Kingman Healthcare Center
Listed in its price file as “Ninnescah Valley Health Systems, Inc.”.
Kingman Healthcare Center in Kingman, KS publishes cash prices for 214 common procedures listed here, from its own machine-readable price file updated Jul 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kansas median for 197 of 214 procedures and above it for 15. By typical cash price it ranks #5 of 62 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
750 W D Ave, Kingman, KS 67068 Collected Sep 28, 2026 Source price file (620) 532-3147
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171378 · 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 OT 93922 LIMIT BIL NONINV STUDY OF ARTER | $300.50 | $601.00 | $88.18–$540.90 | 50% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 OT 93922 LIMIT BIL NONINV STUDY OF ARTER | $300.50 | $601.00 | $88.18–$540.90 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG W/CPAP-BIPAP | $2,080.50 | $4,161.00 | $497.64–$3,744.90 | 22% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG W/CPAP-BIPAP | $2,080.50 | $4,161.00 | $497.64–$3,744.90 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 POCUS ABDOMEN | $137.50 | $275.00 | $70.23–$247.50 | 59% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 POCUS ABDOMEN | $137.50 | $275.00 | $70.23–$247.50 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 COMPLETE PSG | $1,885.50 | $3,771.00 | $476.14–$3,393.90 | 20% below | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 COMPLETE PSG | $1,885.50 | $3,771.00 | $476.14–$3,393.90 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 POCUS FOCUSED DVT STUDY | $143.50 | $287.00 | $120.54–$480.76 | 78% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 POCUS FOCUSED DVT STUDY | $143.50 | $287.00 | $120.54–$480.76 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $28.00 | $56.00 | $5.30–$50.40 | 25% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 .SGPT | $51.39 | $102.77 | $5.30–$92.49 | 38% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $28.00 | $56.00 | $5.30–$50.40 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 .SGPT | $51.39 | $102.77 | $5.30–$92.49 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $27.00 | $54.00 | $5.18–$48.60 | 27% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 .SGOT | $51.39 | $102.77 | $5.18–$92.49 | 39% above | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $27.00 | $54.00 | $5.18–$48.60 | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 .SGOT | $51.39 | $102.77 | $5.18–$92.49 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $39.44 | $78.88 | $33.12–$137.99 | 81% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $39.44 | $78.88 | $33.12–$137.99 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN RYE GRASS IGE | $19.50 | $39.00 | $5.22–$35.10 | 36% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN CAT DANDER IGE | $19.50 | $39.00 | $5.22–$35.10 | 36% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OCCUPATIONAL LATEX IGE(QG095) | $42.50 | $85.00 | $5.22–$76.50 | 39% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LEGIONELLA PNEUMO,IgG | $58.00 | $116.00 | $5.22–$104.40 | 90% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ASPERGILLIS FUMIGATUS IGE(QG063 | $59.72 | $119.43 | $5.22–$107.48 | 95% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN CAT DANDER IGE | $19.50 | $39.00 | $5.22–$35.10 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN RYE GRASS IGE | $19.50 | $39.00 | $5.22–$35.10 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OCCUPATIONAL LATEX IGE(QG095) | $42.50 | $85.00 | $5.22–$76.50 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEGIONELLA PNEUMO,IgG | $58.00 | $116.00 | $5.22–$104.40 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ASPERGILLIS FUMIGATUS IGE(QG063 | $59.72 | $119.43 | $5.22–$107.48 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC. CITRULLINATED PEPTIDE | $93.50 | $187.00 | $12.95–$168.30 | 9% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYC. CITRULLINATED PEPTIDE | $93.50 | $187.00 | $12.95–$168.30 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA AB MULTIPLEX TO RFX9 | $63.50 | $127.00 | $12.09–$114.30 | 10% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 PHOSPHORYLATED Tau217 (pTau-217), PLASMA | $283.75 | $567.50 | $12.09–$510.75 | 304% above | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA AB MULTIPLEX TO RFX9 | $63.50 | $127.00 | $12.09–$114.30 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 PHOSPHORYLATED Tau217 (pTau-217), PLASMA | $283.75 | $567.50 | $12.09–$510.75 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP | $105.00 | $210.00 | $33.37–$189.00 | 18% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $177.50 | $355.00 | $33.37–$319.50 | 38% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO BNP | $105.00 | $210.00 | $33.37–$189.00 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $177.50 | $355.00 | $33.37–$319.50 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $44.50 | $89.00 | $8.46–$80.10 | 45% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 DAILY BASIC METAB PANEL | $44.50 | $89.00 | $8.46–$80.10 | 45% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 BMP w ANION GAP | $44.50 | $89.00 | $8.46–$80.10 | 45% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 ePOC METABOLIC PANEL | $130.00 | $260.00 | $8.46–$234.00 | 59% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 ePOC METABOLIC PANEL W/ LACTATE | $140.00 | $280.00 | $8.46–$252.00 | 72% above | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $44.50 | $89.00 | $8.46–$80.10 | — | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP w ANION GAP | $44.50 | $89.00 | $8.46–$80.10 | — | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 DAILY BASIC METAB PANEL | $44.50 | $89.00 | $8.46–$80.10 | — | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 ePOC METABOLIC PANEL | $130.00 | $260.00 | $8.46–$234.00 | — | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 ePOC METABOLIC PANEL W/ LACTATE | $140.00 | $280.00 | $8.46–$252.00 | — | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $57.50 | $115.00 | $9.45–$103.50 | 24% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $57.50 | $115.00 | $9.45–$103.50 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CHARGE VENIPUCTURE | $11.25 | $22.50 | $8.57–$20.25 | 38% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CHARGE VENIP/HANDLING | $26.70 | $53.40 | $8.57–$48.06 | 48% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CHARGE VENIPUCTURE | $11.25 | $22.50 | $8.57–$20.25 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CHARGE VENIP/HANDLING | $26.70 | $53.40 | $8.57–$48.06 | — | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $21.00 | $42.00 | $3.93–$37.80 | 34% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE URINE 24HR | $21.00 | $42.00 | $3.93–$37.80 | 34% below | 50% |
| Blood glucose (sugar) test CPT 82947 .GLUCOSE | $51.39 | $102.77 | $3.93–$92.49 | 63% above | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE URINE 24HR | $21.00 | $42.00 | $3.93–$37.80 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $21.00 | $42.00 | $3.93–$37.80 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 .GLUCOSE | $51.39 | $102.77 | $3.93–$92.49 | — | 50% |
| Blood lead test CPT 83655 .HEAVY METALS LEAD, URINE | $24.00 | $48.00 | $11.70–$43.20 | 53% below | 50% |
| Blood lead test CPT 83655 .HEAVY METALS LEAD, BLOOD | $35.50 | $71.00 | $11.70–$63.90 | 30% below | 50% |
| Blood lead test CPT 83655 LEAD BLOOD VENOUS PEDIATRIC | $72.50 | $145.00 | $11.70–$130.50 | 42% above | 50% |
| Blood lead test CPT 83655 LEAD, BLOOD | $72.50 | $145.00 | $11.70–$130.50 | 42% above | 50% |
| Blood lead test inpatient CPT 83655 .HEAVY METALS LEAD, URINE | $24.00 | $48.00 | $11.70–$43.20 | — | 50% |
| Blood lead test inpatient CPT 83655 .HEAVY METALS LEAD, BLOOD | $35.50 | $71.00 | $11.70–$63.90 | — | 50% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS PEDIATRIC | $72.50 | $145.00 | $11.70–$130.50 | — | 50% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD | $72.50 | $145.00 | $11.70–$130.50 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM | $50.97 | $101.94 | $7.52–$91.74 | 11% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM | $50.97 | $101.94 | $7.52–$91.74 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO | $32.76 | $65.52 | $2.99–$210.75 | 64% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC, ABO TYPE | $52.50 | $105.00 | $2.99–$210.75 | 42% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO | $32.76 | $65.52 | $2.99–$210.75 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC, ABO TYPE | $52.50 | $105.00 | $2.99–$210.75 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $38.82 | $77.64 | $5.18–$69.87 | 20% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $38.82 | $77.64 | $5.18–$69.87 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 .C DIFFICILE TOXIN B BY NAA WITH PROBE | $51.00 | $102.00 | $34.26–$91.80 | 53% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 ...C DIFF BY PCR(PCDFF) ADD ON TEST ONL | $75.50 | $151.00 | $34.26–$135.90 | 31% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOST DIFF CULTURE (PCDFF) | $90.00 | $180.00 | $34.26–$162.00 | 18% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 .C DIFFICILE TOXIN B BY NAA WITH PROBE | $51.00 | $102.00 | $34.26–$91.80 | — | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 ...C DIFF BY PCR(PCDFF) ADD ON TEST ONL | $75.50 | $151.00 | $34.26–$135.90 | — | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOST DIFF CULTURE (PCDFF) | $90.00 | $180.00 | $34.26–$162.00 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 GI | $109.00 | $218.00 | $20.81–$196.20 | 5% above | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 GI | $109.00 | $218.00 | $20.81–$196.20 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $109.00 | $218.00 | $20.81–$196.20 | 18% above | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $109.00 | $218.00 | $20.81–$196.20 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ...COVID-19 TESTING COMMERCIAL LAB | $32.50 | $65.00 | $27.30–$114.18 | 76% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 GENE XPRT SARS COV-2 PLUS PCR | $75.00 | $150.00 | $43.61–$135.00 | 45% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 ...COVID-19 TESTING COMMERCIAL LAB | $32.50 | $65.00 | $27.30–$114.18 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 GENE XPRT SARS COV-2 PLUS PCR | $75.00 | $150.00 | $43.61–$135.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ...CHLAMYDIA URINE DNA PROBE (ZG590) | $104.50 | $209.00 | $35.09–$188.10 | 8% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 ...CHLAMYDIA URINE DNA PROBE (ZG590) | $104.50 | $209.00 | $35.09–$188.10 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $70.00 | $140.00 | $13.39–$126.00 | 21% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE W REFLEX TO DLDL | $70.00 | $140.00 | $13.39–$126.00 | 21% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $70.00 | $140.00 | $13.39–$126.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE W REFLEX TO DLDL | $70.00 | $140.00 | $13.39–$126.00 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 CHARGE FOR CBC AUTO DIFF | $36.00 | $72.00 | $6.60–$64.80 | 11% below | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHARGE FOR CBC AUTO DIFF | $36.00 | $72.00 | $6.60–$64.80 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 CHARGE FOR HEMOGRAM | $34.00 | $68.00 | $6.47–$61.20 | 23% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W/O DIFF | $34.00 | $68.00 | $6.47–$61.20 | 23% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM W/O DIFF | $34.00 | $68.00 | $6.47–$61.20 | — | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHARGE FOR HEMOGRAM | $34.00 | $68.00 | $6.47–$61.20 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METAB PANEL | $63.50 | $127.00 | $10.56–$114.30 | 39% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 DAILY COMPREH METAB PANEL | $63.50 | $127.00 | $10.56–$114.30 | 39% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP w ION GAP | $63.50 | $127.00 | $10.56–$114.30 | 39% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP w ION GAP | $63.50 | $127.00 | $10.56–$114.30 | — | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 DAILY COMPREH METAB PANEL | $63.50 | $127.00 | $10.56–$114.30 | — | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREH METAB PANEL | $63.50 | $127.00 | $10.56–$114.30 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 .D-DIMER QUANTATIVE | $53.50 | $107.00 | $10.18–$96.30 | 54% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER HS 500 | $91.12 | $182.23 | $10.18–$164.00 | 21% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 .D-DIMER QUANTATIVE | $53.50 | $107.00 | $10.18–$96.30 | — | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER HS 500 | $91.12 | $182.23 | $10.18–$164.00 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $27.62 | $55.23 | $22.23–$80.41 | 79% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE | $27.62 | $55.23 | $22.23–$80.41 | — | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $37.50 | $75.00 | $27.94–$125.19 | 78% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL PEDIATRIC (Z5483) | $146.00 | $292.00 | $27.94–$262.80 | 14% below | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $37.50 | $75.00 | $27.94–$125.19 | — | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL PEDIATRIC (Z5483) | $146.00 | $292.00 | $27.94–$262.80 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $17.93 | $35.85 | $15.05–$71.29 | 84% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $17.93 | $35.85 | $15.05–$71.29 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN | $262.50 | $525.00 | $19.63–$472.50 | 15% above | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN | $262.50 | $525.00 | $19.63–$472.50 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 ..FERRITIN | $32.50 | $65.00 | $13.63–$58.50 | 63% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 AMS FERRITIN | $71.50 | $143.00 | $13.63–$128.70 | 18% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $71.50 | $143.00 | $13.63–$128.70 | 18% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 ..FERRITIN | $32.50 | $65.00 | $13.63–$58.50 | — | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 AMS FERRITIN | $71.50 | $143.00 | $13.63–$128.70 | — | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $71.50 | $143.00 | $13.63–$128.70 | — | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $77.00 | $154.00 | $14.70–$138.60 | 22% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $77.00 | $154.00 | $14.70–$138.60 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $89.00 | $178.00 | $16.94–$160.20 | 31% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $89.00 | $178.00 | $16.94–$160.20 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $47.50 | $95.00 | $9.02–$85.50 | 24% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 .T4 FREE | $47.50 | $95.00 | $9.02–$85.50 | 24% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $47.50 | $95.00 | $9.02–$85.50 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .T4 FREE | $47.50 | $95.00 | $9.02–$85.50 | — | 50% |
