Hospital Mayagüez, PR

Bella Vista Hospital

Bella Vista Hospital in Mayaguez, PR publishes cash prices for 190 common procedures listed here, from its own machine-readable price file updated Mar 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Puerto Rico median for 138 of 187 procedures and above it for 17. By typical cash price it ranks #2 of 7 Puerto Rico hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

Carr 349 Km 2.7 Mayaguez, PR 00680 Collected Sep 22, 2026 Source price file Check a bill from this hospital (787) 652-6045

Acute care hospital Nonprofit hospital Emergency department CCN 400014 · CMS hospital register NPI 1083636179

The price file shows no self-pay discount

For 786 of the 786 prices listed here, the cash price in Bella Vista Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Bella Vista Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Puerto Rico	Off list
Abdominal CT scan without and with contrast CPT 74170 CT RENAL W&W/O CONTRA.	$450.00	$450.00	$128.59–$450.00	5% below	—
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&W/O CONTR	$450.00	$450.00	$128.59–$450.00	5% below	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT RENAL W&W/O CONTRA.	$450.00	$450.00	$128.59–$450.00	—	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&W/O CONTR	$450.00	$450.00	$128.59–$450.00	—	—
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$54.00	$54.00	$7.00–$81.31	4% below	—
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS	$54.00	$54.00	$7.00–$81.31	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE MINIMUN 3 VIEWS	$44.50	$44.50	$6.50–$65.86	18% below	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE MINIMUN 3 VIEWS	$44.50	$44.50	$6.50–$65.86	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXTREMITY UPPER W/O CONT	$325.00	$325.00	$79.19–$350.00	7% below	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT MASTOID W/O CONTRAST	$325.00	$325.00	$72.14–$350.00	7% below	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT EXTREMITY UPPER W/O CONT	$325.00	$325.00	$79.19–$350.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT MASTOID W/O CONTRAST	$325.00	$325.00	$72.14–$350.00	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY BARIUM SWALLOW	$69.00	$69.00	$14.35–$133.17	66% below	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 FLUROSCOPY W ESOPHAGUS	$100.00	$100.00	$20.00–$133.17	51% below	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XRAY BARIUM SWALLOW	$69.00	$69.00	$14.35–$133.17	—	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FLUROSCOPY W ESOPHAGUS	$100.00	$100.00	$20.00–$133.17	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JOINT IMAGINE(WHOLE BODY)	$369.00	$369.00	$87.50–$298.94	at median	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE/JOINT IMAGINE(WHOLE BODY)	$369.00	$369.00	$87.50–$298.94	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST(S) BILAT COMPLETE	$125.00	$125.00	$30.00–$81.00	—	—
Breast ultrasound, complete, one breast CPT 76641 US AXILLA	$100.00	$100.00	$20.00–$81.31	13% below	—
Breast ultrasound, complete, one breast CPT 76641 US BREAST(S) UNIL/BIL INTER.	$100.00	$100.00	$20.00–$100.00	13% below	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST(S) UNILAT COMPLETE	$100.00	$100.00	$30.00–$81.00	13% below	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST(S) BILAT COMPLETE	$125.00	$125.00	$30.00–$81.00	—	—
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST(S) UNIL/BIL INTER.	$100.00	$100.00	$20.00–$100.00	—	—
Breast ultrasound, complete, one breast inpatient CPT 76641 US AXILLA	$100.00	$100.00	$20.00–$81.31	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST(S) UNILAT COMPLETE	$100.00	$100.00	$30.00–$81.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$100.00	$100.00	$16.40–$81.00	at median	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$100.00	$100.00	$16.40–$81.00	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN & PELVIS W CO	$390.00	$390.00	$143.53–$350.00	35% below	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN & PELVIS W CO	$390.00	$390.00	$143.53–$350.00	—	—
CT angiography (CTA) of the head CPT 70496 CT SCAN ANGIOGRAPHY HEAD W CON	$450.00	$450.00	$128.59–$350.00	14% below	—
CT angiography (CTA) of the head inpatient CPT 70496 CT SCAN ANGIOGRAPHY HEAD W CON	$450.00	$450.00	$128.59–$350.00	—	—
CT angiography (CTA) of the neck CPT 70498 CT SCAN ANGIOGRAPHY NECK W/WO	$450.00	$450.00	$128.59–$350.00	16% below	—
CT angiography (CTA) of the neck inpatient CPT 70498 CT SCAN ANGIOGRAPHY NECK W/WO	$450.00	$450.00	$128.59–$350.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN ANGIOGRAPHY CHEST W C	$450.00	$450.00	$128.59–$350.00	14% below	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT SCAN ANGIOGRAPHY CHEST W C	$450.00	$450.00	$128.59–$350.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS WO CONTR	$425.00	$425.00	$81.00–$425.00	15% below	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS WO CONTR	$425.00	$425.00	$81.00–$425.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W CONTR	$475.00	$475.00	$137.50–$475.00	14% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W CONTR	$475.00	$475.00	$137.50–$475.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W/WO CONTR	$475.00	$475.00	$162.50–$475.00	21% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W/WO CONTR	$475.00	$475.00	$162.50–$475.00	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$390.00	$390.00	$119.77–$350.00	4% below	—
CT scan of the abdomen with contrast CPT 74160 CT RENAL W/O CONTRAST	$390.00	$390.00	$64.45–$350.00	4% below	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT RENAL W/O CONTRAST	$390.00	$390.00	$64.45–$350.00	—	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$390.00	$390.00	$119.77–$350.00	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAS	$325.00	$325.00	$64.45–$350.00	4% above	—
CT scan of the abdomen without contrast CPT 74150 CT RENAL W CONTRAST	$325.00	$325.00	$64.75–$350.00	4% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAS	$325.00	$325.00	$64.45–$350.00	—	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT RENAL W CONTRAST	$325.00	$325.00	$64.75–$350.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOF. W/O CONTR	$325.00	$325.00	$72.40–$350.00	7% below	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOF. W/O CONTR	$325.00	$325.00	$72.40–$350.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT PITUIT. W/O CONTRAST	$325.00	$325.00	$52.44–$300.00	at median	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONT	$325.00	$325.00	$52.44–$300.00	at median	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$325.00	$325.00	$52.44–$300.00	at median	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$325.00	$325.00	$52.44–$300.00	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O CONT	$325.00	$325.00	$52.44–$300.00	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT PITUIT. W/O CONTRAST	$325.00	$325.00	$52.44–$300.00	—	—
CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST	$390.00	$390.00	$76.13–$350.00	at median	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST	$390.00	$390.00	$76.13–$350.00	—	—
CT scan of the head without and with contrast CPT 70470 CT PITUIT.W&W/O CONTR.	$450.00	$450.00	$52.52–$450.00	3% below	—
CT scan of the head without and with contrast CPT 70470 CT HEAD W&W/O CONTRAST	$450.00	$450.00	$91.58–$450.00	3% below	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&W/O CONTRAST	$450.00	$450.00	$91.58–$450.00	—	—
CT scan of the head without and with contrast inpatient CPT 70470 CT PITUIT.W&W/O CONTR.	$450.00	$450.00	$52.52–$450.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONT.	$325.00	$325.00	$74.87–$350.00	at median	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONT.	$325.00	$325.00	$74.87–$350.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O C	$325.00	$325.00	$75.37–$300.00	at median	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O C	$325.00	$325.00	$75.37–$300.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$390.00	$390.00	$120.02–$350.00	at median	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST	$390.00	$390.00	$120.02–$350.00	—	—
Chest CT scan without and with contrast CPT 71270 CT THORAX W&W/O CONTRA	$450.00	$450.00	$124.90–$450.00	5% below	—
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W&W/O CONTRA	$450.00	$450.00	$124.90–$450.00	—	—
Chest X-ray, 2 views CPT 71046 CHEST PA & LAT REG 2 VIEW	$45.00	$45.00	$8.50–$65.86	at median	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA & LAT REG 2 VIEW	$45.00	$45.00	$8.50–$65.86	—	—
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW FRONTAL (CR)	$40.00	$40.00	$3.50–$63.00	56% below	—
Chest X-ray, single view CPT 71045 X-RAY PORTABLE	$40.00	$40.00	$6.00–$65.86	56% below	—
Chest X-ray, single view CPT 71045 CHEST PA REG 1 VIEW	$40.00	$40.00	$4.90–$65.39	56% below	—
Chest X-ray, single view inpatient CPT 71045 X-RAY PORTABLE	$40.00	$40.00	$6.00–$65.86	—	—
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW FRONTAL (CR)	$40.00	$40.00	$3.50–$63.00	—	—
