SelfPayRates
Hospital Dickinson, ND

St Joseph's Hospital and Health Center

St Joseph's Hospital and Health Center in Dickinson, ND publishes cash prices for 343 common procedures listed here, from its own machine-readable price file updated Sep 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Dakota median for 251 of 339 procedures and above it for 87. By typical cash price it ranks #4 of 33 North Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

2500 FAIRWAY ST, Dickinson, ND 58601 Collected Nov 5, 2026 Source price file Check a bill from this hospital (701) 456-4000

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 351336 · CMS hospital register NPI 1992947956

Financial assistance

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

St Joseph's Hospital and Health Center 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named St Joseph's Hospital and Health Center in Dickinson, ND:

  • Jun 11, 2025 Warning notice
  • Jun 23, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Abdominal CT scan without and with contrast CPT 74170 ABDOMEN W WO CONT $1,539.90 $2,610.00 $1,044.00–$2,531.70 25% below 41%
Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN W WO CONT $1,539.90 $2,610.00 $1,827.00–$2,531.70 — 41%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT $277.89 $471.00 $188.40–$456.87 60% above 41%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT $277.89 $471.00 $329.70–$456.87 — 41%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV ANKLE BRACHIAL INDEX (ABI) $310.34 $526.00 $210.40–$510.22 6% above 41%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV ANKLE BRACHIAL INDEX (ABI) $310.34 $526.00 $368.20–$510.22 — 41%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS $323.32 $548.00 $219.20–$531.56 10% below 41%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS $323.32 $548.00 $383.60–$531.56 — 41%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY $988.25 $1,675.00 $670.00–$1,624.75 7% below 41%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY $988.25 $1,675.00 $1,172.50–$1,624.75 — 41%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LTD SC FAC $35.40 $60.00 $24.00–$58.20 88% below 41%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LTD SC FAC $35.40 $60.00 $42.00–$58.20 — 41%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELV W CONT $764.05 $1,295.00 $518.00–$1,256.15 73% below 41%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELV W WO CONT $1,805.99 $3,061.00 $1,224.40–$2,969.17 36% below 41%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELV W CONT $764.05 $1,295.00 $906.50–$1,256.15 — 41%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELV W WO CONT $1,805.99 $3,061.00 $2,142.70–$2,969.17 — 41%
CT angiography (CTA) of the head CPT 70496 ANG HEAD $1,851.42 $3,138.00 $1,255.20–$3,043.86 8% below 41%
CT angiography (CTA) of the head inpatient CPT 70496 ANG HEAD $1,851.42 $3,138.00 $2,196.60–$3,043.86 — 41%
CT angiography (CTA) of the neck CPT 70498 ANG NECK $1,855.55 $3,145.00 $1,258.00–$3,050.65 7% below 41%
CT angiography (CTA) of the neck inpatient CPT 70498 ANG NECK $1,855.55 $3,145.00 $2,201.50–$3,050.65 — 41%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANG CHEST $2,081.52 $3,528.00 $1,411.20–$3,422.16 at median 41%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 ANG CHEST $2,081.52 $3,528.00 $2,469.60–$3,422.16 — 41%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CARD CALC SCORE WO CONT $500.91 $849.00 $339.60–$823.53 17% above 41%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CARD CALC SCORE WO CONT $500.91 $849.00 $594.30–$823.53 — 41%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN PELVIS WO CONT $2,221.94 $3,766.00 $1,506.40–$3,653.02 35% above 41%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDOMEN PELVIS WO CONT $2,221.94 $3,766.00 $2,636.20–$3,653.02 — 41%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN PELVIS W CONT $2,221.94 $3,766.00 $1,506.40–$3,653.02 10% below 41%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS W CONT $2,221.94 $3,766.00 $2,636.20–$3,653.02 — 41%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN PELVIS W WO CONT $2,711.05 $4,595.00 $1,838.00–$4,457.15 7% below 41%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDOMEN PELVIS W WO CONT $2,711.05 $4,595.00 $3,216.50–$4,457.15 — 41%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT $1,099.76 $1,864.00 $745.60–$1,808.08 32% below 41%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT $1,099.76 $1,864.00 $1,304.80–$1,808.08 — 41%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN WO CONT $1,099.76 $1,864.00 $745.60–$1,808.08 12% below 41%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN WO CONT $1,099.76 $1,864.00 $1,304.80–$1,808.08 — 41%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL SINUS WO CONT $1,044.30 $1,770.00 $708.00–$1,716.90 2% below 41%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL SINUS WO CONT $1,044.30 $1,770.00 $1,239.00–$1,716.90 — 41%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT $1,210.09 $2,051.00 $820.40–$1,989.47 12% above 41%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT $1,210.09 $2,051.00 $1,435.70–$1,989.47 — 41%
CT scan of the head with contrast CPT 70460 HEAD W CONT $1,210.09 $2,051.00 $820.40–$1,989.47 5% below 41%
CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT $1,210.09 $2,051.00 $1,435.70–$1,989.47 — 41%
CT scan of the head without and with contrast CPT 70470 HEAD W WO CONT $1,706.28 $2,892.00 $1,156.80–$2,805.24 12% above 41%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W WO CONT $1,706.28 $2,892.00 $2,024.40–$2,805.24 — 41%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT $1,215.40 $2,060.00 $824.00–$1,998.20 7% below 41%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT $1,215.40 $2,060.00 $1,442.00–$1,998.20 — 41%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT $1,288.56 $2,184.00 $873.60–$2,118.48 4% below 41%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT $1,288.56 $2,184.00 $1,528.80–$2,118.48 — 41%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT $1,278.53 $2,167.00 $866.80–$2,101.99 20% below 41%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT $1,278.53 $2,167.00 $1,516.90–$2,101.99 — 41%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMP $649.00 $1,100.00 $440.00–$1,067.00 7% below 41%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMP $649.00 $1,100.00 $770.00–$1,067.00 — 41%
Chest CT scan without and with contrast CPT 71270 CHEST W WO CONT $1,798.32 $3,048.00 $1,219.20–$2,956.56 5% above 41%
Chest CT scan without and with contrast inpatient CPT 71270 CHEST W WO CONT $1,798.32 $3,048.00 $2,133.60–$2,956.56 — 41%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUBITUS BI $227.74 $386.00 $154.40–$374.42 — 41%
Chest X-ray, 2 views CPT 71046 CHEST 2V $185.26 $314.00 $125.60–$304.58 7% above 41%
Chest X-ray, 2 views inpatient both sides CPT 71046 CHEST DECUBITUS BI $227.74 $386.00 $270.20–$374.42 — 41%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V $185.26 $314.00 $219.80–$304.58 — 41%
Chest X-ray, single view CPT 71045 CHEST 1V FRONTAL $145.14 $246.00 $98.40–$238.62 1% above 41%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V FRONTAL $145.14 $246.00 $172.20–$238.62 — 41%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 AORTA COMP DUPLEX $384.09 $651.00 $260.40–$631.47 12% below 41%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 AORTA COMP DUPLEX $384.09 $651.00 $455.70–$631.47 — 41%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY $348.10 $590.00 $236.00–$572.30 37% above 41%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY $348.10 $590.00 $413.00–$572.30 — 41%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB W FAE SINGLE 1ST GEST $467.87 $793.00 $317.20–$769.21 6% below 41%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB W FAE SINGLE 1ST GEST $467.87 $793.00 $555.10–$769.21 — 41%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST WO CONT $1,145.78 $1,942.00 $776.80–$1,883.74 6% below 41%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST WO CONT $1,145.78 $1,942.00 $1,359.40–$1,883.74 — 41%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST W CONT $1,145.78 $1,942.00 $776.80–$1,883.74 19% below 41%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST W CONT $1,145.78 $1,942.00 $1,359.40–$1,883.74 — 41%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI $459.02 $778.00 $311.20–$754.66 — 41%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI $459.02 $778.00 $544.60–$754.66 — 41%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL DUPLEX LWR EXT ART COMP BI $777.03 $1,317.00 $526.80–$1,277.49 — 41%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX LWR EXT $932.79 $1,581.00 $632.40–$1,533.57 8% above 41%
Duplex ultrasound of the leg arteries, both legs CPT 93925 CV LOWER EXT ARTERIAL DUPLEX $932.79 $1,581.00 $632.40–$1,533.57 8% above 41%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL DUPLEX LWR EXT ART COMP BI $777.03 $1,317.00 $921.90–$1,277.49 — 41%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DUPLEX LWR EXT $932.79 $1,581.00 $1,106.70–$1,533.57 — 41%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 CV LOWER EXT ARTERIAL DUPLEX $932.79 $1,581.00 $1,106.70–$1,533.57 — 41%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER LWR EXT BI $774.67 $1,313.00 $525.20–$1,273.61 — 41%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DOPPLER LWR EXT BI $774.67 $1,313.00 $919.10–$1,273.61 — 41%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP WO CONT $814.79 $1,381.00 $552.40–$1,339.57 6% above 41%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP WO CONT $814.79 $1,381.00 $966.70–$1,339.57 — 41%
Eye socket (orbit) CT scan without contrast CPT 70480 ORBIT SELLA PF IAC WO CONT $1,100.35 $1,865.00 $746.00–$1,809.05 20% below 41%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBIT SELLA PF IAC WO CONT $1,100.35 $1,865.00 $1,305.50–$1,809.05 — 41%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3V $207.09 $351.00 $140.40–$340.47 6% above 41%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3V $207.09 $351.00 $245.70–$340.47 — 41%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHOLESCINTIGRAPHY $1,235.46 $2,094.00 $837.60–$2,031.18 4% above 41%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHOLESCINTIGRAPHY $1,235.46 $2,094.00 $1,465.80–$2,031.18 — 41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY SPLIT NIGHT $3,131.72 $5,308.00 $2,123.20–$5,148.76 29% above 41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNO 6 YRS AND >SPLIT $3,131.72 $5,308.00 $2,123.20–$5,148.76 29% above 41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY SPLIT NIGHT $3,131.72 $5,308.00 $3,715.60–$5,148.76 — 41%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNO 6 YRS AND >SPLIT $3,131.72 $5,308.00 $3,715.60–$5,148.76 — 41%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LTD $387.04 $656.00 $262.40–$636.32 at median 41%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LTD $387.04 $656.00 $459.20–$636.32 — 41%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NON VASCULAR LTD $263.73 $447.00 $178.80–$433.59 9% above 41%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NON VASCULAR LTD $263.73 $447.00 $312.90–$433.59 — 41%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 INITIAL LUNG CT SCREENING $205.91 $349.00 $139.60–$338.53 72% below 41%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 INITIAL LUNG CT SCREENING $205.91 $349.00 $244.30–$338.53 — 41%
MR angiography (MRA) of the head without contrast CPT 70544 ANG HEAD WO CONT $1,745.22 $2,958.00 $1,183.20–$2,869.26 21% below 41%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 ANG HEAD WO CONT $1,745.22 $2,958.00 $2,070.60–$2,869.26 — 41%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 BREAST W CONT BI $2,985.40 $5,060.00 $2,024.00–$4,908.20 — 41%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 BREAST W CONT BI $2,985.40 $5,060.00 $3,542.00–$4,908.20 — 41%
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT $1,561.14 $2,646.00 $1,058.40–$2,566.62 19% below 41%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT $1,561.14 $2,646.00 $1,852.20–$2,566.62 — 41%
MRI of the abdomen, without and then with contrast dye CPT 74183 CHOLANGPNCRETOGRPHY W WO CONT $2,717.54 $4,606.00 $1,842.40–$4,467.82 16% below 41%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W WO CONT $2,891.00 $4,900.00 $1,960.00–$4,753.00 10% below 41%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 CHOLANGPNCRETOGRPHY W WO CONT $2,717.54 $4,606.00 $3,224.20–$4,467.82 — 41%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W WO CONT $2,891.00 $4,900.00 $3,430.00–$4,753.00 — 41%
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT $1,833.13 $3,107.00 $1,242.80–$3,013.79 4% above 41%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT $1,833.13 $3,107.00 $2,174.90–$3,013.79 — 41%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT $2,656.18 $4,502.00 $1,800.80–$4,366.94 12% below 41%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT $2,656.18 $4,502.00 $3,151.40–$4,366.94 — 41%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT $1,827.82 $3,098.00 $1,239.20–$3,005.06 6% below 41%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT $1,827.82 $3,098.00 $2,168.60–$3,005.06 — 41%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE COMP W WO CONT $3,088.65 $5,235.00 $2,094.00–$5,077.95 at median 41%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE COMP W WO CONT $3,088.65 $5,235.00 $3,664.50–$5,077.95 — 41%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE COMP WO CONT $1,867.35 $3,165.00 $1,266.00–$3,070.05 10% below 41%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE COMP WO CONT $1,867.35 $3,165.00 $2,215.50–$3,070.05 — 41%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE COMP W WO CONT $3,155.32 $5,348.00 $2,139.20–$5,187.56 2% above 41%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE COMP W WO CONT $3,155.32 $5,348.00 $3,743.60–$5,187.56 — 41%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE COMP WO CONT $1,867.35 $3,165.00 $1,266.00–$3,070.05 3% below 41%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE COMP WO CONT $1,867.35 $3,165.00 $2,215.50–$3,070.05 — 41%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W WO CONT $2,747.04 $4,656.00 $1,862.40–$4,516.32 10% below 41%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W WO CONT $2,747.04 $4,656.00 $3,259.20–$4,516.32 — 41%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT $1,675.01 $2,839.00 $1,135.60–$2,753.83 24% below 41%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT $1,675.01 $2,839.00 $1,987.30–$2,753.83 — 41%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMP W OBLIQUES $364.03 $617.00 $246.80–$598.49 62% above 41%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE COMP W OBLIQUES $364.03 $617.00 $431.90–$598.49 — 41%
Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK W CONT $1,081.47 $1,833.00 $733.20–$1,778.01 25% below 41%
Neck soft tissue CT scan with contrast inpatient CPT 70491 SOFT TISSUE NECK W CONT $1,081.47 $1,833.00 $1,283.10–$1,778.01 — 41%
Neck soft tissue CT scan without contrast CPT 70490 SOFT TISSUE NECK WO CONT $1,081.47 $1,833.00 $733.20–$1,778.01 12% below 41%