| Free testosterone test CPT 84402 .TESTOSTERONE, FREE | $105.00 | $210.00 | $25.47–$189.00 | 26% below | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE (DIRECT) | $204.30 | $408.60 | $25.47–$367.74 | 43% above | 50% |
| Free testosterone test inpatient CPT 84402 .TESTOSTERONE, FREE | $105.00 | $210.00 | $25.47–$189.00 | — | 50% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE (DIRECT) | $204.30 | $408.60 | $25.47–$367.74 | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $167.50 | $335.00 | $24.57–$301.50 | at median | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $167.50 | $335.00 | $24.57–$301.50 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 ...GEST GLUCOSE DOSE, OB | $25.00 | $50.00 | $4.75–$45.00 | 48% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL 1HR GLUCOSE TOLERANCE | $34.50 | $69.00 | $4.75–$62.10 | 28% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 ...GEST GLUCOSE DOSE, OB | $25.00 | $50.00 | $4.75–$45.00 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GESTATIONAL 1HR GLUCOSE TOLERANCE | $34.50 | $69.00 | $4.75–$62.10 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 HOUR | $67.50 | $135.00 | $12.87–$121.50 | 27% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 5 HOUR | $67.50 | $135.00 | $12.87–$121.50 | 27% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 HOUR | $67.50 | $135.00 | $12.87–$121.50 | 27% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 4 HOUR | $67.50 | $135.00 | $12.87–$121.50 | 27% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 4 HOUR | $67.50 | $135.00 | $12.87–$121.50 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2 HOUR | $67.50 | $135.00 | $12.87–$121.50 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 HOUR | $67.50 | $135.00 | $12.87–$121.50 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 5 HOUR | $67.50 | $135.00 | $12.87–$121.50 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .N GONORR AMPLIFIED RNA(MGRNA) | $44.00 | $88.00 | $35.09–$79.20 | 57% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ...GC URINE DNA PROBE (ZG590) | $88.50 | $177.00 | $35.09–$159.30 | 13% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .N GONORR AMPLIFIED RNA(MGRNA) | $44.00 | $88.00 | $35.09–$79.20 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 ...GC URINE DNA PROBE (ZG590) | $88.50 | $177.00 | $35.09–$159.30 | — | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB(IN-HOUSE) | $49.20 | $98.40 | $14.32–$88.56 | 22% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB(IN-HOUSE) | $49.20 | $98.40 | $14.32–$88.56 | — | 50% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG STOOL | $69.50 | $139.00 | $14.38–$125.10 | 36% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG STOOL | $69.50 | $139.00 | $14.38–$125.10 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QUANT WITH GENOTYPE(Z3476) | $102.50 | $205.00 | $85.10–$184.50 | 68% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA,QUANTITATIVE PCR | $131.25 | $262.50 | $85.10–$236.25 | 59% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV QUANT WITH GENOTYPE(Z3476) | $102.50 | $205.00 | $85.10–$184.50 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA,QUANTITATIVE PCR | $131.25 | $262.50 | $85.10–$236.25 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIBODY/ANTIGEN COMBO | $18.88 | $37.75 | $15.85–$67.39 | 80% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIBODY/ANTIGEN COMBO | $18.88 | $37.75 | $15.85–$67.39 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMO A1C | $44.50 | $89.00 | $9.71–$80.10 | 33% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LABCORP HGB A1C | $63.50 | $127.00 | $9.71–$114.30 | 5% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMO A1C | $44.50 | $89.00 | $9.71–$80.10 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LABCORP HGB A1C | $63.50 | $127.00 | $9.71–$114.30 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $25.00 | $50.00 | $10.74–$46.36 | 66% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $25.00 | $50.00 | $10.74–$46.36 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $16.37 | $32.73 | $10.33–$29.45 | 72% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $16.37 | $32.73 | $10.33–$29.45 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY/PANEL 140659 | $23.50 | $47.00 | $14.27–$45.09 | 69% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY/PANEL 140659 | $23.50 | $47.00 | $14.27–$45.09 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA BY PCR | $224.00 | $448.00 | $36.41–$403.20 | 15% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS,QT,RNA PCR W GENOTYP REFLX | $557.82 | $1,115.63 | $36.41–$1,004.06 | 113% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA BY PCR | $224.00 | $448.00 | $36.41–$403.20 | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS,QT,RNA PCR W GENOTYP REFLX | $557.82 | $1,115.63 | $36.41–$1,004.06 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 .HSV TYPE 1 IGG | $69.00 | $138.00 | $11.21–$124.20 | 27% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 .HSV TYPE 1 IGM BY IFA | $69.00 | $138.00 | $11.21–$124.20 | 27% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 .HSV TYPE 2 IGG | $101.50 | $203.00 | $11.21–$182.70 | 7% above | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 .HSV TYPE 1 IGG | $69.00 | $138.00 | $11.21–$124.20 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 .HSV TYPE 1 IGM BY IFA | $69.00 | $138.00 | $11.21–$124.20 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 .HSV TYPE 2 IGG | $101.50 | $203.00 | $11.21–$182.70 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV TYPE 2 IGM BY IFA | $69.00 | $138.00 | $19.35–$124.20 | 21% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV TYPES 1/2 IGG AND IGM | $75.50 | $151.00 | $19.35–$135.90 | 14% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV TYPE 2 IGG | $101.50 | $203.00 | $19.35–$182.70 | 16% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV TYPE 2 IGM BY IFA | $69.00 | $138.00 | $19.35–$124.20 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV TYPES 1/2 IGG AND IGM | $75.50 | $151.00 | $19.35–$135.90 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV TYPE 2 IGG | $101.50 | $203.00 | $19.35–$182.70 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENS | $30.13 | $60.25 | $11.01–$61.27 | 67% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENS | $30.13 | $60.25 | $11.01–$61.27 | — | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $88.50 | $177.00 | $17.92–$176.58 | 60% below | 50% |
| Homocysteine blood test CPT 83090 ...HOMOCYSTEINE | $88.50 | $177.00 | $17.92–$176.58 | 60% below | 50% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $88.50 | $177.00 | $17.92–$176.58 | — | 50% |
| Homocysteine blood test inpatient CPT 83090 ...HOMOCYSTEINE | $88.50 | $177.00 | $17.92–$176.58 | — | 50% |
| Insulin blood test CPT 83525 DALT -- INSULIN | $18.02 | $36.03 | $11.43–$50.72 | 78% below | 50% |
| Insulin blood test CPT 83525 INSULIN | $32.63 | $65.25 | $11.43–$58.72 | 60% below | 50% |
| Insulin blood test CPT 83525 INHIBIN A | $60.00 | $120.00 | $11.43–$108.00 | 26% below | 50% |
| Insulin blood test inpatient CPT 83525 DALT -- INSULIN | $18.02 | $36.03 | $11.43–$50.72 | — | 50% |
| Insulin blood test inpatient CPT 83525 INSULIN | $32.63 | $65.25 | $11.43–$58.72 | — | 50% |
| Insulin blood test inpatient CPT 83525 INHIBIN A | $60.00 | $120.00 | $11.43–$108.00 | — | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $38.06 | $76.11 | $5.50–$68.49 | 13% below | 50% |
| Iron blood test (serum iron) CPT 83540 ...IRON FOR TSAT | $50.00 | $100.00 | $5.50–$90.00 | 15% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $38.06 | $76.11 | $5.50–$68.49 | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 ...IRON FOR TSAT | $50.00 | $100.00 | $5.50–$90.00 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 .IRON BINDING CAPACITY | $51.03 | $102.05 | $8.74–$91.84 | 20% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 .IRON BINDING CAPACITY | $51.03 | $102.05 | $8.74–$91.84 | — | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $45.50 | $91.00 | $8.68–$81.90 | 36% below | 50% |
| Kidney function blood test panel CPT 80069 DAILY RENAL FUNCTION PANEL | $45.50 | $91.00 | $8.68–$81.90 | 36% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL Pn w ANION GAP | $45.50 | $91.00 | $8.68–$81.90 | 36% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL Pn w ANION GAP | $45.50 | $91.00 | $8.68–$81.90 | — | 50% |
| Kidney function blood test panel inpatient CPT 80069 DAILY RENAL FUNCTION PANEL | $45.50 | $91.00 | $8.68–$81.90 | — | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $45.50 | $91.00 | $8.68–$81.90 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $57.50 | $115.00 | $18.52–$103.50 | 49% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE | $57.50 | $115.00 | $18.52–$103.50 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $36.00 | $72.00 | $6.89–$64.80 | 42% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE | $65.63 | $131.25 | $6.89–$118.12 | 5% above | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $36.00 | $72.00 | $6.89–$64.80 | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 BODY FLUID LIPASE | $65.63 | $131.25 | $6.89–$118.12 | — | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION PANEL | $47.34 | $94.68 | $8.17–$85.21 | 42% below | 50% |
| Liver function blood test panel inpatient CPT 80076 LIVER FUNCTION PANEL | $47.34 | $94.68 | $8.17–$85.21 | — | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE | $89.00 | $178.00 | $14.48–$160.20 | 27% below | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE | $89.00 | $178.00 | $14.48–$160.20 | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE SPOT | $23.00 | $46.00 | $6.70–$41.40 | 56% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24HR | $35.00 | $70.00 | $6.70–$63.00 | 33% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM | $35.00 | $70.00 | $6.70–$63.00 | 33% below | 50% |
| Magnesium blood test CPT 83735 .MAGNESIUM,U | $62.50 | $125.00 | $6.70–$112.50 | 20% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM,RBC(080283) | $69.00 | $138.00 | $6.70–$124.20 | 33% above | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE SPOT | $23.00 | $46.00 | $6.70–$41.40 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $35.00 | $70.00 | $6.70–$63.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24HR | $35.00 | $70.00 | $6.70–$63.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 .MAGNESIUM,U | $62.50 | $125.00 | $6.70–$112.50 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM,RBC(080283) | $69.00 | $138.00 | $6.70–$124.20 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IgG | $26.25 | $52.50 | $10.95–$68.27 | 73% below | 50% |