Chest X-ray, single view inpatient CPT 71045 CHEST PA REG 1 VIEW	$40.00	$40.00	$4.90–$65.39	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE	$50.75	$50.75	$3.50–$65.86	2% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT	$50.75	$50.75	$4.20–$24.61	2% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$50.75	$50.75	$4.20–$24.61	2% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE	$50.75	$50.75	$3.50–$65.86	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$50.75	$50.75	$4.20–$24.61	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT	$50.75	$50.75	$4.20–$24.61	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL RETROPERITONEAL COMPL	$125.00	$125.00	$40.00–$91.00	9% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL RETROPERITONEAL COMPL	$125.00	$125.00	$40.00–$91.00	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY (AX) PREVENTIVO	$100.00	$100.00	$21.13–$81.31	20% below	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY(AXIAL)	$100.00	$100.00	$17.50–$81.31	20% below	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY(AXIAL)	$100.00	$100.00	$17.50–$81.31	—	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY (AX) PREVENTIVO	$100.00	$100.00	$21.13–$81.31	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY(PERIPHERRAL)	$100.00	$100.00	$12.00–$179.52	11% below	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY(PERIPHERRAL)	$100.00	$100.00	$12.00–$179.52	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREGN UTERUS FETAL/MAT EVAL	$100.00	$100.00	$40.00–$96.50	86% below	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG UTERUS DETAILED SNGL	$110.00	$110.00	$40.00–$96.40	85% below	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREGN UTERUS FETAL/MAT EVAL	$100.00	$100.00	$40.00–$96.50	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG UTERUS DETAILED SNGL	$110.00	$110.00	$40.00–$96.40	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$325.00	$325.00	$78.97–$350.00	at median	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$325.00	$325.00	$78.97–$350.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST	$390.00	$390.00	$95.49–$350.00	4% below	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONTRAST	$390.00	$390.00	$95.49–$350.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY BILAT.(DIAGNOST)	$80.00	$80.00	$85.05–$117.82	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY DIGITAL BILATERAL	$90.00	$90.00	$41.00–$117.82	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO BILAT IMAG W POT. ANOMAL	$90.00	$90.00	$85.05–$117.82	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY BILAT.(DIAGNOSTIC	$90.00	$90.00	$52.50–$117.82	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAPHY BILAT.(DIAGNOST)	$80.00	$80.00	$85.05–$117.82	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO BILAT IMAG W POT. ANOMAL	$90.00	$90.00	$85.05–$117.82	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAPHY DIGITAL BILATERAL	$90.00	$90.00	$41.00–$117.82	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAPHY BILAT.(DIAGNOSTIC	$90.00	$90.00	$52.50–$117.82	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILAT.(DIAGNOST)	$40.00	$40.00	$66.71–$92.14	62% below	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY DIGITAL UNILAT	$90.00	$90.00	$32.50–$92.14	14% below	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILAT.(DIAGNOSTIC	$90.00	$90.00	$32.50–$92.14	14% below	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY DIGITAL UNILAT INT	$90.00	$90.00	$21.06–$92.14	14% below	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY UNILAT.(DIAGNOST)	$40.00	$40.00	$66.71–$92.14	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY DIGITAL UNILAT	$90.00	$90.00	$32.50–$92.14	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY DIGITAL UNILAT INT	$90.00	$90.00	$21.06–$92.14	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY UNILAT.(DIAGNOSTIC	$90.00	$90.00	$32.50–$92.14	—	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT SIDE	$37.50	$37.50	$4.75–$66.10	2% above	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW LT	$37.50	$37.50	$7.35–$66.10	2% above	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT	$37.50	$37.50	$7.35–$66.10	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT SIDE	$37.50	$37.50	$4.75–$66.10	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW COMPLETE 3 VIEW	$53.00	$53.00	$6.00–$65.39	5% below	—
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW COMPLETE MIN. 4 VIEWS	$53.00	$53.00	$6.00–$30.00	5% below	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW COMPLETE 3 VIEW	$53.00	$53.00	$6.00–$65.39	—	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW COMPLETE MIN. 4 VIEWS	$53.00	$53.00	$6.00–$30.00	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT SINUS LIMITED	$325.00	$325.00	$79.19–$350.00	at median	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST	$325.00	$325.00	$79.19–$350.00	at median	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA TURS,MID/IN EAR W/O	$325.00	$325.00	$79.19–$350.00	at median	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT PARANASAL W/O CONTRA	$325.00	$325.00	$79.19–$350.00	at median	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT TMJ W CONTRAST	$390.00	$390.00	$79.19–$350.00	20% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA TURS,MID/IN EAR W/O	$325.00	$325.00	$79.19–$350.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT PARANASAL W/O CONTRA	$325.00	$325.00	$79.19–$350.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONTRAST	$325.00	$325.00	$79.19–$350.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SINUS LIMITED	$325.00	$325.00	$79.19–$350.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TMJ W CONTRAST	$390.00	$390.00	$79.19–$350.00	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 MAXILLA,FACIAL BONES MIN.3 VIE	$69.50	$69.50	$8.25–$35.52	at median	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 MAXILLA,FACIAL BONES MIN.3 VIE	$69.50	$69.50	$8.25–$35.52	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT	$43.00	$43.00	$7.35–$63.00	7% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT	$43.00	$43.00	$7.35–$63.00	7% below	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT	$43.00	$43.00	$7.35–$63.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT	$43.00	$43.00	$7.35–$63.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA IMAGING(HEPATOBILIARY	$225.00	$225.00	$82.44–$302.44	50% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA IMAGING(HEPATOBILIARY	$225.00	$225.00	$82.44–$302.44	—	—
Hand X-ray, 2 views one side CPT 73120 HAND LT	$51.00	$51.00	$7.35–$84.79	2% above	—
Hand X-ray, 2 views one side CPT 73120 HAND RT	$51.00	$51.00	$4.75–$84.79	2% above	—
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT	$51.00	$51.00	$7.35–$84.79	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT	$51.00	$51.00	$4.75–$84.79	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEOUS MIN. 2 VIEWS(HEEL)	$25.00	$25.00	$7.35–$66.10	47% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL(OS CALCIS) RT	$48.75	$48.75	$7.35–$66.10	4% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LT	$48.75	$48.75	$7.35–$66.10	4% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEOUS MIN. 2 VIEWS(HEEL)	$25.00	$25.00	$7.35–$66.10	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LT	$48.75	$48.75	$7.35–$66.10	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL(OS CALCIS) RT	$48.75	$48.75	$7.35–$66.10	—	—
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT	$36.61	$36.61	$8.72–$65.86	19% below	—
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT	$50.00	$50.00	$8.75–$32.00	11% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT	$36.61	$36.61	$8.72–$65.86	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT	$50.00	$50.00	$8.75–$32.00	—	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE 4 OR MORE VIEWS	$50.00	$50.00	$6.30–$81.31	19% below	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE 4 OR MORE VIEWS	$50.00	$50.00	$6.30–$81.31	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT HIP W/O CONTRAST	$325.00	$325.00	$74.87–$350.00	7% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT AXIAL TOMOGRA LOWER EXT WO	$325.00	$325.00	$55.38–$350.00	7% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT EXTREMITY LOWER W/O CONT	$325.00	$325.00	$74.87–$350.00	7% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT KNEE W/O CONTRAST	$325.00	$325.00	$74.87–$350.00	7% below	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT KNEE W/O CONTRAST	$325.00	$325.00	$74.87–$350.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT AXIAL TOMOGRA LOWER EXT WO	$325.00	$325.00	$55.38–$350.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT HIP W/O CONTRAST	$325.00	$325.00	$74.87–$350.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT EXTREMITY LOWER W/O CONT	$325.00	$325.00	$74.87–$350.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$100.00	$100.00	$34.00–$83.41	20% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMIT(UPPER)	$125.00	$125.00	$34.00–$83.41	at median	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER WITH KINEVAC	$125.00	$125.00	$34.00–$80.00	at median	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$100.00	$100.00	$34.00–$83.41	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER WITH KINEVAC	$125.00	$125.00	$34.00–$80.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMIT(UPPER)	$125.00	$125.00	$34.00–$83.41	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US NONVASCULAR ANATOMIC SPECIF	$100.00	$100.00	$13.45–$75.00	63% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NONVASC.W IMAGE LIMI	$125.00	$125.00	$21.46–$80.00	54% below	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US NONVASCULAR ANATOMIC SPECIF	$100.00	$100.00	$13.45–$75.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREM NONVASC.W IMAGE LIMI	$125.00	$125.00	$21.46–$80.00	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIBULA	$48.00	$48.00	$7.35–$66.10	4% below	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA / FIBULA LT	$48.00	$48.00	$7.35–$66.10	4% below	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA & FIBULA	$48.00	$48.00	$7.35–$66.10	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA / FIBULA LT	$48.00	$48.00	$7.35–$66.10	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WO CONTR.	$750.00	$750.00	$134.44–$625.00	7% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTR.	$750.00	$750.00	$134.44–$625.00	7% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTR.	