Hospital

Greeley County Health Services

Greeley County Health Services in Tribune, KS publishes cash prices for 203 common procedures listed here, from its own machine-readable price file updated Jan 14, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Kansas median for 142 of 198 procedures and above it for 55. By typical cash price it ranks #19 of 65 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

506 3rd Street Collected Sep 28, 2026 Source price file (620) 376-4221

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171359 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX	$519.40	$742.00	$42.64–$667.80	14% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX	$519.40	$742.00	$667.80	—	30%
Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI COMPLETE	$245.00	$350.00	$59.96–$315.00	1% below	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI COMPLETE	$245.00	$350.00	$315.00	—	30%
CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST	$763.00	$1,090.00	$101.17–$981.00	45% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/CONTRAST	$763.00	$1,090.00	$981.00	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA WRIST	$167.30	$239.00	$61.59–$215.10	11% above	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA WRIST	$167.30	$239.00	$215.10	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC BILATERAL	$143.50	$205.00	$59.88–$184.50	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC BILATERAL	$143.50	$205.00	$184.50	—	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC UNILATERAL LT	$143.50	$205.00	$48.20–$184.50	27% below	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC UNILATERAL RT	$143.50	$205.00	$48.20–$184.50	27% below	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC UNILATERAL RT	$143.50	$205.00	$184.50	—	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC UNILATERAL LT	$143.50	$205.00	$184.50	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DOPPLER LOW EXT BILAT	$745.50	$1,065.00	$42.64–$958.50	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DOPPLER LOW EXT BILAT	$745.50	$1,065.00	$958.50	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER LOW EXT BILAT	$745.50	$1,065.00	$42.64–$958.50	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER LOW EXT BILAT	$745.50	$1,065.00	$958.50	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PC ER US ABDOMINAL IMG&DOC LIMITED 76705	$56.00	$80.00	$40.00–$152.02	82% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 MD1 US ABDOMINAL IMG&DOC LIMITED 76705	$56.00	$80.00	$40.00–$245.40	82% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PC ER US ABDOMINAL IMG&DOC LIMITED 76705	$56.00	$80.00	$72.00	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 MD1 US ABDOMINAL IMG&DOC LIMITED 76705	$56.00	$80.00	$72.00	—	30%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BILATERAL	$143.50	$205.00	$58.08–$184.50	—	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREENING BILATERAL	$143.50	$205.00	$184.50	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT RL	$26.60	$38.00	$5.30–$34.20	28% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$26.60	$38.00	$5.30–$34.20	28% below	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT RL	$26.60	$38.00	$34.20	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$26.60	$38.00	$34.20	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$25.90	$37.00	$5.18–$33.30	29% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT RL	$25.90	$37.00	$5.18–$33.30	29% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT RL	$25.90	$37.00	$33.30	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$25.90	$37.00	$33.30	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS A B C PANEL RL	$158.90	$227.00	$40.49–$204.30	23% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS A B C PANEL RL	$158.90	$227.00	$204.30	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHOCOLATE IGE RL	$24.50	$35.00	$5.22–$31.50	18% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 GRASS IGG ALLERGY, EACH ANTIBODY (CHARGE	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED (f10) IgE 86003	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 TREES ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDS IGE ALLERGY, EACH AB 5x (CHARGE)	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BARLEY IGE RL	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PEANUT IGE RL	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 WEEDS ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SPINACH IGE RL	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY, EACH AB (CHARGE)	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 NUT ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$5.22–$39.60	3% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT CULTIVATED IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TOMATO IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BEAN ALLERGY IGE RL 86003	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CORN/MAIZE IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CORN GRASS IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COW'S MILK IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SHELLFISH IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGY IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY STINGING INSECT PANEL IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SAGEBRUSH IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY POTATO IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PINTO BEAN IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOUNTAIN CEDAR IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM HALODES IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY KENTUCKY BLUEGRASS IGE RL	$46.20	$66.00	$5.22–$59.40	55% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE, EACH CHARGE	$98.00	$140.00	$5.22–$126.00	228% above	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHOCOLATE IGE RL	$24.50	$35.00	$31.50	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRASS IGG ALLERGY, EACH ANTIBODY (CHARGE	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGY, EACH AB (CHARGE)	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREES ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NUT ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WEEDS ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED (f10) IgE 86003	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SPINACH IGE RL	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDS IGE ALLERGY, EACH AB 5x (CHARGE)	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP ALLERGY, EACH ANTIBODY (CHARGE)	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BARLEY IGE RL	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PEANUT IGE RL	$30.80	$44.00	$39.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CORN GRASS IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN ALLERGY IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM HALODES IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY KENTUCKY BLUEGRASS IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT CULTIVATED IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY POTATO IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY STINGING INSECT PANEL IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY COW'S MILK IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE BEAN ALLERGY IGE RL 86003	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TOMATO IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CORN/MAIZE IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOUNTAIN CEDAR IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SAGEBRUSH IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PINTO BEAN IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SHELLFISH IGE RL	$46.20	$66.00	$59.40	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE, EACH CHARGE	$98.00	$140.00	$126.00	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY RL	$43.40	$62.00	$12.95–$55.80	60% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE IGG RL	$43.40	$62.00	$12.95–$55.80	60% below	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY RL	$43.40	$62.00	$55.80	—	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE IGG RL	$43.40	$62.00	$55.80	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN W RFX TITERS & PATTERNS RL	$60.90	$87.00	$12.09–$78.30	13% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY IFA RL	$60.90	$87.00	$12.09–$78.30	13% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTI PLEX W REFLEX TO ANTIBODIES RL	$83.30	$119.00	$12.09–$107.10	19% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY IFA RL	$60.90	$87.00	$78.30	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN W RFX TITERS & PATTERNS RL	$60.90	$87.00	$78.30	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA MULTI PLEX W REFLEX TO ANTIBODIES RL	$83.30	$119.00	$107.10	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B NATRIUTIETIC PEPTIDE (BNP)	$91.00	$130.00	$33.37–$117.00	29% below	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP RL	$91.00	$130.00	$33.37–$117.00	29% below	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B NATRIUTIETIC PEPTIDE (BNP)	$91.00	$130.00	$117.00	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP RL	$91.00	$130.00	$117.00	—	30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP) RL	$35.00	$50.00	$8.46–$45.00	57% below	30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$35.00	$50.00	$8.46–$45.00	57% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (BMP) RL	$35.00	$50.00	$45.00	—	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$35.00	$50.00	$45.00	—	30%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$54.60	$78.00	$9.45–$70.20	29% below	30%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$54.60	$78.00	$70.20	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSURANCE/ SHER OFF COLLECTION ONLY	$27.30	$39.00	$17.55–$35.10	52% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COVERED VENIPUNCTURE CHARGE	$27.30	$39.00	$17.55–$35.10	52% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COVERED VENIPUNCTURE CHARGE	$27.30	$39.00	$35.10	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INSURANCE/ SHER OFF COLLECTION ONLY	$27.30	$39.00	$35.10	—	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$23.10	$33.00	$3.93–$29.70	26% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE RL	$23.10	$33.00	$3.93–$29.70	26% below	30%
Blood glucose (sugar) test CPT 82947 NEWBORN GLUCOSE RL	$23.10	$33.00	$3.93–$29.70	26% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$23.10	$33.00	$3.93–$29.70	26% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING RL	$23.10	$33.00	$3.93–$29.70	26% below	30%
Blood glucose (sugar) test CPT 82947 NEWBORN GLUCOSE	$23.10	$33.00	$3.93–$29.70	26% below	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RL	$23.10	$33.00	$29.70	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$23.10	$33.00	$29.70	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$23.10	$33.00	$29.70	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING RL	$23.10	$33.00	$29.70	—	30%
Blood glucose (sugar) test inpatient CPT 82947 NEWBORN GLUCOSE	$23.10	$33.00	$29.70	—	30%
Blood glucose (sugar) test inpatient CPT 82947 NEWBORN GLUCOSE RL	$23.10	$33.00	$29.70	—	30%
Blood lead test CPT 83655 LEAD (VENOUS) RL	$39.90	$57.00	$11.70–$51.30	24% below	30%
Blood lead test CPT 83655 LEAD URINE RANDOM (CHRG) 14573	$83.30	$119.00	$11.70–$107.10	60% above	30%
Blood lead test inpatient CPT 83655 LEAD (VENOUS) RL	$39.90	$57.00	$51.30	—	30%