| Measles (rubeola) antibody test CPT 86765 MEASLES(RUBEOLA)AB IGG/IGM(QG163) | $75.50 | $151.00 | $10.95–$135.90 | 21% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IgG | $26.25 | $52.50 | $10.95–$68.27 | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES(RUBEOLA)AB IGG/IGM(QG163) | $75.50 | $151.00 | $10.95–$135.90 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST | $27.50 | $55.00 | $5.18–$49.50 | 38% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST | $27.50 | $55.00 | $5.18–$49.50 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,TOTAL AND FREE(PSATF) | $91.49 | $182.97 | $18.39–$164.67 | 1% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .PSA FREE | $96.50 | $193.00 | $18.39–$173.70 | 5% above | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA,TOTAL AND FREE(PSATF) | $91.49 | $182.97 | $18.39–$164.67 | — | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 .PSA FREE | $96.50 | $193.00 | $18.39–$173.70 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DONE AT LC | $34.00 | $68.00 | $18.39–$67.95 | 67% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA REFLEX(PSAR) | $96.50 | $193.00 | $18.39–$173.70 | 8% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $100.92 | $201.84 | $18.39–$181.65 | 3% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENS(Z5921) | $177.50 | $355.00 | $18.39–$319.50 | 70% above | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DONE AT LC | $34.00 | $68.00 | $18.39–$67.95 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA REFLEX(PSAR) | $96.50 | $193.00 | $18.39–$173.70 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA | $100.92 | $201.84 | $18.39–$181.65 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENS(Z5921) | $177.50 | $355.00 | $18.39–$319.50 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $109.00 | $218.00 | $35.09–$196.20 | 47% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $109.00 | $218.00 | $35.09–$196.20 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $33.47 | $66.93 | $5.25–$60.23 | 23% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ..APTT(LUPUS PF) | $36.00 | $72.00 | $5.25–$64.80 | 17% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .ACTIVATED PTT | $83.75 | $167.50 | $5.25–$150.75 | 94% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $33.47 | $66.93 | $5.25–$60.23 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ..APTT(LUPUS PF) | $36.00 | $72.00 | $5.25–$64.80 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .ACTIVATED PTT | $83.75 | $167.50 | $5.25–$150.75 | — | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $37.00 | $74.00 | $20.86–$71.72 | 67% below | 50% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $37.00 | $74.00 | $20.86–$71.72 | — | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $101.50 | $203.00 | $19.38–$182.70 | 21% below | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $101.50 | $203.00 | $19.38–$182.70 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 DAILY PT | $23.88 | $47.76 | $4.29–$42.98 | 23% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $23.88 | $47.76 | $4.29–$42.98 | 23% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 ..PROTHROMBIN TIME (LUPUS PF) | $24.00 | $48.00 | $4.29–$43.20 | 23% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .PROTHROMBIN TIME INR | $58.75 | $117.50 | $4.29–$105.75 | 88% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME(PT) MIX STUDY | $113.20 | $226.40 | $4.29–$203.76 | 263% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 DAILY PT | $23.88 | $47.76 | $4.29–$42.98 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $23.88 | $47.76 | $4.29–$42.98 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ..PROTHROMBIN TIME (LUPUS PF) | $24.00 | $48.00 | $4.29–$43.20 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .PROTHROMBIN TIME INR | $58.75 | $117.50 | $4.29–$105.75 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME(PT) MIX STUDY | $113.20 | $226.40 | $4.29–$203.76 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 6-WHEATLANDS EMP | $10.00 | $20.00 | $8.40–$28.15 | 82% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 5 (THC,COC,PCP,OPI,AMP) | $20.00 | $40.00 | $11.49–$36.00 | 64% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 6 | $20.00 | $40.00 | $11.49–$36.00 | 64% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 10-RIVERCROSS EMP | $24.00 | $48.00 | $11.49–$43.20 | 57% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 10 | $24.00 | $48.00 | $11.49–$43.20 | 57% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN ACUTE URINE | $79.00 | $158.00 | $11.49–$142.20 | 41% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 6-WHEATLANDS EMP | $10.00 | $20.00 | $8.40–$28.15 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 6 | $20.00 | $40.00 | $11.49–$36.00 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 5 (THC,COC,PCP,OPI,AMP) | $20.00 | $40.00 | $11.49–$36.00 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 10 | $24.00 | $48.00 | $11.49–$43.20 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 10-RIVERCROSS EMP | $24.00 | $48.00 | $11.49–$43.20 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN ACUTE URINE | $79.00 | $158.00 | $11.49–$142.20 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $30.00 | $60.00 | $5.67–$54.00 | 38% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 .GAD65 ABY | $94.50 | $189.00 | $5.67–$170.10 | 96% above | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $30.00 | $60.00 | $5.67–$54.00 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 .GAD65 ABY | $94.50 | $189.00 | $5.67–$170.10 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IgG | $26.25 | $52.50 | $12.23–$47.25 | 56% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IgG | $26.25 | $52.50 | $12.23–$47.25 | — | 50% |
| Stool ova and parasites exam CPT 87177 OVA and PARASITE EXAM | $67.50 | $135.00 | $8.40–$121.50 | 4% above | 50% |
| Stool ova and parasites exam inpatient CPT 87177 OVA and PARASITE EXAM | $67.50 | $135.00 | $8.40–$121.50 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNOCHEMICAL FOB TEST DIAGNOSTIC | $42.25 | $84.50 | $13.53–$76.05 | 17% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IMMUNOCHEMICAL FOB TEST DIAGNOSTIC | $42.25 | $84.50 | $13.53–$76.05 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR2 | $97.00 | $194.00 | $4.27–$174.60 | 163% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .T PALLIDUM AB BY TP-PA(Z5249) | $97.00 | $194.00 | $4.27–$174.60 | 163% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .T PALLIDUM AB BY TP-PA(Z5249) | $97.00 | $194.00 | $4.27–$174.60 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .RPR2 | $97.00 | $194.00 | $4.27–$174.60 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB TEST | $76.29 | $152.58 | $61.98–$137.32 | 61% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB TEST | $76.29 | $152.58 | $61.98–$137.32 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 .TESTOSTERONE TOTAL (TEST) | $105.00 | $210.00 | $25.81–$189.00 | 28% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $135.00 | $270.00 | $25.81–$243.00 | 7% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 .TESTOSTERONE TOTAL (TEST) | $105.00 | $210.00 | $25.81–$189.00 | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $135.00 | $270.00 | $25.81–$243.00 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL (LKM) ABS | $51.40 | $102.80 | $14.55–$92.52 | 34% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB | $51.75 | $103.50 | $14.55–$93.15 | 34% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL (LKM) ABS | $51.40 | $102.80 | $14.55–$92.52 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB | $51.75 | $103.50 | $14.55–$93.15 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 .TSH | $88.00 | $176.00 | $15.75–$158.40 | at median | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w REFLEX | $88.00 | $176.00 | $15.75–$158.40 | at median | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $88.00 | $176.00 | $15.75–$158.40 | at median | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 .TSH | $88.00 | $176.00 | $15.75–$158.40 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $88.00 | $176.00 | $15.75–$158.40 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w REFLEX | $88.00 | $176.00 | $15.75–$158.40 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS, MALE(ZH083) | $126.75 | $253.50 | $35.09–$228.15 | 7% below | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS, MALE(ZH083) | $126.75 | $253.50 | $35.09–$228.15 | — | 50% |
| Uric acid blood test CPT 84550 URIC ACID | $24.00 | $48.00 | $4.52–$43.20 | 34% below | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $24.00 | $48.00 | $4.52–$43.20 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 CHARGE FOR URINALYSIS, COMPLETE | $38.50 | $77.00 | $3.17–$69.30 | 13% above | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHARGE FOR URINALYSIS, COMPLETE | $38.50 | $77.00 | $3.17–$69.30 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 CHARGE FOR URINALYSIS W/O MICROSCOPIC | $25.50 | $51.00 | $1.91–$45.90 | 16% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINE DIPSTICK DONE IN ER | $25.50 | $51.00 | $1.91–$45.90 | 16% above | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHARGE FOR URINALYSIS W/O MICROSCOPIC | $25.50 | $51.00 | $1.91–$45.90 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIPSTICK DONE IN ER | $25.50 | $51.00 | $1.91–$45.90 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $42.50 | $85.00 | $8.07–$76.50 | 20% below | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $42.50 | $85.00 | $8.07–$76.50 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $40.31 | $80.61 | $7.43–$72.54 | 13% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST DONE IN ER | $40.31 | $80.61 | $7.43–$72.54 | 13% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST DONE IN ER | $40.31 | $80.61 | $7.43–$72.54 | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $40.31 | $80.61 | $7.43–$72.54 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 LABCORP B12 | $79.00 | $158.00 | $15.08–$142.20 | 10% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $79.00 | $158.00 | $15.08–$142.20 | 10% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $79.00 | $158.00 | $15.08–$142.20 | — | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LABCORP B12 | $79.00 | $158.00 | $15.08–$142.20 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D AMS(25OHD) | $155.00 | $310.00 | $25.16–$279.00 | 38% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH, IN-HOUSE | $155.00 | $310.00 | $25.16–$279.00 | 38% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH, IN-HOUSE | $155.00 | $310.00 | $25.16–$279.00 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D AMS(25OHD) | $155.00 | $310.00 | $25.16–$279.00 | — | 50% |
| Zinc blood test CPT 84630 ZINC | $59.50 | $119.00 | $11.39–$107.10 | 2% above | 50% |
| Zinc blood test inpatient CPT 84630 ZINC | $59.50 | $119.00 | $11.39–$107.10 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QUANT | $79.00 | $158.00 | $12.79–$142.20 | 19% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER(Z7955) | $79.00 | $158.00 | $12.79–$142.20 | 19% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER(Z7955) | $79.00 | $158.00 | $12.79–$142.20 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QUANT | $79.00 | $158.00 | $12.79–$142.20 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Appendectomy, open surgery CPT 44950 OPEN APPENDECTOMY | $2,924.00 | $5,848.00 | $520.42–$7,799.69 | 122% above | 50% |
| Appendectomy, open surgery inpatient CPT 44950 OPEN APPENDECTOMY | $2,924.00 | $5,848.00 | $520.42–$7,799.69 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FRACTURED FIBULA W/O MANIP-FC 27786 | $87.50 | $175.00 | $73.50–$1,454.40 | 80% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FRACTURED FIBULA W/O MANIP 27786 | $101.50 | $203.00 | $85.26–$1,454.40 | 77% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DISTAL FIB FX W/O MANIP | $182.68 | $365.35 | $153.44–$1,454.40 | 58% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FRACTURED FIBULA W/O MANIP-FC 27786 | $87.50 | $175.00 | $73.50–$1,454.40 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FRACTURED FIBULA W/O MANIP 27786 | $101.50 | $203.00 | $85.26–$1,454.40 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX DISTAL FIB FX W/O MANIP | $182.68 | $365.35 | $153.44–$1,454.40 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FRACTURE CARE CLOSED TX-MET-FC 28470 | $87.50 | $175.00 | $73.50–$1,454.40 | 76% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX W/O MANIP 28470 | $130.62 | $261.24 | $109.72–$1,454.40 | 64% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FRACTURE CARE CLOSED TX-METATARSAL | $264.00 | $528.00 | $175.08–$1,454.40 | 27% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FRACTURE CARE CLOSED TX-MET-FC 28470 | $87.50 | $175.00 | $73.50–$1,454.40 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TX METATARSAL FX W/O MANIP 28470 | $130.62 | $261.24 | $109.72–$1,454.40 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FRACTURE CARE CLOSED TX-METATARSAL | $264.00 | $528.00 | $175.08–$1,454.40 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION FC 92960 | $248.50 | $497.00 | $97.32–$481.93 | 57% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION-FC 92960 | $262.50 | $525.00 | $97.32–$481.93 | 54% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $406.00 | $812.00 | $97.32–$730.80 | 29% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION FC 92960 | $248.50 | $497.00 | $97.32–$481.93 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION-FC 92960 | $262.50 | $525.00 | $97.32–$481.93 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $406.00 | $812.00 | $97.32–$730.80 | — | 50% |
| Cataract surgery with lens implant CPT 66984 EXTRACAP CAT REM W IOL INSERT-FC 66984 | $1,607.50 | $3,215.00 | $487.96–$2,893.50 | 43% below | 50% |
| Cataract surgery with lens implant inpatient CPT 66984 EXTRACAP CAT REM W IOL INSERT-FC 66984 | $1,607.50 | $3,215.00 | $487.96–$2,893.50 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TRX DSTL RADIAL FX COL-FC 25600 | $87.50 | $175.00 | $73.50–$299.87 | 80% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TRX DSTL RADIAL FRX 25600 | $361.00 | $722.00 | $230.84–$649.80 | 19% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TRX DSTL RADIAL FX COL-FC 25600 | $87.50 | $175.00 | $73.50–$299.87 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TRX DSTL RADIAL FRX 25600 | $361.00 | $722.00 | $230.84–$649.80 | — | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY, FLEXIBLE; REMOVAL OF TUMOR | $542.50 | $1,085.00 | $226.36–$1,473.85 | 55% below | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY/BIOPSY/POLYP REM-FC 45385 | $883.00 | $1,766.00 | $226.36–$1,589.40 | 26% below | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY, FLEXIBLE; REMOVAL OF TUMOR | $542.50 | $1,085.00 | $226.36–$1,473.85 | — | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY/BIOPSY/POLYP REM-FC 45385 | $883.00 | $1,766.00 | $226.36–$1,589.40 | — | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY | $450.00 | $900.00 | $178.78–$1,473.85 | 70% below | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY-FC 45380 | $810.00 | $1,620.00 | $178.78–$1,473.85 | 47% below | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY | $450.00 | $900.00 | $178.78–$1,473.85 | — | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY-FC 45380 | $810.00 | $1,620.00 | $178.78–$1,473.85 | — | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY/FLEX/PROS SPL FL | $400.00 | $800.00 | $164.37–$1,321.08 | 56% below | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY/FLEX/PROS SPL FL-FC 45378 | $785.00 | $1,570.00 | $164.37–$1,413.00 | 13% below | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY/FLEX/PROS SPL FL | $400.00 | $800.00 | $164.37–$1,321.08 | — | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY/FLEX/PROS SPL FL-FC 45378 | $785.00 | $1,570.00 | $164.37–$1,413.00 | — | 50% |