$750.00	$750.00	$134.44–$625.00	—	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD WO CONTR.	$750.00	$750.00	$134.44–$625.00	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W/WO CONT BILAT	$950.00	$950.00	$177.66–$625.00	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST W/WO CONT BILAT	$950.00	$950.00	$177.66–$625.00	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE LOW EXT.ANY J W/O	$750.00	$750.00	$121.54–$625.00	3% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI FOOT LOWER EXT.ANYJOINT WO	$750.00	$750.00	$115.09–$625.00	3% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANKLE LOW EXT.ANYJOINT W/O	$750.00	$750.00	$115.09–$625.00	3% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANY JOINT LOWER EXTREMI WO	$750.00	$750.00	$115.09–$625.00	3% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI ANKLE LOW EXT.ANYJOINT W/O	$750.00	$750.00	$115.09–$625.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI FOOT LOWER EXT.ANYJOINT WO	$750.00	$750.00	$115.09–$625.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI KNEE LOW EXT.ANY J W/O	$750.00	$750.00	$121.54–$625.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI ANY JOINT LOWER EXTREMI WO	$750.00	$750.00	$115.09–$625.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JNT OF LWR EXTRE W/O DYE	$750.00	$750.00	$245.98–$650.00	17% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT. ANY JOINT W/WO	$850.00	$850.00	$165.00–$650.00	6% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREMITY W W/O CONT	$850.00	$850.00	$228.38–$650.00	6% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANY JOINT LOW EXT W/WO	$1,200.00	$1,200.00	$245.98–$347.13	33% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JNT OF LWR EXTRE W/O DYE	$750.00	$750.00	$245.98–$650.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT. ANY JOINT W/WO	$850.00	$850.00	$165.00–$650.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXTREMITY W W/O CONT	$850.00	$850.00	$228.38–$650.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI ANY JOINT LOW EXT W/WO	$1,200.00	$1,200.00	$245.98–$347.13	—	—
MRI of the abdomen without contrast CPT 74181 MRCP-M R CHOLANGIOPANCREATOGRA	$700.00	$700.00	$128.61–$625.00	at median	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$750.00	$750.00	$128.61–$625.00	7% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRCP-M R CHOLANGIOPANCREATOGRA	$700.00	$700.00	$128.61–$625.00	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$750.00	$750.00	$128.61–$625.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ENTEROGRAPHY W/WO CONTRAST	$850.00	$850.00	$201.42–$650.00	8% below	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$850.00	$850.00	$201.42–$650.00	8% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ENTEROGRAPHY W/WO CONTRAST	$850.00	$850.00	$201.42–$650.00	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$850.00	$850.00	$201.42–$650.00	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN(STEM) WO CONTRAST	$750.00	$750.00	$106.18–$625.00	3% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN(STEM) WO CONTRAST	$750.00	$750.00	$106.18–$625.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN(STEM) W/WO CONTRAST	$850.00	$850.00	$178.75–$657.00	at median	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN(STEM) W/WO CONTRAST	$850.00	$850.00	$178.75–$657.00	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRAST	$750.00	$750.00	$102.11–$625.00	3% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CONTRAST	$750.00	$750.00	$102.11–$625.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/WO CONTRAST	$850.00	$850.00	$180.28–$650.00	14% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/WO CONTRAST	$850.00	$850.00	$180.28–$650.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO CONTRAST	$750.00	$750.00	$101.86–$625.00	3% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WO CONTRAST	$750.00	$750.00	$101.86–$625.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINALCANAL/CERVICAL W/WO	$850.00	$850.00	$180.79–$650.00	14% below	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/WO CONTR	$850.00	$850.00	$180.79–$650.00	14% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINALCANAL/CERVICAL W/WO	$850.00	$850.00	$180.79–$650.00	—	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/WO CONTR	$850.00	$850.00	$180.79–$650.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINAL CANAL/CERVICAL WO C	$750.00	$750.00	$101.86–$650.00	3% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINAL CANAL/CERVICAL WO C	$750.00	$750.00	$101.86–$650.00	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W W/O CONTRAST	$850.00	$850.00	$200.91–$650.00	8% below	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W W/O CONTRAST	$850.00	$850.00	$200.91–$650.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$750.00	$750.00	$137.75–$650.00	7% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$750.00	$750.00	$137.75–$650.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI FINGER UPPER EXT. W/O CO	$750.00	$750.00	$115.09–$650.00	at median	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI WRIST UPP ANY JOINT WO CON	$750.00	$750.00	$115.09–$625.00	at median	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPP EXT ANY JOINT WO CONT	$750.00	$750.00	$133.98–$650.00	at median	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ELBOW W/O CONTRAST	$750.00	$750.00	$115.09–$625.00	at median	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI WRIST UPP ANY JOINT WO CON	$750.00	$750.00	$115.09–$625.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI ELBOW W/O CONTRAST	$750.00	$750.00	$115.09–$625.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPP EXT ANY JOINT WO CONT	$750.00	$750.00	$133.98–$650.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI FINGER UPPER EXT. W/O CO	$750.00	$750.00	$115.09–$650.00	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERV AP,LAT, FOUR VIEW OR MORE	$72.50	$72.50	$8.25–$40.44	56% below	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERV AP,LAT, FOUR VIEW OR MORE	$72.50	$72.50	$8.25–$40.44	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT MASTOID W/ CONTRAST	$390.00	$390.00	$95.91–$350.00	at median	—
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/ CONTRAST	$390.00	$390.00	$96.51–$350.00	at median	—
Neck soft tissue CT scan with contrast CPT 70491 CT PAROTID W/ CONTRAST	$390.00	$390.00	$95.91–$350.00	at median	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/ CONTRAST	$390.00	$390.00	$96.51–$350.00	—	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT MASTOID W/ CONTRAST	$390.00	$390.00	$95.91–$350.00	—	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT PAROTID W/ CONTRAST	$390.00	$390.00	$95.91–$350.00	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$325.00	$325.00	$72.14–$350.00	at median	—
Neck soft tissue CT scan without contrast CPT 70490 CT PAROTID W/O CONTRAST	$325.00	$325.00	$72.14–$350.00	at median	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$325.00	$325.00	$72.14–$350.00	—	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT PAROTID W/O CONTRAST	$325.00	$325.00	$72.14–$350.00	—	—
Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUE	$50.00	$50.00	$4.90–$65.39	at median	—
Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUE	$50.00	$50.00	$4.90–$65.39	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF. IMAG MULTIPL	$536.00	$536.00	$288.27–$411.82	36% below	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCRD PERF SPECT MULT STDY	$954.00	$954.00	$208.45–$1,029.20	14% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCRD PERF SPECT MULT STDY IN	$954.00	$954.00	$66.41–$1,009.76	14% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF. IMAG MULTIPL	$536.00	$536.00	$288.27–$411.82	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCRD PERF SPECT MULT STDY	$954.00	$954.00	$208.45–$1,029.20	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCRD PERF SPECT MULT STDY IN	$954.00	$954.00	$66.41–$1,009.76	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKLL BASE TO MID-(PS)	$2,000.00	$2,000.00	$117.07–$2,100.00	68% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKLL BASE TO MID-THIG	$2,000.00	$2,000.00	$117.07–$2,100.00	68% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKLL BASE MID-THIG IN	$2,000.00	$2,000.00	$85.28–$1,900.00	68% below	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKLL BASE MID-THIG IN	$2,000.00	$2,000.00	$85.28–$1,900.00	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKLL BASE TO MID-(PS)	$2,000.00	$2,000.00	$117.07–$2,100.00	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKLL BASE TO MID-THIG	$2,000.00	$2,000.00	$117.07–$2,100.00	—	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$325.00	$325.00	$65.46–$350.00	at median	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$325.00	$325.00	$65.46–$350.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR FOLLOW UP	$100.00	$100.00	$11.21–$81.31	20% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED OR FOLLOW UP	$100.00	$100.00	$11.21–$81.31	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC	$100.00	$100.00	$35.00–$83.41	20% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC	$100.00	$100.00	$35.00–$83.41	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OBST. 2ND TRIMESTER(ABD)	$100.00	$100.00	$35.00–$94.96	27% below	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OBST. 3RD TRIMESTER(ABD)	$115.00	$115.00	$35.00–$94.96	16% below	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS AFTER FIRST TRI	$125.00	$125.00	$37.50–$94.96	9% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OBST. 2ND TRIMESTER(ABD)	$100.00	$100.00	$35.00–$94.96	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OBST. 3RD TRIMESTER(ABD)	$115.00	$115.00	$35.00–$94.96	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS AFTER FIRST TRI	$125.00	$125.00	$37.50–$94.96	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OBST. 1ST TRIMESTER(ABD)	$110.00	$110.00	$25.00–$80.00	63% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OBST. 1ST TRIMESTER(ABD)	$110.00	$110.00	$25.00–$80.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED	$125.00	$125.00	$35.50–$80.00	at median	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS LIMITED	$125.00	$125.00	$35.50–$80.00	—	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL	$77.50	$77.50	$7.00–$65.39	38% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL	$77.50	$77.50	$7.00–$65.39	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMOGR.BILAT SCREENIN (RUTIN)	$80.00	$80.00	$19.50–$97.42	—	—
