92–$9,092.02	98% above	88%
Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$1,038.87	$4,947.01	$692.58–$4,452.31	—	79%
Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$1,038.87	$4,947.01	$692.58–$4,452.31	—	79%
Rabies vaccine, one dose inpatient CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$1,038.87	$4,947.01	$692.58–$4,452.31	—	79%
Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine human diploid cell	$1,038.87	$4,947.01	$692.58–$4,452.31	—	79%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$1,191.64	$5,674.46	$794.42–$5,107.01	—	79%
Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$1,191.64	$5,674.46	$794.42–$5,107.01	—	79%
Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$1,191.64	$5,674.46	$794.42–$5,107.01	—	79%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$1,191.64	$5,674.46	$794.42–$5,107.01	—	79%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp	$84.53	$704.41	$98.62–$633.97	20% below	88%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp	$84.53	$704.41	$98.62–$633.97	20% below	88%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-41 - rotavirus vaccine Susp	$84.53	$704.41	$98.62–$633.97	20% below	88%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp	$147.93	$704.41	$98.62–$633.97	—	79%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-41 - rotavirus vaccine Susp	$147.93	$704.41	$98.62–$633.97	—	79%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp	$147.93	$704.41	$98.62–$633.97	—	79%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$347.90	$2,899.16	$201.78–$2,609.24	11% below	88%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$347.90	$2,899.16	$201.78–$2,609.24	11% below	88%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$608.82	$2,899.16	$405.88–$2,609.24	—	79%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$608.82	$2,899.16	$405.88–$2,609.24	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$174.00	$1,450.00	$37.37–$1,305.00	106% above	88%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$174.00	$1,450.00	$49.24–$1,305.00	104% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$2,442.65	$20,355.41	$41.53–$18,319.87	2757% above	88%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$304.50	$1,450.00	$203.00–$1,305.00	—	79%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR	$101.30	$844.13	$118.18–$759.72	—	88%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC	$101.30	$844.13	$118.18–$759.72	—	88%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR	$177.27	$844.13	$118.18–$759.72	—	79%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC	$177.27	$844.13	$118.18–$759.72	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$66.72	$556.00	$18.44–$500.40	18% above	88%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$66.72	$556.00	$18.44–$500.40	18% above	88%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$66.72	$556.00	$18.44–$500.40	18% above	88%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE 191	$66.72	$556.00	$18.44–$500.40	18% above	88%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine	$66.72	$556.00	$18.44–$500.40	18% above	88%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$66.72	$556.00	$18.44–$500.40	18% above	88%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$2,263.24	$18,860.32	$18.44–$16,974.29	3901% above	88%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine	$116.76	$556.00	$77.84–$500.40	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$116.76	$556.00	$77.84–$500.40	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$116.76	$556.00	$77.84–$500.40	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$116.76	$556.00	$77.84–$500.40	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE 191	$116.76	$556.00	$77.84–$500.40	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$116.76	$556.00	$77.84–$500.40	—	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 $ED Admin Vaccine Ea Add'l	$62.64	$522.00	$13.18–$469.80	110% above	88%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$62.64	$522.00	$13.18–$469.80	110% above	88%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$62.64	$522.00	$13.18–$469.80	110% above	88%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 $ED Admin Vaccine Ea Add'l	$109.62	$522.00	$73.08–$469.80	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional	$109.62	$522.00	$73.08–$469.80	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$109.62	$522.00	$73.08–$469.80	—	79%
Yellow fever vaccine, live CPT 90717 49281-0915-01 - yellow fever vaccine - Powder	$886.91	$7,390.88	$246.92–$7,390.88	—	88%
Yellow fever vaccine, live CPT 90717 49281-0915-05 - yellow fever vaccine - Powder	$886.91	$7,390.88	$246.92–$7,390.88	—	88%
Yellow fever vaccine, live inpatient CPT 90717 49281-0915-01 - yellow fever vaccine - Powder	$1,552.08	$7,390.88	$1,034.72–$6,651.79	—	79%
Yellow fever vaccine, live inpatient CPT 90717 49281-0915-05 - yellow fever vaccine - Powder	$1,552.08	$7,390.88	$1,034.72–$6,651.79	—	79%

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

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

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

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

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

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

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

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

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

Source file: https://www.alliancehealthdurant.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/581725656_alliancehealth-durant_standardcharges.csv