Blood lead test inpatient CPT 83655 LEAD URINE RANDOM (CHRG) 14573	$83.30	$119.00	$107.10	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM	$50.40	$72.00	$7.52–$64.80	12% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM HCG RL	$50.40	$72.00	$7.52–$64.80	12% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM HCG WALLACE COUNTY	$50.40	$72.00	$7.52–$64.80	12% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE SERUM	$50.40	$72.00	$64.80	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM HCG RL	$50.40	$72.00	$64.80	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM HCG WALLACE COUNTY	$50.40	$72.00	$64.80	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO RL	$235.90	$337.00	$2.99–$303.30	145% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE	$235.90	$337.00	$2.99–$303.30	145% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO RL	$235.90	$337.00	$303.30	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE	$235.90	$337.00	$303.30	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP) RL	$42.00	$60.00	$5.18–$54.00	13% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$42.00	$60.00	$5.18–$54.00	13% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$42.00	$60.00	$54.00	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN (CRP) RL	$42.00	$60.00	$54.00	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 RL CLOSTRIDIUM DIFF TOXIN AMPL PROBE	$124.60	$178.00	$34.26–$160.20	10% above	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL CLOSTRIDIUM DIFF TOXIN AMPL PROBE	$124.60	$178.00	$160.20	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19 9 RL	$90.30	$129.00	$20.81–$116.10	13% below	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19 9 RL	$90.30	$129.00	$116.10	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 (CA 125) RL	$72.10	$103.00	$20.81–$92.70	22% below	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 (CA 125) RL	$72.10	$103.00	$92.70	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR WALLACE 87635	$176.40	$252.00	$43.61–$226.80	28% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COVID 19 PCR (IN-HOUSE)	$176.40	$252.00	$43.61–$226.80	28% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID SARS RNA RT-PCR RL 87635	$176.40	$252.00	$43.61–$226.80	28% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR WALLACE 87635	$176.40	$252.00	$226.80	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COVID 19 PCR (IN-HOUSE)	$176.40	$252.00	$226.80	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID SARS RNA RT-PCR RL 87635	$176.40	$252.00	$226.80	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GONORRHEA (UROGENITAL) RL	$182.00	$260.00	$35.09–$234.00	59% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA SCREEN RL	$182.00	$260.00	$35.09–$234.00	59% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GONORRHEA (UROGENITAL) RL	$182.00	$260.00	$234.00	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC/CHLAMYDIA SCREEN RL	$182.00	$260.00	$234.00	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL RL	$59.50	$85.00	$13.39–$76.50	33% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$59.50	$85.00	$13.39–$76.50	33% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL RL	$59.50	$85.00	$76.50	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$59.50	$85.00	$76.50	—	30%
Complete blood count (CBC) with differential CPT 85025 CBC HEMOGRAM WALLACE COUNTY	$28.70	$41.00	$6.60–$36.90	29% below	30%
Complete blood count (CBC) with differential CPT 85025 .CBC AUTO COMPLETE	$28.70	$41.00	$6.60–$36.90	29% below	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC HEMOGRAM WALLACE COUNTY	$28.70	$41.00	$36.90	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 .CBC AUTO COMPLETE	$28.70	$41.00	$36.90	—	30%
Complete blood count (CBC), no differential CPT 85027 .CBC HEMOGRAM	$28.70	$41.00	$6.47–$36.90	35% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 .CBC HEMOGRAM	$28.70	$41.00	$36.90	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 CMP RL	$38.50	$55.00	$10.56–$49.50	63% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$38.50	$55.00	$10.56–$49.50	63% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$38.50	$55.00	$49.50	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP RL	$38.50	$55.00	$49.50	—	30%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER RL	$91.70	$131.00	$10.18–$117.90	21% below	30%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER FIBRIN RL	$91.70	$131.00	$10.18–$117.90	21% below	30%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER	$91.70	$131.00	$10.18–$117.90	21% below	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER FIBRIN RL	$91.70	$131.00	$117.90	—	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER	$91.70	$131.00	$117.90	—	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER RL	$91.70	$131.00	$117.90	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA S RL	$98.70	$141.00	$22.23–$126.90	23% below	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA S RL	$98.70	$141.00	$126.90	—	30%
Estradiol blood test CPT 82670 ESTRADIOL RL	$145.60	$208.00	$27.94–$187.20	14% below	30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL RL	$145.60	$208.00	$187.20	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE RL	$88.90	$127.00	$18.58–$114.30	22% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE RL	$88.90	$127.00	$114.30	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL RL	$76.30	$109.00	$19.63–$98.10	67% below	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL RL	$76.30	$109.00	$98.10	—	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL RL	$70.00	$100.00	$13.63–$90.00	18% below	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$70.00	$100.00	$13.63–$90.00	18% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL RL	$70.00	$100.00	$90.00	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL	$70.00	$100.00	$90.00	—	30%
Folate (folic acid) blood test CPT 82746 FOLATES (FOLIC ACID)	$79.10	$113.00	$14.70–$101.70	19% below	30%
Folate (folic acid) blood test CPT 82746 FOLATES (FOLIC ACID) RL	$79.10	$113.00	$14.70–$101.70	19% below	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATES (FOLIC ACID)	$79.10	$113.00	$101.70	—	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATES (FOLIC ACID) RL	$79.10	$113.00	$101.70	—	30%
Free T3 thyroid hormone test CPT 84481 T3 FREE (TRIIODOTHYRONINE FREE) RL	$102.90	$147.00	$16.94–$132.30	19% below	30%
Free T3 thyroid hormone test CPT 84481 FREE T3	$102.90	$147.00	$16.94–$132.30	19% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE (TRIIODOTHYRONINE FREE) RL	$102.90	$147.00	$132.30	—	30%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$102.90	$147.00	$132.30	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE (FT4 RL) RL	$46.90	$67.00	$9.02–$60.30	24% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$46.90	$67.00	$9.02–$60.30	24% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 DIRECT RL	$46.90	$67.00	$9.02–$60.30	24% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 RL	$46.90	$67.00	$9.02–$60.30	24% below	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 RL	$46.90	$67.00	$60.30	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$46.90	$67.00	$60.30	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE (FT4 RL) RL	$46.90	$67.00	$60.30	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 DIRECT RL	$46.90	$67.00	$60.30	—	30%
Free testosterone test CPT 84402 TESTOSTERONE FREE RL	$168.00	$240.00	$25.47–$216.00	17% above	30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE RL	$168.00	$240.00	$216.00	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1ST 3 SPECIMEN	$35.70	$51.00	$4.75–$45.90	25% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1 HOUR	$35.70	$51.00	$4.75–$45.90	25% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 1 HOUR GLUCOSE TT RL	$35.70	$51.00	$4.75–$45.90	25% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE 1 HOUR	$35.70	$51.00	$45.90	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 1 HOUR GLUCOSE TT RL	$35.70	$51.00	$45.90	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE 1ST 3 SPECIMEN	$35.70	$51.00	$45.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GON URIPROBE HPL87591RL	$116.20	$166.00	$35.09–$149.40	11% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GON URIPROBE HPL87591RL	$116.20	$166.00	$149.40	—	30%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL RL	$46.90	$67.00	$14.38–$60.30	57% below	30%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL RL	$46.90	$67.00	$60.30	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+2 ANTIGEN & ANTIBODIES RL	$60.90	$87.00	$11.65–$78.30	23% below	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1+2 ANTIGEN & ANTIBODIES RL	$60.90	$87.00	$78.30	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$51.80	$74.00	$9.71–$66.60	20% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C RL	$51.80	$74.00	$9.71–$66.60	20% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$51.80	$74.00	$66.60	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C RL	$51.80	$74.00	$66.60	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (IMMUNITY)	$63.00	$90.00	$10.74–$81.00	15% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (IMMUNITY)	$63.00	$90.00	$81.00	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN RL	$39.90	$57.00	$10.33–$51.30	32% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN RL	$39.90	$57.00	$51.30	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY W/ REFLEX TO QUANT	$61.60	$88.00	$14.27–$79.20	19% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY W/ REFLEX TO QUANT	$61.60	$88.00	$79.20	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA (QUANT) RL	$112.00	$160.00	$36.41–$144.00	53% below	30%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEP C RNA QUANT RT PCR wRFLX RL	$153.30	$219.00	$36.41–$197.10	36% below	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA (QUANT) RL	$112.00	$160.00	$144.00	—	30%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HEP C RNA QUANT RT PCR wRFLX RL	$153.30	$219.00	$197.10	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG (CHARGE)	$122.50	$175.00	$11.21–$157.50	30% above	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGG (CHARGE)	$122.50	$175.00	$157.50	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS IGM 1&2 RL	$84.70	$121.00	$19.35–$108.90	1% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG (CHARGE)	$122.50	$175.00	$19.35–$157.50	43% above	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS IGM 1&2 RL	$84.70	$121.00	$108.90	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGG (CHARGE)	$122.50	$175.00	$157.50	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACT PROTEIN HI SENS SERUM RL	$78.40	$112.00	$11.01–$100.80	13% below	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACT PROTEIN HI SENS SERUM RL	$78.40	$112.00	$100.80	—	30%
Homocysteine blood test CPT 83090 HOMOCYSTEINE RL	$199.50	$285.00	$17.92–$256.50	9% below	30%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE RL	$199.50	$285.00	$256.50	—	30%
Insulin blood test CPT 83525 INSULIN RL	$67.90	$97.00	$11.43–$87.30	16% below	30%
Insulin blood test inpatient CPT 83525 INSULIN RL	$67.90	$97.00	$87.30	—	30%
Iron blood test (serum iron) CPT 83540 IRON	$41.30	$59.00	$5.50–$53.10	4% below	30%
Iron blood test (serum iron) CPT 83540 IRON RL	$41.30	$59.00	$5.50–$53.10	4% below	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$41.30	$59.00	$53.10	—	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON RL	$41.30	$59.00	$53.10	—	30%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY RL	$57.40	$82.00	$8.74–$73.80	10% below	30%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$57.40	$82.00	$8.74–$73.80	10% below	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY RL	$57.40	$82.00	$73.80	—	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY	$57.40	$82.00	$73.80	—	30%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$35.70	$51.00	$8.68–$45.90	50% below	30%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL RL	$35.70	$51.00	$8.68–$45.90	50% below	30%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL RL	$35.70	$51.00	$45.90	—	30%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$35.70	$51.00	$45.90	—	30%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) RL	$87.50	$125.00	$18.52–$112.50	21% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) RL	$87.50	$125.00	$112.50	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE RL	$43.40	$62.00	$6.89–$55.80	30% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$43.40	$62.00	$6.89–$55.80	30% below	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE RL	$43.40	$62.00	$55.80	—	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$43.40	$62.00	$55.80	—	30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL RL	$47.60	$68.00	$8.17–$61.20	42% below	30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$47.60	$68.00	$8.17–$61.20	42% below	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL RL	$47.60	$68.00	$61.20	—	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$47.60	$68.00	$61.20	—	30%
Lyme disease antibody test CPT 86618 LYME DISEASE IGG & IGM W/ REFLEX RL	$95.20	$136.00	$14.48–$122.40	22% below	30%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGG & IGM W/ REFLEX RL	$95.20	$136.00	$122.40	—	30%
Magnesium blood test CPT 83735 MAGNESIUM	$41.30	$59.00	$6.70–$53.10	20% below	30%
Magnesium blood test CPT 83735 MAGNESIUM RL	$42.70	$61.00	$6.70–$54.90	18% below	30%