Neck soft tissue CT scan without contrast inpatient CPT 70490 SOFT TISSUE NECK WO CONT $1,081.47 $1,833.00 $1,283.10–$1,778.01 — 41%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE $127.44 $216.00 $86.40–$209.52 13% below 41%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE $127.44 $216.00 $151.20–$209.52 — 41%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTI $2,147.60 $3,640.00 $1,456.00–$3,530.80 2% below 41%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTI $2,147.60 $3,640.00 $2,548.00–$3,530.80 — 41%
Pelvic CT scan without contrast CPT 72192 PELVIS WO CONT $1,278.53 $2,167.00 $866.80–$2,101.99 4% above 41%
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS WO CONT $1,278.53 $2,167.00 $1,516.90–$2,101.99 — 41%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON OB LTD $222.43 $377.00 $150.80–$365.69 33% below 41%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NON OB LTD $222.43 $377.00 $263.90–$365.69 — 41%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON OB COMP $317.42 $538.00 $215.20–$521.86 30% below 41%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS NON OB COMP $317.42 $538.00 $376.60–$521.86 — 41%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $405.33 $687.00 $274.80–$666.39 20% below 41%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $405.33 $687.00 $480.90–$666.39 — 41%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRI SGL 1ST GEST $279.66 $474.00 $189.60–$459.78 30% below 41%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRI SGL 1ST GEST $279.66 $474.00 $331.80–$459.78 — 41%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LTD 1 OR MORE FETUS $236.00 $400.00 $160.00–$388.00 27% below 41%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LTD 1 OR MORE FETUS $236.00 $400.00 $280.00–$388.00 — 41%
Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL BI $660.80 $1,120.00 $89.44–$1,086.40 — 41%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL BI $660.80 $1,120.00 $784.00–$1,086.40 — 41%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3V $237.77 $403.00 $161.20–$390.91 33% above 41%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3V $237.77 $403.00 $282.10–$390.91 — 41%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS 4V $155.76 $264.00 $105.60–$256.08 6% below 41%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS 4V $155.76 $264.00 $184.80–$256.08 — 41%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY $2,847.34 $4,826.00 $1,930.40–$4,681.22 17% above 41%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY $2,847.34 $4,826.00 $3,378.20–$4,681.22 — 41%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W VIDEO $626.58 $1,062.00 $424.80–$1,030.14 25% above 41%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W VIDEO $626.58 $1,062.00 $743.40–$1,030.14 — 41%
Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC SPINE WO CONT $1,288.56 $2,184.00 $873.60–$2,118.48 at median 41%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 THORACIC SPINE WO CONT $1,288.56 $2,184.00 $1,528.80–$2,118.48 — 41%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB $387.63 $657.00 $262.80–$637.29 20% below 41%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB $387.63 $657.00 $459.90–$637.29 — 41%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL $251.34 $426.00 $170.40–$413.22 24% below 41%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL $251.34 $426.00 $298.20–$413.22 — 41%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP $479.67 $813.00 $325.20–$788.61 7% below 41%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP $479.67 $813.00 $569.10–$788.61 — 41%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS $361.08 $612.00 $244.80–$593.64 13% below 41%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS $361.08 $612.00 $428.40–$593.64 — 41%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD NECK SOFT TISSUE $340.43 $577.00 $230.80–$559.69 29% below 41%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD NECK SOFT TISSUE $340.43 $577.00 $403.90–$559.69 — 41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB $273.17 $463.00 $185.20–$449.11 48% below 41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI $295.00 $500.00 $200.00–$485.00 44% below 41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB $273.17 $463.00 $324.10–$449.11 — 41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI $295.00 $500.00 $350.00–$485.00 — 41%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VENOUS DUPLEX UNI $533.95 $905.00 $362.00–$877.85 3% above 41%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VENOUS DUPLEX UNI $533.95 $905.00 $633.50–$877.85 — 41%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V FLAT $144.55 $245.00 $98.00–$237.65 3% above 41%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V FLAT $144.55 $245.00 $171.50–$237.65 — 41%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3V $298.54 $506.00 $202.40–$490.82 55% above 41%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3V $298.54 $506.00 $354.20–$490.82 — 41%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V $342.79 $581.00 $232.40–$563.57 44% above 41%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V $342.79 $581.00 $406.70–$563.57 — 41%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V $200.60 $340.00 $136.00–$329.80 32% above 41%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V $200.60 $340.00 $238.00–$329.80 — 41%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V $153.99 $261.00 $104.40–$253.17 2% above 41%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V $153.99 $261.00 $182.70–$253.17 — 41%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V OR 3V $316.83 $537.00 $214.80–$520.89 94% above 41%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V OR 3V $316.83 $537.00 $375.90–$520.89 — 41%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V OR 2V $153.99 $261.00 $104.40–$253.17 at median 41%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V OR 2V $153.99 $261.00 $182.70–$253.17 — 41%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2V $165.79 $281.00 $112.40–$272.57 8% above 41%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX MIN 2V $165.79 $281.00 $196.70–$272.57 — 41%

Lab tests

ProcedureCash priceList priceInsurers payvs North DakotaOff list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORM ACTH $68.36 $115.86 $38.62–$112.39 53% below 41%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORM ACTH $68.36 $115.86 $81.11–$112.39 — 41%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT $69.03 $117.00 $5.30–$113.49 70% above 41%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT $69.03 $117.00 $81.90–$113.49 — 41%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST $69.03 $117.00 $5.18–$113.49 67% above 41%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST $69.03 $117.00 $81.90–$113.49 — 41%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $84.31 $142.89 $47.63–$138.61 63% below 41%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE $302.08 $512.00 $47.63–$496.64 33% above 41%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $84.31 $142.89 $100.03–$138.61 — 41%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE $302.08 $512.00 $358.40–$496.64 — 41%
Albumin blood test CPT 82040 ALBUMIN SERUM $8.77 $14.85 $4.95–$14.41 75% below 41%
Albumin blood test CPT 82040 ALBUMIN $74.93 $127.00 $4.95–$123.19 114% above 41%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM $8.77 $14.85 $10.40–$14.41 — 41%
Albumin blood test inpatient CPT 82040 ALBUMIN $74.93 $127.00 $88.90–$123.19 — 41%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM $19.47 $33.00 $19.47–$33.66 84% below 41%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE 24HR $237.77 $403.00 $40.75–$390.91 93% above 41%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM $19.47 $33.00 $23.10–$32.01 — 41%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE 24HR $237.77 $403.00 $282.10–$390.91 — 41%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS TOTAL $9.17 $15.54 $5.18–$15.08 73% below 41%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS ISO (HEAT STABLE) $53.69 $91.00 $5.18–$88.27 60% above 41%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS $101.48 $172.00 $5.18–$166.84 203% above 41%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS TOTAL $9.17 $15.54 $10.88–$15.08 — 41%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS ISO (HEAT STABLE) $53.69 $91.00 $63.70–$88.27 — 41%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS $101.48 $172.00 $120.40–$166.84 — 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCREEN 31 X 1 $5.31 $9.00 $5.22–$8.73 80% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PISTACHIO $9.23 $15.64 $5.22–$15.18 66% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD GLUTEN $9.24 $15.66 $5.22–$15.20 65% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD LEMON $9.44 $16.00 $5.22–$15.52 65% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COWS MILK IGE $24.78 $42.00 $5.22–$40.74 7% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WATERMELON $29.50 $50.00 $5.22–$48.50 10% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE ALLERGEN $34.22 $58.00 $5.22–$56.26 28% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERONYSSINUS $39.53 $67.00 $5.22–$64.99 48% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP PANEL GREAT PLAINS X 1 $43.66 $74.00 $5.22–$71.78 63% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BARLEY IGE $53.69 $91.00 $5.22–$88.27 100% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYS CHART/ATRA IGG $63.72 $108.00 $5.22–$104.76 138% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENRESP A18 RFLX CAT X3 $78.47 $133.00 $5.22–$129.01 193% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENRESP A18 RFLX DOG X4 $97.94 $166.00 $5.22–$161.02 266% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DUST/MITE PROFILE $107.38 $182.00 $5.22–$176.54 301% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENRESP AREA18 X16 $112.10 $190.00 $5.22–$184.30 319% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE PEDIATRIC X4 $126.85 $215.00 $5.22–$208.55 374% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS NUTS 6 X5 $131.57 $223.00 $5.22–$216.31 391% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS LATEX RELATED X5 $136.88 $232.00 $5.22–$225.04 411% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS FOOD-FISH X6 $151.04 $256.00 $5.22–$248.32 464% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCREEN 31 X 30 $165.79 $281.00 $5.22–$272.57 519% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SEAFOOD X7 $175.82 $298.00 $5.22–$289.06 557% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NUTS 9 IGE W/REFLEX $243.67 $413.00 $5.22–$400.61 810% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 SHELLFISH ALLERGEN PROFILE X8 $248.98 $422.00 $5.22–$409.34 830% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRASS PROFILE X8 $268.45 $455.00 $5.22–$441.35 902% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 APC - ALLERGENS 11 COMMON $282.61 $479.00 $5.22–$464.63 955% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDS ALLERGY PROFILE 11 (X10) $312.11 $529.00 $5.22–$513.13 1065% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WEED PROFILE X13 $331.58 $562.00 $5.22–$545.14 1138% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 AFA - ALLERGEN FOOD ADULT X11 $351.05 $595.00 $5.22–$577.15 1211% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT COMMON FOOD PROF 15X14 $361.08 $612.00 $5.22–$593.64 1248% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGEN X14 $487.34 $826.00 $5.22–$801.22 1720% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 22 X21 $541.03 $917.00 $5.22–$889.49 1920% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PROFILE 19 X18 $560.50 $950.00 $5.22–$921.50 1993% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PROFILE X19 $599.44 $1,016.00 $5.22–$985.52 2138% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS INHAL/FOOD WPX23 $604.16 $1,024.00 $5.22–$993.28 2156% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE X23 $614.19 $1,041.00 $5.22–$1,009.77 2193% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLREG7 - ALLERGENS $657.85 $1,115.00 $5.22–$1,081.55 2356% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGE FOOD COMP PROFILE1 $667.88 $1,132.00 $5.22–$1,098.04 2394% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 RESPIRATORY PROFILE X22 $677.32 $1,148.00 $5.22–$1,113.56 2429% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN PNL (X26) $696.79 $1,181.00 $5.22–$1,145.57 2502% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE (X27) $726.29 $1,231.00 $5.22–$1,194.07 2612% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RESP AREA 9 X24 $755.20 $1,280.00 $5.22–$1,241.60 2720% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP PANEL GREAT PLAINS X 21 $940.46 $1,594.00 $5.22–$1,546.18 3412% above 41%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT COMP FOOD PROFILE 35 X34 $1,062.59 $1,801.00 $5.22–$1,746.97 3868% above 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCREEN 31 X 1 $5.31 $9.00 $6.30–$8.73 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD PISTACHIO $9.23 $15.64 $10.95–$15.18 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD GLUTEN $9.24 $15.66 $10.97–$15.20 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD LEMON $9.44 $16.00 $11.20–$15.52 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COWS MILK IGE $24.78 $42.00 $29.40–$40.74 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WATERMELON $29.50 $50.00 $35.00–$48.50 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE ALLERGEN $34.22 $58.00 $40.60–$56.26 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERONYSSINUS $39.53 $67.00 $46.90–$64.99 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP PANEL GREAT PLAINS X 1 $43.66 $74.00 $51.80–$71.78 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BARLEY IGE $53.69 $91.00 $63.70–$88.27 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STACHYBOTRYS CHART/ATRA IGG $63.72 $108.00 $75.60–$104.76 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENRESP A18 RFLX CAT X3 $78.47 $133.00 $93.10–$129.01 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENRESP A18 RFLX DOG X4 $97.94 $166.00 $116.20–$161.02 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN DUST/MITE PROFILE $107.38 $182.00 $127.40–$176.54 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENRESP AREA18 X16 $112.10 $190.00 $133.00–$184.30 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE PEDIATRIC X4 $126.85 $215.00 $150.50–$208.55 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS NUTS 6 X5 $131.57 $223.00 $156.10–$216.31 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS LATEX RELATED X5 $136.88 $232.00 $162.40–$225.04 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS FOOD-FISH X6 $151.04 $256.00 $179.20–$248.32 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCREEN 31 X 30 $165.79 $281.00 $196.70–$272.57 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS SEAFOOD X7 $175.82 $298.00 $208.60–$289.06 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN NUTS 9 IGE W/REFLEX $243.67 $413.00 $289.10–$400.61 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHELLFISH ALLERGEN PROFILE X8 $248.98 $422.00 $295.40–$409.34 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GRASS PROFILE X8 $268.45 $455.00 $318.50–$441.35 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APC - ALLERGENS 11 COMMON $282.61 $479.00 $335.30–$464.63 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDS ALLERGY PROFILE 11 (X10) $312.11 $529.00 $370.30–$513.13 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WEED PROFILE X13 $331.58 $562.00 $393.40–$545.14 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AFA - ALLERGEN FOOD ADULT X11 $351.05 $595.00 $416.50–$577.15 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT COMMON FOOD PROF 15X14 $361.08 $612.00 $428.40–$593.64 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGEN X14 $487.34 $826.00 $578.20–$801.22 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS 22 X21 $541.03 $917.00 $641.90–$889.49 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD PROFILE 19 X18 $560.50 $950.00 $665.00–$921.50 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD PROFILE X19 $599.44 $1,016.00 $711.20–$985.52 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS INHAL/FOOD WPX23 $604.16 $1,024.00 $716.80–$993.28 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE X23 $614.19 $1,041.00 $728.70–$1,009.77 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLREG7 - ALLERGENS $657.85 $1,115.00 $780.50–$1,081.55 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGE FOOD COMP PROFILE1 $667.88 $1,132.00 $792.40–$1,098.04 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESPIRATORY PROFILE X22 $677.32 $1,148.00 $803.60–$1,113.56 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN PNL (X26) $696.79 $1,181.00 $826.70–$1,145.57 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE (X27) $726.29 $1,231.00 $861.70–$1,194.07 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RESP AREA 9 X24 $755.20 $1,280.00 $896.00–$1,241.60 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP PANEL GREAT PLAINS X 21 $940.46 $1,594.00 $1,115.80–$1,546.18 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT COMP FOOD PROFILE 35 X34 $1,062.59 $1,801.00 $1,260.70–$1,746.97 — 41%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER $7.67 $13.00 $7.67–$13.26 92% below 41%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK $29.69 $50.31 $16.77–$48.81 69% below 41%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER $7.67 $13.00 $9.10–$12.61 — 41%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK $29.69 $50.31 $35.22–$48.81 — 41%