| Complex cataract surgery with lens implant CPT 66982 EXTRACPSLR CATARACT REM/INS LENS FC66982 | $1,607.50 | $3,215.00 | $668.57–$2,893.50 | 45% below | 50% |
| Complex cataract surgery with lens implant inpatient CPT 66982 EXTRACPSLR CATARACT REM/INS LENS FC66982 | $1,607.50 | $3,215.00 | $668.57–$2,893.50 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY FC 52000 | $279.00 | $558.00 | $72.02–$834.34 | 73% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY FC 52000 | $279.00 | $558.00 | $72.02–$834.34 | — | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D & C, DIAGNOSTIC/THERAPEUTIC-FC 58120 | $808.50 | $1,617.00 | $191.89–$3,974.41 | 12% below | 50% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D & C, DIAGNOSTIC/THERAPEUTIC-FC 58120 | $808.50 | $1,617.00 | $191.89–$3,974.41 | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF WART-FIRST LES | $64.00 | $128.00 | $49.70–$248.38 | 44% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION OF WART-FIRST LES | $64.00 | $128.00 | $49.70–$248.38 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 F B EAR CANAL REMOV. IRRIGATION -FC69209 | $245.00 | $490.00 | $9.18–$586.49 | 190% above | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 F B EAR CANAL REMOVAL IRRIGATION | $293.50 | $587.00 | $9.18–$586.49 | 247% above | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 F B EAR CANAL REMOV. IRRIGATION -FC69209 | $245.00 | $490.00 | $9.18–$586.49 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 F B EAR CANAL REMOVAL IRRIGATION | $293.50 | $587.00 | $9.18–$586.49 | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 EAR IRRIGATION-FC 69210 | $31.00 | $62.00 | $26.04–$543.31 | 65% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 EAR IRRIGATION | $44.00 | $88.00 | $29.28–$543.31 | 50% below | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 EAR IRRIGATION-FC 69210 | $31.00 | $62.00 | $26.04–$543.31 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 EAR IRRIGATION | $44.00 | $88.00 | $29.28–$543.31 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY FC 58100 | $330.50 | $661.00 | $56.60–$594.90 | 39% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY FC 58100 | $330.50 | $661.00 | $56.60–$594.90 | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL INJ,CERVICAL- GUIDE FC 62321 | $1,141.80 | $2,283.60 | $97.28–$2,055.24 | at median | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL INJ,CERVICAL- GUIDE FC 62321 | $1,141.80 | $2,283.60 | $97.28–$2,055.24 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION DIAG OR THERAP PEERAVERT | $318.00 | $636.00 | $81.83–$1,112.86 | 65% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECTION DIAG OR THERAP PEERAVERT | $318.00 | $636.00 | $81.83–$1,112.86 | — | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR ANTERIOR ABD HERNIA INITIAL FC | $3,000.00 | $6,000.00 | $215.82–$5,400.00 | 10% below | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPAIR ANTERIOR ABD HERNIA INITIAL FC | $3,000.00 | $6,000.00 | $215.82–$5,400.00 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY | $100.00 | $200.00 | $50.58–$1,139.64 | 88% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEXIBLE 45330 | $100.00 | $200.00 | $50.58–$1,139.64 | 88% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY-FC 45330 | $480.00 | $960.00 | $50.58–$1,139.64 | 41% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY FLEXIBLE 45330 | $100.00 | $200.00 | $50.58–$1,139.64 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY | $100.00 | $200.00 | $50.58–$1,139.64 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY-FC 45330 | $480.00 | $960.00 | $50.58–$1,139.64 | — | 50% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY 47562 | $645.00 | $1,290.00 | $541.80–$7,292.95 | 88% below | 50% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY-FC 47562 | $2,895.00 | $5,790.00 | $583.17–$7,292.95 | 47% below | 50% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY 47562 | $645.00 | $1,290.00 | $541.80–$7,292.95 | — | 50% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY-FC 47562 | $2,895.00 | $5,790.00 | $583.17–$7,292.95 | — | 50% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPIC CHOLE W CHOLANGIO 47563 | $645.00 | $1,290.00 | $541.80–$7,292.95 | 89% below | 50% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPIC CHOLESCYSTECTOMY-FC 47563 | $3,000.00 | $6,000.00 | $626.21–$7,292.95 | 47% below | 50% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPAROSCOPIC CHOLE W CHOLANGIO 47563 | $645.00 | $1,290.00 | $541.80–$7,292.95 | — | 50% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPAROSCOPIC CHOLESCYSTECTOMY-FC 47563 | $3,000.00 | $6,000.00 | $626.21–$7,292.95 | — | 50% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY-OPEN APPROACH-FC 47600 | $2,500.00 | $5,000.00 | $715.25–$6,871.99 | at median | 50% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY-OPEN APPROACH-FC 47600 | $2,500.00 | $5,000.00 | $715.25–$6,871.99 | — | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INT, RB LIG 46221 | $205.00 | $410.00 | $166.48–$1,632.16 | 77% below | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INT, RB LIG FC46221 | $970.00 | $1,940.00 | $166.48–$1,746.00 | 11% above | 50% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY, INT, RB LIG 46221 | $205.00 | $410.00 | $166.48–$1,632.16 | — | 50% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY, INT, RB LIG FC46221 | $970.00 | $1,940.00 | $166.48–$1,746.00 | — | 50% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY, INTER & EXTER 46255 | $245.00 | $490.00 | $205.80–$3,427.99 | 74% below | 50% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY, INTER & EXTER FC46255 | $1,107.50 | $2,215.00 | $317.67–$3,427.99 | 16% above | 50% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY, INTER & EXTER 46255 | $245.00 | $490.00 | $205.80–$3,427.99 | — | 50% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY, INTER & EXTER FC46255 | $1,107.50 | $2,215.00 | $317.67–$3,427.99 | — | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, SURGICAL W/BIOP FC58558 | $980.50 | $1,961.00 | $206.71–$3,974.41 | 64% below | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY, SURGICAL W/BIOP FC58558 | $980.50 | $1,961.00 | $206.71–$3,974.41 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAG OF ABSCESS 10060 | $37.50 | $75.00 | $31.50–$248.38 | 83% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINGE ABSCESS 10060 (CL) | $75.00 | $150.00 | $63.00–$248.38 | 66% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SUBCUTAN ABCESS SMPL-FC 10060 | $80.00 | $160.00 | $67.20–$248.38 | 63% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINGE ABSCESS FC 10060 (CL) | $81.50 | $163.00 | $68.46–$248.38 | 63% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAG OF ABSCESS FC 10060 | $88.00 | $176.00 | $73.92–$248.38 | 60% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SUBCUTAN ABCESS SMPL 10060 | $101.50 | $203.00 | $81.94–$248.38 | 54% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D OF ABCESS | $425.00 | $850.00 | $81.94–$765.00 | 95% above | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAG OF ABSCESS 10060 | $37.50 | $75.00 | $31.50–$248.38 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINGE ABSCESS 10060 (CL) | $75.00 | $150.00 | $63.00–$248.38 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SUBCUTAN ABCESS SMPL-FC 10060 | $80.00 | $160.00 | $67.20–$248.38 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINGE ABSCESS FC 10060 (CL) | $81.50 | $163.00 | $68.46–$248.38 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAG OF ABSCESS FC 10060 | $88.00 | $176.00 | $73.92–$248.38 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SUBCUTAN ABCESS SMPL 10060 | $101.50 | $203.00 | $81.94–$248.38 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D OF ABCESS | $425.00 | $850.00 | $81.94–$765.00 | — | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INTITIAL INGUINAL HERNIA-FC 49505 | $1,340.50 | $2,681.00 | $410.79–$4,411.33 | 65% below | 50% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INTITIAL INGUINAL HERNIA-FC 49505 | $1,340.50 | $2,681.00 | $410.79–$4,411.33 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION OF TENDON | $74.50 | $149.00 | $35.03–$142.41 | 55% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION OF TENDON | $74.50 | $149.00 | $35.03–$142.41 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 EPIDURAL INJ MAJOR JOINT-FC 20610 | $92.00 | $184.00 | $40.64–$368.99 | 65% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJ JOINT-FC 20610 | $103.00 | $206.00 | $40.64–$368.99 | 61% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRACENTESIS MAJOR JOINT FC 20610 | $105.00 | $210.00 | $40.64–$368.99 | 60% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJ JOINT 20610 | $105.00 | $210.00 | $40.64–$368.99 | 60% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 RIGHT & LEFT INJ MAJOR JOINT | $74.50 | $149.00 | $40.64–$368.99 | 72% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 EPIDURAL INJ MAJOR JOINT-FC 20610 | $92.00 | $184.00 | $40.64–$368.99 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJ JOINT-FC 20610 | $103.00 | $206.00 | $40.64–$368.99 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRACENTESIS MAJOR JOINT FC 20610 | $105.00 | $210.00 | $40.64–$368.99 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJ JOINT 20610 | $105.00 | $210.00 | $40.64–$368.99 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 RIGHT & LEFT INJ MAJOR JOINT | $74.50 | $149.00 | $40.64–$368.99 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERMEDIATE JOINT | $71.00 | $142.00 | $33.18–$368.99 | 68% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERMEDIATE JOINT TIMES 2 | $71.00 | $142.00 | $33.18–$368.99 | 68% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ INTERMEDIATE JOINT TIMES 2 | $71.00 | $142.00 | $33.18–$368.99 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ INTERMEDIATE JOINT | $71.00 | $142.00 | $33.18–$368.99 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JOINT 20600 | $79.00 | $158.00 | $32.24–$368.99 | 61% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JOINT-FC 20600 | $103.00 | $206.00 | $32.24–$368.99 | 49% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT OR BURSA | $169.50 | $339.00 | $32.24–$368.99 | 16% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SM JOINT 20600 | $79.00 | $158.00 | $32.24–$368.99 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SM JOINT-FC 20600 | $103.00 | $206.00 | $32.24–$368.99 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT OR BURSA | $169.50 | $339.00 | $32.24–$368.99 | — | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY-FC 44970 | $2,041.50 | $4,083.00 | $463.01–$7,292.95 | 56% below | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY-FC 44970 | $2,041.50 | $4,083.00 | $463.01–$7,292.95 | — | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP REPAIR INIT ING HERNIA 49650 | $975.00 | $1,950.00 | $344.18–$7,292.95 | 59% below | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARSCPY,REPAIR INIT ING HERNIA FC49650 | $2,041.50 | $4,083.00 | $344.18–$7,292.95 | 13% below | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP REPAIR INIT ING HERNIA 49650 | $975.00 | $1,950.00 | $344.18–$7,292.95 | — | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPARSCPY,REPAIR INIT ING HERNIA FC49650 | $2,041.50 | $4,083.00 | $344.18–$7,292.95 | — | 50% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY/REMOVE ADNEXAL STR-FC 58661 | $2,041.50 | $4,083.00 | $583.05–$7,292.95 | 64% below | 50% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY/REMOVE ADNEXAL STR-FC 58661 | $2,041.50 | $4,083.00 | $583.05–$7,292.95 | — | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 DISCISSION OF SEC MEM CATARACT-FC 66821 | $243.00 | $486.00 | $204.12–$910.01 | 77% below | 50% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 DISCISSION OF SEC MEM CATARACT-FC 66821 | $243.00 | $486.00 | $204.12–$910.01 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 S T E UP TO 2.5CM-FC 12031 | $84.00 | $168.00 | $70.56–$451.17 | 77% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND | $175.00 | $350.00 | $135.94–$451.17 | 52% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 S T E UP TO 2.5CM 12031 | $194.00 | $388.00 | $135.94–$451.17 | 47% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND-FC 12031 | $872.50 | $1,745.00 | $135.94–$1,570.50 | 138% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 S T E UP TO 2.5CM-FC 12031 | $84.00 | $168.00 | $70.56–$451.17 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE OF WOUND | $175.00 | $350.00 | $135.94–$451.17 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 S T E UP TO 2.5CM 12031 | $194.00 | $388.00 | $135.94–$451.17 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE OF WOUND-FC 12031 | $872.50 | $1,745.00 | $135.94–$1,570.50 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJ,LUMAR- GUIDE FC 62323 | $1,141.80 | $2,283.60 | $89.93–$2,055.24 | 3% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJ,LUMAR- GUIDE FC 62323 | $1,141.80 | $2,283.60 | $89.93–$2,055.24 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR TRANSFORA EPIDURAL | $426.50 | $853.00 | $100.75–$1,112.86 | 54% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR TRANSFORA EPIDURAL | $426.50 | $853.00 | $100.75–$1,112.86 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC OF LESION LESS .5CM TRUNK, ARMS, LEG | $100.50 | $201.00 | $75.91–$879.49 | 47% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN LESION TRUNK, ARMS FC11400 | $199.50 | $399.00 | $75.91–$879.49 | 6% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION, BENIGN, TRUNK ARMS 11400 | $300.00 | $600.00 | $75.91–$879.49 | 59% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN TRUNK ARMS FC 11400 | $700.00 | $1,400.00 | $75.91–$1,260.00 | 270% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC OF LESION LESS .5CM TRUNK, ARMS, LEG | $100.50 | $201.00 | $75.91–$879.49 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN LESION TRUNK, ARMS FC11400 | $199.50 | $399.00 | $75.91–$879.49 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION, BENIGN, TRUNK ARMS 11400 | $300.00 | $600.00 | $75.91–$879.49 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN TRUNK ARMS FC 11400 | $700.00 | $1,400.00 | $75.91–$1,260.00 | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BNGN LESION FACE, EARS 11440 | $75.00 | $150.00 | $63.00–$783.57 | 60% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LES LESS .5CM FACE, EARS | $117.00 | $234.00 | $96.67–$783.57 | 38% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION, BNGN LESION FACE, EARS FC11440 | $199.50 | $399.00 | $96.67–$783.57 | 6% above | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION OTHER BEN LESION 11440 | $291.50 | $583.00 | $96.67–$783.57 | 55% above | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION OTHER BEN LESION 11440 FC | $413.50 | $827.00 | $96.67–$783.57 | 120% above | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BNGN LESION FACE, EARS 11440 | $75.00 | $150.00 | $63.00–$783.57 | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC LES LESS .5CM FACE, EARS | $117.00 | $234.00 | $96.67–$783.57 | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION, BNGN LESION FACE, EARS FC11440 | $199.50 | $399.00 | $96.67–$783.57 | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION OTHER BEN LESION 11440 | $291.50 | $583.00 | $96.67–$783.57 | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION OTHER BEN LESION 11440 FC | $413.50 | $827.00 | $96.67–$783.57 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL P C S-FC 11730 | $54.00 | $108.00 | $45.36–$248.38 | 62% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVLUSION SSB 11730 | $87.50 | $175.00 | $48.93–$248.38 | 38% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL P C S 11730 | $105.00 | $210.00 | $48.93–$248.38 | 26% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE 11730 | $112.50 | $225.00 | $48.93–$248.38 | 20% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION SSB 11730 | $250.00 | $500.00 | $48.93–$450.00 | 77% above | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE FC 11730 | $310.00 | $620.00 | $48.93–$558.00 | 120% above | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL P C S-FC 11730 | $54.00 | $108.00 | $45.36–$248.38 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVLUSION SSB 11730 | $87.50 | $175.00 | $48.93–$248.38 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL P C S 11730 | $105.00 | $210.00 | $48.93–$248.38 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE 11730 | $112.50 | $225.00 | $48.93–$248.38 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION SSB 11730 | $250.00 | $500.00 | $48.93–$450.00 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE FC 11730 | $310.00 | $620.00 | $48.93–$558.00 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION GREATER OCCIPITAL NERVE | $74.50 | $149.00 | $46.47–$319.16 | 79% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION GREATER OCCIPITAL NERVE | $74.50 | $149.00 | $46.47–$319.16 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS IMAGE G-FC 49083 | $166.50 | $333.00 | $94.98–$1,171.95 | 78% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENT W/IMAG 49083 | $212.50 | $425.00 | $94.98–$1,171.95 | 72% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS IMAGE GUIDE 49083 | $240.00 | $480.00 | $94.98–$1,171.95 | 68% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARAC W/IMAG FC 49083 | $415.00 | $830.00 | $94.98–$1,171.95 | 45% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENT WITH IMAG | $469.00 | $938.00 | $94.98–$1,171.95 | 37% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARAC W/IMAG 49083 | $500.00 | $1,000.00 | $94.98–$1,171.95 | 33% below | 50% |
| Paracentesis with imaging guidance CPT 49083 US PARACENTESIS WITH ULTRASOUND | $516.00 | $1,032.00 | $94.98–$1,171.95 | 31% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS IMAGE G-FC 49083 | $166.50 | $333.00 | $94.98–$1,171.95 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENT W/IMAG 49083 | $212.50 | $425.00 | $94.98–$1,171.95 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS IMAGE GUIDE 49083 | $240.00 | $480.00 | $94.98–$1,171.95 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARAC W/IMAG FC 49083 | $415.00 | $830.00 | $94.98–$1,171.95 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENT WITH IMAG | $469.00 | $938.00 | $94.98–$1,171.95 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARAC W/IMAG 49083 | $500.00 | $1,000.00 | $94.98–$1,171.95 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS WITH ULTRASOUND | $516.00 | $1,032.00 | $94.98–$1,171.95 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL INGROWN 11750 | $120.00 | $240.00 | $92.78–$499.41 | 69% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL INGROWN FC 11750 | $600.00 | $1,200.00 | $92.78–$1,080.00 | 57% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL INGROWN 11750 | $120.00 | $240.00 | $92.78–$499.41 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL INGROWN FC 11750 | $600.00 | $1,200.00 | $92.78–$1,080.00 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION NEURO ABAL LUMB PARAVERT | $850.00 | $1,700.00 | $174.50–$2,440.96 | 54% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTRUCTION NEURO ABAL LUMB PARAVERT | $850.00 | $1,700.00 | $174.50–$2,440.96 | — | 50% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST-FC 19120 | $897.50 | $1,795.00 | $355.87–$4,786.60 | 48% below | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION OF CYST-FC 19120 | $897.50 | $1,795.00 | $355.87–$4,786.60 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC AND REMOVAL OF FOREIGN BODY FC 10120 | $67.50 | $135.00 | $56.70–$1,075.65 | 75% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 F B SUBCUTANEOUS SIMPLE-FC 10120 | $80.00 | $160.00 | $67.20–$1,075.65 | 70% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 F B SUBCUTANEOUS SIMPLE 10120 | $110.00 | $220.00 | $92.40–$1,075.65 | 59% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB, SUBQ TISSUE | $250.00 | $500.00 | $95.25–$1,075.65 | 7% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB SUBQ TISSUE FC | $1,025.00 | $2,050.00 | $95.25–$1,845.00 | 280% above | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC AND REMOVAL OF FOREIGN BODY FC 10120 | $67.50 | $135.00 | $56.70–$1,075.65 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 F B SUBCUTANEOUS SIMPLE-FC 10120 | $80.00 | $160.00 | $67.20–$1,075.65 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 F B SUBCUTANEOUS SIMPLE 10120 | $110.00 | $220.00 | $92.40–$1,075.65 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL FB, SUBQ TISSUE | $250.00 | $500.00 | $95.25–$1,075.65 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL FB SUBQ TISSUE FC | $1,025.00 | $2,050.00 | $95.25–$1,845.00 | — | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREEN | $400.00 | $800.00 | $164.54–$1,139.64 | 58% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREEN FC G0121 | $598.00 | $1,196.00 | $164.54–$1,139.64 | 37% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREEN | $400.00 | $800.00 | $164.54–$1,139.64 | — | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREEN FC G0121 | $598.00 | $1,196.00 | $164.54–$1,139.64 | — | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HI-RISK COLORECTAL SCREEN G0105 | $400.00 | $800.00 | $164.37–$1,139.64 | 61% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HI-RISK COLORECTAL SCREEN FC G0105 | $598.00 | $1,196.00 | $164.37–$1,139.64 | 41% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HI-RISK COLORECTAL SCREEN G0105 | $400.00 | $800.00 | $164.37–$1,139.64 | — | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HI-RISK COLORECTAL SCREEN FC G0105 | $598.00 | $1,196.00 | $164.37–$1,139.64 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT -FC 29125 | $53.00 | $106.00 | $36.14–$230.28 | 70% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT 29125 | $72.00 | $144.00 | $36.14–$230.28 | 59% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 PT APPLI SHORT ARM SPLINT/STATIC 29125 | $72.50 | $145.00 | $36.14–$230.28 | 59% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 OT APPLI SHORT ARM SPLINT/STATIC 29125 | $80.00 | $160.00 | $36.14–$230.28 | 54% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT FC 29125 | $150.00 | $300.00 | $36.14–$270.00 | 14% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT -FC 29125 | $53.00 | $106.00 | $36.14–$230.28 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT 29125 | $72.00 | $144.00 | $36.14–$230.28 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 PT APPLI SHORT ARM SPLINT/STATIC 29125 | $72.50 | $145.00 | $36.14–$230.28 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT APPLI SHORT ARM SPLINT/STATIC 29125 | $80.00 | $160.00 | $36.14–$230.28 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT FC 29125 | $150.00 | $300.00 | $36.14–$270.00 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT FC 29515 | $53.00 | $106.00 | $44.52–$230.28 | 68% below | 50% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT E/R DRS | $105.00 | $210.00 | $44.79–$230.28 | 38% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT FC 29515 | $53.00 | $106.00 | $44.52–$230.28 | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT E/R DRS | $105.00 | $210.00 | $44.79–$230.28 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 S T E UP TO 2.5CM-FC 12001 | $84.00 | $168.00 | $39.87–$382.79 | 65% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE SIMPLE EXTREMITY FC 12001 | $85.50 | $171.00 | $39.87–$382.79 | 64% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 S T E UP TO 2.5CM 12001 | $130.00 | $260.00 | $39.87–$382.79 | 46% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR OF WOUND SITE 2.5CM OR LESS | $189.50 | $379.00 | $39.87–$382.79 | 21% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 S T E UP TO 2.5CM-FC 12001 | $84.00 | $168.00 | $39.87–$382.79 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE SIMPLE EXTREMITY FC 12001 | $85.50 | $171.00 | $39.87–$382.79 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 S T E UP TO 2.5CM 12001 | $130.00 | $260.00 | $39.87–$382.79 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR OF WOUND SITE 2.5CM OR LESS | $189.50 | $379.00 | $39.87–$382.79 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN 11104 | $50.00 | $100.00 | $42.00–$499.41 | 87% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 BIOPSY OF SKIN | $125.00 | $250.00 | $42.00–$499.41 | 67% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 BIOPSY OF SKIN - FC | $350.00 | $700.00 | $42.00–$630.00 | 8% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN FC 11104 | $400.00 | $800.00 | $42.00–$720.00 | 5% above | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN 11104 | $50.00 | $100.00 | $42.00–$499.41 | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 BIOPSY OF SKIN | $125.00 | $250.00 | $42.00–$499.41 | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 BIOPSY OF SKIN - FC | $350.00 | $700.00 | $42.00–$630.00 | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN FC 11104 | $400.00 | $800.00 | $42.00–$720.00 | — | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 REMOVAL OF SKIN LESION 11600 | $87.50 | $175.00 | $73.50–$783.57 | 64% below | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 REMOVAL OF SKIN LESION-FC 11600 | $199.50 | $399.00 | $110.01–$783.57 | 17% below | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 REMOVAL OF SKIN LESION 11600 | $87.50 | $175.00 | $73.50–$783.57 | — | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 REMOVAL OF SKIN LESION-FC 11600 | $199.50 | $399.00 | $110.01–$783.57 | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAG FC 11200 | $112.00 | $224.00 | $60.50–$217.71 | 19% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAG | $131.00 | $262.00 | $60.50–$235.80 | 5% below | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAG FC 11200 | $112.00 | $224.00 | $60.50–$217.71 | — | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAG | $131.00 | $262.00 | $60.50–$235.80 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 S T E 2.6CM TO 7.5CM-FC 12002 | $84.00 | $168.00 | $52.35–$457.53 | 70% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 S T E 2.6CM TO 7.5CM 12002 | $153.00 | $306.00 | $52.35–$457.53 | 45% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 S T E 2.6CM TO 7.5CM-FC 12002 | $84.00 | $168.00 | $52.35–$457.53 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 S T E 2.6CM TO 7.5CM 12002 | $153.00 | $306.00 | $52.35–$457.53 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 F E N L MM UP TO 2.5CM-FC 12011 | $84.00 | $168.00 | $49.33–$475.71 | 70% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 F E N L MM UP TO 2.5CM 12011 | $148.50 | $297.00 | $49.33–$475.71 | 47% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 F E N L MM UP TO 2.5CM-FC 12011 | $84.00 | $168.00 | $49.33–$475.71 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 F E N L MM UP TO 2.5CM 12011 | $148.50 | $297.00 | $49.33–$475.71 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING | $188.50 | $377.00 | $97.90–$862.54 | 79% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGE GUIDANCE | $197.50 | $395.00 | $97.90–$862.54 | 78% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG FC 32555 | $565.50 | $1,131.00 | $97.90–$1,017.90 | 36% below | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING | $188.50 | $377.00 | $97.90–$862.54 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGE GUIDANCE | $197.50 | $395.00 | $97.90–$862.54 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG FC 32555 | $565.50 | $1,131.00 | $97.90–$1,017.90 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION | $74.50 | $149.00 | $33.24–$330.53 | 64% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECT | $87.00 | $174.00 | $33.24–$330.53 | 58% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECT SHOULD FC20552 | $103.00 | $206.00 | $33.24–$330.53 | 50% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINT FC 20552 | $105.00 | $210.00 | $33.24–$330.53 | 49% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 BIL TRIGGER POINT INJ 1-2 MUSC FC 20552 | $206.58 | $413.16 | $33.24–$371.84 | at median | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 LT TRIGGER POINT INJ 1-2 MUSC FC 20552 | $206.58 | $413.16 | $33.24–$371.84 | at median | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 RT TRIGGER POINT INJ 1-2 MUSC FC 20552 | $206.58 | $413.16 | $33.24–$371.84 | at median | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION | $74.50 | $149.00 | $33.24–$330.53 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECT | $87.00 | $174.00 | $33.24–$330.53 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECT SHOULD FC20552 | $103.00 | $206.00 | $33.24–$330.53 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION OF TRIGGER POINT FC 20552 | $105.00 | $210.00 | $33.24–$330.53 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 LT TRIGGER POINT INJ 1-2 MUSC FC 20552 | $206.58 | $413.16 | $33.24–$371.84 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 RT TRIGGER POINT INJ 1-2 MUSC FC 20552 | $206.58 | $413.16 | $33.24–$371.84 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 BIL TRIGGER POINT INJ 1-2 MUSC FC 20552 | $206.58 | $413.16 | $33.24–$371.84 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BRE; CORE NDLE ULTR GUID 19083 | $500.00 | $1,000.00 | $138.03–$2,025.30 | 74% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BRE; CORE NDLE ULTRD GUID FC19083 | $1,025.00 | $2,050.00 | $138.03–$2,025.30 | 47% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BIOPSY BRE; CORE NDLE ULTR GUID 19083 | $500.00 | $1,000.00 | $138.03–$2,025.30 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BIOPSY BRE; CORE NDLE ULTRD GUID FC19083 | $1,025.00 | $2,050.00 | $138.03–$2,025.30 | — | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GASTRO ENDOSCOPY-ESOP&STOM FC43249 | $385.50 | $771.00 | $136.91–$2,371.24 | 79% below | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UPPER GASTRO ENDOSCOPY-ESOP&STOM FC43249 | $385.50 | $771.00 | $136.91–$2,371.24 | — | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GASTRO ENDOSCOPY W BIOPSY 43239 | $571.00 | $1,142.00 | $123.65–$1,171.95 | 57% below | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GASTRO ENDOSCOPY W BIOPSY-FC 43239 | $685.00 | $1,370.00 | $123.65–$1,233.00 | 48% below | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GASTRO ENDOSCOPY W BIOPSY 43239 | $571.00 | $1,142.00 | $123.65–$1,171.95 | — | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GASTRO ENDOSCOPY W BIOPSY-FC 43239 | $685.00 | $1,370.00 | $123.65–$1,233.00 | — | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPPER GASTRO ENDO;ESOP/STOM/ FC 43251 | $385.50 | $771.00 | $174.66–$2,371.24 | 74% below | 50% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 UPPER GASTRO ENDO;ESOP/STOM/ FC 43251 | $385.50 | $771.00 | $174.66–$2,371.24 | — | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GASTRO ENDOSCOPY | $400.00 | $800.00 | $109.45–$1,171.95 | 67% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GASTRO ENDOSCOPY-FC 43235 | $614.00 | $1,228.00 | $109.45–$1,171.95 | 49% below | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GASTRO ENDOSCOPY | $400.00 | $800.00 | $109.45–$1,171.95 | — | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GASTRO ENDOSCOPY-FC 43235 | $614.00 | $1,228.00 | $109.45–$1,171.95 | — | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTR BENIGN LESION | $237.50 | $475.00 | $61.86–$427.50 | 27% above | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTR BENIGN LESION | $237.50 | $475.00 | $61.86–$427.50 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/SUB TISSUE 11042 | $82.50 | $165.00 | $54.48–$451.17 | 74% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT OF SKIN & SUBCUT TISSUE | $116.50 | $233.00 | $54.48–$451.17 | 64% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/SUB TISSUE-FC 11042 | $136.00 | $272.00 | $54.48–$451.17 | 58% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/SUB TISSUE 11042 | $82.50 | $165.00 | $54.48–$451.17 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT OF SKIN & SUBCUT TISSUE | $116.50 | $233.00 | $54.48–$451.17 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/SUB TISSUE-FC 11042 | $136.00 | $272.00 | $54.48–$451.17 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSFUSION(1 PER VISIT) | $158.50 | $317.00 | $30.75–$515.69 | 72% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSFUSION (1 PER VISIT) | $178.00 | $356.00 | $30.75–$515.69 | 69% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSFUSION (VISIT) FC 36430 | $178.00 | $356.00 | $30.75–$515.69 | 69% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSFUSION (UNIT) FC36430 | $181.00 | $362.00 | $30.75–$515.69 | 68% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COM FC 36430 | $226.50 | $453.00 | $30.75–$515.69 | 60% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSFUSION(1 PER VISIT) | $158.50 | $317.00 | $30.75–$515.69 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSFUSION (1 PER VISIT) | $178.00 | $356.00 | $30.75–$515.69 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSFUSION (VISIT) FC 36430 | $178.00 | $356.00 | $30.75–$515.69 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSFUSION (UNIT) FC36430 | $181.00 | $362.00 | $30.75–$515.69 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COM FC 36430 | $226.50 | $453.00 | $30.75–$515.69 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN INITIAL | $25.00 | $50.00 | $6.91–$254.03 | 79% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN SECOND MED | $37.50 | $75.00 | $6.91–$254.03 | 68% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT | $52.50 | $105.00 | $6.91–$254.03 | 55% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TREATMENT | $52.50 | $105.00 | $6.91–$254.03 | 55% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN INITIAL | $25.00 | $50.00 | $6.91–$254.03 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN SECOND MED | $37.50 | $75.00 | $6.91–$254.03 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN TREATMENT | $52.50 | $105.00 | $6.91–$254.03 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT | $52.50 | $105.00 | $6.91–$254.03 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HR-PHYS 99291 | $521.00 | $1,042.00 | $185.69–$1,021.79 | 31% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE E&M OF CRITCALLY ILL PT | $600.00 | $1,200.00 | $185.69–$1,080.00 | 20% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE ONE HR-FC 99291 | $700.00 | $1,400.00 | $185.69–$1,260.00 | 7% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HR-PHYS 99291 | $521.00 | $1,042.00 | $185.69–$1,021.79 | — | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE E&M OF CRITCALLY ILL PT | $600.00 | $1,200.00 | $185.69–$1,080.00 | — | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE ONE HR-FC 99291 | $700.00 | $1,400.00 | $185.69–$1,260.00 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EE 95816 EEG | $227.50 | $455.00 | $191.10–$409.50 | 57% below | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EE 95816 EEG | $227.50 | $455.00 | $191.10–$409.50 | — | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD TRACE AND INTERP 93000 | $34.50 | $69.00 | $12.85–$62.10 | 58% below | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD TRACING AND INTERP-FC 93000 | $130.00 | $260.00 | $12.85–$234.00 | 60% above | 50% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12 LEAD TRACE AND INTERP 93000 | $34.50 | $69.00 | $12.85–$62.10 | — | 50% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12 LEAD TRACING AND INTERP-FC 93000 | $130.00 | $260.00 | $12.85–$234.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/ ELECTRODES | $57.50 | $115.00 | $5.43–$164.48 | 66% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - CLINIC | $165.00 | $330.00 | $5.43–$297.00 | 1% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - NURSE PERFORMED | $165.00 | $330.00 | $5.43–$297.00 | 1% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG - RT PERFORMED | $165.00 | $330.00 | $5.43–$297.00 | 1% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/ ELECTRODES | $57.50 | $115.00 | $5.43–$164.48 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG - NURSE PERFORMED | $165.00 | $330.00 | $5.43–$297.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG - CLINIC | $165.00 | $330.00 | $5.43–$297.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 EKG - RT PERFORMED | $165.00 | $330.00 | $5.43–$297.00 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DR : LEVEL 1 | $67.50 | $135.00 | $10.35–$170.31 | 50% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EVALUATION & MANAGEMENT: LEVEL 1 | $125.00 | $250.00 | $10.35–$225.00 | 8% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DR : LEVEL 1 | $67.50 | $135.00 | $10.35–$170.31 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EVALUATION & MANAGEMENT: LEVEL 1 | $125.00 | $250.00 | $10.35–$225.00 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DR: LEVEL 2 | $88.50 | $177.00 | $37.92–$265.31 | 57% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EVALUATION & MANAGEMENT: LEVEL 2 | $200.00 | $400.00 | $37.92–$360.00 | 3% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DR: LEVEL 2 | $88.50 | $177.00 | $37.92–$265.31 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EVALUATION & MANAGEMENT: LEVEL 2 | $200.00 | $400.00 | $37.92–$360.00 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DR: LEVEL 3 | $137.50 | $275.00 | $40.48–$407.79 | 51% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EVALUATION & MANAGEMENT: LEVEL 3 | $237.50 | $475.00 | $40.48–$427.50 | 15% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DR: LEVEL 3 | $137.50 | $275.00 | $40.48–$407.79 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EVALUATION & MANAGEMENT: LEVEL 3 | $237.50 | $475.00 | $40.48–$427.50 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DR: LEVEL 4 | $222.00 | $444.00 | $98.48–$695.24 | 47% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EVALUATION & MANAGEMENT: LEVEL 4 | $375.00 | $750.00 | $98.48–$695.24 | 10% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DR: LEVEL 4 | $222.00 | $444.00 | $98.48–$695.24 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EVALUATION & MANAGEMENT: LEVEL 4 | $375.00 | $750.00 | $98.48–$695.24 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DR: LEVEL 5 | $421.00 | $842.00 | $98.48–$1,080.54 | 37% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EVALUATION & MANAGEMENT: LEVEL 5 | $625.00 | $1,250.00 | $98.48–$1,125.00 | 7% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DR: LEVEL 5 | $421.00 | $842.00 | $98.48–$1,080.54 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EVALUATION & MANAGEMENT: LEVEL 5 | $625.00 | $1,250.00 | $98.48–$1,125.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS EKG | $205.50 | $411.00 | $32.82–$369.90 | 64% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVASCULAR STRESS TEST/EKG | $445.00 | $890.00 | $32.82–$801.00 | 22% below | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS EKG | $205.50 | $411.00 | $32.82–$369.90 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVASCULAR STRESS TEST/EKG | $445.00 | $890.00 | $32.82–$801.00 | — | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 COUPLE/FAMILY SESSION 90847 | $94.47 | $188.94 | $73.68–$170.04 | 70% below | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH WITH PT FAMILY | $338.00 | $676.00 | $73.68–$608.40 | 9% above | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 COUPLE/FAMILY SESSION 90847 | $94.47 | $188.94 | $73.68–$170.04 | — | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH WITH PT FAMILY | $338.00 | $676.00 | $73.68–$608.40 | — | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 COUPLE/FAMILY W/O CLIENT 90846 | $62.25 | $124.50 | $52.29–$112.05 | 77% below | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCH WITHOUT PT FAMILY | $322.00 | $644.00 | $73.68–$579.60 | 18% above | 50% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 COUPLE/FAMILY W/O CLIENT 90846 | $62.25 | $124.50 | $52.29–$112.05 | — | 50% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH WITHOUT PT FAMILY | $322.00 | $644.00 | $73.68–$579.60 | — | 50% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $294.00 | $588.00 | $22.71–$529.20 | 3% above | 50% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $294.00 | $588.00 | $22.71–$529.20 | — | 50% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER - GLOBAL | $243.50 | $487.00 | $64.02–$438.30 | 31% below | 50% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLTER - GLOBAL | $243.50 | $487.00 | $64.02–$438.30 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ADMIN IV INFUSION, HYDR INITIAL TO 1 HR | $76.00 | $152.00 | $28.77–$255.28 | 68% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ADMIN IV INFUSION, HYDRAT (UP TO 1 HOUR) | $78.50 | $157.00 | $28.77–$255.28 | 67% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ADMIN IV INFUSION, HYDRATION TO 1 HOUR | $79.50 | $159.00 | $28.77–$255.28 | 67% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ADMIN IV INFUSION, HYDRAT TO 1 HR | $92.50 | $185.00 | $28.77–$255.28 | 62% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ADMIN IV INFUSION, HYDR INITIAL TO 1 HR | $76.00 | $152.00 | $28.77–$255.28 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ADMIN IV INFUSION, HYDRAT (UP TO 1 HOUR) | $78.50 | $157.00 | $28.77–$255.28 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ADMIN IV INFUSION, HYDRATION TO 1 HOUR | $79.50 | $159.00 | $28.77–$255.28 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ADMIN IV