Magnesium blood test CPT 83735 MAGNESIUM RBC RL	$74.90	$107.00	$6.70–$96.30	44% above	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$41.30	$59.00	$53.10	—	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RL	$42.70	$61.00	$54.90	—	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC RL	$74.90	$107.00	$96.30	—	30%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG (IMMUNITY) RL	$86.10	$123.00	$10.95–$110.70	14% below	30%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM SERUM RL	$86.10	$123.00	$10.95–$110.70	14% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG (IMMUNITY) RL	$86.10	$123.00	$110.70	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM SERUM RL	$86.10	$123.00	$110.70	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE & TOTAL RL	$70.00	$100.00	$18.39–$90.00	24% below	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE & TOTAL RL	$70.00	$100.00	$90.00	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC	$85.40	$122.00	$18.39–$109.80	19% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC RL	$85.40	$122.00	$18.39–$109.80	19% below	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL DIAGNOSTIC RL	$85.40	$122.00	$109.80	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL DIAGNOSTIC	$85.40	$122.00	$109.80	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (PTH) RL	$177.10	$253.00	$35.09–$227.70	12% below	30%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT AND CALCIUM RL	$177.10	$253.00	$35.09–$227.70	12% below	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT AND CALCIUM RL	$177.10	$253.00	$227.70	—	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE (PTH) RL	$177.10	$253.00	$227.70	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$37.80	$54.00	$5.25–$48.60	10% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT RL	$37.80	$54.00	$5.25–$48.60	10% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 VW COAGULATION ASSESS RL (CHG)	$235.20	$336.00	$5.25–$302.40	458% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT RL	$37.80	$54.00	$48.60	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$37.80	$54.00	$48.60	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 VW COAGULATION ASSESS RL (CHG)	$235.20	$336.00	$302.40	—	30%
Progesterone blood test CPT 84144 PROGESTERONE LCMS FERTILITY RL	$89.60	$128.00	$20.86–$115.20	19% below	30%
Progesterone blood test CPT 84144 PROGESTERONE RL	$89.60	$128.00	$20.86–$115.20	19% below	30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LCMS FERTILITY RL	$89.60	$128.00	$115.20	—	30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE RL	$89.60	$128.00	$115.20	—	30%
Prolactin blood test CPT 84146 PROLACTIN RL	$98.00	$140.00	$19.38–$126.00	23% below	30%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY RL 84146	$125.30	$179.00	$19.38–$161.10	2% below	30%
Prolactin blood test CPT 84146 MACROPROLACTIN RL 84146	$175.00	$250.00	$19.38–$225.00	37% above	30%
Prolactin blood test inpatient CPT 84146 PROLACTIN RL	$98.00	$140.00	$126.00	—	30%
Prolactin blood test inpatient CPT 84146 PROLACTIN DILUTION STUDY RL 84146	$125.30	$179.00	$161.10	—	30%
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN RL 84146	$175.00	$250.00	$225.00	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR WALLACE COUNTY	$31.50	$45.00	$4.29–$40.50	2% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 INR FINGERSTICK	$31.50	$45.00	$4.29–$40.50	2% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR	$31.50	$45.00	$4.29–$40.50	2% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR RL	$31.50	$45.00	$4.29–$40.50	2% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR FINGERSTICK	$31.50	$45.00	$40.50	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR	$31.50	$45.00	$40.50	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR WALLACE COUNTY	$31.50	$45.00	$40.50	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR RL	$31.50	$45.00	$40.50	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUGS OF ABUSE EMPLOYEE RL	$44.10	$63.00	$11.95–$56.70	20% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUGS OF ABUSE MEDICAL RL	$44.10	$63.00	$11.95–$56.70	20% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUGS OF ABUSE MEDICAL	$44.10	$63.00	$11.95–$56.70	20% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUGS OF ABUSE EMPLOYEE RL	$44.10	$63.00	$56.70	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUGS OF ABUSE MEDICAL RL	$44.10	$63.00	$56.70	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUGS OF ABUSE MEDICAL	$44.10	$63.00	$56.70	—	30%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA A & B WALLACE COUNTY	$72.10	$103.00	$14.89–$92.70	6% above	30%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA A & B RL	$72.10	$103.00	$14.89–$92.70	6% above	30%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA A & B	$72.10	$103.00	$14.89–$92.70	6% above	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA A & B WALLACE COUNTY	$72.10	$103.00	$92.70	—	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA A & B	$72.10	$103.00	$92.70	—	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA A & B RL	$72.10	$103.00	$92.70	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RHC C1 RAPID STREP	$72.10	$103.00	$14.05–$230.32	1% above	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS FACTOR RL	$41.30	$59.00	$5.67–$53.10	13% below	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS FACTOR RL	$41.30	$59.00	$53.10	—	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG (IMMUNITY) RL	$46.90	$67.00	$12.23–$60.30	19% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG (IMMUNITY) RL	$46.90	$67.00	$60.30	—	30%
Stool ova and parasites exam CPT 87177 OVA & PARASITES RL	$47.60	$68.00	$8.40–$61.20	22% below	30%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES PERITONEAL FLUID RL	$47.60	$68.00	$8.40–$61.20	22% below	30%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES ID RL	$47.60	$68.00	$8.40–$61.20	22% below	30%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES RL	$47.60	$68.00	$61.20	—	30%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES PERITONEAL FLUID RL	$47.60	$68.00	$61.20	—	30%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES ID RL	$47.60	$68.00	$61.20	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FET OCCULT BLD STOOL/SCREEN 1 3 DET	$27.30	$39.00	$3.82–$35.10	1% above	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FET OCCULT BLD STOOL/SCREEN 1 3 DET	$27.30	$39.00	$35.10	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUALITATIVE RL	$31.50	$45.00	$4.27–$40.50	13% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (SYPHILIS) W/ RFLX RL	$31.50	$45.00	$4.27–$40.50	13% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (SYPHILIS) RL	$31.50	$45.00	$4.27–$40.50	13% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (SYPHILIS) RL	$31.50	$45.00	$40.50	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (SYPHILIS) W/ RFLX RL	$31.50	$45.00	$40.50	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL QUALITATIVE RL	$31.50	$45.00	$40.50	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS INCUBATED RL	$161.00	$230.00	$61.98–$207.00	17% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB RL	$161.00	$230.00	$61.98–$207.00	17% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB RL	$161.00	$230.00	$207.00	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS INCUBATED RL	$161.00	$230.00	$207.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL RL	$124.60	$178.00	$25.81–$160.20	13% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (CHARGE)	$147.91	$211.30	$25.81–$190.17	3% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL RL	$124.60	$178.00	$160.20	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (CHARGE)	$147.91	$211.30	$190.17	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY (TPO) RL	$67.90	$97.00	$14.55–$87.30	13% below	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY (TPO) RL	$67.90	$97.00	$87.30	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SERUM QUEST RL	$60.20	$86.00	$15.75–$77.40	31% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH PREGNANCY RL	$60.20	$86.00	$15.75–$77.40	31% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$60.20	$86.00	$15.75–$77.40	31% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH SERUM QUEST RL	$60.20	$86.00	$77.40	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH PREGNANCY RL	$60.20	$86.00	$77.40	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$60.20	$86.00	$77.40	—	30%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RRNA RL 87661	$154.00	$220.00	$99.00–$198.00	10% above	30%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RRNA RL 87661	$154.00	$220.00	$198.00	—	30%
Uric acid blood test CPT 84550 URIC ACID	$30.10	$43.00	$4.52–$38.70	17% below	30%
Uric acid blood test CPT 84550 URIC ACID BLOOD RL	$30.10	$43.00	$4.52–$38.70	17% below	30%
Uric acid blood test inpatient CPT 84550 URIC ACID	$30.10	$43.00	$38.70	—	30%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD RL	$30.10	$43.00	$38.70	—	30%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE W MICROSCOPIC EXAM	$24.50	$35.00	$3.17–$31.50	26% below	30%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE W MICROSCOPIC EXAM R	$24.50	$35.00	$3.17–$31.50	26% below	30%
Urinalysis with microscope exam, automated CPT 81001 UA W/ MICRO (CHARGE ONLY)	$24.50	$35.00	$3.17–$31.50	26% below	30%
Urinalysis with microscope exam, automated CPT 81001 UA W/O MICRO (CHARGE ONLY)	$24.50	$35.00	$3.17–$31.50	26% below	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/O MICRO (CHARGE ONLY)	$24.50	$35.00	$31.50	—	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE W MICROSCOPIC EXAM	$24.50	$35.00	$31.50	—	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/ MICRO (CHARGE ONLY)	$24.50	$35.00	$31.50	—	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE W MICROSCOPIC EXAM R	$24.50	$35.00	$31.50	—	30%
Urinalysis with microscope exam, manual CPT 81000 UA NON AUTO W/MICRO	$30.80	$44.00	$4.02–$39.60	29% above	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA NON AUTO W/MICRO	$30.80	$44.00	$39.60	—	30%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK RL	$23.80	$34.00	$1.91–$30.60	5% above	30%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK WALLACE COUNTY	$23.80	$34.00	$1.91–$30.60	5% above	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK WALLACE COUNTY	$23.80	$34.00	$30.60	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK RL	$23.80	$34.00	$30.60	—	30%
Urinalysis without microscope exam, manual CPT 81002 UA DIPSTICK NON AUTO	$25.20	$36.00	$3.01–$32.40	40% above	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA DIPSTICK NON AUTO	$25.20	$36.00	$32.40	—	30%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE RL	$46.20	$66.00	$8.07–$59.40	13% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE RL	$46.20	$66.00	$59.40	—	30%
Urine pregnancy test, read by color change CPT 81025 URINE HCG WALLACE COUNTY	$42.70	$61.00	$7.43–$54.90	6% below	30%
Urine pregnancy test, read by color change CPT 81025 HCG QUALITATIVE URINE	$42.70	$61.00	$7.43–$54.90	6% below	30%
Urine pregnancy test, read by color change CPT 81025 URINE HCG RL	$42.70	$61.00	$7.43–$54.90	6% below	30%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG WALLACE COUNTY	$42.70	$61.00	$54.90	—	30%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUALITATIVE URINE	$42.70	$61.00	$54.90	—	30%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG RL	$42.70	$61.00	$54.90	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 (COBALAMIN) RL	$74.90	$107.00	$15.08–$96.30	15% below	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 COBALAMIN	$74.90	$107.00	$15.08–$96.30	15% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 COBALAMIN	$74.90	$107.00	$96.30	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 (COBALAMIN) RL	$74.90	$107.00	$96.30	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH TOTAL	$243.60	$348.00	$25.16–$313.20	1% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH TOTAL RL	$243.60	$348.00	$25.16–$313.20	1% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25-OH QuestAssureD (D2,D3) RL	$409.50	$585.00	$25.16–$526.50	67% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH TOTAL	$243.60	$348.00	$313.20	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH TOTAL RL	$243.60	$348.00	$313.20	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25-OH QuestAssureD (D2,D3) RL	$409.50	$585.00	$526.50	—	30%
Zinc blood test CPT 84630 ZINC RL	$44.80	$64.00	$11.39–$57.60	23% below	30%