Ammonia blood test CPT 82140 AMMONIA PLASMA $25.79 $43.71 $14.57–$42.40 48% below 41%
Ammonia blood test CPT 82140 AMMONIA $248.98 $422.00 $14.57–$409.34 402% above 41%
Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA $25.79 $43.71 $30.60–$42.40 — 41%
Ammonia blood test inpatient CPT 82140 AMMONIA $248.98 $422.00 $295.40–$409.34 — 41%
Amylase blood test CPT 82150 URINE AMYLASE $11.21 $19.00 $6.48–$18.43 75% below 41%
Amylase blood test CPT 82150 AMYLASE SERUM $11.47 $19.44 $6.48–$18.86 75% below 41%
Amylase blood test CPT 82150 AMYLASE BODY FLUID $11.80 $20.00 $6.48–$19.40 74% below 41%
Amylase blood test CPT 82150 AMYLASE $84.37 $143.00 $6.48–$138.71 85% above 41%
Amylase blood test inpatient CPT 82150 URINE AMYLASE $11.21 $19.00 $13.30–$18.43 — 41%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM $11.47 $19.44 $13.61–$18.86 — 41%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID $11.80 $20.00 $14.00–$19.40 — 41%
Amylase blood test inpatient CPT 82150 AMYLASE $84.37 $143.00 $100.10–$138.71 — 41%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG $22.93 $38.85 $12.95–$37.69 72% below 41%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP AB $23.01 $39.00 $12.95–$37.83 72% below 41%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB $97.94 $166.00 $12.95–$161.02 19% above 41%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG $22.93 $38.85 $27.20–$37.69 — 41%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP AB $23.01 $39.00 $27.30–$37.83 — 41%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB $97.94 $166.00 $116.20–$161.02 — 41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY ELISA IGG W/RFLX IFA $21.40 $36.27 $12.09–$35.19 66% below 41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN $87.32 $148.00 $12.09–$143.56 37% above 41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA $133.34 $226.00 $12.09–$219.22 109% above 41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY ELISA IGG W/RFLX IFA $21.40 $36.27 $25.39–$35.19 — 41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN $87.32 $148.00 $103.60–$143.56 — 41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA $133.34 $226.00 $158.20–$219.22 — 41%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP $227.74 $386.00 $39.26–$374.42 2% below 41%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP $227.74 $386.00 $270.20–$374.42 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC $73.75 $125.00 $8.62–$121.25 14% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BODY FLUID $105.02 $178.00 $8.62–$172.66 62% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC $73.75 $125.00 $87.50–$121.25 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BODY FLUID $105.02 $178.00 $124.60–$172.66 — 41%
Basic metabolic panel (blood test) CPT 80048 BMP $53.10 $90.00 $8.46–$87.30 29% below 41%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $143.37 $243.00 $8.46–$235.71 93% above 41%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP $53.10 $90.00 $63.00–$87.30 — 41%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $143.37 $243.00 $170.10–$235.71 — 41%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA $8.89 $15.06 $5.02–$14.61 75% below 41%
Bilirubin blood test, total CPT 82247 BODY FLUID TOTAL BILIRUBIN $74.93 $127.00 $5.02–$123.19 113% above 41%
Bilirubin blood test, total CPT 82247 BILIRUBIN URINE $79.65 $135.00 $5.02–$130.95 127% above 41%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA $8.89 $15.06 $10.55–$14.61 — 41%
Bilirubin blood test, total inpatient CPT 82247 BODY FLUID TOTAL BILIRUBIN $74.93 $127.00 $88.90–$123.19 — 41%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN URINE $79.65 $135.00 $94.50–$130.95 — 41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $91.39 $154.89 $61.96–$150.25 26% below 41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS/MICRO L4 $203.55 $345.00 $138.00–$334.65 65% above 41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST $91.39 $154.89 $108.43–$150.25 — 41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS/MICRO L4 $203.55 $345.00 $241.50–$334.65 — 41%
Blood culture for bacteria CPT 87040 CULT BLOOD AEROBIC $64.31 $109.00 $10.32–$105.73 24% below 41%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $85.55 $145.00 $10.32–$140.65 1% above 41%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROBIC $64.31 $109.00 $76.30–$105.73 — 41%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $85.55 $145.00 $101.50–$140.65 — 41%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $15.93 $27.00 $9.09–$26.19 7% below 41%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL BLOOD DRAW $105.61 $179.00 $9.09–$173.63 518% above 41%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $15.93 $27.00 $18.90–$26.19 — 41%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEGAL BLOOD DRAW $105.61 $179.00 $125.30–$173.63 — 41%
Blood glucose (sugar) test CPT 82947 GLUCOMETER NOVA $17.11 $29.00 $3.93–$28.13 42% below 41%
Blood glucose (sugar) test CPT 82947 GLUCOSE $53.10 $90.00 $3.93–$87.30 80% above 41%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOMETER NOVA $17.11 $29.00 $20.30–$28.13 — 41%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $53.10 $90.00 $63.00–$87.30 — 41%
Blood lead test CPT 83655 LEAD BLOOD VENOUS $21.44 $36.33 $12.11–$35.25 53% below 41%
Blood lead test CPT 83655 LEAD $67.85 $115.00 $12.11–$111.55 48% above 41%
Blood lead test CPT 83655 HEAVY METALS (LEAD) UR RANDOM $69.62 $118.00 $12.11–$114.46 51% above 41%
Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS $21.44 $36.33 $25.44–$35.25 — 41%
Blood lead test inpatient CPT 83655 LEAD $67.85 $115.00 $80.50–$111.55 — 41%
Blood lead test inpatient CPT 83655 HEAVY METALS (LEAD) UR RANDOM $69.62 $118.00 $82.60–$114.46 — 41%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL. SERUM $97.94 $166.00 $7.52–$161.02 52% above 41%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL. SERUM $97.94 $166.00 $116.20–$161.02 — 41%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $25.37 $43.00 $2.99–$41.71 35% below 41%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO - SO $244.85 $415.00 $2.99–$402.55 525% above 41%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $25.37 $43.00 $30.10–$41.71 — 41%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO - SO $244.85 $415.00 $290.50–$402.55 — 41%
Blood urea nitrogen (BUN) test CPT 84520 BUN $69.03 $117.00 $3.95–$113.49 87% above 41%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN $69.03 $117.00 $81.90–$113.49 — 41%
C-peptide blood test CPT 84681 C-PEPTIDE SERUM $36.84 $62.43 $20.81–$60.56 66% below 41%
C-peptide blood test CPT 84681 C PEPTIDE $142.19 $241.00 $20.81–$233.77 30% above 41%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE SERUM $36.84 $62.43 $43.71–$60.56 — 41%
C-peptide blood test inpatient CPT 84681 C PEPTIDE $142.19 $241.00 $168.70–$233.77 — 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $9.17 $15.54 $5.18–$15.08 75% below 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP $33.04 $56.00 $5.18–$54.32 8% below 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $9.17 $15.54 $10.88–$15.08 — 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP $33.04 $56.00 $39.20–$54.32 — 41%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $65.97 $111.81 $37.27–$108.46 66% below 41%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF EPI PCR $235.41 $399.00 $37.27–$387.03 23% above 41%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $65.97 $111.81 $78.27–$108.46 — 41%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF EPI PCR $235.41 $399.00 $279.30–$387.03 — 41%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN GI (19-9) $36.84 $62.43 $20.81–$60.56 66% below 41%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $132.16 $224.00 $20.81–$217.28 21% above 41%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN GI (19-9) $36.84 $62.43 $43.71–$60.56 — 41%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 $132.16 $224.00 $156.80–$217.28 — 41%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 $36.84 $62.43 $20.81–$60.56 71% below 41%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $142.19 $241.00 $20.81–$233.77 12% above 41%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 $36.84 $62.43 $43.71–$60.56 — 41%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $142.19 $241.00 $168.70–$233.77 — 41%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV ND HLTH $17.11 $29.00 $17.11–$29.58 86% below 41%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C $62.54 $106.00 $51.31–$102.82 50% below 41%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV ND HLTH $17.11 $29.00 $20.30–$28.13 — 41%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C $62.54 $106.00 $74.20–$102.82 — 41%
Calcium blood test, total CPT 82310 CALCIUM $9.14 $15.48 $5.16–$15.02 71% below 41%
Calcium blood test, total inpatient CPT 82310 CALCIUM $9.14 $15.48 $10.84–$15.02 — 41%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN $33.56 $56.88 $18.96–$55.18 73% below 41%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) $135.70 $230.00 $18.96–$223.10 10% above 41%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN $33.56 $56.88 $39.82–$55.18 — 41%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) $135.70 $230.00 $161.00–$223.10 — 41%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG $22.80 $38.64 $12.88–$37.49 61% below 41%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS AB IGG $23.01 $39.00 $12.88–$37.83 61% below 41%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM ANTIBODY $63.13 $107.00 $12.88–$103.79 7% above 41%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG ANTIBODY $136.88 $232.00 $12.88–$225.04 131% above 41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG $22.80 $38.64 $27.05–$37.49 — 41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER VIRUS AB IGG $23.01 $39.00 $27.30–$37.83 — 41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM ANTIBODY $63.13 $107.00 $74.90–$103.79 — 41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG ANTIBODY $136.88 $232.00 $162.40–$225.04 — 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS BY TMA $61.95 $105.00 $35.09–$101.85 60% below 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA $62.11 $105.27 $35.09–$102.12 60% below 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY PCR $249.57 $423.00 $35.09–$410.31 62% above 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS BY TMA $61.95 $105.00 $73.50–$101.85 — 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY TMA $62.11 $105.27 $73.69–$102.12 — 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY PCR $249.57 $423.00 $296.10–$410.31 — 41%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL $35.99 $61.00 $13.39–$59.17 51% below 41%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $70.21 $119.00 $13.39–$115.43 5% below 41%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $113.28 $192.00 $13.39–$186.24 53% above 41%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL $35.99 $61.00 $42.70–$59.17 — 41%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $70.21 $119.00 $83.30–$115.43 — 41%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $113.28 $192.00 $134.40–$186.24 — 41%
Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF $54.28 $92.00 $7.77–$89.24 7% below 41%
Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF $121.54 $206.00 $7.77–$199.82 109% above 41%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF $54.28 $92.00 $64.40–$89.24 — 41%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF $121.54 $206.00 $144.20–$199.82 — 41%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF $44.84 $76.00 $6.47–$73.72 3% below 41%
Complete blood count (CBC), no differential CPT 85027 CBC WITH MAN DIFF $83.78 $142.00 $6.47–$137.74 82% above 41%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF $44.84 $76.00 $53.20–$73.72 — 41%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITH MAN DIFF $83.78 $142.00 $99.40–$137.74 — 41%
Comprehensive metabolic panel (blood test) CPT 80053 CMP $69.62 $118.00 $10.56–$114.46 26% below 41%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $165.20 $280.00 $10.56–$271.60 75% above 41%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP $69.62 $118.00 $82.60–$114.46 — 41%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $165.20 $280.00 $196.00–$271.60 — 41%
Cortisol blood test, total CPT 82533 CORTISOLSERUM $28.86 $48.90 $16.30–$47.44 47% below 41%
Cortisol blood test, total CPT 82533 CORTISOL SALIVA MS $93.81 $159.00 $16.30–$154.23 72% above 41%
Cortisol blood test, total CPT 82533 CORTISOL $145.73 $247.00 $16.30–$239.59 168% above 41%
Cortisol blood test, total inpatient CPT 82533 CORTISOLSERUM $28.86 $48.90 $34.23–$47.44 — 41%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA MS $93.81 $159.00 $111.30–$154.23 — 41%
Cortisol blood test, total inpatient CPT 82533 CORTISOL $145.73 $247.00 $172.90–$239.59 — 41%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL $11.53 $19.53 $6.51–$18.95 75% below 41%
Creatine kinase (CK) blood test, total CPT 82550 CK $84.37 $143.00 $6.51–$138.71 80% above 41%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL $11.53 $19.53 $13.68–$18.95 — 41%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK $84.37 $143.00 $100.10–$138.71 — 41%