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMOG BILAT(PREVEN)	$80.00	$80.00	$19.50–$97.42	—	—
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO BILAT EA BREAS	$80.00	$80.00	$70.53–$97.42	—	—
Screening mammogram, both breasts CPT 77067 MAMMOG BIL SCREENING (RUTINA)	$90.00	$90.00	$70.53–$97.42	8% below	—
Screening mammogram, both breasts CPT 77067 MAMMOGRAPHY SCREENING DIGITAL	$90.00	$90.00	$41.50–$101.00	8% below	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMO BILAT EA BREAS	$80.00	$80.00	$70.53–$97.42	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMOG BILAT(PREVEN)	$80.00	$80.00	$19.50–$97.42	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGR.BILAT SCREENIN (RUTIN)	$80.00	$80.00	$19.50–$97.42	—	—
Screening mammogram, both breasts inpatient CPT 77067 MAMMOG BIL SCREENING (RUTINA)	$90.00	$90.00	$70.53–$97.42	—	—
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAPHY SCREENING DIGITAL	$90.00	$90.00	$41.50–$101.00	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 PARANASAL SINUSES COMP 3 VIEW	$69.00	$69.00	$8.25–$66.10	at median	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 PARANASAL SINUSES COMP 3 VIEW	$69.00	$69.00	$8.25–$66.10	—	—
Skull X-ray, fewer than 4 views CPT 70250 SKULL SERIES LIMITED	$50.00	$50.00	$5.75–$28.00	at median	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL SERIES LIMITED	$50.00	$50.00	$5.75–$28.00	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALL. FUNC CINERAD./VIDEORADI	$77.50	$77.50	$16.75–$136.68	14% below	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 FLUOROSCOPY WITH BARIUM SWALL	$100.00	$100.00	$31.50–$139.47	11% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALL. FUNC CINERAD./VIDEORADI	$77.50	$77.50	$16.75–$136.68	—	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FLUOROSCOPY WITH BARIUM SWALL	$100.00	$100.00	$31.50–$139.47	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEWS	$57.75	$57.75	$7.35–$64.30	at median	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VIEWS	$57.75	$57.75	$7.35–$64.30	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORAXIC W/O	$325.00	$325.00	$75.37–$350.00	at median	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORAXIC W/O	$325.00	$325.00	$75.37–$350.00	—	—
Toe X-ray, 2 or more views CPT 73660 TOE(S)	$36.75	$36.75	$3.50–$23.21	7% below	—
Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S)	$36.75	$36.75	$3.50–$23.21	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL PROBE	$125.00	$125.00	$34.30–$93.55	17% below	—
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL	$125.00	$125.00	$34.30–$93.55	17% below	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL	$125.00	$125.00	$34.30–$93.55	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL PROBE	$125.00	$125.00	$34.30–$93.55	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OBSTETRIC	$78.00	$78.00	$35.50–$80.00	69% below	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OBSTETRIC	$78.00	$78.00	$35.50–$80.00	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$180.00	$180.00	$40.00–$98.00	11% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$180.00	$180.00	$40.00–$98.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$100.00	$100.00	$17.57–$81.31	20% below	—
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$125.00	$125.00	$17.57–$81.31	at median	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$100.00	$100.00	$17.57–$81.31	—	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR	$125.00	$125.00	$17.57–$81.31	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD,NECK & SOFT TISS	$80.00	$80.00	$30.00–$91.79	36% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$100.00	$100.00	$30.00–$91.79	20% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK	$100.00	$100.00	$30.00–$91.79	20% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD,NECK & SOFT TISS	$80.00	$80.00	$30.00–$91.79	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$100.00	$100.00	$30.00–$91.79	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK	$100.00	$100.00	$30.00–$91.79	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGIS W W/O FILM W/O KUB	$75.00	$75.00	$45.22–$89.33	43% below	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGIS W W/O SERIAL FILM W/O KUB	$95.50	$95.50	$16.50–$133.17	27% below	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FLUOROSCOPY WITH UGIS	$100.00	$100.00	$33.00–$133.17	24% below	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGIS W W/O FILM W/O KUB	$75.00	$75.00	$45.22–$89.33	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGIS W W/O SERIAL FILM W/O KUB	$95.50	$95.50	$16.50–$133.17	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FLUOROSCOPY WITH UGIS	$100.00	$100.00	$33.00–$133.17	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LT	$37.50	$37.50	$7.35–$24.74	6% below	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT	$37.50	$37.50	$4.75–$24.74	6% below	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RT	$37.50	$37.50	$4.75–$24.74	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LT	$37.50	$37.50	$7.35–$24.74	—	—
Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS	$27.75	$27.75	$7.35–$66.10	39% below	—
Wrist X-ray, 2 views one side CPT 73100 WRIST LT	$47.50	$47.50	$7.35–$66.10	4% above	—
Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS	$27.75	$27.75	$7.35–$66.10	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT	$47.50	$47.50	$7.35–$66.10	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST W/NAVICULAR VIEWS	$47.50	$47.50	$6.50–$32.70	at median	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT	$47.50	$47.50	$8.40–$32.70	at median	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST W/NAVICULAR VIEWS	$47.50	$47.50	$6.50–$32.70	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT	$47.50	$47.50	$8.40–$32.70	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP MINIMUN 2 VIEWS	$33.75	$33.75	$6.50–$65.39	40% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP MINIMUN 2 VIEWS	$33.75	$33.75	$6.50–$65.39	—	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$46.00	$46.00	$4.90–$66.10	12% below	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN, KUB	$69.00	$69.00	$4.90–$65.86	33% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$46.00	$46.00	$4.90–$66.10	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN, KUB	$69.00	$69.00	$4.90–$65.86	—	—
X-ray of the ankle, 2 views CPT 73600 ANKLE COMPLETE MINIMUN 3 VIEWS	$27.75	$27.75	$7.35–$65.39	41% below	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT	$27.75	$27.75	$4.75–$65.39	41% below	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT TWO VIEW	$27.75	$27.75	$7.35–$65.39	41% below	—
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE COMPLETE MINIMUN 3 VIEWS	$27.75	$27.75	$7.35–$65.39	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT	$27.75	$27.75	$4.75–$65.39	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT TWO VIEW	$27.75	$27.75	$7.35–$65.39	—	—
X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MINIMUN 2 VIEWS	$37.25	$37.25	$4.90–$61.92	11% below	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MINIMUN 2 VIEWS	$37.25	$37.25	$4.90–$61.92	—	—
X-ray of the foot, 2 views CPT 73620 FOOT LIMITED	$22.50	$22.50	$4.75–$65.86	52% below	—
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEW	$47.00	$47.00	$7.35–$65.86	at median	—
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEWS	$47.00	$47.00	$6.50–$65.86	at median	—
X-ray of the foot, 2 views inpatient CPT 73620 FOOT LIMITED	$22.50	$22.50	$4.75–$65.86	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEW	$47.00	$47.00	$7.35–$65.86	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEWS	$47.00	$47.00	$6.50–$65.86	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE MINIMUN 3 VIEWS	$47.00	$47.00	$8.40–$66.10	34% below	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE MINIMUN 3 VIEWS	$47.00	$47.00	$8.40–$66.10	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND MINIMUN 3 VIEWS LT	$51.00	$51.00	$8.50–$63.00	at median	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND MINIMUN 3 VIEWS RT	$51.00	$51.00	$8.50–$63.00	at median	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MINIMUN 3 VIEWS LT	$51.00	$51.00	$8.50–$63.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MINIMUN 3 VIEWS RT	$51.00	$51.00	$8.50–$63.00	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 2 VIEW INTER	$51.50	$51.50	$12.55–$65.39	28% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT	$51.50	$51.50	$4.75–$65.86	28% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 2 VIEWS	$51.50	$51.50	$7.35–$65.86	28% below	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 2 VIEW INTER	$51.50	$51.50	$12.55–$65.39	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT	$51.50	$51.50	$4.75–$65.86	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 2 VIEWS	$51.50	$51.50	$7.35–$65.86	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSACRAL AP/LAT	$38.00	$38.00	$7.00–$78.97	53% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSACRAL STANDING AP & LAT	$64.25	$64.25	$7.00–$78.97	21% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL AP/LAT	$38.00	$38.00	$7.00–$78.97	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL STANDING AP & LAT	$64.25	$64.25	$7.00–$78.97	—	—