Zinc blood test inpatient CPT 84630 ZINC RL	$44.80	$64.00	$57.60	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG RL	$77.70	$111.00	$12.79–$99.90	18% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREG TEST SERUM - HCG QUANT RL	$77.70	$111.00	$12.79–$99.90	18% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$77.70	$111.00	$12.79–$99.90	18% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$77.70	$111.00	$99.90	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREG TEST SERUM - HCG QUANT RL	$77.70	$111.00	$99.90	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG RL	$77.70	$111.00	$99.90	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Botox injections for chronic migraine CPT 64615 PC CHEMODENERV MSL(S) FAC/TRIG/CER 64615	$295.40	$422.00	$123.45–$380.98	14% below	30%
Botox injections for chronic migraine CPT 64615 TC CHEMODENERV MSL(S) FAC/TRIG/CER 64615	$560.00	$800.00	$123.45–$720.00	63% above	30%
Botox injections for chronic migraine inpatient CPT 64615 PC CHEMODENERV MSL(S) FAC/TRIG/CER 64615	$295.40	$422.00	$379.80	—	30%
Botox injections for chronic migraine inpatient CPT 64615 TC CHEMODENERV MSL(S) FAC/TRIG/CER 64615	$560.00	$800.00	$720.00	—	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 MD1 CLO TX DISTAL FIBULAR FX; WO MANIP	$627.90	$897.00	$230.32–$1,887.08	42% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 MD1 CLO TX DISTAL FIBULAR FX; WO MANIP	$627.90	$897.00	$807.30	—	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 MD1 CLO TX METATARSAL FX; WO MANIP EA	$410.20	$586.00	$230.32–$1,887.08	6% above	30%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 MD1 CLO TX METATARSAL FX; WO MANIP EA	$410.20	$586.00	$527.40	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT ARRHYTHMIA EXTERNAL	$1,106.00	$1,580.00	$156.00–$1,422.00	85% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT ARRHYTHMIA EXTERNAL	$1,106.00	$1,580.00	$1,422.00	—	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 MD1 FX RADIUS DISTAL COLLES SMITH TYPE	$619.50	$885.00	$230.32–$796.50	31% above	30%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 MD1 FX RADIUS DISTAL COLLES SMITH TYPE	$619.50	$885.00	$796.50	—	30%
Colonoscopy with polyp removal CPT 45385 MD1 COLON FLX REM TUM/POL/LES SNARE TQ	$870.80	$1,244.00	$230.32–$1,929.02	27% below	30%
Colonoscopy with polyp removal CPT 45385 MD1 COLO FLX RE TUM/POL/LES SNA TQ 45385	$870.80	$1,244.00	$234.00–$1,929.02	27% below	30%
Colonoscopy with polyp removal CPT 45385 COLON FLX REM TUM/POLLES SNARE TQ	$1,404.90	$2,007.00	$234.00–$1,929.02	18% above	30%
Colonoscopy with polyp removal CPT 45385 COLON FLX REM TUM/POLL SNAR TQ 45385	$1,404.90	$2,007.00	$234.00–$1,929.02	18% above	30%
Colonoscopy with polyp removal inpatient CPT 45385 MD1 COLO FLX RE TUM/POL/LES SNA TQ 45385	$870.80	$1,244.00	$1,119.60	—	30%
Colonoscopy with polyp removal inpatient CPT 45385 MD1 COLON FLX REM TUM/POL/LES SNARE TQ	$870.80	$1,244.00	$1,119.60	—	30%
Colonoscopy with polyp removal inpatient CPT 45385 COLON FLX REM TUM/POLL SNAR TQ 45385	$1,404.90	$2,007.00	$1,806.30	—	30%
Colonoscopy with polyp removal inpatient CPT 45385 COLON FLX REM TUM/POLLES SNARE TQ	$1,404.90	$2,007.00	$1,806.30	—	30%
Colonoscopy with tissue sample CPT 45380 MD1 COLONOSCOPY W/BX SINGLE/MULT	$826.00	$1,180.00	$245.40–$1,769.14	46% below	30%
Colonoscopy with tissue sample CPT 45380 MD1 COLONOSCOPY W/BX SINGLE/MULT 45380	$826.00	$1,180.00	$234.00–$1,769.14	46% below	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SINGLE/MULTI	$1,288.70	$1,841.00	$234.00–$1,769.14	15% below	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SINGLE/MULTI 45380	$1,288.70	$1,841.00	$234.00–$1,769.14	15% below	30%
Colonoscopy with tissue sample inpatient CPT 45380 MD1 COLONOSCOPY W/BX SINGLE/MULT 45380	$826.00	$1,180.00	$1,062.00	—	30%
Colonoscopy with tissue sample inpatient CPT 45380 MD1 COLONOSCOPY W/BX SINGLE/MULT	$826.00	$1,180.00	$1,062.00	—	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX SINGLE/MULTI	$1,288.70	$1,841.00	$1,656.90	—	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX SINGLE/MULTI 45380	$1,288.70	$1,841.00	$1,656.90	—	30%
Colonoscopy, diagnostic CPT 45378 MD1 COLON FLX DX W/COL SPEC WHEN PFRMD	$655.90	$937.00	$234.00–$1,714.10	27% below	30%
Colonoscopy, diagnostic CPT 45378 MD1 COLON FLX DX W/COL SPEC PFRMD 45378	$655.90	$937.00	$234.00–$1,714.10	27% below	30%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COL SPEC PER 45378	$1,248.10	$1,783.00	$234.00–$1,714.10	39% above	30%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COL SPEC WHEN PERFM	$1,248.10	$1,783.00	$234.00–$1,714.10	39% above	30%
Colonoscopy, diagnostic inpatient CPT 45378 MD1 COLON FLX DX W/COL SPEC PFRMD 45378	$655.90	$937.00	$843.30	—	30%
Colonoscopy, diagnostic inpatient CPT 45378 MD1 COLON FLX DX W/COL SPEC WHEN PFRMD	$655.90	$937.00	$843.30	—	30%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLX DX W/COL SPEC WHEN PERFM	$1,248.10	$1,783.00	$1,604.70	—	30%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLX DX W/COL SPEC PER 45378	$1,248.10	$1,783.00	$1,604.70	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 MD1 CAUTERIZE LES 1, BENIGN OR AK	$106.40	$152.00	$22.88–$282.48	7% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 MD1 CAUTERIZE LES 1 BENIGN OR AK	$106.40	$152.00	$22.88–$282.48	7% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 MD1 CAUTERIZE LES 1 BENIGN OR AK 1700	$106.40	$152.00	$22.88–$282.48	7% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 TC CAUTERIZE LES 1 BENIGN OR AK 17000	$287.00	$410.00	$22.88–$369.00	150% above	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 MD1 CAUTERIZE LES 1 BENIGN OR AK 1700	$106.40	$152.00	$136.80	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 MD1 CAUTERIZE LES 1 BENIGN OR AK	$106.40	$152.00	$136.80	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 TC CAUTERIZE LES 1 BENIGN OR AK 17000	$287.00	$410.00	$369.00	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 PC REMOVE IMPACTED CERUMEN IRRIG/LVG UNI	$98.00	$140.00	$37.81–$760.97	16% above	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 PC_REMOVE IMPACTED CERUMEN IRRIG/LVG UNI	$98.00	$140.00	$37.81–$760.97	16% above	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 TC REMOVE IMPACTED CERUMEN IRRIG/LVG UNI	$459.20	$656.00	$37.81–$760.97	443% above	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 TC ER RMVL IMP CERUMEN IR/LVG UNI 69209	$459.20	$656.00	$37.81–$760.97	443% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 PC REMOVE IMPACTED CERUMEN IRRIG/LVG UNI	$98.00	$140.00	$126.00	—	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 TC ER RMVL IMP CERUMEN IR/LVG UNI 69209	$459.20	$656.00	$590.40	—	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 TC REMOVE IMPACTED CERUMEN IRRIG/LVG UNI	$459.20	$656.00	$590.40	—	30%
Earwax removal with instruments, one ear CPT 69210 PC REMOVE IMPACTED CERUMEN W/INSTR	$121.80	$174.00	$87.00–$704.94	22% above	30%
Earwax removal with instruments, one ear CPT 69210 PC_REMOVE IMPACTED CERUMEN W/INSTR	$121.80	$174.00	$140.40–$704.94	22% above	30%
Earwax removal with instruments, one ear inpatient CPT 69210 PC REMOVE IMPACTED CERUMEN W/INSTR	$121.80	$174.00	$156.60	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 MD1 ENDOMETRIAL W/WO BX/ASPIR W/O DILAT	$194.60	$278.00	$230.32–$418.08	18% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CRNA INJ DX/THER INTRLMN C/T wIMAG 62321	$1,101.80	$1,574.00	$342.86–$1,247.57	3% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 TC INJ DX/THER INTRLMNR C/T W-IMAG 62321	$1,837.50	$2,625.00	$342.86–$2,362.50	61% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 TC INJ DX/THER INTRLMNR C/T W IMAG 62321	$1,837.50	$2,625.00	$342.86–$2,362.50	61% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 TC INJ DX/THER INTRLMNR C/T W-IMAG	$1,837.50	$2,625.00	$342.86–$2,362.50	61% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CRNA INJ DX/THER INTRLMN C/T wIMAG 62321	$1,101.80	$1,574.00	$1,416.60	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 TC INJ DX/THER INTRLMNR C/T W IMAG 62321	$1,837.50	$2,625.00	$2,362.50	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 TC INJ DX/THER INTRLMNR C/T W-IMAG 62321	$1,837.50	$2,625.00	$2,362.50	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 TC INJ DX/THER INTRLMNR C/T W-IMAG	$1,837.50	$2,625.00	$2,362.50	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PC INJ PARA FAC JT L/S WIMG 1ST LVL	$997.50	$1,425.00	$260.80–$897.91	9% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PC INJ PARA FAC JT L/S WIMG 1ST LV 64493	$997.50	$1,425.00	$260.80–$897.91	9% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 TC INJ PARA FAC JT L/S WIMG 1ST LV 64493	$1,692.60	$2,418.00	$260.80–$2,176.20	85% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 TC INJ PARA FAC JT L/S WIMG 1ST LVL	$1,692.60	$2,418.00	$260.80–$2,176.20	85% above	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PC INJ PARA FAC JT L/S WIMG 1ST LV 64493	$997.50	$1,425.00	$1,282.50	—	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PC INJ PARA FAC JT L/S WIMG 1ST LVL	$997.50	$1,425.00	$1,282.50	—	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 TC INJ PARA FAC JT L/S WIMG 1ST LV 64493	$1,692.60	$2,418.00	$2,176.20	—	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 TC INJ PARA FAC JT L/S WIMG 1ST LVL	$1,692.60	$2,418.00	$2,176.20	—	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 CRNA RPR HERNIA REDUC <3cm 49591	$639.80	$914.00	$411.30–$511.84	80% below	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 TC OR RPR HERNIA REDUC <3cm 49591	$4,730.60	$6,758.00	$3,041.10–$6,082.20	45% above	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 CRNA RPR HERNIA REDUC <3cm 49591	$639.80	$914.00	$822.60	—	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 TC OR RPR HERNIA REDUC <3cm 49591	$4,730.60	$6,758.00	$6,082.20	—	30%
Gallbladder removal, laparoscopic CPT 47562 PC_CHOLECYSTECTOMY LAPARACSOPIC	$1,190.00	$1,700.00	$230.32–$8,456.48	78% below	30%
Gallbladder removal, laparoscopic CPT 47562 PC CHOLECYSTECTOMY LAPARACSOPIC	$1,190.00	$1,700.00	$452.40–$8,456.48	78% below	30%
Gallbladder removal, laparoscopic CPT 47562 TC CHOLECYSTECTOMY LAPAROSCOPIC 47562	$4,900.00	$7,000.00	$452.40–$8,456.48	11% below	30%
Gallbladder removal, laparoscopic CPT 47562 TC CHOLECYSTECTOMY LAPAROSCOPIC	$4,900.00	$7,000.00	$452.40–$8,456.48	11% below	30%
Gallbladder removal, laparoscopic inpatient CPT 47562 PC CHOLECYSTECTOMY LAPARACSOPIC	$1,190.00	$1,700.00	$1,530.00	—	30%
Gallbladder removal, laparoscopic inpatient CPT 47562 TC CHOLECYSTECTOMY LAPAROSCOPIC 47562	$4,900.00	$7,000.00	$6,300.00	—	30%
Gallbladder removal, laparoscopic inpatient CPT 47562 TC CHOLECYSTECTOMY LAPAROSCOPIC	$4,900.00	$7,000.00	$6,300.00	—	30%
Hemorrhoid banding (rubber band ligation) CPT 46221 MD1 HEMORRHOIDECTOMY INTER RUB BAND LIG	$543.90	$777.00	$229.32–$2,117.73	38% below	30%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTL RUB BAND LIG 46221	$1,885.10	$2,693.00	$229.32–$2,423.70	115% above	30%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTL RUBBER BAND LIG	$1,885.10	$2,693.00	$229.32–$2,423.70	115% above	30%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 MD1 HEMORRHOIDECTOMY INTER RUB BAND LIG	$543.90	$777.00	$699.30	—	30%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTL RUBBER BAND LIG	$1,885.10	$2,693.00	$2,423.70	—	30%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTL RUB BAND LIG 46221	$1,885.10	$2,693.00	$2,423.70	—	30%