Creatinine blood test CPT 82565 CREAT W/GFR $69.03 $117.00 $5.12–$113.49 74% above 41%
Creatinine blood test inpatient CPT 82565 CREAT W/GFR $69.03 $117.00 $81.90–$113.49 — 41%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG $25.48 $43.17 $14.39–$41.88 51% below 41%
Cytomegalovirus (CMV) antibody test CPT 86644 TORCH CMV $67.26 $114.00 $14.39–$110.58 29% above 41%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB IGG $99.12 $168.00 $14.39–$162.96 90% above 41%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG $25.48 $43.17 $30.22–$41.88 — 41%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TORCH CMV $67.26 $114.00 $79.80–$110.58 — 41%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB IGG $99.12 $168.00 $117.60–$162.96 — 41%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT $70.21 $119.00 $10.18–$115.43 4% below 41%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT $70.21 $119.00 $83.30–$115.43 — 41%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE $39.35 $66.69 $22.23–$64.69 64% below 41%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SO4 $168.74 $286.00 $22.23–$277.42 56% above 41%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE $39.35 $66.69 $46.69–$64.69 — 41%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SO4 $168.74 $286.00 $200.20–$277.42 — 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PMDS - DRUG SCREEN $63.72 $108.00 $62.14–$104.76 56% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCREEN URINE $94.40 $160.00 $62.14–$155.20 35% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM S/P $96.76 $164.00 $62.14–$159.08 33% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB WREFLEX TO CONFIRMATION $109.74 $186.00 $62.14–$180.42 24% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P $109.99 $186.42 $62.14–$180.83 24% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL SERUM $116.23 $197.00 $62.14–$191.09 19% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEM $257.24 $436.00 $62.14–$422.92 78% above 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 11 DRUG SCREEN $273.76 $464.00 $62.14–$450.08 90% above 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE $276.71 $469.00 $62.14–$454.93 92% above 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE SCREEN URINE $284.97 $483.00 $62.14–$468.51 98% above 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PMDS - DRUG SCREEN $63.72 $108.00 $75.60–$104.76 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE SCREEN URINE $94.40 $160.00 $112.00–$155.20 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM S/P $96.76 $164.00 $114.80–$159.08 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB WREFLEX TO CONFIRMATION $109.74 $186.00 $130.20–$180.42 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P $109.99 $186.42 $130.50–$180.83 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL SERUM $116.23 $197.00 $137.90–$191.09 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEM $257.24 $436.00 $305.20–$422.92 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 11 DRUG SCREEN $273.76 $464.00 $324.80–$450.08 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE $276.71 $469.00 $328.30–$454.93 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE SCREEN URINE $284.97 $483.00 $338.10–$468.51 — 41%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES $86.73 $147.00 $7.01–$142.59 56% above 41%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES $86.73 $147.00 $102.90–$142.59 — 41%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB TO VIRAL CAPSID AG IGG $32.11 $54.42 $18.14–$52.79 62% below 41%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB IGG $97.35 $165.00 $18.14–$160.05 15% above 41%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB TO VIRAL CAPSID AG IGG $32.11 $54.42 $38.10–$52.79 — 41%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB IGG $97.35 $165.00 $115.50–$160.05 — 41%
Estradiol blood test CPT 82670 ESTRADIOL BY IMMUNOASSAY $49.46 $83.82 $27.94–$81.31 62% below 41%
Estradiol blood test CPT 82670 ESTRADIOL $145.73 $247.00 $27.94–$239.59 13% above 41%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY IMMUNOASSAY $49.46 $83.82 $58.68–$81.31 — 41%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $145.73 $247.00 $172.90–$239.59 — 41%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE $32.89 $55.74 $18.58–$54.07 69% below 41%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE $32.89 $55.74 $39.02–$54.07 — 41%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL $34.75 $58.89 $19.63–$57.13 78% below 41%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL $34.75 $58.89 $41.23–$57.13 — 41%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $24.13 $40.89 $13.63–$39.67 74% below 41%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $24.13 $40.89 $28.63–$39.67 — 41%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY $17.11 $29.00 $9.72–$28.13 69% below 41%
Fibrinogen blood test CPT 85384 FIBRINOGEN $17.21 $29.16 $9.72–$28.29 69% below 41%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY $17.11 $29.00 $20.30–$28.13 — 41%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN $17.21 $29.16 $20.42–$28.29 — 41%
Folate (folic acid) blood test CPT 82746 FOLATESERUM $26.02 $44.10 $14.70–$42.78 72% below 41%
Folate (folic acid) blood test CPT 82746 FOLIC ACID $89.68 $152.00 $14.70–$147.44 5% below 41%
Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM $26.02 $44.10 $30.87–$42.78 — 41%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID $89.68 $152.00 $106.40–$147.44 — 41%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $29.99 $50.82 $16.94–$49.30 70% below 41%
Free T3 thyroid hormone test CPT 84481 T3 FREE $155.76 $264.00 $16.94–$256.08 54% above 41%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $29.99 $50.82 $35.58–$49.30 — 41%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $155.76 $264.00 $184.80–$256.08 — 41%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $15.97 $27.06 $9.02–$26.25 75% below 41%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $74.93 $127.00 $9.02–$123.19 20% above 41%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $15.97 $27.06 $18.95–$26.25 — 41%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $74.93 $127.00 $88.90–$123.19 — 41%
Free testosterone test CPT 84402 TESTOSTERONEFREE $45.09 $76.41 $25.47–$74.12 41% below 41%
Free testosterone test CPT 84402 TESTOSTERONE FREE $155.76 $264.00 $25.47–$256.08 103% above 41%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE $45.09 $76.41 $53.49–$74.12 — 41%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $155.76 $264.00 $184.80–$256.08 — 41%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P $12.75 $21.60 $7.20–$20.96 71% below 41%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP $74.93 $127.00 $7.20–$123.19 68% above 41%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P $12.75 $21.60 $15.12–$20.96 — 41%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP $74.93 $127.00 $88.90–$123.19 — 41%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $31.86 $54.00 $21.60–$52.38 87% below 41%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $31.86 $54.00 $37.80–$52.38 — 41%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR $34.81 $59.00 $4.75–$57.23 2% below 41%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR $34.81 $59.00 $41.30–$57.23 — 41%
Glucose tolerance test, 3 samples CPT 82951 GTT2 $98.53 $167.00 $12.87–$161.99 8% above 41%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT2 $98.53 $167.00 $116.90–$161.99 — 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE BY TMA $62.11 $105.27 $35.09–$102.12 60% below 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHEAE BY PCR $249.57 $423.00 $35.09–$410.31 62% above 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE BY TMA $62.11 $105.27 $73.69–$102.12 — 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHEAE BY PCR $249.57 $423.00 $296.10–$410.31 — 41%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG $93.81 $159.00 $16.85–$154.23 11% above 41%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG $93.81 $159.00 $111.30–$154.23 — 41%
H. pylori stool antigen test CPT 87338 HELICOBACT PYLORI AGFECAL EIA $25.46 $43.14 $14.38–$41.85 75% below 41%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL AG $120.36 $204.00 $14.38–$197.88 20% above 41%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACT PYLORI AGFECAL EIA $25.46 $43.14 $30.20–$41.85 — 41%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL AG $120.36 $204.00 $142.80–$197.88 — 41%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QNT BY NAAT $150.63 $255.30 $85.10–$247.65 37% below 41%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 ULTRASENSITIVE RNA (PCR) $420.08 $712.00 $85.10–$690.64 75% above 41%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QNT BY NAAT $150.63 $255.30 $178.71–$247.65 — 41%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 ULTRASENSITIVE RNA (PCR) $420.08 $712.00 $498.40–$690.64 — 41%
HIV-1 and HIV-2 antibody test CPT 86703 HIV AG AB COMBO (PHL CHG) $79.65 $135.00 $13.71–$130.95 2% above 41%
HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID $93.81 $159.00 $13.71–$154.23 20% above 41%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV AG AB COMBO (PHL CHG) $79.65 $135.00 $94.50–$130.95 — 41%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID $93.81 $159.00 $111.30–$154.23 — 41%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX $42.63 $72.24 $24.08–$70.08 64% below 41%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB COMBO $136.88 $232.00 $24.08–$225.04 17% above 41%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX $42.63 $72.24 $50.57–$70.08 — 41%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB COMBO $136.88 $232.00 $162.40–$225.04 — 41%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $62.11 $105.27 $35.09–$102.12 36% below 41%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $62.11 $105.27 $73.69–$102.12 — 41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB $69.62 $118.00 $9.71–$114.46 at median 41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB $69.62 $118.00 $82.60–$114.46 — 41%
Hemoglobin blood test CPT 85018 HEMOGLOBIN $37.17 $63.00 $2.37–$61.11 60% above 41%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN $37.17 $63.00 $44.10–$61.11 — 41%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL $21.33 $36.15 $12.05–$35.07 68% below 41%
Hepatitis B core antibody test (total) CPT 86704 HPVII - HEP B CORE AB TOT $125.67 $213.00 $12.05–$206.61 89% above 41%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY TOT $129.80 $220.00 $12.05–$213.40 95% above 41%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL $21.33 $36.15 $25.31–$35.07 — 41%
Hepatitis B core antibody test (total) inpatient CPT 86704 HPVII - HEP B CORE AB TOT $125.67 $213.00 $149.10–$206.61 — 41%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY TOT $129.80 $220.00 $154.00–$213.40 — 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $18.88 $32.00 $10.74–$31.04 66% below 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY $19.01 $32.22 $10.74–$31.26 66% below 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HPVII - HEP B SURFACE AB QUAL $92.04 $156.00 $10.74–$151.32 64% above 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB QUAL $94.99 $161.00 $10.74–$156.17 69% above 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY $18.88 $32.00 $22.40–$31.04 — 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY $19.01 $32.22 $22.56–$31.26 — 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HPVII - HEP B SURFACE AB QUAL $92.04 $156.00 $109.20–$151.32 — 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB QUAL $94.99 $161.00 $112.70–$156.17 — 41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG W/RFLX $18.29 $30.99 $10.33–$30.07 66% below 41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $20.65 $35.00 $10.33–$33.95 62% below 41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HPVII - HBSAG $125.08 $212.00 $10.33–$205.64 132% above 41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITS B SURFACE ANTIGEN $128.62 $218.00 $10.33–$211.46 138% above 41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG W/RFLX $18.29 $30.99 $21.70–$30.07 — 41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA $20.65 $35.00 $24.50–$33.95 — 41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HPVII - HBSAG $125.08 $212.00 $148.40–$205.64 — 41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITS B SURFACE ANTIGEN $128.62 $218.00 $152.60–$211.46 — 41%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $25.26 $42.81 $14.27–$41.53 66% below 41%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB CASCADE $102.66 $174.00 $14.27–$168.78 38% above 41%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $170.51 $289.00 $14.27–$280.33 129% above 41%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $25.26 $42.81 $29.97–$41.53 — 41%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB CASCADE $102.66 $174.00 $121.80–$168.78 — 41%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $170.51 $289.00 $202.30–$280.33 — 41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QNT BY NAAT $75.83 $128.52 $42.84–$124.67 42% below 41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANTIFICATION $236.00 $400.00 $42.84–$388.00 80% above 41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT BY PCR $302.08 $512.00 $42.84–$496.64 130% above 41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QNT BY NAAT $75.83 $128.52 $89.97–$124.67 — 41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DETECT/QUANTIFICATION $236.00 $400.00 $280.00–$388.00 — 41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT BY PCR $302.08 $512.00 $358.40–$496.64 — 41%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1-GLYCO-G ABIGGBYCIA $23.35 $39.57 $13.19–$38.39 59% below 41%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 G SPECIFIC IGG $23.60 $40.00 $13.19–$38.80 58% below 41%
Herpes blood test, HSV-1 antibody CPT 86695 TORCH HERPES SIMPLEX TYPE 1 $69.62 $118.00 $13.19–$114.46 23% above 41%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 IGM $118.59 $201.00 $13.19–$194.97 109% above 41%
Herpes blood test, HSV-1 antibody CPT 86695 HSV I GLYCO G AB IGG $129.21 $219.00 $13.19–$212.43 127% above 41%
Herpes blood test, HSV-1 antibody CPT 86695 H SIMPLEX IGG $138.06 $234.00 $13.19–$226.98 143% above 41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1-GLYCO-G ABIGGBYCIA $23.35 $39.57 $27.70–$38.39 — 41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 G SPECIFIC IGG $23.60 $40.00 $28.00–$38.80 — 41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH HERPES SIMPLEX TYPE 1 $69.62 $118.00 $82.60–$114.46 — 41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1 IGM $118.59 $201.00 $140.70–$194.97 — 41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV I GLYCO G AB IGG $129.21 $219.00 $153.30–$212.43 — 41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 H SIMPLEX IGG $138.06 $234.00 $163.80–$226.98 — 41%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 G SPECIFIC IGG $34.22 $58.00 $19.35–$56.26 49% below 41%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2-GLYCO-G ABIGGBYCIA $34.25 $58.05 $19.35–$56.31 49% below 41%