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR 3 VIEWS	$64.25	$64.25	$14.35–$79.69	27% below	—
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR 5 VIEWS	$87.25	$87.25	$12.08–$79.69	at median	—
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSAC.MINIMUN 4 VIEWS	$96.00	$96.00	$16.00–$79.69	10% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR 3 VIEWS	$64.25	$64.25	$14.35–$79.69	—	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR 5 VIEWS	$87.25	$87.25	$12.08–$79.69	—	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSAC.MINIMUN 4 VIEWS	$96.00	$96.00	$16.00–$79.69	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC	$65.00	$65.00	$7.35–$81.31	4% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC	$65.00	$65.00	$7.35–$81.31	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MIN. 3 VI	$55.00	$55.00	$4.75–$66.10	at median	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE MIN. 3 VI	$55.00	$55.00	$4.75–$66.10	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS	$57.75	$57.75	$9.50–$65.86	24% below	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL AP & LAT 2 VIEW	$110.00	$110.00	$7.35–$65.86	45% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS	$57.75	$57.75	$9.50–$65.86	—	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL AP & LAT 2 VIEW	$110.00	$110.00	$7.35–$65.86	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP LATERAL	$50.00	$50.00	$4.00–$85.79	at median	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP LATERAL	$50.00	$50.00	$4.00–$85.79	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MINIMUN 2 VI	$50.50	$50.50	$4.75–$24.26	at median	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX	$50.50	$50.50	$4.75–$24.26	at median	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX	$50.50	$50.50	$4.75–$24.26	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX MINIMUN 2 VI	$50.50	$50.50	$4.75–$24.26	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Puerto Rico	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$8.00	$8.00	$5.05–$10.00	59% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$20.00	$20.00	$5.30–$10.00	3% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$8.00	$8.00	$5.05–$10.00	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$20.00	$20.00	$5.30–$10.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$8.00	$8.00	$4.94–$20.00	58% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$8.00	$8.00	$4.94–$20.00	58% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST(SGOT)	$20.00	$20.00	$5.18–$10.00	4% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$8.00	$8.00	$4.94–$20.00	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$8.00	$8.00	$4.94–$20.00	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST(SGOT)	$20.00	$20.00	$5.18–$10.00	—	—
Albumin blood test CPT 82040 ALBUMIN IN SERUM REF	$6.00	$6.00	$1.46–$7.36	67% below	—
Albumin blood test CPT 82040 ALBUMIN IN SERUM	$6.00	$6.00	$1.46–$7.36	67% below	—
Albumin blood test CPT 82040 ALBUMIN, SERUM	$12.00	$12.00	$4.95–$15.03	34% below	—
Albumin blood test CPT 82040 MULTIPLE SCLEROSIS PANEL	$135.00	$135.00	$4.95–$57.00	642% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN IN SERUM	$6.00	$6.00	$1.46–$7.36	—	—
Albumin blood test inpatient CPT 82040 ALBUMIN IN SERUM REF	$6.00	$6.00	$1.46–$7.36	—	—
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$12.00	$12.00	$4.95–$15.03	—	—
Albumin blood test inpatient CPT 82040 MULTIPLE SCLEROSIS PANEL	$135.00	$135.00	$4.95–$57.00	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOPHATASE SER (ISO)	$8.00	$8.00	$4.94–$10.00	60% below	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE (ALP)	$8.00	$8.00	$4.94–$10.00	60% below	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE (ALP	$20.00	$20.00	$5.18–$10.00	1% below	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOPHATASE SER (ISO)	$8.00	$8.00	$4.94–$10.00	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE (ALP)	$8.00	$8.00	$4.94–$10.00	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE (ALP	$20.00	$20.00	$5.18–$10.00	—	—
Ammonia blood test CPT 82140 AMMONIA	$23.00	$23.00	$14.57–$40.00	58% below	—
Ammonia blood test CPT 82140 AMMONIA W MODIF.	$23.00	$23.00	$14.57–$40.00	58% below	—
Ammonia blood test inpatient CPT 82140 AMMONIA W MODIF.	$23.00	$23.00	$14.57–$40.00	—	—
Ammonia blood test inpatient CPT 82140 AMMONIA	$23.00	$23.00	$14.57–$40.00	—	—
Amylase blood test CPT 82150 AMY FOR ISO IN SER	$10.00	$10.00	$6.18–$14.00	58% below	—
Amylase blood test CPT 82150 AMYLASE URINE	$10.00	$10.00	$6.18–$14.00	58% below	—
Amylase blood test CPT 82150 AMYLASE SERUM	$10.00	$10.00	$6.18–$14.00	58% below	—
Amylase blood test CPT 82150 AMYLASE BODY FLUID FOR REF	$10.00	$10.00	$6.18–$14.00	58% below	—
Amylase blood test CPT 82150 AMYLASE(MEDICARE W MODIFIC.)	$20.00	$20.00	$6.48–$14.00	17% below	—
Amylase blood test CPT 82150 AMYLASE, SERUM	$20.00	$20.00	$6.48–$14.00	17% below	—
Amylase blood test CPT 82150 AMY ISO	$36.00	$36.00	$6.18–$14.00	50% above	—
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$42.00	$42.00	$6.18–$14.00	75% above	—
Amylase blood test inpatient CPT 82150 AMY FOR ISO IN SER	$10.00	$10.00	$6.18–$14.00	—	—
Amylase blood test inpatient CPT 82150 AMYLASE URINE	$10.00	$10.00	$6.18–$14.00	—	—
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$10.00	$10.00	$6.18–$14.00	—	—
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID FOR REF	$10.00	$10.00	$6.18–$14.00	—	—
Amylase blood test inpatient CPT 82150 AMYLASE, SERUM	$20.00	$20.00	$6.48–$14.00	—	—
Amylase blood test inpatient CPT 82150 AMYLASE(MEDICARE W MODIFIC.)	$20.00	$20.00	$6.48–$14.00	—	—
Amylase blood test inpatient CPT 82150 AMY ISO	$36.00	$36.00	$6.18–$14.00	—	—
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$42.00	$42.00	$6.18–$14.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (BRAIN NUTIURETIC PEPTIDE)	$60.00	$60.00	$28.00–$90.00	57% below	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (BRAIN NUTIURETIC PEPTIDE)	$60.00	$60.00	$28.00–$90.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, ROUTINE	$25.00	$25.00	$8.22–$30.00	29% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,ENVIROMENTAL	$25.00	$25.00	$8.22–$30.00	29% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, FLUID	$25.00	$25.00	$8.22–$30.00	29% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,THROAT	$25.00	$25.00	$8.22–$30.00	29% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,QUIR WOUND	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,BRONCHIAL WASHING	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,VAGINAL	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,ABCESS	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, SPUTUM	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,EYE	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,ULCER	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,OTHER	$40.00	$40.00	$8.22–$30.00	14% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE LEGIONELLA	$67.00	$67.00	$8.22–$30.00	90% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,ENVIROMENTAL	$25.00	$25.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,THROAT	$25.00	$25.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, FLUID	$25.00	$25.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, ROUTINE	$25.00	$25.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,ULCER	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, WOUND	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,EYE	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,OTHER	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,ABCESS	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,VAGINAL	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,BRONCHIAL WASHING	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,QUIR WOUND	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, SPUTUM	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EAR	$40.00	$40.00	$8.22–$30.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE LEGIONELLA	$67.00	$67.00	$8.22–$30.00	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL(SMA 7)	$20.00	$20.00	$8.46–$40.00	67% below	—
Basic metabolic panel (blood test) CPT 80048 SMA(MEDICARE CON MODIFICADOR)	$20.00	$20.00	$8.46–$40.00	67% below	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$25.00	$25.00	$8.06–$40.00	58% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL(SMA 7)	$20.00	$20.00	$8.46–$40.00	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 SMA(MEDICARE CON MODIFICADOR)	$20.00	$20.00	$8.46–$40.00	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$25.00	$25.00	$8.06–$40.00	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$9.00	$9.00	$4.78–$19.20	56% below	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL AND DIRECT	$20.00	$20.00	$5.02–$35.09	3% below	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$9.00	$9.00	$4.78–$19.20	—	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL AND DIRECT	$20.00	$20.00	$5.02–$35.09	—	—
Blood culture for bacteria CPT 87040 CULTURE, BLOOD ROUTINE	$40.00	$40.00	$9.85–$30.00	10% below	—
Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD ROUTINE	$40.00	$40.00	$9.85–$30.00	—	—
Blood glucose (sugar) test CPT 82947 GLU 1,2 OR 3HR POST PANDRIAL	$6.00	$6.00	$2.95–$8.00	62% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, BODY FLUID	$7.00	$7.00	$3.75–$8.00	56% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD(FBS)	$20.00	$20.00	$3.75–$8.00	25% above	—