INFUSION, HYDRAT TO 1 HR | $92.50 | $185.00 | $28.77–$255.28 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 ADMIN IV INFUSION TPD UP TO 1 HOUR | $76.00 | $152.00 | $47.52–$255.28 | 71% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ADMIN IV INFUSION TPD INITIAL UP TO 1 HR | $78.50 | $157.00 | $47.52–$255.28 | 70% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ADMIN IV INFUSION TPD INI TO 1 HR | $79.50 | $159.00 | $47.52–$255.28 | 70% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ADMIN IV INFUSION TPD TO 1 HOUR | $79.50 | $159.00 | $47.52–$255.28 | 70% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ADMIN IV INFUSION TPD INITIAL TO 1 HR | $92.50 | $185.00 | $47.52–$255.28 | 65% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ADMIN IV INFUSION TPD UP TO 1 HOUR | $76.00 | $152.00 | $47.52–$255.28 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ADMIN IV INFUSION TPD INITIAL UP TO 1 HR | $78.50 | $157.00 | $47.52–$255.28 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ADMIN IV INFUSION TPD TO 1 HOUR | $79.50 | $159.00 | $47.52–$255.28 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ADMIN IV INFUSION TPD INI TO 1 HR | $79.50 | $159.00 | $47.52–$255.28 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ADMIN IV INFUSION TPD INITIAL TO 1 HR | $92.50 | $185.00 | $47.52–$255.28 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN INJECTION TPD SUBCUTANEOUS OR IM | $36.00 | $72.00 | $12.97–$83.90 | 46% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN INJECTION TPD SUBCUT OR IM | $37.50 | $75.00 | $12.97–$83.90 | 44% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN INJ TPD SUBCUT OR IM | $44.00 | $88.00 | $12.97–$83.90 | 34% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN INJECTION TPD SUBCUTANEOUS OR IM | $36.00 | $72.00 | $12.97–$83.90 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN INJECTION TPD SUBCUT OR IM | $37.50 | $75.00 | $12.97–$83.90 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN INJ TPD SUBCUT OR IM | $44.00 | $88.00 | $12.97–$83.90 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INITIAL PSYCH EVALUATION 90791 | $125.75 | $251.50 | $105.63–$226.35 | 36% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INITIAL PSYCH EVALUATION 90791 | $125.75 | $251.50 | $105.63–$226.35 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT 97112 NEUROMUS RE-ED | $50.00 | $100.00 | $25.78–$90.00 | 36% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT 97112 EX/NEURO REHAB | $50.00 | $100.00 | $25.78–$136.48 | 36% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT 97112 EX/NEURO REHAB | $50.00 | $100.00 | $25.78–$136.48 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT 97112 NEUROMUS RE-ED | $50.00 | $100.00 | $25.78–$90.00 | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT NEW (10-15 MIN) | $40.00 | $80.00 | $33.60–$101.00 | 74% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 SURGERY CLINIC VISIT NEW (10-15 MIN) | $45.00 | $90.00 | $37.80–$101.00 | 71% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 SM- NEW PT E/M LEVEL 3 99203 | $51.05 | $102.10 | $42.88–$101.00 | 67% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 SURGERY CLINIC VISIT NEW (10-15 MIN) FC | $52.50 | $105.00 | $44.10–$101.00 | 66% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 SM - NEW PT E/M - LEVEL 3 FC 99203 | $63.13 | $126.25 | $53.02–$113.62 | 59% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OBSERVATION NEW LEVEL 3 - 99203 | $95.00 | $190.00 | $74.34–$171.00 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 SKILLED NEW LEVEL 3 99203 | $95.00 | $190.00 | $74.34–$171.00 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 INPATIENT NEW LEVEL 3 99203 | $95.00 | $190.00 | $74.34–$171.00 | 38% below | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP VISIT NEW (10-15 MIN) | $40.00 | $80.00 | $33.60–$101.00 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 SURGERY CLINIC VISIT NEW (10-15 MIN) | $45.00 | $90.00 | $37.80–$101.00 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 SM- NEW PT E/M LEVEL 3 99203 | $51.05 | $102.10 | $42.88–$101.00 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 SURGERY CLINIC VISIT NEW (10-15 MIN) FC | $52.50 | $105.00 | $44.10–$101.00 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 SM - NEW PT E/M - LEVEL 3 FC 99203 | $63.13 | $126.25 | $53.02–$113.62 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 INPATIENT NEW LEVEL 3 99203 | $95.00 | $190.00 | $74.34–$171.00 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OBSERVATION NEW LEVEL 3 - 99203 | $95.00 | $190.00 | $74.34–$171.00 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 SKILLED NEW LEVEL 3 99203 | $95.00 | $190.00 | $74.34–$171.00 | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 SURGERY CLINIC VISIT NEW (15-25 MIN) | $37.50 | $75.00 | $31.50–$126.26 | 81% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW (15-25 MIN) | $50.00 | $100.00 | $42.00–$126.26 | 75% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 SM - NEW PT E/M - LEVEL 4 FC 99204 | $63.13 | $126.25 | $53.02–$126.26 | 69% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 SKILLED ESTAB LEVEL 4 99204 | $70.00 | $140.00 | $58.80–$126.26 | 65% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 SURGERY CLINIC VISIT NEW (15-25 MIN) FC | $75.00 | $150.00 | $63.00–$135.00 | 63% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 SM- NEW PT E/M LEVEL 4 99204 | $83.30 | $166.59 | $69.96–$149.93 | 58% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 SKILLED NEW LEVEL 4 99204 | $101.00 | $202.00 | $84.84–$181.80 | 50% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OBSERVATION NEW LEVEL 4 - 99204 | $101.00 | $202.00 | $84.84–$181.80 | 50% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 INPATIENT NEW LEVEL 4 99204 | $101.00 | $202.00 | $84.84–$181.80 | 50% below | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 SURGERY CLINIC VISIT NEW (15-25 MIN) | $37.50 | $75.00 | $31.50–$126.26 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT NEW (15-25 MIN) | $50.00 | $100.00 | $42.00–$126.26 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 SM - NEW PT E/M - LEVEL 4 FC 99204 | $63.13 | $126.25 | $53.02–$126.26 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 SKILLED ESTAB LEVEL 4 99204 | $70.00 | $140.00 | $58.80–$126.26 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 SURGERY CLINIC VISIT NEW (15-25 MIN) FC | $75.00 | $150.00 | $63.00–$135.00 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 SM- NEW PT E/M LEVEL 4 99204 | $83.30 | $166.59 | $69.96–$149.93 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 SKILLED NEW LEVEL 4 99204 | $101.00 | $202.00 | $84.84–$181.80 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 INPATIENT NEW LEVEL 4 99204 | $101.00 | $202.00 | $84.84–$181.80 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OBSERVATION NEW LEVEL 4 - 99204 | $101.00 | $202.00 | $84.84–$181.80 | — | 50% |
| New patient office visit, about 60 minutes CPT 99205 SKILLED ESTAB LEVEL 5 99205 | $80.00 | $160.00 | $67.20–$171.55 | 71% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 SURGERY CLINIC VISIT NEW (>25 MIN) | $90.00 | $180.00 | $75.60–$171.55 | 67% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 SURGERY CLINIC VISIT NEW (>25 MIN) FC | $100.00 | $200.00 | $84.00–$180.00 | 64% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 SM - NEW PT E/M - LEVEL 5 FC 99205 | $105.42 | $210.84 | $88.55–$189.75 | 62% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 SKILLED NEW LEVEL 5 99205 | $107.50 | $215.00 | $90.30–$193.50 | 61% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 INPATIENT NEW LEVEL 5 99205 | $107.50 | $215.00 | $90.30–$193.50 | 61% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 OBSERVATION NEW LEVEL 5 - 99205 | $107.50 | $215.00 | $90.30–$193.50 | 61% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 SM- NEW PT E/M LEVEL 5 99205 | $113.18 | $226.35 | $95.06–$203.71 | 59% below | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SKILLED ESTAB LEVEL 5 99205 | $80.00 | $160.00 | $67.20–$171.55 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SURGERY CLINIC VISIT NEW (>25 MIN) | $90.00 | $180.00 | $75.60–$171.55 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SURGERY CLINIC VISIT NEW (>25 MIN) FC | $100.00 | $200.00 | $84.00–$180.00 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SM - NEW PT E/M - LEVEL 5 FC 99205 | $105.42 | $210.84 | $88.55–$189.75 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OBSERVATION NEW LEVEL 5 - 99205 | $107.50 | $215.00 | $90.30–$193.50 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 INPATIENT NEW LEVEL 5 99205 | $107.50 | $215.00 | $90.30–$193.50 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SKILLED NEW LEVEL 5 99205 | $107.50 | $215.00 | $90.30–$193.50 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SM- NEW PT E/M LEVEL 5 99205 | $113.18 | $226.35 | $95.06–$203.71 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PAT LEVEL PHY MA | $24.50 | $49.00 | $20.58–$67.67 | 79% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PAT LEVEL 1 MA | $24.50 | $49.00 | $20.58–$67.67 | 79% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SURGERY CLINIC VISIT NEW (0-5 MIN) FC | $25.00 | $50.00 | $21.00–$67.67 | 78% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PAT LEVEL 1 FC | $29.50 | $59.00 | $24.78–$67.67 | 75% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT NEW (5-10 MIN) | $32.50 | $65.00 | $27.30–$67.67 | 72% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SURGERY CLINIC VISIT NEW (5-10 MIN) FC | $40.00 | $80.00 | $33.60–$72.00 | 66% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SURGERY CLINIC VISIT NEW (5-10 MIN) | $40.00 | $80.00 | $33.60–$72.00 | 66% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INPATIENT NEW LEVEL 2 99202 | $87.50 | $175.00 | $43.13–$157.50 | 25% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SKILLED NEW LEVEL 2 99202 | $87.50 | $175.00 | $43.13–$157.50 | 25% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OBSERVATION NEW LEVEL 2 - 99202 | $87.50 | $175.00 | $43.13–$157.50 | 25% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PAT LEVEL PHY MA | $24.50 | $49.00 | $20.58–$67.67 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PAT LEVEL 1 MA | $24.50 | $49.00 | $20.58–$67.67 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SURGERY CLINIC VISIT NEW (0-5 MIN) FC | $25.00 | $50.00 | $21.00–$67.67 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PAT LEVEL 1 FC | $29.50 | $59.00 | $24.78–$67.67 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP VISIT NEW (5-10 MIN) | $32.50 | $65.00 | $27.30–$67.67 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SURGERY CLINIC VISIT NEW (5-10 MIN) | $40.00 | $80.00 | $33.60–$72.00 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SURGERY CLINIC VISIT NEW (5-10 MIN) FC | $40.00 | $80.00 | $33.60–$72.00 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SKILLED NEW LEVEL 2 99202 | $87.50 | $175.00 | $43.13–$157.50 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INPATIENT NEW LEVEL 2 99202 | $87.50 | $175.00 | $43.13–$157.50 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OBSERVATION NEW LEVEL 2 - 99202 | $87.50 | $175.00 | $43.13–$157.50 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THERAPY; INITIAL ASSESSMENT | $7.50 | $15.00 | $6.30–$30.97 | 74% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THERAPY; INITIAL ASSESSMENT FC | $20.00 | $40.00 | $14.70–$36.00 | 31% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THERAPY; INITIAL ASSESSMENT | $7.50 | $15.00 | $6.30–$30.97 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THERAPY; INITIAL ASSESSMENT FC | $20.00 | $40.00 | $14.70–$36.00 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT 97165 OCCUP THERAPY EVAL LOW COMPLEX | $105.00 | $210.00 | $81.48–$189.00 | 37% below | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT 97165 OCCUP THERAPY EVAL LOW COMPLEX | $105.00 | $210.00 | $81.48–$189.00 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT 97163 EVALUATION HIGH COMPLEX | $112.50 | $225.00 | $76.93–$202.50 | 46% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT 97163 EVALUATION HIGH COMPLEX | $112.50 | $225.00 | $76.93–$202.50 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT 97161 EVALUATION LOW COMPLEX | $87.50 | $175.00 | $73.50–$157.50 | 47% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT 97161 EVALUATION LOW COMPLEX | $87.50 | $175.00 | $73.50–$157.50 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT 97162 EVALUATION MOD COMPLEX | $100.00 | $200.00 | $76.93–$180.00 | 45% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT 97162 EVALUATION MOD COMPLEX | $100.00 | $200.00 | $76.93–$180.00 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT 97140 MANUAL THERAPY | $42.50 | $85.00 | $23.21–$136.48 | 44% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT 97140 MANUAL THERAPY | $42.50 | $85.00 | $23.21–$76.50 | 44% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT 97140 MANUAL THERAPY | $42.50 | $85.00 | $23.21–$136.48 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT 97140 MANUAL THERAPY | $42.50 | $85.00 | $23.21–$76.50 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT CPM-15 MIN 97110 | $33.00 | $66.00 | $24.79–$136.48 | 58% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT 97110 OCCUPATION THERAPY EXERCISE | $50.00 | $100.00 | $24.79–$90.00 | 36% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT 97110 THERAPEUTIC EX 15 MINUTES | $50.00 | $100.00 | $24.79–$136.48 | 36% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR PRESCRIBED EXCERCISE | $81.00 | $162.00 | $24.79–$145.80 | 3% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT CPM-15 MIN 97110 | $33.00 | $66.00 | $24.79–$136.48 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT 97110 OCCUPATION THERAPY EXERCISE | $50.00 | $100.00 | $24.79–$90.00 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT 97110 THERAPEUTIC EX 15 MINUTES | $50.00 | $100.00 | $24.79–$136.48 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PR PRESCRIBED EXCERCISE | $81.00 | $162.00 | $24.79–$145.80 | — | 50% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30-37 MIN 90832 | $62.46 | $124.92 | $38.54–$112.42 | 70% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 16-37 MIN INDIVIDUAL PSYCHOTHERAPY | $244.00 | $488.00 | $38.54–$439.20 | 18% above | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30-37 MIN 90832 | $62.46 | $124.92 | $38.54–$112.42 | — | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 16-37 MIN INDIVIDUAL PSYCHOTHERAPY | $244.00 | $488.00 | $38.54–$439.20 | — | 50% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 38-52 MIN 90834 | $74.42 | $148.83 | $62.50–$133.94 | 63% below | 50% |