Herpes blood test, HSV-2 antibody CPT 86696 HSV II GLYCO G AB IGG $94.99 $161.00 $19.35–$156.17 41% above 41%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG $102.07 $173.00 $19.35–$167.81 52% above 41%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGM $149.86 $254.00 $19.35–$246.38 123% above 41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 G SPECIFIC IGG $34.22 $58.00 $40.60–$56.26 — 41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2-GLYCO-G ABIGGBYCIA $34.25 $58.05 $40.64–$56.31 — 41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV II GLYCO G AB IGG $94.99 $161.00 $112.70–$156.17 — 41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGG $102.07 $173.00 $121.10–$167.81 — 41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGM $149.86 $254.00 $177.80–$246.38 — 41%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGH SENSITIVITY $22.93 $38.85 $12.95–$37.69 70% below 41%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT $84.96 $144.00 $12.95–$139.68 9% above 41%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGH SENSITIVITY $22.93 $38.85 $27.20–$37.69 — 41%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT $84.96 $144.00 $100.80–$139.68 — 41%
Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL $31.72 $53.76 $17.92–$52.15 67% below 41%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE $31.86 $54.00 $17.92–$52.38 67% below 41%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIAC RISK $129.80 $220.00 $17.92–$213.40 34% above 41%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE TOTAL $31.72 $53.76 $37.64–$52.15 — 41%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE $31.86 $54.00 $37.80–$52.38 — 41%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIAC RISK $129.80 $220.00 $154.00–$213.40 — 41%
Insulin blood test CPT 83525 TOTAL INSULIN $20.06 $34.00 $11.43–$32.98 66% below 41%
Insulin blood test CPT 83525 INSULIN $20.24 $34.29 $11.43–$33.27 65% below 41%
Insulin blood test CPT 83525 INSULIN ASSAY $97.94 $166.00 $11.43–$161.02 68% above 41%
Insulin blood test inpatient CPT 83525 TOTAL INSULIN $20.06 $34.00 $23.80–$32.98 — 41%
Insulin blood test inpatient CPT 83525 INSULIN $20.24 $34.29 $24.01–$33.27 — 41%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY $97.94 $166.00 $116.20–$161.02 — 41%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM $11.46 $19.41 $6.47–$18.83 70% below 41%
Iron blood test (serum iron) CPT 83540 IRON $65.49 $111.00 $6.47–$107.67 70% above 41%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM $11.46 $19.41 $13.59–$18.83 — 41%
Iron blood test (serum iron) inpatient CPT 83540 IRON $65.49 $111.00 $77.70–$107.67 — 41%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL $15.47 $26.22 $8.74–$25.44 71% below 41%
Iron-binding capacity (TIBC) test CPT 83550 IRON PROFILE $73.75 $125.00 $8.74–$121.25 38% above 41%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL $15.47 $26.22 $18.36–$25.44 — 41%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON PROFILE $73.75 $125.00 $87.50–$121.25 — 41%
Kidney function blood test panel CPT 80069 RENAL PROFILE $161.66 $274.00 $8.68–$265.78 141% above 41%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE $161.66 $274.00 $191.80–$265.78 — 41%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONESERUM $32.79 $55.56 $18.52–$53.90 70% below 41%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $141.60 $240.00 $18.52–$232.80 31% above 41%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONESERUM $32.79 $55.56 $38.90–$53.90 — 41%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $141.60 $240.00 $168.00–$232.80 — 41%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $82.60 $140.00 $11.57–$135.80 7% above 41%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID $82.60 $140.00 $98.00–$135.80 — 41%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FLD $10.70 $18.12 $6.04–$17.58 75% below 41%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH $82.01 $139.00 $6.04–$134.83 89% above 41%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE BODY FLD $10.70 $18.12 $12.69–$17.58 — 41%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH $82.01 $139.00 $97.30–$134.83 — 41%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM OR PLASMA $12.20 $20.67 $6.89–$20.05 77% below 41%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID $12.39 $21.00 $6.89–$20.37 77% below 41%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $47.20 $80.00 $6.89–$77.60 12% below 41%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM OR PLASMA $12.20 $20.67 $14.47–$20.05 — 41%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID $12.39 $21.00 $14.70–$20.37 — 41%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $47.20 $80.00 $56.00–$77.60 — 41%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION $143.37 $243.00 $8.17–$235.71 102% above 41%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION $143.37 $243.00 $170.10–$235.71 — 41%
Lyme disease antibody test CPT 86618 LYME DISEASE ACUTE REFLEXIVE $30.15 $51.09 $17.03–$49.56 54% below 41%
Lyme disease antibody test CPT 86618 LYME(B BURGDORFERI )AB IGG/IGM $107.97 $183.00 $17.03–$177.51 65% above 41%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ACUTE REFLEXIVE $30.15 $51.09 $35.77–$49.56 — 41%
Lyme disease antibody test inpatient CPT 86618 LYME(B BURGDORFERI )AB IGG/IGM $107.97 $183.00 $128.10–$177.51 — 41%
Magnesium blood test CPT 83735 MAGNESIUM URINE $8.26 $14.00 $6.70–$13.58 74% below 41%
Magnesium blood test CPT 83735 MAGNESIUM RBC $11.86 $20.10 $6.70–$19.50 63% below 41%
Magnesium blood test CPT 83735 MAGNESIUM - TOTAL RBCS $33.63 $57.00 $6.70–$55.29 6% above 41%
Magnesium blood test CPT 83735 MAGNESIUM $64.31 $109.00 $6.70–$105.73 103% above 41%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE $8.26 $14.00 $9.80–$13.58 — 41%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC $11.86 $20.10 $14.07–$19.50 — 41%
Magnesium blood test inpatient CPT 83735 MAGNESIUM - TOTAL RBCS $33.63 $57.00 $39.90–$55.29 — 41%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $64.31 $109.00 $76.30–$105.73 — 41%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) AB IGG $22.80 $38.64 $12.88–$37.49 60% below 41%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $55.46 $94.00 $12.88–$91.18 2% below 41%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG $59.59 $101.00 $12.88–$97.97 5% above 41%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) AB IGG $22.80 $38.64 $27.05–$37.49 — 41%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY $55.46 $94.00 $65.80–$91.18 — 41%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG $59.59 $101.00 $70.70–$97.97 — 41%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST $59.59 $101.00 $5.18–$97.97 35% above 41%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST $59.59 $101.00 $70.70–$97.97 — 41%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGG $23.10 $39.15 $13.05–$37.98 43% below 41%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY $56.64 $96.00 $13.05–$93.12 39% above 41%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM $120.95 $205.00 $13.05–$198.85 196% above 41%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGG $23.10 $39.15 $27.41–$37.98 — 41%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY $56.64 $96.00 $67.20–$93.12 — 41%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGM $120.95 $205.00 $143.50–$198.85 — 41%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE $32.45 $55.00 $18.39–$53.35 50% below 41%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $32.56 $55.17 $18.39–$53.52 50% below 41%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA $85.55 $145.00 $18.39–$140.65 32% above 41%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE $32.45 $55.00 $38.50–$53.35 — 41%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $32.56 $55.17 $38.62–$53.52 — 41%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA $85.55 $145.00 $101.50–$140.65 — 41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG TOT R PSA $32.45 $55.00 $18.39–$53.35 66% below 41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN $32.56 $55.17 $18.39–$53.52 66% below 41%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA $92.04 $156.00 $18.39–$151.32 5% below 41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA REFLEX $118.59 $201.00 $18.39–$194.97 23% above 41%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC $124.49 $211.00 $18.39–$204.67 29% above 41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG TOT R PSA $32.45 $55.00 $38.50–$53.35 — 41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN $32.56 $55.17 $38.62–$53.52 — 41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA $92.04 $156.00 $109.20–$151.32 — 41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA REFLEX $118.59 $201.00 $140.70–$194.97 — 41%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC $124.49 $211.00 $147.70–$204.67 — 41%
Pap test (liquid-based, automated screening with review) CPT 88175 THINPREP PAP TEST WITH CO-TEST $47.20 $80.00 $26.61–$77.60 59% below 41%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THINPREP PAP TEST WITH CO-TEST $47.20 $80.00 $56.00–$77.60 — 41%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $35.87 $60.78 $20.26–$58.96 65% below 41%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG IN OR B $70.21 $119.00 $20.26–$115.43 32% below 41%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $35.87 $60.78 $42.55–$58.96 — 41%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG IN OR B $70.21 $119.00 $83.30–$115.43 — 41%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT $73.07 $123.84 $41.28–$120.13 65% below 41%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT $73.07 $123.84 $86.69–$120.13 — 41%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $10.62 $18.00 $6.01–$17.46 68% below 41%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D) $10.64 $18.03 $6.01–$17.49 68% below 41%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $40.71 $69.00 $6.01–$66.93 23% above 41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL $10.62 $18.00 $12.60–$17.46 — 41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D) $10.64 $18.03 $12.63–$17.49 — 41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $40.71 $69.00 $48.30–$66.93 — 41%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS $89.09 $151.00 $4.74–$146.47 165% above 41%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS $89.09 $151.00 $105.70–$146.47 — 41%
Potassium blood test CPT 84132 POTASSIUM $48.38 $82.00 $4.76–$79.54 19% above 41%
Potassium blood test inpatient CPT 84132 POTASSIUM $48.38 $82.00 $57.40–$79.54 — 41%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON INV PRENATAL SCREENING $1,343.52 $2,277.15 $759.05–$2,208.84 5% above 41%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON INV PRENATAL SCREENING $1,343.52 $2,277.15 $1,594.01–$2,208.84 — 41%
Progesterone blood test CPT 84144 PROGESTERONE QUANTSER/PLAS $36.93 $62.58 $20.86–$60.71 69% below 41%
Progesterone blood test CPT 84144 PROGESTERONE $159.89 $271.00 $20.86–$262.87 33% above 41%
Progesterone blood test inpatient CPT 84144 PROGESTERONE QUANTSER/PLAS $36.93 $62.58 $43.81–$60.71 — 41%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $159.89 $271.00 $189.70–$262.87 — 41%
Prolactin blood test CPT 84146 PROLACTIN $34.31 $58.14 $19.38–$56.40 66% below 41%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN $34.81 $59.00 $19.38–$57.23 66% below 41%
Prolactin blood test inpatient CPT 84146 PROLACTIN $34.31 $58.14 $40.70–$56.40 — 41%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN $34.81 $59.00 $41.30–$57.23 — 41%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $7.60 $12.87 $4.29–$12.49 71% below 41%
Prothrombin time (PT/INR) clotting test CPT 85610 APS - PT $18.88 $32.00 $4.29–$31.04 27% below 41%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR $24.19 $41.00 $4.29–$39.77 7% below 41%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (INR) $37.76 $64.00 $4.29–$62.08 46% above 41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $7.60 $12.87 $9.01–$12.49 — 41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 APS - PT $18.88 $32.00 $22.40–$31.04 — 41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR $24.19 $41.00 $28.70–$39.77 — 41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME (INR) $37.76 $64.00 $44.80–$62.08 — 41%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG $77.29 $131.00 $16.55–$127.07 8% below 41%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A RAPID $129.80 $220.00 $16.55–$213.40 55% above 41%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG $77.29 $131.00 $91.70–$127.07 — 41%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A RAPID $129.80 $220.00 $154.00–$213.40 — 41%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP GRP A SCN W/REFLEX TO TC $76.70 $130.00 $16.53–$126.10 2% below 41%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP GRP A SCN W/REFLEX TO TC $76.70 $130.00 $91.00–$126.10 — 41%
Renin blood test CPT 84244 RENIN $15.93 $27.00 $15.93–$26.19 79% below 41%
Renin blood test CPT 84244 RENIN ACTIVITY $38.93 $65.97 $21.99–$64.00 48% below 41%
Renin blood test CPT 84244 RENIN PLASMA $160.48 $272.00 $21.99–$263.84 113% above 41%
Renin blood test inpatient CPT 84244 RENIN $15.93 $27.00 $18.90–$26.19 — 41%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY $38.93 $65.97 $46.18–$64.00 — 41%
Renin blood test inpatient CPT 84244 RENIN PLASMA $160.48 $272.00 $190.40–$263.84 — 41%
Rh blood typing CPT 86901 RH $25.37 $43.00 $2.99–$41.71 34% below 41%
Rh blood typing CPT 86901 RH-SO $69.62 $118.00 $2.99–$114.46 82% above 41%
Rh blood typing inpatient CPT 86901 RH $25.37 $43.00 $30.10–$41.71 — 41%
Rh blood typing inpatient CPT 86901 RH-SO $69.62 $118.00 $82.60–$114.46 — 41%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR $10.03 $17.00 $5.67–$16.49 73% below 41%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR $10.03 $17.00 $11.90–$16.49 — 41%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODYIGG $25.48 $43.17 $14.39–$41.88 62% below 41%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $61.36 $104.00 $14.39–$100.88 8% below 41%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG $81.42 $138.00 $14.39–$133.86 22% above 41%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG $119.77 $203.00 $14.39–$196.91 80% above 41%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODYIGG $25.48 $43.17 $30.22–$41.88 — 41%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY $61.36 $104.00 $72.80–$100.88 — 41%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG $81.42 $138.00 $96.60–$133.86 — 41%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG $119.77 $203.00 $142.10–$196.91 — 41%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR AUTO $61.36 $104.00 $2.70–$100.88 99% above 41%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR AUTO $61.36 $104.00 $72.80–$100.88 — 41%
Sodium blood test CPT 84295 SODIUM $52.51 $89.00 $4.81–$86.33 35% above 41%
Sodium blood test inpatient CPT 84295 SODIUM $52.51 $89.00 $62.30–$86.33 — 41%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $15.76 $26.70 $8.90–$25.90 68% below 41%
Stool ova and parasites exam CPT 87177 O & P SMEAR $41.89 $71.00 $8.90–$68.87 14% below 41%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS $15.76 $26.70 $18.69–$25.90 — 41%