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (MC W MODIF.)	$20.00	$20.00	$3.93–$8.00	25% above	—
Blood glucose (sugar) test CPT 82947 FBS(MEDICARE W MODIFIER)	$20.00	$20.00	$3.93–$8.00	25% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, BLOOD (RANDOM)	$20.00	$20.00	$3.75–$8.00	25% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLU 1,2 OR 3HR POST PANDRIAL	$6.00	$6.00	$2.95–$8.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BODY FLUID	$7.00	$7.00	$3.75–$8.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BLOOD (RANDOM)	$20.00	$20.00	$3.75–$8.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD(FBS)	$20.00	$20.00	$3.75–$8.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 FBS(MEDICARE W MODIFIER)	$20.00	$20.00	$3.93–$8.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 BLOOD GLUCOSE (MC W MODIF.)	$20.00	$20.00	$3.93–$8.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN,CHRONIC(HCG) QUAL	$20.00	$20.00	$7.17–$21.00	35% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN,CHRONIC(HCG) QUAL	$20.00	$20.00	$7.17–$21.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO CR	$15.00	$15.00	$2.85–$15.00	65% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE REFERENCE LAB CR	$31.55	$31.55	$2.99–$21.00	27% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE & HOLD	$37.50	$37.50	$2.85–$20.00	13% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; SERIOLOGY ABO	$38.00	$38.00	$2.85–$20.00	12% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO CR	$15.00	$15.00	$2.85–$15.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE REFERENCE LAB CR	$31.55	$31.55	$2.99–$21.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE & HOLD	$37.50	$37.50	$2.85–$20.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING; SERIOLOGY ABO	$38.00	$38.00	$2.85–$20.00	—	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN IN SERUM OR BF	$6.00	$6.00	$3.77–$10.00	76% below	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN RAN OR 24HR URI	$10.00	$10.00	$3.90–$6.73	60% below	—
Blood urea nitrogen (BUN) test CPT 84520 XRAY STUDY (BU/CR)	$15.00	$15.00	$3.77–$10.00	40% below	—
Blood urea nitrogen (BUN) test CPT 84520 BUN(BLD UREA NITRO)(MC W MOD)	$20.00	$20.00	$3.77–$10.00	20% below	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN IN SERUM OR BF	$6.00	$6.00	$3.77–$10.00	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN RAN OR 24HR URI	$10.00	$10.00	$3.90–$6.73	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 XRAY STUDY (BU/CR)	$15.00	$15.00	$3.77–$10.00	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN(BLD UREA NITRO)(MC W MOD)	$20.00	$20.00	$3.77–$10.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN -CRP	$7.00	$7.00	$3.90–$12.00	67% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN -CRP	$7.00	$7.00	$3.90–$12.00	—	—
Calcium blood test, total CPT 82310 CALCIUM IN SERUM	$7.00	$7.00	$4.92–$10.00	67% below	—
Calcium blood test, total inpatient CPT 82310 CALCIUM IN SERUM	$7.00	$7.00	$4.92–$10.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL(HDL,TRI,CHOL)	$26.00	$26.00	$12.77–$40.00	53% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPO PROFILE	$64.18	$64.18	$12.77–$40.00	16% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL(HDL,TRI,CHOL)	$26.00	$26.00	$12.77–$40.00	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPO PROFILE	$64.18	$64.18	$12.77–$40.00	—	—
Complete blood count (CBC) with differential CPT 85025 CBC HEMOGRAM & PLATE COUNT DIF	$9.00	$9.00	$7.41–$11.57	55% below	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED COMPLETE DIFF	$20.00	$20.00	$5.00–$11.57	at median	—
Complete blood count (CBC) with differential CPT 85025 CBC(MEDICARE CON MODIFICADOR)	$20.00	$20.00	$7.77–$11.57	at median	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC HEMOGRAM & PLATE COUNT DIF	$9.00	$9.00	$7.41–$11.57	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED COMPLETE DIFF	$20.00	$20.00	$5.00–$11.57	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC(MEDICARE CON MODIFICADOR)	$20.00	$20.00	$7.77–$11.57	—	—
Complete blood count (CBC), no differential CPT 85027 CBC HEMOGRAM & PLATE COUNT	$9.00	$9.00	$6.47–$11.02	88% below	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMOGRAM & PLATE COUNT	$9.00	$9.00	$6.47–$11.02	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPRE METABOLIC PANEL	$21.00	$21.00	$10.07–$55.00	75% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC(SMA12)	$35.00	$35.00	$10.07–$55.00	58% below	—
Comprehensive metabolic panel (blood test) CPT 80053 SMA 12/6O (OLD)	$35.00	$35.00	$10.56–$55.00	58% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC(SMA18)	$38.00	$38.00	$10.07–$55.00	55% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC(SMA20)	$40.00	$40.00	$10.07–$55.00	52% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC(SMA24)	$50.00	$50.00	$10.07–$55.00	40% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPRE METABOLIC PANEL	$21.00	$21.00	$10.07–$55.00	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC(SMA12)	$35.00	$35.00	$10.07–$55.00	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 SMA 12/6O (OLD)	$35.00	$35.00	$10.56–$55.00	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC(SMA18)	$38.00	$38.00	$10.07–$55.00	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC(SMA20)	$40.00	$40.00	$10.07–$55.00	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC(SMA24)	$50.00	$50.00	$10.07–$55.00	—	—
Creatine kinase (CK) blood test, total CPT 82550 CPK, TOTAL	$13.00	$13.00	$6.21–$17.00	50% below	—
Creatine kinase (CK) blood test, total CPT 82550 CPK (CREATINE KINASE)	$13.00	$13.00	$6.21–$17.00	50% below	—
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$13.00	$13.00	$6.21–$15.00	50% below	—
Creatine kinase (CK) blood test, total CPT 82550 CPK(MEDICARE CON MODIFICADOR)	$22.00	$22.00	$6.51–$15.00	15% below	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL	$13.00	$13.00	$6.21–$15.00	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK (CREATINE KINASE)	$13.00	$13.00	$6.21–$17.00	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK, TOTAL	$13.00	$13.00	$6.21–$17.00	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK(MEDICARE CON MODIFICADOR)	$22.00	$22.00	$6.51–$15.00	—	—
Creatinine blood test CPT 82565 CREATININE SERUN	$7.00	$7.00	$4.00–$8.00	59% below	—
Creatinine blood test CPT 82565 GLOMERULAR FILTRATION RATE	$21.00	$21.00	$4.89–$10.00	24% above	—
Creatinine blood test CPT 82565 CREATININE SERUM(MC W MOD)	$23.00	$23.00	$5.12–$8.00	35% above	—
Creatinine blood test inpatient CPT 82565 CREATININE SERUN	$7.00	$7.00	$4.00–$8.00	—	—
Creatinine blood test inpatient CPT 82565 GLOMERULAR FILTRATION RATE	$21.00	$21.00	$4.89–$10.00	—	—
Creatinine blood test inpatient CPT 82565 CREATININE SERUM(MC W MOD)	$23.00	$23.00	$5.12–$8.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE	$25.00	$25.00	$9.71–$20.00	25% below	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER TEST (RF)	$30.00	$30.00	$6.57–$35.00	10% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE	$25.00	$25.00	$9.71–$20.00	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER TEST (RF)	$30.00	$30.00	$6.57–$35.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL	$12.00	$12.00	$6.69–$20.00	67% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL(SMA 4)	$20.00	$20.00	$6.69–$18.00	44% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLITE(MC W MOD)	$20.00	$20.00	$7.01–$18.00	44% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLITES PANEL(SMA 6)	$22.00	$22.00	$6.69–$18.00	39% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES PANEL	$12.00	$12.00	$6.69–$20.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLITE(MC W MOD)	$20.00	$20.00	$7.01–$18.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL(SMA 4)	$20.00	$20.00	$6.69–$18.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLITES PANEL(SMA 6)	$22.00	$22.00	$6.69–$18.00	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$21.00	$21.00	$13.00–$32.00	59% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$21.00	$21.00	$13.00–$32.00	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN LEVEL ACTIVITY	$18.00	$18.00	$8.00–$38.49	58% below	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN LEVEL ACTIVITY	$18.00	$18.00	$8.00–$38.49	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE (RIA)	$18.00	$18.00	$8.60–$30.00	60% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE (RIA)	$18.00	$18.00	$8.60–$30.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB & AIC	$16.00	$16.00	$9.25–$28.00	60% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCO)	$33.00	$33.00	$9.25–$28.00	17% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HGB & AIC	$16.00	$16.00	$9.25–$28.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C (GLYCO)	$33.00	$33.00	$9.25–$28.00	—	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$4.00	$4.00	$1.78–$6.55	70% below	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN (SOS)	$10.00	$10.00	$1.78–$6.55	24% below	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$4.00	$4.00	$1.78–$6.55	—	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN (SOS)	$10.00	$10.00	$1.78–$6.55	—	—
Iron blood test (serum iron) CPT 83540 IRON TOTAL	$9.00	$9.00	$6.17–$14.00	60% below	—
Iron blood test (serum iron) CPT 83540 FERIDIC - IRON - STAIN	$75.00	$75.00	$6.47–$14.00	236% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL	$9.00	$9.00	$6.17–$14.00	—	—
Iron blood test (serum iron) inpatient CPT 83540 FERIDIC - IRON - STAIN	$75.00	$75.00	$6.47–$14.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON & TOT IRON BIND CAPACITY	$6.00	$6.00	$4.00–$17.00	81% below	—