IUD insertion (the device itself billed separately) CPT 58300 MD1 IUD INSERTION	$191.80	$274.00	$156.00–$246.60	7% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 MD1 I&D ABSCESS SIMPLE/SINGLE 10060	$240.10	$343.00	$202.02–$308.70	9% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE 10060	$1,478.40	$2,112.00	$202.02–$1,900.80	573% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 TC OR I&D ABSCESS SIMPLE/SINGLE 10060	$1,478.40	$2,112.00	$202.02–$1,900.80	573% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 MD1 I&D ABSCESS SIMPLE/SINGLE 10060	$240.10	$343.00	$308.70	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TC OR I&D ABSCESS SIMPLE/SINGLE 10060	$1,478.40	$2,112.00	$1,900.80	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE 10060	$1,478.40	$2,112.00	$1,900.80	—	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 MD1 RPR INGUIN HERNIA 5YRS/> REDUC	$1,047.90	$1,497.00	$452.40–$4,945.73	72% below	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 MD1 RPR INGUIN HERNIA 5YRS/> REDUC 49505	$1,047.90	$1,497.00	$452.40–$4,945.73	72% below	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 MD1 RPR INGUIN HERNIA 5yrs/> REDUC	$1,047.90	$1,497.00	$245.40–$4,945.73	72% below	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUIN HERNIA 5YRS/> REDU 49505	$6,510.00	$9,300.00	$452.40–$8,370.00	71% above	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUIN HERNIA 5YRS/> REDUC	$6,510.00	$9,300.00	$452.40–$8,370.00	71% above	30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 MD1 RPR INGUIN HERNIA 5yrs/> REDUC	$1,047.90	$1,497.00	$1,347.30	—	30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 MD1 RPR INGUIN HERNIA 5YRS/> REDUC	$1,047.90	$1,497.00	$1,347.30	—	30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 MD1 RPR INGUIN HERNIA 5YRS/> REDUC 49505	$1,047.90	$1,497.00	$1,347.30	—	30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR 1ST INGUIN HERNIA 5YRS/> REDUC	$6,510.00	$9,300.00	$8,370.00	—	30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR 1ST INGUIN HERNIA 5YRS/> REDU 49505	$6,510.00	$9,300.00	$8,370.00	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TC INJ(s) SGL TENDON SHEATH/LIG 20550	$459.20	$656.00	$174.72–$590.40	167% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CRNA INJECTION(S) TENDON SHEATH/LIGAMENT	$459.20	$656.00	$174.72–$367.36	167% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 MD1 JOINT INJ(S TRIGGER PT GA CYST 20550	$459.20	$656.00	$174.72–$590.40	167% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TECH INJECTION(S) TENDON SHEATH/LIGAMENT	$459.20	$656.00	$174.72–$590.40	167% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CRNA INJ(S) TENDON SHEATH/LIG 20550	$459.20	$656.00	$174.72–$367.36	167% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PC TX INJ(S) TENDON SHEATH/LIG 20550	$459.20	$656.00	$174.72–$367.36	167% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TECH INJECTION(S) TEND SHEATH/LIGA 20550	$459.20	$656.00	$174.72–$590.40	167% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 CRNA INJ(S) TENDON SHEATH/LIG 20550	$459.20	$656.00	$590.40	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TECH INJECTION(S) TENDON SHEATH/LIGAMENT	$459.20	$656.00	$590.40	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TECH INJECTION(S) TEND SHEATH/LIGA 20550	$459.20	$656.00	$590.40	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PC TX INJ(S) TENDON SHEATH/LIG 20550	$459.20	$656.00	$590.40	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TC INJ(s) SGL TENDON SHEATH/LIG 20550	$459.20	$656.00	$590.40	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 CRNA INJECTION(S) TENDON SHEATH/LIGAMENT	$459.20	$656.00	$590.40	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PC OR ARTH ASP/INJ MJR JOINT W/OUS 20610	$459.20	$656.00	$234.00–$428.86	66% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PC ER ARTHRO ASPIR/INJ MJR JOINT W/O US	$459.20	$656.00	$234.00–$428.86	66% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MD1 ARTHRO ASPIR/INJ MJR JOINT W/O US	$459.20	$656.00	$230.32–$590.40	66% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTHRO ASPIR/INJ MJR JOINT W/O US	$459.20	$656.00	$234.00–$590.40	66% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CRNA ARTH ASP/INJ MJR JOINT W/O US 20610	$459.20	$656.00	$234.00–$428.86	66% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PC TX ARTHRO ASP/INJ MJR JNT WO US 20610	$459.20	$656.00	$234.00–$428.86	66% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTH ASPIR/INJ MJR JOINT W/O US 20610	$459.20	$656.00	$234.00–$590.40	66% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTHRO ASPIR/INJ MJR JNT wo/US 20610	$680.40	$972.00	$234.00–$874.80	146% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTHRO ASPIR/INJ MJR JOINT W/O US	$459.20	$656.00	$590.40	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CRNA ARTH ASP/INJ MJR JOINT W/O US 20610	$459.20	$656.00	$590.40	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PC ER ARTHRO ASPIR/INJ MJR JOINT W/O US	$459.20	$656.00	$590.40	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTH ASPIR/INJ MJR JOINT W/O US 20610	$459.20	$656.00	$590.40	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PC TX ARTHRO ASP/INJ MJR JNT WO US 20610	$459.20	$656.00	$590.40	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PC OR ARTH ASP/INJ MJR JOINT W/OUS 20610	$459.20	$656.00	$590.40	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTHRO ASPIR/INJ MJR JNT wo/US 20610	$680.40	$972.00	$874.80	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 MD1 INJ NON-BIODEGRADE DRUG DEL IMPLANT	$189.00	$270.00	$47.47–$243.00	12% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 MD1 INJ NON-BIODEGRADE DRUG DEL IMPLANT	$189.00	$270.00	$243.00	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CRNA ARTH ASP/INJ INTERM JT/BURS WO US	$459.20	$656.00	$174.72–$428.86	96% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PC_ARTHRO ASP/INJ INTERM JT/BURS WO US	$459.20	$656.00	$174.72–$590.40	96% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PC ARTH ASP/INJ INTER JT/BUR WO US 20605	$459.20	$656.00	$174.72–$428.86	96% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TC ARTHRO INTRMD JT/BURS W/O US 20605	$486.50	$695.00	$174.72–$625.50	108% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TC ARTHRO INTRMD JT/BURS W/O US	$486.50	$695.00	$174.72–$625.50	108% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TC ARTHRO ASPIR/INJ INT JNT wo/US 20605	$562.80	$804.00	$174.72–$723.60	141% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CRNA ARTH ASP/INJ INTERM JT/BURS WO US	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PC ARTH ASP/INJ INTER JT/BUR WO US 20605	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TC ARTHRO INTRMD JT/BURS W/O US	$486.50	$695.00	$625.50	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TC ARTHRO INTRMD JT/BURS W/O US 20605	$486.50	$695.00	$625.50	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TC ARTHRO ASPIR/INJ INT JNT wo/US 20605	$562.80	$804.00	$723.60	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PC_ ARTHRO INJ/ASPIR SML JT/BURSA wo US	$459.20	$656.00	$174.72–$590.40	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTHRO INJ/ASPIR SML JT/BURSA WO US	$459.20	$656.00	$174.72–$590.40	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CRNA ARTHRO SML JNT WO US 20600	$459.20	$656.00	$174.72–$428.86	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PC ARTH INJ/ASPIR SML JT/BUR WO US 20600	$459.20	$656.00	$174.72–$428.86	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTH INJ/ASP SML JT/BURS WO US 20600	$459.20	$656.00	$174.72–$590.40	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTHRO SML JNT WO US 20600	$459.20	$656.00	$174.72–$590.40	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PC ARTHRO SML JNT WO US 20600	$459.20	$656.00	$174.72–$428.86	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PC ARTHRO INJ/ASP SML JT/BUR WO US 20600	$459.20	$656.00	$174.72–$428.86	128% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTHRO ASPIR/INJ SML JNT wo/US 20600	$529.90	$757.00	$174.72–$681.30	163% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PC ARTHRO INJ/ASP SML JT/BUR WO US 20600	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTHRO INJ/ASPIR SML JT/BURSA WO US	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PC ARTHRO SML JNT WO US 20600	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CRNA ARTHRO SML JNT WO US 20600	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PC ARTH INJ/ASPIR SML JT/BUR WO US 20600	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTH INJ/ASP SML JT/BURS WO US 20600	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTHRO SML JNT WO US 20600	$459.20	$656.00	$590.40	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTHRO ASPIR/INJ SML JNT wo/US 20600	$529.90	$757.00	$681.30	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 MD1 RPR INTRM S/A/T/E 2.5CM/< EXCL H/F	$497.70	$711.00	$260.00–$585.39	31% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 MD1 RPR INTRM S/A/T/E 2.5cm/< EXCL H/F	$497.70	$711.00	$230.32–$639.90	31% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 TC ER RPR INTRM S/A/T/E 2.5CM/< 12031	$846.30	$1,209.00	$260.00–$1,088.10	123% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 MD1 RPR INTRM S/A/T/E 2.5CM/< EXCL H/F	$497.70	$711.00	$639.90	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 TC ER RPR INTRM S/A/T/E 2.5CM/< 12031	$846.30	$1,209.00	$1,088.10	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 PC INJ DX/THER SBST INT L/S W IMG 62323	$918.40	$1,312.00	$342.86–$1,247.57	22% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 PC INJ DX/THER SBST INTR L/S W IMG 62323	$918.40	$1,312.00	$342.86–$1,247.57	22% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 CRNA INJ DX/THER SBST INTRLMNR L/S W IMG	$918.40	$1,312.00	$342.86–$1,247.57	22% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 TC INJ DX/THER SBST INTRLMNR L/S W IMG	$1,531.60	$2,188.00	$342.86–$1,969.20	30% above	30%
Lower-back epidural injection, with imaging guidance CPT 62323 TC INJ DX/THER SBS INTR L/S W IMG 62323	$1,531.60	$2,188.00	$342.86–$1,969.20	30% above	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PC INJ DX/THER SBST INT L/S W IMG 62323	$918.40	$1,312.00	$1,180.80	—	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CRNA INJ DX/THER SBST INTRLMNR L/S W IMG	$918.40	$1,312.00	$1,180.80	—	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PC INJ DX/THER SBST INTR L/S W IMG 62323	$918.40	$1,312.00	$1,180.80	—	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 TC INJ DX/THER SBST INTRLMNR L/S W IMG	$1,531.60	$2,188.00	$1,969.20	—	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 TC INJ DX/THER SBS INTR L/S W IMG 62323	$1,531.60	$2,188.00	$1,969.20	—	30%
Lower-back epidural injection, without imaging guidance CPT 62322 PC INJ DX/THR SBS INTRLM L/S WO IM 62322	$918.40	$1,312.00	$342.86–$764.01	15% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 CRNA INJ DX/THR SBST INTRLMNR L/S WO IMG	$918.40	$1,312.00	$342.86–$764.01	15% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 TC INJ DX/THE SBS INTRL L/S WO IMG 62322	$1,531.60	$2,188.00	$342.86–$1,969.20	91% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 TC INJ DX/THER SBST INTRLMNR L/S WO IMG	$1,531.60	$2,188.00	$342.86–$1,969.20	91% above	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PC INJ DX/THR SBS INTRLM L/S WO IM 62322	$918.40	$1,312.00	$1,180.80	—	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 CRNA INJ DX/THR SBST INTRLMNR L/S WO IMG	$918.40	$1,312.00	$1,180.80	—	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TC INJ DX/THE SBS INTRL L/S WO IMG 62322	$1,531.60	$2,188.00	$1,969.20	—	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TC INJ DX/THER SBST INTRLMNR L/S WO IMG	$1,531.60	$2,188.00	$1,969.20	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CRNA INJ FORAMEN EPIDUR L/S 1 LVL 64483	$1,295.00	$1,850.00	$174.72–$1,036.00	35% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 OR PC INJ FORAMEN EPI L/S 1 LVL 64483	$1,295.00	$1,850.00	$174.72–$1,036.00	35% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TX PC INJ FORAMEN EPI L/S 1 LVL 64483	$1,295.00	$1,850.00	$174.72–$1,036.00	35% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TC INJ ANES/STRD W/IM TFR L/S 1 LV 64483	$2,266.60	$3,238.00	$174.72–$2,914.20	136% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TC INJ ANES/STRD W/IMG TFRML L/S 1 LVL	$2,266.60	$3,238.00	$174.72–$2,914.20	136% above	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TX PC INJ FORAMEN EPI L/S 1 LVL 64483	$1,295.00	$1,850.00	$1,665.00	—	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 CRNA INJ FORAMEN EPIDUR L/S 1 LVL 64483	$1,295.00	$1,850.00	$1,665.00	—	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 OR PC INJ FORAMEN EPI L/S 1 LVL 64483	$1,295.00	$1,850.00	$1,665.00	—	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TC INJ ANES/STRD W/IMG TFRML L/S 1 LVL	$2,266.60	$3,238.00	$2,914.20	—	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TC INJ ANES/STRD W/IM TFR L/S 1 LV 64483	$2,266.60	$3,238.00	$2,914.20	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 MD1 EXC B9 LES XCP SK TG T/A/L 0.5cm/<	$163.10	$233.00	$209.70–$1,016.68	13% below	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 MD1 EXC B9 LES XCP SK TG T/A/L 0.5CM/<	$163.10	$233.00	$116.50–$1,016.68	13% below	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 MD1 EXC B9 LES XCP SK TG T/A/L 0.5CM/<	$163.10	$233.00	$209.70	—	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 MD1 EXC B9 LES EX ST F/E/E/N/L/M 0.5CM/<	$276.50	$395.00	$197.50–$1,016.68	46% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 MD1 EXC B9 LE EX F/E/E/N/L/M 0.5cm<11440	$276.50	$395.00	$230.32–$1,016.68	46% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 MD1 EXC B9 LES EX ST F/E/E/N/L/M 0.5CM/<	$276.50	$395.00	$355.50	—	30%