| Psychotherapy session, 45 minutes CPT 90834 38-52 MIN INDIVIDUAL PSYCHOTHERAPY | $302.00 | $604.00 | $77.08–$543.60 | 51% above | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL THERAPY 38-52 MIN 90834 | $74.42 | $148.83 | $62.50–$133.94 | — | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 38-52 MIN INDIVIDUAL PSYCHOTHERAPY | $302.00 | $604.00 | $77.08–$543.60 | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 52+ MIN 90837 | $112.20 | $224.40 | $94.24–$201.96 | 53% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 53 MIN AND OVER INDIVIDUAL PSYCHOTHERAPY | $308.00 | $616.00 | $115.63–$554.40 | 30% above | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY 52+ MIN 90837 | $112.20 | $224.40 | $94.24–$201.96 | — | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 53 MIN AND OVER INDIVIDUAL PSYCHOTHERAPY | $308.00 | $616.00 | $115.63–$554.40 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE CESSATION COUNS 3-10 MIN FC 99406 | $23.00 | $46.00 | $9.92–$41.40 | 23% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE CESSATION COUNS 3-10 MIN FC 99406 | $23.00 | $46.00 | $9.92–$41.40 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT (>25 MIN) | $50.00 | $100.00 | $42.00–$266.24 | 76% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OBSERVATION ESTAB LEVEL 5 - 99215 | $80.00 | $160.00 | $67.20–$266.24 | 62% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 INPATIENT ESTAB LEVEL 5 99215 | $80.00 | $160.00 | $67.20–$266.24 | 62% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SM- ESTAB PT E/M LEVEL 5 99215 | $89.96 | $179.91 | $75.56–$266.24 | 58% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SURGERY CLINIC VISIT (>25 MINUTES) | $90.00 | $180.00 | $75.60–$266.24 | 58% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SURGERY CLINIC VISIT (>25 MINUTES) FC | $100.00 | $200.00 | $84.00–$266.24 | 53% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SM - ESTAB PT E/M - LEVEL 5 FC 99215 | $166.40 | $332.80 | $105.53–$299.52 | 22% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP VISIT (>25 MIN) | $50.00 | $100.00 | $42.00–$266.24 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OBSERVATION ESTAB LEVEL 5 - 99215 | $80.00 | $160.00 | $67.20–$266.24 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 INPATIENT ESTAB LEVEL 5 99215 | $80.00 | $160.00 | $67.20–$266.24 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 SM- ESTAB PT E/M LEVEL 5 99215 | $89.96 | $179.91 | $75.56–$266.24 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 SURGERY CLINIC VISIT (>25 MINUTES) | $90.00 | $180.00 | $75.60–$266.24 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 SURGERY CLINIC VISIT (>25 MINUTES) FC | $100.00 | $200.00 | $84.00–$266.24 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 SM - ESTAB PT E/M - LEVEL 5 FC 99215 | $166.40 | $332.80 | $105.53–$299.52 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PAT PHY MA | $18.50 | $37.00 | $15.54–$133.49 | 86% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PAT LEVEL 3 MA | $18.50 | $37.00 | $15.54–$133.49 | 86% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PAT LEVEL 3 FC | $22.50 | $45.00 | $18.90–$133.49 | 83% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT (10-15 MIN) | $33.50 | $67.00 | $28.14–$133.49 | 74% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SM- ESTAB PT E/M LEVEL 3 99213 | $41.32 | $82.63 | $34.70–$133.49 | 69% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SURGERY CLINIC VISIT (10-15 MINUTES) FC | $45.00 | $90.00 | $37.80–$133.49 | 66% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SURGERY CLINIC VISIT (10-15 MINUTES) | $45.00 | $90.00 | $37.80–$133.49 | 66% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OBSERVATION ESTAB LEVEL 3 - 99213 | $62.50 | $125.00 | $45.86–$133.49 | 52% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 INPATIENT ESTAB LEVEL 3 99213 | $62.50 | $125.00 | $45.86–$133.49 | 52% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SKILLED ESTAB LEVEL 3 99203 | $62.50 | $125.00 | $45.86–$133.49 | 52% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SM - ESTAB PT E/M - LEVEL 3 FC 99213 | $83.43 | $166.86 | $45.86–$150.17 | 36% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PAT LEVEL 3 MA | $18.50 | $37.00 | $15.54–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PAT PHY MA | $18.50 | $37.00 | $15.54–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PAT LEVEL 3 FC | $22.50 | $45.00 | $18.90–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT (10-15 MIN) | $33.50 | $67.00 | $28.14–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SM- ESTAB PT E/M LEVEL 3 99213 | $41.32 | $82.63 | $34.70–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SURGERY CLINIC VISIT (10-15 MINUTES) | $45.00 | $90.00 | $37.80–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SURGERY CLINIC VISIT (10-15 MINUTES) FC | $45.00 | $90.00 | $37.80–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OBSERVATION ESTAB LEVEL 3 - 99213 | $62.50 | $125.00 | $45.86–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SKILLED ESTAB LEVEL 3 99203 | $62.50 | $125.00 | $45.86–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INPATIENT ESTAB LEVEL 3 99213 | $62.50 | $125.00 | $45.86–$133.49 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SM - ESTAB PT E/M - LEVEL 3 FC 99213 | $83.43 | $166.86 | $45.86–$150.17 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT (15-25 MIN) | $40.00 | $80.00 | $33.60–$188.57 | 76% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SM- ESTAB PT E/M LEVEL 4 99214 | $60.81 | $121.61 | $51.07–$188.57 | 64% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OBSERVATION ESTAB LEVEL 4 - 99214 | $70.00 | $140.00 | $58.80–$188.57 | 58% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 INPATIENT ESTAB LEVEL 4 99214 | $70.00 | $140.00 | $58.80–$188.57 | 58% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SURGERY CLINIC VISIT (15-25 MINUTES) FC | $85.00 | $170.00 | $71.40–$188.57 | 49% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SURGERY CLINIC VISIT (15-25 MINUTES) | $85.00 | $170.00 | $71.40–$188.57 | 49% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SM - ESTAB PT E/M - LEVEL 4 FC 99214 | $117.86 | $235.71 | $72.10–$212.13 | 30% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP VISIT (15-25 MIN) | $40.00 | $80.00 | $33.60–$188.57 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 SM- ESTAB PT E/M LEVEL 4 99214 | $60.81 | $121.61 | $51.07–$188.57 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OBSERVATION ESTAB LEVEL 4 - 99214 | $70.00 | $140.00 | $58.80–$188.57 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 INPATIENT ESTAB LEVEL 4 99214 | $70.00 | $140.00 | $58.80–$188.57 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 SURGERY CLINIC VISIT (15-25 MINUTES) FC | $85.00 | $170.00 | $71.40–$188.57 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 SURGERY CLINIC VISIT (15-25 MINUTES) | $85.00 | $170.00 | $71.40–$188.57 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 SM - ESTAB PT E/M - LEVEL 4 FC 99214 | $117.86 | $235.71 | $72.10–$212.13 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SM- ESTAB PT E/M LEVEL 2 99212 | $22.06 | $44.11 | $18.52–$85.38 | 79% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT (5-10 MIN) | $26.00 | $52.00 | $21.84–$85.38 | 75% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SURGERY CLINIC VISIT (5-10 MINUTES) | $35.00 | $70.00 | $29.40–$85.38 | 66% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SURGERY CLINIC VISIT (5-10 MINUTES) FC | $40.00 | $80.00 | $32.13–$85.38 | 62% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SM - ESTAB PT E/M - LEVEL 2 FC 99212 | $53.37 | $106.73 | $32.13–$96.05 | 49% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INPATIENT ESTAB LEVEL 2 99212 | $57.50 | $115.00 | $32.13–$103.50 | 45% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SKILLED ESTAB LEVEL 2 99202 | $57.50 | $115.00 | $32.13–$103.50 | 45% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OBSERVATION ESTAB LEVEL 2 - 99212 | $57.50 | $115.00 | $32.13–$103.50 | 45% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SM- ESTAB PT E/M LEVEL 2 99212 | $22.06 | $44.11 | $18.52–$85.38 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP VISIT (5-10 MIN) | $26.00 | $52.00 | $21.84–$85.38 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SURGERY CLINIC VISIT (5-10 MINUTES) | $35.00 | $70.00 | $29.40–$85.38 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SURGERY CLINIC VISIT (5-10 MINUTES) FC | $40.00 | $80.00 | $32.13–$85.38 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SM - ESTAB PT E/M - LEVEL 2 FC 99212 | $53.37 | $106.73 | $32.13–$96.05 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SKILLED ESTAB LEVEL 2 99202 | $57.50 | $115.00 | $32.13–$103.50 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INPATIENT ESTAB LEVEL 2 99212 | $57.50 | $115.00 | $32.13–$103.50 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OBSERVATION ESTAB LEVEL 2 - 99212 | $57.50 | $115.00 | $32.13–$103.50 | — | 50% |
| Speech and language evaluation CPT 92523 ST 92523 SPEECH THERAPY; EVALUATION | $104.50 | $209.00 | $87.78–$383.70 | 56% below | 50% |
| Speech and language evaluation inpatient CPT 92523 ST 92523 SPEECH THERAPY; EVALUATION | $104.50 | $209.00 | $87.78–$383.70 | — | 50% |
| Speech therapy session, individual CPT 92507 ST 92507 SPEECH THERAPY | $50.00 | $100.00 | $42.00–$142.43 | 63% below | 50% |
| Speech therapy session, individual inpatient CPT 92507 ST 92507 SPEECH THERAPY | $50.00 | $100.00 | $42.00–$142.43 | — | 50% |
| Spirometry (breathing test) CPT 94010 PFT BEFORE | $158.00 | $316.00 | $25.12–$300.98 | 46% below | 50% |
| Spirometry (breathing test) inpatient CPT 94010 PFT BEFORE | $158.00 | $316.00 | $25.12–$300.98 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT 97530 DYNAMIC THEAPEUTIC ACTIVITY 15M | $40.00 | $80.00 | $25.73–$136.48 | 49% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT 97530 OCCUPATION THERAPY ACTIVITY | $40.00 | $80.00 | $25.73–$72.00 | 49% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT 97530 OCCUPATION THERAPY ACTIVITY | $40.00 | $80.00 | $25.73–$72.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT 97530 DYNAMIC THEAPEUTIC ACTIVITY 15M | $40.00 | $80.00 | $25.73–$136.48 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUETIC PHLEBOTOMY | $23.50 | $47.00 | $19.74–$84.42 | 81% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUETIC PHLEBOTOMY | $23.50 | $47.00 | $19.74–$84.42 | — | 50% |
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 INFLUENZA VAC 0.5ML(FLUZONE)25-26(6mo>) | $24.00 | $48.00 | $20.16–$43.20 | 27% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC 0.5ML(FLUZONE)25-26(6mo>) | $24.00 | $48.00 | $20.16–$43.20 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC.(ENGERIX-B)10MCG/.5ML . | $95.50 | $191.00 | $75.15–$171.90 | 18% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC.(ENGERIX-B)10MCG/.5ML . | $95.50 | $191.00 | $75.15–$171.90 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE HD 25-26(65+) | $86.50 | $173.00 | $72.66–$155.70 | 4% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE HD 25-26(65+) | $86.50 | $173.00 | $72.66–$155.70 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ (PREVNAR 20) | $360.50 | $721.00 | $302.82–$648.90 | 9% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ (PREVNAR 20) | $360.50 | $721.00 | $302.82–$648.90 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACINE | $36.00 | $72.00 | $30.24–$167.20 | 79% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAX (PNEUMOVAX 23)0.5ML INJ | $187.50 | $375.00 | $133.47–$337.50 | 8% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACINE | $36.00 | $72.00 | $30.24–$167.20 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAX (PNEUMOVAX 23)0.5ML INJ | $187.50 | $375.00 | $133.47–$337.50 | — | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE(RABAVERT) | $430.50 | $861.00 | $315.22–$774.90 | 28% below | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE(RABAVERT) | $430.50 | $861.00 | $315.22–$774.90 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHTH/PERTUS (ADACEL)0.5 ML INJ | $64.00 | $128.00 | $39.48–$115.20 | 16% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHTH/PERTUS (ADACEL)0.5 ML INJ | $64.00 | $128.00 | $39.48–$115.20 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA ADMINISTRATION | $6.00 | $12.00 | $5.04–$18.54 | 85% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADM FOR TET FC 90471 | $16.00 | $32.00 | $8.08–$28.80 | 60% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM FOR TET | $19.50 | $39.00 | $8.08–$35.10 | 51% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE/IMMUNIZ ADM | $19.50 | $39.00 | $8.08–$35.10 | 51% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA ADMINISTRATION | $6.00 | $12.00 | $5.04–$18.54 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZ ADM FOR TET FC 90471 | $16.00 | $32.00 | $8.08–$28.80 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM FOR TET | $19.50 | $39.00 | $8.08–$35.10 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE/IMMUNIZ ADM | $19.50 | $39.00 | $8.08–$35.10 | — | 50% |