Iron-binding capacity (TIBC) test CPT 83550 TIBC TOTAL IRON BIND CAPACITY	$13.00	$13.00	$8.34–$17.00	58% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON & TOT IRON BIND CAPACITY	$6.00	$6.00	$4.00–$17.00	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC TOTAL IRON BIND CAPACITY	$13.00	$13.00	$8.34–$17.00	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$21.00	$21.00	$8.28–$53.00	76% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$21.00	$21.00	$8.28–$53.00	—	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID IN BLOOD	$28.00	$28.00	$10.19–$49.00	36% below	—
Lactate (lactic acid) blood test CPT 83605 LATIC ACID LEVELS(CFS)	$58.00	$58.00	$6.00–$49.00	32% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID IN BLOOD	$28.00	$28.00	$10.19–$49.00	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 LATIC ACID LEVELS(CFS)	$58.00	$58.00	$6.00–$49.00	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH IN ANY FLUID	$8.00	$8.00	$5.75–$10.00	63% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH(MEDICARE CON MODIFICADOR)	$20.00	$20.00	$6.04–$10.00	7% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LACTIC DEHYDROGENASE)	$20.00	$20.00	$5.75–$20.00	7% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC ACID IN CSF	$44.00	$44.00	$5.75–$10.00	105% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH IN ANY FLUID	$8.00	$8.00	$5.75–$10.00	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH(MEDICARE CON MODIFICADOR)	$20.00	$20.00	$6.04–$10.00	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH (LACTIC DEHYDROGENASE)	$20.00	$20.00	$5.75–$20.00	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC ACID IN CSF	$44.00	$44.00	$5.75–$10.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$9.00	$9.00	$6.00–$15.00	61% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, BODY FLUID	$10.00	$10.00	$6.00–$15.00	57% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$36.00	$36.00	$6.00–$15.00	55% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM	$9.00	$9.00	$6.00–$15.00	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, BODY FLUID	$10.00	$10.00	$6.00–$15.00	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$36.00	$36.00	$6.00–$15.00	—	—
Liver function blood test panel CPT 80076 HEPATIC OR LIVER PROFILE	$16.00	$16.00	$7.79–$35.00	56% below	—
Liver function blood test panel CPT 80076 HEPATIC FUCT TEST	$30.00	$30.00	$7.79–$35.00	17% below	—
Liver function blood test panel CPT 80076 LIVER PROFILE	$32.00	$32.00	$7.79–$35.00	11% below	—
Liver function blood test panel CPT 80076 HEPATIC PROF OLD	$40.00	$40.00	$7.79–$35.00	11% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC OR LIVER PROFILE	$16.00	$16.00	$7.79–$35.00	—	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUCT TEST	$30.00	$30.00	$7.79–$35.00	—	—
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$32.00	$32.00	$7.79–$35.00	—	—
Liver function blood test panel inpatient CPT 80076 HEPATIC PROF OLD	$40.00	$40.00	$7.79–$35.00	—	—
Magnesium blood test CPT 83735 MAGNESIUM SERUM OR URINE	$10.00	$10.00	$6.38–$25.00	52% below	—
Magnesium blood test CPT 83735 MAGNESIUM,SERUM	$15.00	$15.00	$6.38–$25.00	29% below	—
Magnesium blood test CPT 83735 MAGNESIO (W MODIFIC)	$20.00	$20.00	$6.70–$15.00	5% below	—
Magnesium blood test CPT 83735 MAGNESIUM/24 HR URINE	$24.00	$24.00	$6.38–$25.00	14% above	—
Magnesium blood test CPT 83735 MAGNESIO IN STOOL	$93.00	$93.00	$6.38–$25.00	343% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM OR URINE	$10.00	$10.00	$6.38–$25.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM,SERUM	$15.00	$15.00	$6.38–$25.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIO (W MODIFIC)	$20.00	$20.00	$6.70–$15.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM/24 HR URINE	$24.00	$24.00	$6.38–$25.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIO IN STOOL	$93.00	$93.00	$6.38–$25.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$8.00	$8.00	$4.94–$19.19	65% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCREENI	$16.25	$16.25	$4.94–$12.00	30% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$8.00	$8.00	$4.94–$19.19	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCREENI	$16.25	$16.25	$4.94–$12.00	—	—
Obstetric blood test panel CPT 80055 PRENATAL PROFILE	$58.00	$58.00	$45.58–$75.00	37% below	—
Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE	$58.00	$58.00	$45.58–$75.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE & TOTAL	$20.00	$20.00	$17.54–$145.00	73% below	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$38.00	$38.00	$17.54–$145.00	48% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE & TOTAL	$20.00	$20.00	$17.54–$145.00	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$38.00	$38.00	$17.54–$145.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$20.00	$20.00	$17.54–$58.00	60% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC. AG-PSA	$25.00	$25.00	$17.54–$58.00	50% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIF AG(PSA) TOTAL	$29.00	$29.00	$17.54–$58.00	42% below	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$20.00	$20.00	$17.54–$58.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPEC. AG-PSA	$25.00	$25.00	$17.54–$58.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIF AG(PSA) TOTAL	$29.00	$29.00	$17.54–$58.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT(THROMBOPLAST.PARTIAL TIME)	$9.00	$9.00	$5.73–$11.20	55% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$9.00	$9.00	$2.73–$10.00	55% below	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$9.00	$9.00	$2.73–$10.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT(THROMBOPLAST.PARTIAL TIME)	$9.00	$9.00	$5.73–$11.20	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, SERUM	$7.00	$7.00	$4.52–$10.00	60% below	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, SERUM	$7.00	$7.00	$4.52–$10.00	—	—
Potassium blood test CPT 84132 POTASSIUM IN SER OR BODY FLUID	$7.00	$7.00	$4.38–$10.00	59% below	—
Potassium blood test inpatient CPT 84132 POTASSIUM IN SER OR BODY FLUID	$7.00	$7.00	$4.38–$10.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT(PROTHROMBIN TIME)	$8.00	$8.00	$3.75–$10.00	51% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$8.00	$8.00	$3.75–$10.00	51% below	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$8.00	$8.00	$3.75–$10.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT(PROTHROMBIN TIME)	$8.00	$8.00	$3.75–$10.00	—	—
Sodium blood test CPT 84295 SODIUM, SERUM	$7.00	$7.00	$4.59–$8.00	63% below	—
Sodium blood test inpatient CPT 84295 SODIUM, SERUM	$7.00	$7.00	$4.59–$8.00	—	—
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$7.00	$7.00	$3.50–$9.81	66% below	—
Stool ova and parasites exam CPT 87177 URINE OVA & PARASITE URINE EXA	$18.00	$18.00	$3.50–$9.10	11% below	—
Stool ova and parasites exam CPT 87177 ISOPORABELI(STOOL)	$45.00	$45.00	$3.50–$9.10	122% above	—
Stool ova and parasites exam CPT 87177 CRYPTOSPOR & ISOSPORA EXAM STO	$50.00	$50.00	$3.50–$9.10	146% above	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITES/STOOL	$52.25	$52.25	$3.50–$9.10	157% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES	$7.00	$7.00	$3.50–$9.81	—	—
Stool ova and parasites exam inpatient CPT 87177 URINE OVA & PARASITE URINE EXA	$18.00	$18.00	$3.50–$9.10	—	—
Stool ova and parasites exam inpatient CPT 87177 ISOPORABELI(STOOL)	$45.00	$45.00	$3.50–$9.10	—	—
Stool ova and parasites exam inpatient CPT 87177 CRYPTOSPOR & ISOSPORA EXAM STO	$50.00	$50.00	$3.50–$9.10	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES/STOOL	$52.25	$52.25	$3.50–$9.10	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD	$7.00	$7.00	$3.00–$19.20	42% below	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD	$7.00	$7.00	$3.00–$19.20	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNOASSAY (OB) STOOL	$20.00	$20.00	$10.00–$48.00	54% below	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IMMUNOASSAY (OB) STOOL	$20.00	$20.00	$10.00–$48.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$10.00	$10.00	$4.07–$11.74	43% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$10.00	$10.00	$4.07–$11.74	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$27.00	$27.00	$16.02–$40.00	46% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE(TSH)	$27.00	$27.00	$16.02–$40.00	46% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-BASAL & TSH POST	$30.00	$30.00	$16.80–$160.00	40% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$27.00	$27.00	$16.02–$40.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE(TSH)	$27.00	$27.00	$16.02–$40.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH-BASAL & TSH POST	$30.00	$30.00	$16.80–$160.00	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL, TOTAL	$7.00	$7.00	$4.14–$10.00	56% below	—
Total cholesterol blood test CPT 82465 CHOL REF	$12.00	$12.00	$4.14–$7.00	25% below	—
Total cholesterol blood test CPT 82465 CHOLESTEROL REF	$12.00	$12.00	$4.14–$10.00	25% below	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL, TOTAL	$7.00	$7.00	$4.14–$10.00	—	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL REF	$12.00	$12.00	$4.14–$10.00	—	—
Total cholesterol blood test inpatient CPT 82465 CHOL REF	$12.00	$12.00	$4.14–$7.00	—	—
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$11.00	$11.00	$6.55–$20.00	63% below	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL	$20.00	$20.00	$6.55–$20.00	33% below	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4), RIA	$39.50	$39.50	$6.55–$20.00	33% above	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE REQ ELUTION(NEONATAL	$74.00	$74.00	$6.55–$20.00	150% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$11.00	$11.00	$6.55–$20.00	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL	$20.00	$20.00	$6.55–$20.00	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T4), RIA	$39.50	$39.50	$6.55–$20.00	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE REQ ELUTION(NEONATAL	$74.00	$74.00	$6.55–$20.00	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES REF	$3.00	$3.00	$5.48–$15.00	88% below	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES SERUM	$12.00	$12.00	$5.48–$15.00	54% below	—