Nail removal (partial or complete), one nail CPT 11730 MD1 AVULSION NAIL PLATE PAR/CMPL SIMP 1	$114.80	$164.00	$147.60–$282.48	19% below	30%
Nail removal (partial or complete), one nail CPT 11730 MD1 AVULSION NAIL PLATE PAR/CMPL SIMP 1	$114.80	$164.00	$82.00–$282.48	19% below	30%
Nail removal (partial or complete), one nail CPT 11730 MD1 AVUL NAIL PLT PAR/CMPL SIMP 1 11730	$114.80	$164.00	$82.00–$282.48	19% below	30%
Nail removal (partial or complete), one nail CPT 11730 AVULSN NAIL PLATE SIMPLE SINGLE	$371.00	$530.00	$260.00–$477.00	161% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 MD1 AVULSION NAIL PLATE PAR/CMPL SIMP 1	$114.80	$164.00	$147.60	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 MD1 AVUL NAIL PLT PAR/CMPL SIMP 1 11730	$114.80	$164.00	$147.60	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSN NAIL PLATE SIMPLE SINGLE	$371.00	$530.00	$477.00	—	30%
Occipital nerve block (injection for headaches) CPT 64405 PC INJ AA/STRD GREATER OCCIPITAL NRV	$350.00	$500.00	$174.72–$414.11	3% below	30%
Occipital nerve block (injection for headaches) CPT 64405 PC INJ AA/STRD GREATER OCCIPI NRV 64405	$350.00	$500.00	$174.72–$414.11	3% below	30%
Occipital nerve block (injection for headaches) CPT 64405 TC INJ AA/STRD GREATER OCCIPI NRV 64405	$857.50	$1,225.00	$174.72–$1,102.50	139% above	30%
Occipital nerve block (injection for headaches) CPT 64405 TC INJ AA/STRD GREATER OCCIPITAL NRV	$857.50	$1,225.00	$174.72–$1,102.50	139% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PC INJ AA/STRD GREATER OCCIPI NRV 64405	$350.00	$500.00	$450.00	—	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PC INJ AA/STRD GREATER OCCIPITAL NRV	$350.00	$500.00	$450.00	—	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 TC INJ AA/STRD GREATER OCCIPITAL NRV	$857.50	$1,225.00	$1,102.50	—	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 TC INJ AA/STRD GREATER OCCIPI NRV 64405	$857.50	$1,225.00	$1,102.50	—	30%
Paracentesis with imaging guidance CPT 49083 MD1 ABD PARACENTESIS W/IMAGING	$564.90	$807.00	$230.32–$902.92	25% below	30%
Paracentesis with imaging guidance CPT 49083 TC ABD PARACENTESIS W IMAG 49083	$1,734.60	$2,478.00	$260.47–$2,230.20	132% above	30%
Paracentesis with imaging guidance inpatient CPT 49083 MD1 ABD PARACENTESIS W/IMAGING	$564.90	$807.00	$726.30	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 TC ABD PARACENTESIS W IMAG 49083	$1,734.60	$2,478.00	$2,230.20	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 MD1 NAIL REMOVAL PERMANENT	$208.60	$298.00	$149.00–$585.39	43% below	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 TC ER NAIL REMOVAL PERMANENT 11750	$835.10	$1,193.00	$260.00–$1,073.70	129% above	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 MD1 NAIL REMOVAL PERMANENT	$208.60	$298.00	$268.20	—	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 TC ER NAIL REMOVAL PERMANENT 11750	$835.10	$1,193.00	$1,073.70	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CRNA DSTR NROY AGT PAVR FCT L/S SG 64635	$1,836.10	$2,623.00	$609.97–$1,468.88	at median	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CRNA DSTR NROYLTC AGT PARVRT FCT L/S SGL	$1,836.10	$2,623.00	$609.97–$1,468.88	at median	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 TC DSTR NROLYTC AGT PARVERT FCT L/S SGL	$2,257.50	$3,225.00	$609.97–$2,902.50	23% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 TC DSTR NROLYTC AGT PAR FCT L/S SG 64635	$2,257.50	$3,225.00	$609.97–$2,902.50	23% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 TC DST NRLY AGT PAVRT FCT L/S SGL 64635	$2,257.50	$3,225.00	$609.97–$2,902.50	23% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 CRNA DSTR NROY AGT PAVR FCT L/S SG 64635	$1,836.10	$2,623.00	$2,360.70	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 CRNA DSTR NROYLTC AGT PARVRT FCT L/S SGL	$1,836.10	$2,623.00	$2,360.70	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 TC DSTR NROLYTC AGT PAR FCT L/S SG 64635	$2,257.50	$3,225.00	$2,902.50	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 TC DSTR NROLYTC AGT PARVERT FCT L/S SGL	$2,257.50	$3,225.00	$2,902.50	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 TC DST NRLY AGT PAVRT FCT L/S SGL 64635	$2,257.50	$3,225.00	$2,902.50	—	30%
Removal of a foreign object under the skin, simple CPT 10120 MD1 INSISION REMOV FB SBQ TIS SIMP 10120	$303.10	$433.00	$202.80–$1,395.66	9% above	30%
Removal of a foreign object under the skin, simple CPT 10120 MD1 INSISION REMOVAL FB SBQ TISS; SIMPLE	$303.10	$433.00	$202.80–$1,395.66	9% above	30%
Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SUBQ TISS; SIMPLE	$999.60	$1,428.00	$202.80–$1,395.66	261% above	30%
Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FB SUBQ TISS SIMPLE	$999.60	$1,428.00	$202.80–$1,395.66	261% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 MD1 INSISION REMOVAL FB SBQ TISS; SIMPLE	$303.10	$433.00	$389.70	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 MD1 INSISION REMOV FB SBQ TIS SIMP 10120	$303.10	$433.00	$389.70	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION REMOVAL FB SUBQ TISS; SIMPLE	$999.60	$1,428.00	$1,285.20	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION REMOVAL FB SUBQ TISS SIMPLE	$999.60	$1,428.00	$1,285.20	—	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 MD1 COLORECTAL CANCER SCRN NOT HI RISK	$735.00	$1,050.00	$515.87–$1,306.54	22% below	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCRN NOT HI RISK	$1,673.00	$2,390.00	$515.87–$2,151.00	77% above	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CAN SCRN NOT HI RISK G0121	$1,673.00	$2,390.00	$515.87–$2,151.00	77% above	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 MD1 COLORECTAL CANCER SCRN NOT HI RISK	$735.00	$1,050.00	$945.00	—	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CAN SCRN NOT HI RISK G0121	$1,673.00	$2,390.00	$2,151.00	—	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCRN NOT HI RISK	$1,673.00	$2,390.00	$2,151.00	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 MD1 COLORECTAL CANCER SCRN HI RISK	$735.00	$1,050.00	$515.87–$1,306.54	28% below	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCRN HI RISK	$1,673.00	$2,390.00	$515.87–$2,151.00	65% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCRN HI RISK G0105	$1,673.00	$2,390.00	$515.87–$2,151.00	65% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 MD1 COLORECTAL CANCER SCRN HI RISK	$735.00	$1,050.00	$945.00	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCRN HI RISK G0105	$1,673.00	$2,390.00	$2,151.00	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCRN HI RISK	$1,673.00	$2,390.00	$2,151.00	—	30%
Short arm cast (elbow to hand) CPT 29075 MD1 APPL CAST ELBOW FINGER SHORT ARM	$126.00	$180.00	$162.00–$560.88	48% below	30%
Short arm cast (elbow to hand) CPT 29075 APPL CAST ELBOW FINGER SHORT ARM	$401.80	$574.00	$208.00–$560.88	67% above	30%
Short arm cast (elbow to hand) inpatient CPT 29075 MD1 APPL CAST ELBOW FINGER SHORT ARM	$126.00	$180.00	$162.00	—	30%
Short arm cast (elbow to hand) inpatient CPT 29075 APPL CAST ELBOW FINGER SHORT ARM	$401.80	$574.00	$516.60	—	30%
Short arm splint (forearm and hand) CPT 29125 MD1 APPLIC SHORT ARM SPLINT; STATIC	$126.70	$181.00	$162.90–$298.79	27% below	30%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$214.20	$306.00	$153.00–$298.79	23% above	30%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT 29125	$214.20	$306.00	$153.00–$298.79	23% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 MD1 APPLIC SHORT ARM SPLINT; STATIC	$126.70	$181.00	$162.90	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT 29125	$214.20	$306.00	$275.40	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$214.20	$306.00	$275.40	—	30%
Short leg splint (calf to foot) CPT 29515 MD1 APPL SHORT LEG SPLINT CALF FOOT	$167.30	$239.00	$119.50–$298.79	1% below	30%
Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT CALF FOOT	$214.20	$306.00	$153.00–$298.79	27% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 MD1 APPL SHORT LEG SPLINT CALF FOOT	$167.30	$239.00	$215.10	—	30%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SHORT LEG SPLINT CALF FOOT	$214.20	$306.00	$275.40	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 MD1 LAC RPR SCALP TRNK LIMB SIMP 2.5CM/<	$91.00	$130.00	$65.00–$496.67	62% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 MD1 LACSCALP TRNK LIMB SIMP 2.5cm/<12001	$91.00	$130.00	$117.00–$496.67	62% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP REP S/N/AX/GEN/TRNK 2 5CM/<	$355.60	$508.00	$207.48–$496.67	49% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP REP S/N/AX/GEN/TRNK 2.5CM/<	$355.60	$508.00	$207.48–$496.67	49% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 MD1 LAC RPR SCALP TRNK LIMB SIMP 2.5CM/<	$91.00	$130.00	$117.00	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP REP S/N/AX/GEN/TRNK 2 5CM/<	$355.60	$508.00	$457.20	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP REP S/N/AX/GEN/TRNK 2.5CM/<	$355.60	$508.00	$457.20	—	30%
Skin biopsy, punch, one lesion CPT 11104 MD1 PUNCH BX SKIN SINGLE LESION 11104	$246.40	$352.00	$114.69–$585.39	33% below	30%
Skin biopsy, punch, one lesion CPT 11104 MD1 PUNCH BX SKIN SINGLE LESION	$246.40	$352.00	$114.69–$585.39	33% below	30%
Skin biopsy, punch, one lesion CPT 11104 TC OR PUNCH BX SKIN SINGLE LESION 11104	$846.30	$1,209.00	$114.69–$1,088.10	130% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 MD1 PUNCH BX SKIN SINGLE LESION	$246.40	$352.00	$316.80	—	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 TC OR PUNCH BX SKIN SINGLE LESION 11104	$846.30	$1,209.00	$1,088.10	—	30%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 MD1 EX MAL LESION TRK/ ARM/LEG 0.5CM/<	$387.10	$553.00	$276.50–$1,016.68	55% above	30%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 MD1 EX MAL LESION TRK/ ARM/LEG 0.5CM/<	$387.10	$553.00	$497.70	—	30%
Skin tag removal, up to 15 tags CPT 11200 MD1 SKIN TAGS REMO UPTO 15 LES11200	$175.70	$251.00	$225.90–$336.96	25% above	30%
Skin tag removal, up to 15 tags CPT 11200 MD1 SKIN TAGS REMOV; TO & INCL 15 LES	$175.70	$251.00	$125.50–$336.96	25% above	30%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG FIBRO MLT UP TO 15 LES	$1,060.50	$1,515.00	$282.48–$1,363.50	653% above	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 MD1 SKIN TAGS REMOV; TO & INCL 15 LES	$175.70	$251.00	$225.90	—	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAG FIBRO MLT UP TO 15 LES	$1,060.50	$1,515.00	$1,363.50	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 MD1 SMPLRP SC NCK TR GEN 2.6-7.5cm 12002	$217.00	$310.00	$230.32–$593.65	22% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 MD1 SMPL RPR SCALP NCK TRK GEN 2.6-7.5CM	$217.00	$310.00	$155.00–$593.65	22% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SCALP NCK TRK GEN 2.6-7.5CM	$425.60	$608.00	$260.00–$593.65	53% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 MD1 SMPL RPR SCALP NCK TRK GEN 2.6-7.5CM	$217.00	$310.00	$279.00	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL RPR SCALP NCK TRK GEN 2.6-7.5CM	$425.60	$608.00	$547.20	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 MD1 SIMP RPT LAC F/E/E/N/L/M 2.5CM/<	$217.00	$310.00	$62.40–$617.23	23% below	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 MD1 SIMP RPT LAC F/E/E/N/L/M 2.5cm/<	$217.00	$310.00	$62.40–$617.23	23% below	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP REP F/E/E/N/L/M 2.5CM/<	$788.90	$1,127.00	$62.40–$1,014.30	179% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP REP F/E/E/N/L/M 2 5CM/<	$788.90	$1,127.00	$62.40–$1,014.30	179% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 MD1 SIMP RPT LAC F/E/E/N/L/M 2.5CM/<	$217.00	$310.00	$279.00	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMP REP F/E/E/N/L/M 2 5CM/<	$788.90	$1,127.00	$1,014.30	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMP REP F/E/E/N/L/M 2.5CM/<	$788.90	$1,127.00	$1,014.30	—	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PC TANGENTIAL BX SKIN SING LESION 11102	$191.80	$274.00	$114.69–$282.48	30% below	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PC_TANGENTIAL BX SKIN SINGLE LESION	$191.80	$274.00	$114.69–$282.48	30% below	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PC TANGENTIAL BX SKIN SINGLE LESION	$191.80	$274.00	$114.69–$282.48	30% below	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PC TANGENTIAL BX SKIN SINGLE LESION	$191.80	$274.00	$246.60	—	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PC TANGENTIAL BX SKIN SING LESION 11102	$191.80	$274.00	$246.60	—	30%