Stool ova and parasites exam inpatient CPT 87177 O & P SMEAR $41.89 $71.00 $49.70–$68.87 — 41%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN ER $38.35 $65.00 $4.38–$63.05 36% above 41%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN ER $38.35 $65.00 $45.50–$63.05 — 41%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA $28.18 $47.76 $15.92–$46.33 66% below 41%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD IMMUNOASSAY-DIAG. $83.78 $142.00 $15.92–$137.74 at median 41%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD (FIT) $84.96 $144.00 $15.92–$139.68 1% above 41%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA $28.18 $47.76 $33.44–$46.33 — 41%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD IMMUNOASSAY-DIAG. $83.78 $142.00 $99.40–$137.74 — 41%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD (FIT) $84.96 $144.00 $100.80–$139.68 — 41%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG/IFASER $23.44 $39.72 $13.24–$38.53 45% below 41%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP PALLIDUM IGG ELISA $23.60 $40.00 $13.24–$38.80 45% below 41%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB $60.77 $103.00 $13.24–$99.91 42% above 41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG/IFASER $23.44 $39.72 $27.81–$38.53 — 41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP PALLIDUM IGG ELISA $23.60 $40.00 $28.00–$38.80 — 41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB $60.77 $103.00 $72.10–$99.91 — 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER $7.56 $12.81 $4.27–$12.43 74% below 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (RAPID PLASMA REAGIN) $59.59 $101.00 $4.27–$97.97 104% above 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER $7.56 $12.81 $8.97–$12.43 — 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (RAPID PLASMA REAGIN) $59.59 $101.00 $70.70–$97.97 — 41%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE $109.71 $185.94 $61.98–$180.37 at median 41%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD $177.00 $300.00 $61.98–$291.00 61% above 41%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE $109.71 $185.94 $130.16–$180.37 — 41%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD $177.00 $300.00 $210.00–$291.00 — 41%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BY IMMUNOASSAY $45.69 $77.43 $25.81–$75.11 39% below 41%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $192.34 $326.00 $25.81–$316.22 155% above 41%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BY IMMUNOASSAY $45.69 $77.43 $54.21–$75.11 — 41%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $192.34 $326.00 $228.20–$316.22 — 41%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY (TPO) $25.76 $43.65 $14.55–$42.35 60% below 41%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL LIVER-KIDNEY AB $77.88 $132.00 $14.55–$128.04 22% above 41%
Thyroid peroxidase (TPO) antibody test CPT 86376 UIA - MICROSOMAL AB $104.43 $177.00 $14.55–$171.69 63% above 41%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY $129.21 $219.00 $14.55–$212.43 102% above 41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY (TPO) $25.76 $43.65 $30.56–$42.35 — 41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL LIVER-KIDNEY AB $77.88 $132.00 $92.40–$128.04 — 41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 UIA - MICROSOMAL AB $104.43 $177.00 $123.90–$171.69 — 41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY $129.21 $219.00 $153.30–$212.43 — 41%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $29.74 $50.40 $16.80–$48.89 71% below 41%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM $120.95 $205.00 $16.80–$198.85 17% above 41%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE $29.74 $50.40 $35.28–$48.89 — 41%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM $120.95 $205.00 $143.50–$198.85 — 41%
Total IgE blood test CPT 82785 IMMUNOGLBULIN E SERUM $9.24 $15.66 $9.24–$15.98 89% below 41%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E $28.91 $49.00 $16.46–$47.53 66% below 41%
Total IgE blood test CPT 82785 ALLERGENS IGE $81.42 $138.00 $16.46–$133.86 4% below 41%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E TOTAL $92.63 $157.00 $16.46–$152.29 9% above 41%
Total IgE blood test CPT 82785 ASSAY OF GAMMAGLOBULIN IGE $105.61 $179.00 $16.46–$173.63 25% above 41%
Total IgE blood test CPT 82785 APC - IGE $109.15 $185.00 $16.46–$179.45 29% above 41%
Total IgE blood test inpatient CPT 82785 IMMUNOGLBULIN E SERUM $9.24 $15.66 $10.97–$15.20 — 41%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E $28.91 $49.00 $34.30–$47.53 — 41%
Total IgE blood test inpatient CPT 82785 ALLERGENS IGE $81.42 $138.00 $96.60–$133.86 — 41%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E TOTAL $92.63 $157.00 $109.90–$152.29 — 41%
Total IgE blood test inpatient CPT 82785 ASSAY OF GAMMAGLOBULIN IGE $105.61 $179.00 $125.30–$173.63 — 41%
Total IgE blood test inpatient CPT 82785 APC - IGE $109.15 $185.00 $129.50–$179.45 — 41%
Total cholesterol blood test CPT 82465 CHOLESTEROL $41.89 $71.00 $4.35–$68.87 24% above 41%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL $41.89 $71.00 $49.70–$68.87 — 41%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL T4 $12.16 $20.61 $6.87–$20.00 73% below 41%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL $49.56 $84.00 $6.87–$81.48 11% above 41%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL T4 $12.16 $20.61 $14.43–$20.00 — 41%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL $49.56 $84.00 $58.80–$81.48 — 41%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL $25.10 $42.54 $14.18–$41.27 72% below 41%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE TOTAL $25.37 $43.00 $14.18–$41.71 72% below 41%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL $109.74 $186.00 $14.18–$180.42 21% above 41%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL $25.10 $42.54 $29.78–$41.27 — 41%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE TOTAL $25.37 $43.00 $30.10–$41.71 — 41%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL $109.74 $186.00 $130.20–$180.42 — 41%
Transferrin blood test CPT 84466 TRANSFERRINSERUM $22.59 $38.28 $12.76–$37.14 70% below 41%
Transferrin blood test CPT 84466 TRANSFERRIN $97.35 $165.00 $12.76–$160.05 30% above 41%
Transferrin blood test inpatient CPT 84466 TRANSFERRINSERUM $22.59 $38.28 $26.80–$37.14 — 41%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN $97.35 $165.00 $115.50–$160.05 — 41%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA $61.95 $105.00 $35.09–$101.85 38% below 41%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA $150.45 $255.00 $35.09–$247.35 50% above 41%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS BY TMA $61.95 $105.00 $73.50–$101.85 — 41%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS NAA $150.45 $255.00 $178.50–$247.35 — 41%
Triglycerides blood test CPT 84478 TRIGLYCERIDE $60.77 $103.00 $5.74–$99.91 42% above 41%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE $60.77 $103.00 $72.10–$99.91 — 41%
Troponin test, quantitative CPT 84484 TROP-T $22.08 $37.41 $12.47–$36.29 72% below 41%
Troponin test, quantitative CPT 84484 TROPONIN $44.84 $76.00 $12.47–$73.72 44% below 41%
Troponin test, quantitative CPT 84484 TROPONIN POC $76.70 $130.00 $12.47–$126.10 4% below 41%
Troponin test, quantitative inpatient CPT 84484 TROP-T $22.08 $37.41 $26.19–$36.29 — 41%
Troponin test, quantitative inpatient CPT 84484 TROPONIN $44.84 $76.00 $53.20–$73.72 — 41%
Troponin test, quantitative inpatient CPT 84484 TROPONIN POC $76.70 $130.00 $91.00–$126.10 — 41%
Uric acid blood test CPT 84550 URIC ACID $51.92 $88.00 $4.52–$85.36 29% above 41%
Uric acid blood test inpatient CPT 84550 URIC ACID $51.92 $88.00 $61.60–$85.36 — 41%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC $23.01 $39.00 $3.17–$37.83 36% below 41%
Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC $64.31 $109.00 $3.17–$105.73 79% above 41%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC $23.01 $39.00 $27.30–$37.83 — 41%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA MICROSCOPIC $64.31 $109.00 $76.30–$105.73 — 41%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC $15.93 $27.00 $2.25–$26.19 11% below 41%
Urinalysis without microscope exam, automated CPT 81003 URINE HEMOGLOBIN $28.32 $48.00 $2.25–$46.56 59% above 41%
Urinalysis without microscope exam, automated CPT 81003 PH URINE $42.48 $72.00 $2.25–$69.84 139% above 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC $15.93 $27.00 $18.90–$26.19 — 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE HEMOGLOBIN $28.32 $48.00 $33.60–$46.56 — 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE $42.48 $72.00 $50.40–$69.84 — 41%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK $23.60 $40.00 $3.48–$38.80 12% above 41%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK $23.60 $40.00 $28.00–$38.80 — 41%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $66.67 $113.00 $8.07–$109.61 10% above 41%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE $78.47 $133.00 $8.07–$129.01 30% above 41%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $66.67 $113.00 $79.10–$109.61 — 41%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE $78.47 $133.00 $93.10–$129.01 — 41%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN - MG/DL $10.24 $17.34 $5.78–$16.82 75% below 41%
Urine microalbumin (albumin) test CPT 82043 MICROALB/CREAT RATIO URINE $75.52 $128.00 $5.78–$124.16 86% above 41%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE $79.06 $134.00 $5.78–$129.98 95% above 41%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN - MG/DL $10.24 $17.34 $12.14–$16.82 — 41%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB/CREAT RATIO URINE $75.52 $128.00 $89.60–$124.16 — 41%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE $79.06 $134.00 $93.80–$129.98 — 41%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE $85.55 $145.00 $8.61–$140.65 54% above 41%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE $85.55 $145.00 $101.50–$140.65 — 41%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 WITH REFLEX $26.55 $45.00 $15.08–$43.65 73% below 41%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $26.70 $45.24 $15.08–$43.89 72% below 41%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 WITH REFLEX $26.55 $45.00 $31.50–$43.65 — 41%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $26.70 $45.24 $31.67–$43.89 — 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXY $52.40 $88.80 $29.60–$86.14 69% below 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY $161.07 $273.00 $29.60–$264.81 3% below 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXY $52.40 $88.80 $62.16–$86.14 — 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY $161.07 $273.00 $191.10–$264.81 — 41%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 HYDROXY $27.14 $46.00 $27.14–$44.62 79% below 41%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125-DIHYDROXY $68.15 $115.50 $38.50–$112.04 47% below 41%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125 HYDROXY $27.14 $46.00 $32.20–$44.62 — 41%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125-DIHYDROXY $68.15 $115.50 $80.85–$112.04 — 41%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD $20.06 $34.00 $11.39–$32.98 57% below 41%
Zinc blood test CPT 84630 ZINC $20.17 $34.17 $11.39–$33.15 57% below 41%
Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD $20.06 $34.00 $23.80–$32.98 — 41%
Zinc blood test inpatient CPT 84630 ZINC $20.17 $34.17 $23.92–$33.15 — 41%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG $10.62 $18.00 $10.62–$17.46 87% below 41%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER $26.64 $45.15 $15.05–$43.80 66% below 41%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM $128.62 $218.00 $15.05–$211.46 62% above 41%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG $10.62 $18.00 $12.60–$17.46 — 41%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER $26.64 $45.15 $31.61–$43.80 — 41%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM $128.62 $218.00 $152.60–$211.46 — 41%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIG FPC FAC $60.77 $103.00 $41.20–$99.91 84% below 41%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIG FPC FAC $60.77 $103.00 $72.10–$99.91 — 41%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ER $1,028.96 $1,744.00 $697.60–$1,691.68 1% above 41%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ICU $1,028.96 $1,744.00 $697.60–$1,691.68 1% above 41%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ER $1,028.96 $1,744.00 $1,220.80–$1,691.68 — 41%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ICU $1,028.96 $1,744.00 $1,220.80–$1,691.68 — 41%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION $373.47 $633.00 $253.20–$614.01 73% below 41%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION $373.47 $633.00 $443.10–$614.01 — 41%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/ BX ECC WHC FAC $69.03 $117.00 $46.80–$113.49 78% below 41%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/ BX ECC WHC FAC $69.03 $117.00 $81.90–$113.49 — 41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR PREMAL LES 1ST FPC FAC $33.63 $57.00 $22.80–$55.29 83% below 41%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR PREMAL LES 1ST FPC FAC $33.63 $57.00 $39.90–$55.29 — 41%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX IMC $21.83 $37.00 $14.80–$35.89 64% below 41%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM CERUMEN IMPACTED ER $141.60 $240.00 $96.00–$232.80 133% above 41%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX IMC $21.83 $37.00 $25.90–$35.89 — 41%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM CERUMEN IMPACTED ER $141.60 $240.00 $168.00–$232.80 — 41%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX $70.80 $120.00 $48.00–$116.40 38% below 41%
Earwax removal with instruments, one ear CPT 69210 REM CERUMEN IMPACTED ER $70.80 $120.00 $48.00–$116.40 38% below 41%
Earwax removal with instruments, one ear inpatient CPT 69210 REM CERUMEN IMPACTED ER $70.80 $120.00 $84.00–$116.40 — 41%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX $70.80 $120.00 $84.00–$116.40 — 41%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX FPC FAC $41.30 $70.00 $28.00–$67.90 86% below 41%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX WO DILAT ER $82.60 $140.00 $56.00–$135.80 71% below 41%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX FPC FAC $41.30 $70.00 $49.00–$67.90 — 41%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX WO DILAT ER $82.60 $140.00 $98.00–$135.80 — 41%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ SNGL FACET LUMBAR $907.42 $1,538.00 $615.20–$1,491.86 32% below 41%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ SNGL FACET LUMBAR $907.42 $1,538.00 $1,076.60–$1,491.86 — 41%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCOPY $755.20 $1,280.00 $512.00–$1,241.60 32% below 41%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEXIBLE ER $830.72 $1,408.00 $563.20–$1,365.76 25% below 41%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEXIBLE SIGMOIDOSCOPY $755.20 $1,280.00 $896.00–$1,241.60 — 41%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY FLEXIBLE ER $830.72 $1,408.00 $985.60–$1,365.76 — 41%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJECT FOR HYSTEROGRAM $308.57 $523.00 $209.20–$507.31 2% below 41%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJECT FOR HYSTEROGRAM $308.57 $523.00 $366.10–$507.31 — 41%