Triglycerides blood test CPT 84478 TRIG FOR REF	$18.00	$18.00	$5.48–$15.00	30% below	—
Triglycerides blood test CPT 84478 TRIGLYCERIDE, BODY FLUID	$22.00	$22.00	$5.48–$15.00	15% below	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES REF	$3.00	$3.00	$5.48–$15.00	—	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES SERUM	$12.00	$12.00	$5.48–$15.00	—	—
Triglycerides blood test inpatient CPT 84478 TRIG FOR REF	$18.00	$18.00	$5.48–$15.00	—	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE, BODY FLUID	$22.00	$22.00	$5.48–$15.00	—	—
Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE	$29.00	$29.00	$9.38–$65.00	30% below	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE	$29.00	$29.00	$9.38–$65.00	—	—
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$7.00	$7.00	$4.31–$10.00	60% below	—
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$7.00	$7.00	$4.31–$10.00	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W MICROSCOPY	$20.00	$20.00	$3.02–$8.00	19% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W MICROSCOPY	$20.00	$20.00	$3.02–$8.00	—	—
Urinalysis with microscope exam, manual CPT 81000 GLUCOSE URUNE BY STRIP	$5.00	$5.00	$3.02–$8.00	79% below	—
Urinalysis with microscope exam, manual CPT 81000 CLINITEST TOLERANCE 3HRS	$15.00	$15.00	$3.00–$8.00	38% below	—
Urinalysis with microscope exam, manual CPT 81000 CLINITEST TOLERANCE 5HRS	$21.00	$21.00	$3.00–$8.00	12% below	—
Urinalysis with microscope exam, manual inpatient CPT 81000 GLUCOSE URUNE BY STRIP	$5.00	$5.00	$3.02–$8.00	—	—
Urinalysis with microscope exam, manual inpatient CPT 81000 CLINITEST TOLERANCE 3HRS	$15.00	$15.00	$3.00–$8.00	—	—
Urinalysis with microscope exam, manual inpatient CPT 81000 CLINITEST TOLERANCE 5HRS	$21.00	$21.00	$3.00–$8.00	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYS (WITHOUT MIC) ROUTINE	$15.00	$15.00	$2.00–$8.00	76% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYS (WITHOUT MIC) ROUTINE	$15.00	$15.00	$2.00–$8.00	—	—
Urinalysis without microscope exam, manual CPT 81002 METABOLIC SCREENING URINE	$90.00	$90.00	$2.44–$7.00	7% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 METABOLIC SCREENING URINE	$90.00	$90.00	$2.44–$7.00	—	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT	$25.00	$25.00	$6.83–$30.00	27% below	—
Urine culture for bacteria, with colony count CPT 87086 CORTICOSTERONE(COMPOUND B	$70.50	$70.50	$6.83–$30.00	106% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY COUNT	$25.00	$25.00	$6.83–$30.00	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CORTICOSTERONE(COMPOUND B	$70.50	$70.50	$6.83–$30.00	—	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN IN RANDOM URINE	$31.00	$31.00	$5.51–$70.00	56% below	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN IN URINE 24 HRS	$31.00	$31.00	$5.51–$70.00	56% below	—
Urine microalbumin (albumin) test CPT 82043 ALBUMIN:CREATININE RATIO	$58.00	$58.00	$5.51–$70.00	17% below	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN IN RANDOM URINE	$31.00	$31.00	$5.51–$70.00	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN IN URINE 24 HRS	$31.00	$31.00	$5.51–$70.00	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN:CREATININE RATIO	$58.00	$58.00	$5.51–$70.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 LEVEL (CYANOCOB)	$24.00	$24.00	$14.38–$45.00	53% below	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 LEVEL (CYANOCOB)	$24.00	$24.00	$14.38–$45.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 HYDROXY)	$65.00	$65.00	$28.23–$120.00	47% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25 HYDROXY)	$65.00	$65.00	$28.23–$120.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SUB UNIT TR MARK O MATER	$27.00	$27.00	$14.36–$49.00	56% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG IN SERUM QUAT	$27.00	$27.00	$7.17–$49.00	56% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN,CHRONIC(HCG) QUAN	$30.00	$30.00	$14.36–$49.00	52% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG IN SERUM QUAT	$27.00	$27.00	$7.17–$49.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SUB UNIT TR MARK O MATER	$27.00	$27.00	$14.36–$49.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN,CHRONIC(HCG) QUAN	$30.00	$30.00	$14.36–$49.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Puerto Rico	Off list
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPY ULTR E	$4,000.00	$4,000.00	$261.42–$4,200.00	—	—
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY W/ENDOSCOPY ULTR E	$4,000.00	$4,000.00	$261.42–$4,200.00	—	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY LESION REMOVAL	$500.00	$500.00	$127.00–$875.66	81% below	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY LESION REMOVAL	$500.00	$500.00	$127.00–$875.66	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BIOPSY SING/MULT	$538.99	$538.99	$127.00–$875.66	at median	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W BIOPSY SING/MULT	$538.99	$538.99	$127.00–$875.66	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPIA	$126.00	$126.00	$127.00–$677.09	73% below	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPIA	$126.00	$126.00	$127.00–$677.09	—	—
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$819.00	$819.00	$350.00–$1,415.00	36% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$819.00	$819.00	$350.00–$1,415.00	—	—
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH	$2,300.00	$2,300.00	$240.11–$2,410.00	at median	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH	$2,300.00	$2,300.00	$240.11–$2,410.00	—	—
Prostate biopsy CPT 55700 BIOPSY PROSTATE	$650.00	$650.00	$257.60–$690.00	35% below	—
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE	$650.00	$650.00	$257.60–$690.00	—	—
Removal of a breast lump, open surgery CPT 19120 EXC CYST,FIBROADENOMA OTH BENI	$1,700.00	$1,700.00	$536.10–$1,700.00	17% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST,FIBROADENOMA OTH BENI	$1,700.00	$1,700.00	$536.10–$1,700.00	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPY	$200.00	$200.00	$127.00–$696.29	38% below	—
Upper endoscopy (EGD) with biopsy CPT 43239 GASTROINTESTINAL ENDO W BIOPSY	$241.00	$241.00	$127.00–$696.29	26% below	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 GASTROSCOPY	$200.00	$200.00	$127.00–$696.29	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 GASTROINTESTINAL ENDO W BIOPSY	$241.00	$241.00	$127.00–$696.29	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 UGIE INCLUDING ESOPHAGUS ECT	$146.00	$146.00	$111.00–$696.29	47% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 GASTROJEJUNOSTOMY W/O SPECIM	$224.00	$224.00	$127.00–$696.29	19% below	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UGIE INCLUDING ESOPHAGUS ECT	$146.00	$146.00	$111.00–$696.29	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 GASTROJEJUNOSTOMY W/O SPECIM	$224.00	$224.00	$127.00–$696.29	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Puerto Rico	Off list
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE VISIT	$88.50	$88.50	$30.00–$236.00	14% below	—
New patient office visit, about 30 minutes CPT 99203 E&M NEW PT-(INTERMEDIATE)	$332.99	$332.99	$95.71–$504.00	222% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT OFFICE VISIT	$88.50	$88.50	$30.00–$236.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 E&M NEW PT-(INTERMEDIATE)	$332.99	$332.99	$95.71–$504.00	—	—
New patient office visit, about 45 minutes CPT 99204 E&M NEW PT-(EXTENDED)	$456.96	$456.96	$170.39–$504.00	at median	—
New patient office visit, about 45 minutes inpatient CPT 99204 E&M NEW PT-(EXTENDED)	$456.96	$456.96	$170.39–$504.00	—	—
New patient office visit, about 60 minutes CPT 99205 E&M NEW PT-(COMPLEX)	$618.45	$618.45	$180.00–$504.00	at median	—
New patient office visit, about 60 minutes inpatient CPT 99205 E&M NEW PT-(COMPLEX)	$618.45	$618.45	$180.00–$504.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT PROC THERPTC EXERCISE O/P 1	$35.00	$35.00	$30.46	30% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERPTC EX. O/P 15M MFD	$35.00	$35.00	$30.46	30% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PROC THERPTC EXERCISE 15M	$35.00	$35.00	$10.73–$30.46	30% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PROC THERAPTC EXERCISE O/P	$35.00	$35.00	$30.46	30% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT PROC THERPTC EXERCISE 15M	$35.00	$35.00	$30.46	30% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PHYSICAL THERAPHY	$35.00	$35.00	$12.00–$35.00	30% below	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT PROC THERPTC EXERCISE 15M	$35.00	$35.00	$30.46	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT PROC THERPTC EXERCISE 15M	$35.00	$35.00	$10.73–$30.46	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERPTC EX. O/P 15M MFD	$35.00	$35.00	$30.46	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PHYSICAL THERAPHY	$35.00	$35.00	$12.00–$35.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT PROC THERAPTC EXERCISE O/P	$35.00	$35.00	$30.46	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT PROC THERPTC EXERCISE O/P 1	$35.00	$35.00	$30.46	—	—

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

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

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

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

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

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

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

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

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

Source file: https://www.bvhpr.org/assets/files/660204776_bella-vista-hospital,-inc_standardcharges.csv