Thoracentesis with imaging guidance CPT 32555 PC OR THORACEN PLEURAL w IMG 32555	$646.80	$924.00	$278.77–$1,119.15	26% below	30%
Thoracentesis with imaging guidance CPT 32555 PC ER THORACEN PLEURAL w IMG 32555	$646.80	$924.00	$278.77–$1,119.15	26% below	30%
Thoracentesis with imaging guidance CPT 32555 PC TX THORACEN PLEURAL w IMG 32555	$646.80	$924.00	$278.77–$1,119.15	26% below	30%
Thoracentesis with imaging guidance CPT 32555 TC TX THORACEN PLEURAL w IMG 32555	$1,334.20	$1,906.00	$278.77–$1,715.40	52% above	30%
Thoracentesis with imaging guidance CPT 32555 TC ER THORACEN PLEURAL w IMG 32555	$1,348.20	$1,926.00	$278.77–$1,733.40	53% above	30%
Thoracentesis with imaging guidance inpatient CPT 32555 PC TX THORACEN PLEURAL w IMG 32555	$646.80	$924.00	$831.60	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 PC ER THORACEN PLEURAL w IMG 32555	$646.80	$924.00	$831.60	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 PC OR THORACEN PLEURAL w IMG 32555	$646.80	$924.00	$831.60	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 TC TX THORACEN PLEURAL w IMG 32555	$1,334.20	$1,906.00	$1,715.40	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 TC ER THORACEN PLEURAL w IMG 32555	$1,348.20	$1,926.00	$1,733.40	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 TC INJ TRIGGER POINT 1-2 MUSCLES	$459.20	$656.00	$174.72–$590.40	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 TC INJ TRIGGER POINT 1-2 MUSCLES 20552	$459.20	$656.00	$174.72–$590.40	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 TC INJs TRIGGER POINT 1-2 MUSCLES 20552	$459.20	$656.00	$174.72–$590.40	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 PC INJ TRIGGER POINT 1 2 MUSCLES	$459.20	$656.00	$174.72–$451.36	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 PC OP INJ TRIGGER POINT 1-2 MUSCLE 20552	$459.20	$656.00	$174.72–$451.36	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 TC INJ TRIGGER POINT 1 2 MUSCLES	$459.20	$656.00	$174.72–$590.40	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 CRNA INJ TRIGGER POINT 1-2 MUSC 20552	$459.20	$656.00	$174.72–$451.36	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 PC ER INJ TRIGGER POINT 1-2 MUSCLE 20552	$459.20	$656.00	$174.72–$451.36	119% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 PC INJ TRIGGER POINT 1-2 MCLS 20552	$459.20	$656.00	$174.72–$590.40	119% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TC INJ TRIGGER POINT 1 2 MUSCLES	$459.20	$656.00	$590.40	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PC OP INJ TRIGGER POINT 1-2 MUSCLE 20552	$459.20	$656.00	$590.40	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TC INJ TRIGGER POINT 1-2 MUSCLES 20552	$459.20	$656.00	$590.40	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CRNA INJ TRIGGER POINT 1-2 MUSC 20552	$459.20	$656.00	$590.40	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TC INJs TRIGGER POINT 1-2 MUSCLES 20552	$459.20	$656.00	$590.40	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PC INJ TRIGGER POINT 1 2 MUSCLES	$459.20	$656.00	$590.40	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PC ER INJ TRIGGER POINT 1-2 MUSCLE 20552	$459.20	$656.00	$590.40	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TC INJ TRIGGER POINT 1-2 MUSCLES	$459.20	$656.00	$590.40	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 MD1 EGD TRASORAL BX SGL/MULIT	$735.00	$1,050.00	$230.32–$1,496.56	45% below	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BX SGL/MULTI 43239	$1,089.90	$1,557.00	$234.00–$1,496.56	18% below	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BX SGL/MULTI	$1,089.90	$1,557.00	$234.00–$1,496.56	18% below	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 MD1 EGD TRASORAL BX SGL/MULIT	$735.00	$1,050.00	$945.00	—	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL BX SGL/MULTI 43239	$1,089.90	$1,557.00	$1,401.30	—	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL BX SGL/MULTI	$1,089.90	$1,557.00	$1,401.30	—	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 MD1 EGD UP GI REMOVAL TUMOR/POLP SNARE	$912.80	$1,304.00	$234.00–$1,756.04	38% below	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD UP GI REMOVAL TUMOR/POLP SNARE 43251	$1,278.90	$1,827.00	$234.00–$1,756.04	14% below	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD UP GI REMOVAL TUMOR/POLP SNARE	$1,278.90	$1,827.00	$234.00–$1,756.04	14% below	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 MD1 EGD UP GI REMOVAL TUMOR/POLP SNARE	$912.80	$1,304.00	$1,173.60	—	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD UP GI REMOVAL TUMOR/POLP SNARE	$1,278.90	$1,827.00	$1,644.30	—	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD UP GI REMOVAL TUMOR/POLP SNARE 43251	$1,278.90	$1,827.00	$1,644.30	—	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD TRANSORAL w GUIDE & DILATOR 43248	$1,031.10	$1,473.00	$234.00–$1,415.31	9% above	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD TRANSORAL w GUIDE & DILATOR 43248	$1,031.10	$1,473.00	$1,325.70	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 MD1 EGD TRANSORAL DX 43235	$735.00	$1,050.00	$234.00–$1,340.62	40% below	30%
Upper endoscopy (EGD), diagnostic CPT 43235 MD1 EGD TRANSORAL DX	$735.00	$1,050.00	$234.00–$1,340.62	40% below	30%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD TRANSORAL DX	$976.50	$1,395.00	$234.00–$1,340.62	20% below	30%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD TRANSORAL DX 43235	$976.50	$1,395.00	$234.00–$1,340.62	20% below	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 MD1 EGD TRANSORAL DX	$735.00	$1,050.00	$945.00	—	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 MD1 EGD TRANSORAL DX 43235	$735.00	$1,050.00	$945.00	—	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD TRANSORAL DX 43235	$976.50	$1,395.00	$1,255.50	—	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD TRANSORAL DX	$976.50	$1,395.00	$1,255.50	—	30%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 MD1 VASECTOMY UNI/BI SPX W/POSTOP SEMEN	$749.00	$1,070.00	$230.32–$2,911.95	—	30%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI SPX WPSTOP SEM EX 55250	$2,219.00	$3,170.00	$452.40–$2,911.95	—	30%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI SPX WPOSTOP SEMEN EXAMS	$2,219.00	$3,170.00	$452.40–$2,911.95	—	30%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNI/BI SPX WPSTOP SEM EX 55250	$2,219.00	$3,170.00	$2,853.00	—	30%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNI/BI SPX WPOSTOP SEMEN EXAMS	$2,219.00	$3,170.00	$2,853.00	—	30%
Wart removal, up to 14 warts CPT 17110 MD1 DESTRUCTION OF BENIGN LES UP TO 14	$140.70	$201.00	$100.50–$282.48	26% below	30%
Wart removal, up to 14 warts inpatient CPT 17110 MD1 DESTRUCTION OF BENIGN LES UP TO 14	$140.70	$201.00	$180.90	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 MD1 DEBRID SUBCUT TISS 20sq cm /<	$126.70	$181.00	$162.90–$361.69	59% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 MD1 DEBRID SUBCUT TISS 20SQ CM /<	$126.70	$181.00	$90.50–$361.69	59% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TC ER DEBRID SUBQ TISS 20SQ CM/< 11042	$259.00	$370.00	$185.00–$361.69	16% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TC TX DEBRID SUBQ TISS 20SQ CM/< 11042	$259.00	$370.00	$185.00–$361.69	16% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TC OO DEBRID SUBQ TISS 20SQ CM/< 11042	$259.00	$370.00	$185.00–$361.69	16% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TC OR DEBRID SUBQ TISS 20SQ CM/<11042	$783.30	$1,119.00	$208.00–$1,007.10	153% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 MD1 DEBRID SUBCUT TISS 20SQ CM /<	$126.70	$181.00	$162.90	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TC TX DEBRID SUBQ TISS 20SQ CM/< 11042	$259.00	$370.00	$333.00	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TC OO DEBRID SUBQ TISS 20SQ CM/< 11042	$259.00	$370.00	$333.00	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TC ER DEBRID SUBQ TISS 20SQ CM/< 11042	$259.00	$370.00	$333.00	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TC OR DEBRID SUBQ TISS 20SQ CM/<11042	$783.30	$1,119.00	$1,007.10	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMPONENTS	$791.00	$1,130.00	$234.00–$1,017.00	37% above	30%
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN TRANSF BLOOD/COMPONENTS	$791.00	$1,130.00	$234.00–$1,017.00	37% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN TRANSF BLOOD/COMPONENTS	$791.00	$1,130.00	$1,017.00	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMPONENTS	$791.00	$1,130.00	$1,017.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED OR NONPRESSURIZED INHA 94640	$42.00	$60.00	$10.24–$54.20	63% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRES/NON-PRES INHALATION TX 1HR =<	$42.00	$60.00	$10.24–$54.20	63% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRES/NON PRES INHALATION TX 1HR =<	$42.00	$60.00	$10.24–$54.20	63% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MD1 PRES/NON-PRES INHALATION TRMT 1hr =<	$42.00	$60.00	$10.24–$54.20	63% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MD1 PRES/NON-PRES INHALATION TRMT 1hr =<	$42.00	$60.00	$54.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRES/NON PRES INHALATION TX 1HR =<	$42.00	$60.00	$54.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRES/NON-PRES INHALATION TX 1HR =<	$42.00	$60.00	$54.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZED OR NONPRESSURIZED INHA 94640	$42.00	$60.00	$54.00	—	30%
Chemotherapy IV infusion, first hour CPT 96413 OO IV INF CHEMO/CMPLX ADM UP TO 1 HR	$728.00	$1,040.00	$113.77–$936.00	81% above	30%
Chemotherapy IV infusion, first hour CPT 96413 TX IV INF CHEMO/CMPLX ADM UP TO 1 HR	$728.00	$1,040.00	$113.77–$936.00	81% above	30%
Chemotherapy IV infusion, first hour CPT 96413 ER IV INF CHEMO/CMPLX ADM UP TO 1 HR	$728.00	$1,040.00	$113.77–$936.00	81% above	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 ER IV INF CHEMO/CMPLX ADM UP TO 1 HR	$728.00	$1,040.00	$936.00	—	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 TX IV INF CHEMO/CMPLX ADM UP TO 1 HR	$728.00	$1,040.00	$936.00	—	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 OO IV INF CHEMO/CMPLX ADM UP TO 1 HR	$728.00	$1,040.00	$936.00	—	30%
Critical care, first 30 to 74 minutes CPT 99291 MD1 CRITICAL CARE, 30-74 MIN	$455.70	$651.00	$122.27–$1,325.77	38% below	30%
Critical care, first 30 to 74 minutes CPT 99291 MD1 CRITICAL CARE 30-74 MIN	$455.70	$651.00	$122.27–$1,325.77	38% below	30%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE INIT 30-74 MIN	$949.20	$1,356.00	$122.27–$1,325.77	28% above	30%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE INIT 30 74 MIN	$949.20	$1,356.00	$122.27–$1,325.77	28% above	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 MD1 CRITICAL CARE 30-74 MIN	$455.70	$651.00	$585.90	—	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE INIT 30-74 MIN	$949.20	$1,356.00	$1,220.40	—	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE INIT 30 74 MIN	$949.20	$1,356.00	$1,220.40	—	30%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 WC MD1 EKG TRACING, INT & RPT	$245.00	$350.00	$25.13–$315.00	200% above	30%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 WC MD1 EKG TRACING, INT & RPT	$245.00	$350.00	$315.00	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG HOSPITAL	$234.50	$335.00	$15.17–$301.50	34% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 WC MD1 EKG TRACING ONLY	$234.50	$335.00	$15.17–$301.50	34% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG HOSPITAL	$234.50	$335.00	$301.50	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 WC MD1 EKG TRACING ONLY	$234.50	$335.00	$301.50	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$44.10	$63.00	$31.50–$220.98	68% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PC_ER ROOM VISIT, LEVEL 1	$44.10	$63.00	$45.45–$230.32	68% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NEG PRSR WOUND THER DME </= 50 SQ CM	$158.20	$226.00	$45.45–$220.98	16% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TC ER CARE LEVEL 1	$193.20	$276.00	$45.45–$248.40	42% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$44.10	$63.00	$56.70	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NEG PRSR WOUND THER DME </= 50 SQ CM	$158.20	$226.00	$203.40	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 