IUD insertion (the device itself billed separately) CPT 58300 INSRT INTRAUTER DEVICE FPC FAC $46.02 $78.00 $31.20–$75.66 64% below 41%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSRT INTRAUTER DEVICE FPC FAC $46.02 $78.00 $54.60–$75.66 — 41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE FPC FAC $42.48 $72.00 $28.80–$69.84 86% below 41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE MS $244.85 $415.00 $166.00–$402.55 20% below 41%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE ER $244.85 $415.00 $166.00–$402.55 20% below 41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE FPC FAC $42.48 $72.00 $50.40–$69.84 — 41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE ER $244.85 $415.00 $290.50–$402.55 — 41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE MS $244.85 $415.00 $290.50–$402.55 — 41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT FPC FAC $59.59 $101.00 $40.40–$97.97 80% below 41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT ER $328.63 $557.00 $222.80–$540.29 8% above 41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT FPC FAC $59.59 $101.00 $70.70–$97.97 — 41%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT ER $328.63 $557.00 $389.90–$540.29 — 41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ JNT/BURSA MED WIC FAC $59.59 $101.00 $40.40–$97.97 83% below 41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/INTERMEDIATE $330.99 $561.00 $224.40–$544.17 3% below 41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP/INJ JT INTER ER $364.62 $618.00 $247.20–$599.46 6% above 41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRN/INJ JNT/BURSA MED WIC FAC $59.59 $101.00 $70.70–$97.97 — 41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/INTERMEDIATE $330.99 $561.00 $392.70–$544.17 — 41%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT ASP/INJ JT INTER ER $364.62 $618.00 $432.60–$599.46 — 41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT FPC FAC $59.59 $101.00 $40.40–$97.97 79% below 41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT $420.67 $713.00 $285.20–$691.61 47% above 41%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP/INJ JT SMALL ER $463.15 $785.00 $314.00–$761.45 62% above 41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT FPC FAC $59.59 $101.00 $70.70–$97.97 — 41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT $420.67 $713.00 $499.10–$691.61 — 41%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT ASP/INJ JT SMALL ER $463.15 $785.00 $549.50–$761.45 — 41%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER $309.16 $524.00 $209.60–$508.28 40% below 41%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER $309.16 $524.00 $366.80–$508.28 — 41%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LESION LEG/ARM <.5 WHC FAC $53.69 $91.00 $36.40–$88.27 90% below 41%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LESION LEG/ARM <.5 WHC FAC $53.69 $91.00 $63.70–$88.27 — 41%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL SING WIC FAC $35.99 $61.00 $24.40–$59.17 87% below 41%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE ER $191.16 $324.00 $129.60–$314.28 32% below 41%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL SING WIC FAC $35.99 $61.00 $42.70–$59.17 — 41%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE ER $191.16 $324.00 $226.80–$314.28 — 41%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE US $1,031.91 $1,749.00 $699.60–$1,696.53 7% above 41%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE MS $1,031.91 $1,749.00 $699.60–$1,696.53 7% above 41%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAGING ER $1,135.16 $1,924.00 $769.60–$1,866.28 18% above 41%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE MS $1,031.91 $1,749.00 $1,224.30–$1,696.53 — 41%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE US $1,031.91 $1,749.00 $1,224.30–$1,696.53 — 41%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMAGING ER $1,135.16 $1,924.00 $1,346.80–$1,866.28 — 41%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVE NAIL BED SC FAC $81.42 $138.00 $55.20–$133.86 86% below 41%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVE NAIL BED SC FAC $81.42 $138.00 $96.60–$133.86 — 41%
Removal of a breast lump, open surgery CPT 19120 EXCISION CYST/LESION BREAST ER $1,898.62 $3,218.00 $1,287.20–$3,121.46 7% above 41%
Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION CYST/LESION BREAST ER $1,898.62 $3,218.00 $2,252.60–$3,121.46 — 41%
Removal of a foreign object under the skin, simple CPT 10120 FB SUBCU SIMP INCISION FPC FAC $61.95 $105.00 $42.00–$101.85 85% below 41%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVAL FB SIMPLE ER $400.02 $678.00 $271.20–$657.66 6% below 41%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB SUBCU SIMP INCISION FPC FAC $61.95 $105.00 $73.50–$101.85 — 41%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVAL FB SIMPLE ER $400.02 $678.00 $474.60–$657.66 — 41%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ARM SHORT ER $348.69 $591.00 $236.40–$573.27 13% above 41%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST ARM SHORT ER $348.69 $591.00 $413.70–$573.27 — 41%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM FPC FAC $24.19 $41.00 $16.40–$39.77 87% below 41%
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT ARM SHORT STAT ER $198.24 $336.00 $134.40–$325.92 3% above 41%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM FPC FAC $24.19 $41.00 $28.70–$39.77 — 41%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLINT ARM SHORT STAT ER $198.24 $336.00 $235.20–$325.92 — 41%
Short leg splint (calf to foot) CPT 29515 APPL SPLINT LEG SHORT ER $229.51 $389.00 $155.60–$377.33 3% above 41%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SPLINT LEG SHORT ER $229.51 $389.00 $272.30–$377.33 — 41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUT TRK/AX/SCA/NCK/GEN FPC FAC $34.81 $59.00 $23.60–$57.23 89% below 41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR LAC SMP SCALP <2.5 CM ER $272.58 $462.00 $184.80–$448.14 12% below 41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUT TRK/AX/SCA/NCK/GEN FPC FAC $34.81 $59.00 $41.30–$57.23 — 41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR LAC SMP SCALP <2.5 CM ER $272.58 $462.00 $323.40–$448.14 — 41%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SING LES FPC FAC $51.92 $88.00 $35.20–$85.36 85% below 41%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SING LES ER $443.09 $751.00 $300.40–$728.47 31% above 41%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SING LES FPC FAC $51.92 $88.00 $61.60–$85.36 — 41%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SING LES ER $443.09 $751.00 $525.70–$728.47 — 41%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MLG+MG 0.5<CMFPCFAC $82.60 $140.00 $56.00–$135.80 84% below 41%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MLG+MG 0.5<CMFPCFAC $82.60 $140.00 $98.00–$135.80 — 41%
Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL <=15 FPC FAC $32.45 $55.00 $22.00–$53.35 86% below 41%
Skin tag removal, up to 15 tags CPT 11200 REM SKINTAG < OR = 15 ER $66.67 $113.00 $45.20–$109.61 71% below 41%
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAG REMOVAL <=15 FPC FAC $32.45 $55.00 $38.50–$53.35 — 41%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKINTAG < OR = 15 ER $66.67 $113.00 $79.10–$109.61 — 41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE NSY $610.06 $1,034.00 $413.60–$1,002.98 29% below 41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC $671.42 $1,138.00 $455.20–$1,103.86 22% below 41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER $671.42 $1,138.00 $455.20–$1,103.86 22% below 41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE NSY $610.06 $1,034.00 $723.80–$1,002.98 — 41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC $671.42 $1,138.00 $796.60–$1,103.86 — 41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER $671.42 $1,138.00 $796.60–$1,103.86 — 41%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REP 2.6/7.5 CM WIC FAC $41.89 $71.00 $28.40–$68.87 86% below 41%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SMP SCALP 2.6-7.5CM ER $212.99 $361.00 $144.40–$350.17 29% below 41%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REP 2.6/7.5 CM WIC FAC $41.89 $71.00 $49.70–$68.87 — 41%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR LAC SMP SCALP 2.6-7.5CM ER $212.99 $361.00 $252.70–$350.17 — 41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUT FEENLM TO 2.5 WIC FAC $41.89 $71.00 $28.40–$68.87 86% below 41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SMP FACE <2.5CM ER $233.64 $396.00 $158.40–$384.12 20% below 41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SUT FEENLM TO 2.5 WIC FAC $41.89 $71.00 $49.70–$68.87 — 41%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SMP FACE <2.5CM ER $233.64 $396.00 $277.20–$384.12 — 41%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANG SINGLE LES FPCFAC $46.61 $79.00 $31.60–$76.63 83% below 41%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANGENT SINGLE LES ER $443.09 $751.00 $300.40–$728.47 64% above 41%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN TANG SINGLE LES FPCFAC $46.61 $79.00 $55.30–$76.63 — 41%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN TANGENT SINGLE LES ER $443.09 $751.00 $525.70–$728.47 — 41%
Thoracentesis with imaging guidance CPT 32555 THORCENT W IMAGING ER $784.70 $1,330.00 $532.00–$1,290.10 1% below 41%
Thoracentesis with imaging guidance inpatient CPT 32555 THORCENT W IMAGING ER $784.70 $1,330.00 $931.00–$1,290.10 — 41%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSC ER $284.38 $482.00 $192.80–$467.54 22% below 41%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSC ER $284.38 $482.00 $337.40–$467.54 — 41%
Wart removal, up to 14 warts CPT 17110 WART REMOVAL FPC FAC $46.02 $78.00 $31.20–$75.66 82% below 41%
Wart removal, up to 14 warts inpatient CPT 17110 WART REMOVAL FPC FAC $46.02 $78.00 $54.60–$75.66 — 41%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION $492.06 $834.00 $333.60–$808.98 31% below 41%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION $492.06 $834.00 $583.80–$808.98 — 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL MS $82.01 $139.00 $55.60–$134.83 22% below 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL ER $90.27 $153.00 $61.20–$148.41 14% below 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL MS $82.01 $139.00 $97.30–$134.83 — 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL ER $90.27 $153.00 $107.10–$148.41 — 41%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 16-90M SDS $777.62 $1,318.00 $527.20–$1,278.46 13% above 41%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 16-90M SDS $777.62 $1,318.00 $922.60–$1,278.46 — 41%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG WITH AWAKE AND DROWSY $647.23 $1,097.00 $438.80–$1,064.09 1% above 41%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG WITH AWAKE AND DROWSY $647.23 $1,097.00 $767.90–$1,064.09 — 41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG 12 LEAD TRACE RT $179.36 $304.00 $121.60–$294.88 59% above 41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 EKG 12 LEAD TRACE RT $179.36 $304.00 $212.80–$294.88 — 41%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ER $168.15 $285.00 $114.00–$276.45 5% below 41%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ER $168.15 $285.00 $199.50–$276.45 — 41%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ER $230.69 $391.00 $156.40–$379.27 23% below 41%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ER $230.69 $391.00 $273.70–$379.27 — 41%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ER $335.71 $569.00 $227.60–$551.93 32% below 41%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ER $335.71 $569.00 $398.30–$551.93 — 41%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 FORENSIC MEDICAL EXAM ER $283.79 $481.00 $192.40–$466.57 65% below 41%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ER $607.70 $1,030.00 $412.00–$999.10 25% below 41%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FORENSIC MEDICAL EXAM ER $283.79 $481.00 $336.70–$466.57 — 41%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ER $607.70 $1,030.00 $721.00–$999.10 — 41%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ER $1,048.43 $1,777.00 $710.80–$1,723.69 15% below 41%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ER $1,048.43 $1,777.00 $1,243.90–$1,723.69 — 41%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST TRACING $434.24 $736.00 $294.40–$713.92 36% above 41%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST TRACING $434.24 $736.00 $515.20–$713.92 — 41%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W PT 50 MIN SLS $498.55 $845.00 $338.00–$819.65 7% above 41%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYTX W PT 50 MIN SLS $498.55 $845.00 $591.50–$819.65 — 41%
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYTX W/O PT 50 MIN SLS $474.95 $805.00 $322.00–$780.85 7% above 41%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYTX W/O PT 50 MIN SLS $474.95 $805.00 $563.50–$780.85 — 41%
Group psychotherapy session CPT 90853 GROUP PSYTX SLS $433.65 $735.00 $294.00–$712.95 5% below 41%
Group psychotherapy session inpatient CPT 90853 GROUP PSYTX SLS $433.65 $735.00 $514.50–$712.95 — 41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) FPC $52.51 $89.00 $35.60–$86.33 84% below 41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) WIC $209.45 $355.00 $142.00–$344.35 37% below 41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) ER $245.44 $416.00 $166.40–$403.52 27% below 41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) OB $260.19 $441.00 $176.40–$427.77 22% below 41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) FPC $52.51 $89.00 $62.30–$86.33 — 41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) WIC $209.45 $355.00 $248.50–$344.35 — 41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) ER $245.44 $416.00 $291.20–$403.52 — 41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) OB $260.19 $441.00 $308.70–$427.77 — 41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M ER $377.60 $640.00 $256.00–$620.80 2% below 41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M OB $400.02 $678.00 $271.20–$657.66 3% above 41%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M DYL $415.95 $705.00 $282.00–$683.85 8% above 41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M ER $377.60 $640.00 $448.00–$620.80 — 41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M OB $400.02 $678.00 $474.60–$657.66 — 41%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M DYL $415.95 $705.00 $493.50–$683.85 — 41%