TC ER CARE LEVEL 1	$193.20	$276.00	$248.40	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PC_ER ROOM VISIT, LEVEL 2	$85.40	$122.00	$45.45–$344.24	59% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$85.40	$122.00	$45.45–$344.24	59% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 TC ER CARE LEVEL 2	$281.40	$402.00	$45.45–$361.80	36% above	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$85.40	$122.00	$109.80	—	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 TC ER CARE LEVEL 2	$281.40	$402.00	$361.80	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PC_ER ROOM VISIT LEVEL 3	$127.40	$182.00	$45.45–$529.11	55% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PC ER LEVEL 3 HOSP	$127.40	$182.00	$45.45–$529.11	55% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TC ER CARE LEVEL 3	$414.40	$592.00	$45.45–$532.80	46% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PC ER LEVEL 3 HOSP	$127.40	$182.00	$163.80	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TC ER CARE LEVEL 3	$414.40	$592.00	$532.80	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PC_ER ROOM VISIT, LEVEL 4	$240.80	$344.00	$45.45–$902.07	43% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PC ER LEVEL 4	$240.80	$344.00	$45.45–$902.07	43% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TC ER CARE LEVEL 4	$681.10	$973.00	$45.45–$902.07	61% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PC ER LEVEL 4	$240.80	$344.00	$309.60	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TC ER CARE LEVEL 4	$681.10	$973.00	$875.70	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PC ER LEVEL 5	$354.90	$507.00	$45.45–$1,402.00	48% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MD1 ER ROOM VISIT, LEVEL 5	$354.90	$507.00	$45.45–$1,402.00	48% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TC ER CARE LEVEL 5	$1,038.80	$1,484.00	$45.45–$1,402.00	52% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 INACTIVE TC ER CARE LEVEL 5	$1,038.80	$1,484.00	$45.45–$1,402.00	52% above	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PC ER LEVEL 5	$354.90	$507.00	$456.30	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TC ER CARE LEVEL 5	$1,038.80	$1,484.00	$1,335.60	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 INACTIVE TC ER CARE LEVEL 5	$1,038.80	$1,484.00	$1,335.60	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST USE MAX 93017	$350.00	$500.00	$38.22–$462.39	39% below	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST USE MAX 93017	$350.00	$500.00	$450.00	—	30%
Family therapy with the patient, 50 minutes CPT 90847 MH FAM PSYC THER w/Pt Pres 50min 90847	$199.50	$285.00	$128.25–$256.50	30% below	30%
Family therapy without the patient, 50 minutes CPT 90846 MH FAM PSYC THER w/o Pt Pres 50min 90846	$191.10	$273.00	$122.85–$245.70	18% below	30%
Group psychotherapy session CPT 90853 MH GROUP PSYCTHERAPY 90853	$53.20	$76.00	$34.20–$68.40	81% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31 MIN TO 1 MIN	$406.00	$580.00	$49.81–$324.80	60% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TX IV INF HYDRATION INIT 31M-1HR	$406.00	$580.00	$49.81–$522.00	60% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INF HYDRATION INIT 31M 1HR	$406.00	$580.00	$49.81–$522.00	60% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OO IV INF HYDRATION INIT 31M-1HR	$406.00	$580.00	$49.81–$522.00	60% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31 MIN TO 1 MIN	$406.00	$580.00	$522.00	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 TX IV INF HYDRATION INIT 31M-1HR	$406.00	$580.00	$522.00	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OO IV INF HYDRATION INIT 31M-1HR	$406.00	$580.00	$522.00	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER IV INF HYDRATION INIT 31M 1HR	$406.00	$580.00	$522.00	—	30%
IV infusion of a medicine, first hour CPT 96365 TX IV INF THER/PROPH/DX INIT TO 1H	$406.00	$580.00	$86.94–$522.00	51% above	30%
IV infusion of a medicine, first hour CPT 96365 IV INF UP TO1 HR SAME SUB NOT HYDRATION	$406.00	$580.00	$86.94–$324.80	51% above	30%
IV infusion of a medicine, first hour CPT 96365 ER IV INF THER/PROPH/DX INIT TO 1H	$406.00	$580.00	$86.94–$522.00	51% above	30%
IV infusion of a medicine, first hour CPT 96365 OO IV INF THER/PROPH/DX INIT TO 1H	$406.00	$580.00	$86.94–$522.00	51% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 TX IV INF THER/PROPH/DX INIT TO 1H	$406.00	$580.00	$522.00	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 ER IV INF THER/PROPH/DX INIT TO 1H	$406.00	$580.00	$522.00	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 OO IV INF THER/PROPH/DX INIT TO 1H	$406.00	$580.00	$522.00	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF UP TO1 HR SAME SUB NOT HYDRATION	$406.00	$580.00	$522.00	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MD1 THER/PROPH/DIAG INJ SC/IM	$17.50	$25.00	$16.83–$230.32	74% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL-ADMIN SC/IM SEMAGLUTIDE 0.50mg dose	$35.00	$50.00	$16.83–$230.32	48% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM SEMAGLUTIDE 0.25mg dose	$35.00	$50.00	$16.83–$230.32	48% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM TIRZEPATIDE 2.5mg dose	$38.50	$55.00	$16.83–$230.32	43% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM SEMAGLUTIDE 1mg dose	$45.50	$65.00	$16.83–$230.32	32% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM SEMAGLUTIDE 1.5mg dose	$52.50	$75.00	$16.83–$230.32	22% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM TIRZEPATIDE 5mg dose	$59.50	$85.00	$16.83–$230.32	11% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM SEMAGLUTIDE 2mg dose	$63.00	$90.00	$16.83–$230.32	6% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM SEMAGLUTIDE 2.4mg dose	$70.00	$100.00	$16.83–$230.32	4% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM TIRZEPATIDE 7.5mg dose	$80.50	$115.00	$16.83–$230.32	20% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM TIRZEPATIDE 10mg dose	$105.00	$150.00	$16.83–$230.32	57% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM TIRZEPATIDE 12.5mg dose	$126.00	$180.00	$16.83–$230.32	88% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CL- ADMIN SC/IM TIRZEPATIDE 15mg dose	$147.00	$210.00	$16.83–$230.32	119% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC TX INJ THER/PROPH/DX SUBQ/IM	$243.60	$348.00	$16.83–$313.20	264% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC ER INJ THER/PROPH/DX SUBQ/IM	$243.60	$348.00	$16.83–$313.20	264% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC OO INJ THER/PROPH/DX SUBQ/IM	$243.60	$348.00	$16.83–$313.20	264% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PC ER INJECTION SQ/IM	$406.00	$580.00	$16.83–$324.80	506% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC TX INJ THER/PROPH/DX SUBQ/IM	$243.60	$348.00	$313.20	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC OO INJ THER/PROPH/DX SUBQ/IM	$243.60	$348.00	$313.20	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC ER INJ THER/PROPH/DX SUBQ/IM	$243.60	$348.00	$313.20	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PC ER INJECTION SQ/IM	$406.00	$580.00	$522.00	—	30%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3	$124.60	$178.00	$80.10–$230.32	18% below	30%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4	$154.00	$220.00	$99.00–$230.32	23% below	30%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5	$190.40	$272.00	$122.40–$244.80	29% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2	$102.90	$147.00	$66.15–$230.32	9% below	30%
Preventive checkup, new patient aged 18–39 CPT 99385 INIT NEW PT PREVEN MEDS E&M 18-39	$175.00	$250.00	$112.50–$230.32	7% below	30%
Preventive checkup, new patient aged 40–64 CPT 99386 INIT NEW PT PREVEN MEDS E&M 40-64	$175.00	$250.00	$112.50–$230.32	11% below	30%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT NEW PT PREVEN MEDS E&M 65+	$175.00	$250.00	$112.50–$230.32	18% below	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PREVENTATIVE CARE AGES 18-39	$140.00	$200.00	$90.00–$230.32	20% below	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 EST PREVENTATIVE CARE AGES 40-64	$140.00	$200.00	$90.00–$230.32	27% below	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PREVENTATIVE CARE AGES 65+	$140.00	$200.00	$90.00–$230.32	31% below	30%
Psychotherapy session, 30 minutes CPT 90832 MH PSYC THERAPY w/Patient 30min 90832	$150.50	$215.00	$96.75–$193.50	at median	30%
Psychotherapy session, 45 minutes CPT 90834 MH PSYC THERAPY w/Patient 45min 90834	$198.80	$284.00	$127.80–$255.60	10% above	30%
Psychotherapy session, 60 minutes CPT 90837 MH PSYC THERAPY w/Patient 60min 90837	$292.60	$418.00	$188.10–$376.20	21% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT VISIT LEVEL 5	$168.70	$241.00	$108.45–$230.32	25% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT VISIT LEVEL 3	$102.90	$147.00	$66.15–$230.32	24% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT VISIT LEVEL 4	$132.30	$189.00	$85.05–$230.32	20% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT VISIT LEVEL 2	$73.50	$105.00	$47.25–$230.32	26% below	30%
Spirometry (breathing test) CPT 94010 SPIROMETERY W/VC EXPIR FLO W/WO MXML VOL	$69.30	$99.00	$15.51–$390.52	77% below	30%
Spirometry (breathing test) CPT 94010 SPIR, GRAPHIC REC, TOTAL TIME 94010	$297.50	$425.00	$15.51–$390.52	1% below	30%
Spirometry (breathing test) inpatient CPT 94010 SPIR, GRAPHIC REC, TOTAL TIME 94010	$297.50	$425.00	$382.50	—	30%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETERY A & P AEROSOL	$177.80	$254.00	$24.96–$385.77	59% below	30%
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPON PRE & POST 94060	$294.00	$420.00	$24.96–$385.77	33% below	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETERY A & P AEROSOL	$177.80	$254.00	$228.60	—	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION RESPON PRE & POST 94060	$294.00	$420.00	$378.00	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$379.40	$542.00	$89.54–$487.80	204% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$379.40	$542.00	$487.80	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU VAC, IIV3, >3YRS, SGL DS, IM	$23.80	$34.00	$17.00–$245.40	26% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLU VAC, IIV3, >3YRS, SGL DS, IM	$23.80	$34.00	$30.60	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine ENEGERIX-B	$180.60	$258.00	$70.38–$232.20	55% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine ENEGERIX-B	$180.60	$258.00	$232.20	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CL-Influenza High Dose Quadivalent	$140.00	$200.00	$69.94–$180.00	49% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Vaccine High Dose Quadrivalent	$140.00	$200.00	$69.94–$180.00	49% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Vaccine High Dose Quadrivalent	$140.00	$200.00	$180.00	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 CL-Influenza High Dose Quadivalent	$140.00	$200.00	$180.00	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 CL-Pneumococcal 20	$662.90	$947.00	$230.32–$852.30	60% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 CL-Pneumococcal 23	$312.20	$446.00	$94.51–$401.40	75% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td (Tetanus/Diphtheria Toxoid) INJ	$78.19	$111.70	$23.92–$100.53	15% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CL-Td (Tetanus/Diphtheria Toxoid) INJ	$78.19	$111.70	$23.92–$230.32	15% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td (Tetanus/Diphtheria Toxoid) INJ	$78.19	$111.70	$100.53	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (Tetanus/Diphtheria/Pertussis INJ	$119.00	$170.00	$42.14–$153.00	55% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CL-Tdap (Tetanus/Diphtheria/Pertussis IN	$119.00	$170.00	$42.14–$153.00	55% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (Tetanus/Diphtheria/Pertussis INJ	$119.00	$170.00	$153.00	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 CL-Tdap (Tetanus/Diphtheria/Pertussis IN	$119.00	$170.00	$153.00	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CL- ADMN SQ/IM INJ 1 VACCINE	$17.50	$25.00	$10.48–$14.72	55% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MD1 ADMN SQ/IM INJ 1 VACCINE	$17.50	$25.00	$10.48–$14.72	55% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SQ/IM INJ EA 90471	$103.60	$148.00	$10.48–$82.88	166% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN SQ/IM INJ EA ADD 90472	$52.50	$75.00	$10.48–$42.00	114% above	30%

Source file: https://greeley.health/wp-content/uploads/2025/03/30-0078435-1285742536_GreeleyCountyHealthServices_standardcharges.csv