IV push of a medicine, first drug CPT 96374 IV PUSH/INITIAL SINGLE FPC $59.59 $101.00 $40.40–$97.97 80% below 41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE ER $175.82 $298.00 $119.20–$289.06 41% below 41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE NON ER $187.03 $317.00 $126.80–$307.49 37% below 41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE OB $187.62 $318.00 $127.20–$308.46 37% below 41%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE DYL $195.29 $331.00 $132.40–$321.07 35% below 41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH/INITIAL SINGLE FPC $59.59 $101.00 $70.70–$97.97 — 41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE ER $175.82 $298.00 $208.60–$289.06 — 41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE NON ER $187.03 $317.00 $221.90–$307.49 — 41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE OB $187.62 $318.00 $222.60–$308.46 — 41%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE DYL $195.29 $331.00 $231.70–$321.07 — 41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM IM $24.19 $41.00 $16.40–$39.77 71% below 41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM ER $80.24 $136.00 $54.40–$131.92 5% below 41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM OB $87.32 $148.00 $59.20–$143.56 3% above 41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM NON ER $87.32 $148.00 $59.20–$143.56 3% above 41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM DYL $90.86 $154.00 $61.60–$149.38 8% above 41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM IM $24.19 $41.00 $28.70–$39.77 — 41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM ER $80.24 $136.00 $95.20–$131.92 — 41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM NON ER $87.32 $148.00 $103.60–$143.56 — 41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM OB $87.32 $148.00 $103.60–$143.56 — 41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM DYL $90.86 $154.00 $107.80–$149.38 — 41%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 FPC FAC $46.61 $79.00 $31.60–$76.63 79% below 41%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 FPC FAC $46.61 $79.00 $55.30–$76.63 — 41%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 FPC FAC $69.62 $118.00 $47.20–$114.46 78% below 41%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 FPC FAC $69.62 $118.00 $82.60–$114.46 — 41%
New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 WIC FAC $92.04 $156.00 $62.40–$151.32 76% below 41%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 WIC FAC $92.04 $156.00 $109.20–$151.32 — 41%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP VISIT NEW LVL 2 FPC FAC $30.09 $51.00 $20.40–$49.47 81% below 41%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFF/OP VISIT NEW LVL 2 FPC FAC $30.09 $51.00 $35.70–$49.47 — 41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRI THER ASSESS 15MIN FAC $15.34 $26.00 $15.34–$26.52 85% below 41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS IND EA 15MIN $102.66 $174.00 $22.26–$168.78 3% above 41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRI THER ASSESS 15MIN FAC $15.34 $26.00 $18.20–$25.22 — 41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INIT ASSESS IND EA 15MIN $102.66 $174.00 $121.80–$168.78 — 41%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE18-39FPC FAC $55.46 $94.00 $37.60–$91.18 49% below 41%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE18-39FPC FAC $55.46 $94.00 $65.80–$91.18 — 41%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE40-64FPC FAC $64.31 $109.00 $43.60–$105.73 56% below 41%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE40-64FPC FAC $64.31 $109.00 $76.30–$105.73 — 41%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE18-39FPC FAC $50.15 $85.00 $34.00–$82.45 59% below 41%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE18-39FPC FAC $50.15 $85.00 $59.50–$82.45 — 41%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64FPCFAC $53.10 $90.00 $36.00–$87.30 72% below 41%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64FPCFAC $53.10 $90.00 $63.00–$87.30 — 41%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PREVENT MED >65YRS WHC FAC $57.23 $97.00 $38.80–$94.09 72% below 41%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PREVENT MED >65YRS WHC FAC $57.23 $97.00 $67.90–$94.09 — 41%
Psychotherapy session, 30 minutes CPT 90832 BH IND THER 16-37 MIN SLS $359.90 $610.00 $244.00–$591.70 91% above 41%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH IND THER 16-37 MIN SLS $359.90 $610.00 $427.00–$591.70 — 41%
Psychotherapy session, 45 minutes CPT 90834 BH IND THER 38-52 MIN SLS $445.45 $755.00 $302.00–$732.35 72% above 41%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH IND THER 38-52 MIN SLS $445.45 $755.00 $528.50–$732.35 — 41%
Psychotherapy session, 60 minutes CPT 90837 BH IND THER 53-67 MIN SLS $454.30 $770.00 $308.00–$746.90 88% above 41%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH IND THER 53-67 MIN SLS $454.30 $770.00 $539.00–$746.90 — 41%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS 3-10 MINS IMC FAC $5.90 $10.00 $4.00–$9.70 84% below 41%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS 3-10 MINS IMC FAC $5.90 $10.00 $7.00–$9.70 — 41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB OP VISIT ESTABLISHED LVL 5 $71.39 $121.00 $48.40–$117.37 79% below 41%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP VISIT EST LVL 5 FPC FAC $74.93 $127.00 $50.80–$123.19 78% below 41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB OP VISIT ESTABLISHED LVL 5 $71.39 $121.00 $84.70–$117.37 — 41%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFF/OP VISIT EST LVL 5 FPC FAC $74.93 $127.00 $88.90–$123.19 — 41%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP VISIT EST LVL 3 FPC FAC $38.35 $65.00 $26.00–$63.05 79% below 41%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB OP VISIT ESTABLISHED LVL 3 $47.79 $81.00 $32.40–$78.57 74% below 41%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFF/OP VISIT EST LVL 3 FPC FAC $38.35 $65.00 $45.50–$63.05 — 41%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB OP VISIT ESTABLISHED LVL 3 $47.79 $81.00 $56.70–$78.57 — 41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP VISIT EST LVL 4 FPC FAC $53.69 $91.00 $36.40–$88.27 78% below 41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB OP VISIT ESTABLISHED LVL 4 $60.77 $103.00 $41.20–$99.91 76% below 41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFF/OP VISIT EST LVL 4 FPC FAC $53.69 $91.00 $63.70–$88.27 — 41%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB OP VISIT ESTABLISHED LVL 4 $60.77 $103.00 $72.10–$99.91 — 41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP VISIT EST LVL 2 FPC FAC $23.60 $40.00 $16.00–$38.80 73% below 41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB OP VISIT ESTABLISHED LVL 2 $38.94 $66.00 $26.40–$64.02 55% below 41%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPATIENT LEVEL 2 $120.95 $205.00 $82.00–$198.85 39% above 41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFF/OP VISIT EST LVL 2 FPC FAC $23.60 $40.00 $28.00–$38.80 — 41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB OP VISIT ESTABLISHED LVL 2 $38.94 $66.00 $46.20–$64.02 — 41%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OUTPATIENT LEVEL 2 $120.95 $205.00 $143.50–$198.85 — 41%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST FPC $46.02 $78.00 $31.20–$75.66 67% below 41%
Spirometry (breathing test) one side CPT 94010 SPIROMETRY RT $92.04 $156.00 $62.40–$151.32 34% below 41%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST FPC $46.02 $78.00 $54.60–$75.66 — 41%
Spirometry (breathing test) inpatient one side CPT 94010 SPIROMETRY RT $92.04 $156.00 $109.20–$151.32 — 41%
Spirometry before and after a bronchodilator CPT 94060 PFT (PRE AND POST) FPC $66.08 $112.00 $44.80–$108.64 74% below 41%
Spirometry before and after a bronchodilator one side CPT 94060 SPIROMETRY & BRONCHO RT $387.04 $656.00 $262.40–$636.32 51% above 41%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT (PRE AND POST) FPC $66.08 $112.00 $78.40–$108.64 — 41%
Spirometry before and after a bronchodilator inpatient one side CPT 94060 SPIROMETRY & BRONCHO RT $387.04 $656.00 $459.20–$636.32 — 41%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY $170.51 $289.00 $115.60–$280.33 33% below 41%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY $170.51 $289.00 $115.60–$280.33 33% below 41%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY $170.51 $289.00 $202.30–$280.33 — 41%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY $170.51 $289.00 $202.30–$280.33 — 41%

Vaccines

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM FPC $72.79 $123.36 $49.35–$119.66 at median 41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU (FLUAD TRIV) 25-26 (65UP)/ $77.92 $132.06 $52.83–$128.10 7% above 41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 IIV ADJUVANT VACCINE IM FPC $72.79 $123.36 $86.36–$119.66 — 41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU (FLUAD TRIV) 25-26 (65UP)/ $77.92 $132.06 $92.45–$128.10 — 41%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC SUR $108.82 $184.44 $73.78–$178.91 48% below 41%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 VAC 30MCG TRS-SUC SUR $108.82 $184.44 $129.11–$178.91 — 41%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ FPC $148.54 $251.76 $100.71–$244.21 11% below 41%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ FPC $148.54 $251.76 $176.24–$244.21 — 41%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS FPC $101.48 $172.00 $68.80–$166.84 8% above 41%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIP PERT(ACELL) TET POLIO .5 $108.87 $184.51 $69.41–$178.98 16% above 41%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 4-6 YRS FPC $101.48 $172.00 $120.40–$166.84 — 41%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIP PERT(ACELL) TET POLIO .5 $108.87 $184.51 $129.16–$178.98 — 41%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP DAPTCELL VACCINE 0.5ML VL $73.52 $124.61 $32.99–$120.88 41% above 41%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP DAPTCELL VACCINE 0.5ML VL $73.52 $124.61 $87.23–$120.88 — 41%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM IMC $167.72 $284.27 $113.71–$275.75 42% above 41%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEP B-IPV VACCINE IM IMC $167.72 $284.27 $198.99–$275.75 — 41%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HE PB VA FPC $116.44 $197.34 $78.94–$191.42 31% below 41%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HE PB VA FPC $116.44 $197.34 $138.14–$191.42 — 41%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU (FLULAVAL) 25-26(6MOS UP)/ $46.32 $78.50 $22.03–$76.15 40% above 41%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU (FLULAVAL) 25-26(6MOS UP)/ $46.32 $78.50 $54.95–$76.15 — 41%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 3 DOSE IM FPC $383.50 $650.00 $260.00–$630.50 9% above 41%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 3 DOSE IM FPC $383.50 $650.00 $455.00–$630.50 — 41%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT IM FPC $81.04 $137.35 $54.94–$133.23 18% below 41%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT IM FPC $81.04 $137.35 $96.15–$133.23 — 41%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A VIRUS VAC 720 U/.5ML $81.04 $137.35 $42.99–$133.23 38% above 41%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A VIRUS VAC 720 U/.5ML $81.04 $137.35 $96.15–$133.23 — 41%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VAC 3 DOSE ADULT IM FPC $60.77 $103.00 $41.20–$99.91 40% below 41%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VAC 3 DOSE ADULT IM FPC $60.77 $103.00 $72.10–$99.91 — 41%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2 DOSE ADULT IM FPC $105.85 $179.39 $71.76–$177.48 52% below 41%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPB VACC 2 DOSE ADULT IM FPC $105.85 $179.39 $125.58–$174.01 — 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPBVACC 3DOSE PED/ADOL IM FPC $16.09 $27.27 $10.91–$27.27 60% below 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B PED/ADULT 5MCG/0.5ML SDV $73.52 $124.61 $31.47–$120.88 84% above 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPBVACC 3DOSE PED/ADOL IM FPC $16.09 $27.27 $19.09–$26.46 — 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B PED/ADULT 5MCG/0.5ML SDV $73.52 $124.61 $87.23–$120.88 — 41%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACCINE 3 DSE PED $50.27 $85.19 $33.83–$82.64 48% above 41%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HIB PRP-OMP VACCINE 3 DSE PED $50.27 $85.19 $59.64–$82.64 — 41%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMO B POLY CON-TET TOX10 $50.27 $85.19 $14.56–$82.64 61% above 41%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMO B POLY CON-TET TOX10 $50.27 $85.19 $59.64–$82.64 — 41%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASE AG IM FPC $48.97 $83.00 $33.20–$83.00 24% below 41%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRSV INCREASE AG IM FPC $48.97 $83.00 $58.10–$80.51 — 41%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE FPC $162.66 $275.68 $105.34–$267.41 34% above 41%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MU & RUB VAC.5 ML $167.54 $283.96 $105.34–$275.45 38% above 41%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE FPC $162.66 $275.68 $192.98–$267.41 — 41%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MU & RUB VAC.5 ML $167.54 $283.96 $198.78–$275.45 — 41%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE FPC $383.50 $650.00 $260.00–$630.50 at median 41%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACCINE FPC $383.50 $650.00 $455.00–$630.50 — 41%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MCV4 MENACWY VACCINE IM FPC $89.26 $151.28 $60.52–$151.28 50% below 41%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MEN VAC W-135 DIP 4MCG/.5ML $258.99 $438.95 $175.58–$425.79 46% above 41%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MCV4 MENACWY VACCINE IM FPC $89.26 $151.28 $105.90–$146.75 — 41%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MEN VAC W-135 DIP 4MCG/.5ML $258.99 $438.95 $307.27–$425.79 — 41%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VAC WHC $237.49 $402.52 $161.01–$390.45 30% below 41%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VAC WHC $237.49 $402.52 $281.77–$390.45 — 41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEU 13-VAL CRM 0.5ML SYR $276.57 $468.75 $187.50–$454.69 1% below 41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VAC 13 VAL IM FPC $276.71 $469.00 $187.60–$454.93 1% below 41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEU 13-VAL CRM 0.5ML SYR $276.57 $468.75 $328.13–$454.69 — 41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VAC 13 VAL IM FPC $276.71 $469.00 $328.30–$454.93 — 41%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCCAL CONJUGA FPC $187.03 $317.00 $126.80–$307.49 43% below 41%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCCAL CONJUGA FPC $187.03 $317.00 $221.90–$307.49 — 41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE FPC $186.47 $316.05 $126.42–$306.57 51% below 41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE FPC $186.47 $316.05 $221.24–$306.57 — 41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM FPC $94.82 $160.70 $64.28–$155.88 32% below 41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA 50+YR 0.5ML SYRNG $204.88 $347.25 $125.86–$336.84 47% above 41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM FPC $94.82 $160.70 $112.49–$155.88 — 41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA 50+YR 0.5ML SYRNG $204.88 $347.25 $243.08–$336.84 — 41%
Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACC INACT 5 ML MDV $498.54 $844.98 $51.40–$819.64 287% above 41%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACC INACT 5 ML MDV $498.54 $844.98 $591.49–$819.64 — 41%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONO ANTB SEASN 1 ML FPC $919.81 $1,559.00 $623.60–$1,512.23 14% above 41%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 RSV MONO ANTB SEASN 1 ML FPC $919.81 $1,559.00 $1,091.30–$1,512.23 — 41%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT FPC $81.04 $137.35 $54.94–$133.23 78% below 41%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC PREF BIVALENT FPC $81.04 $137.35 $96.15–$133.23 — 41%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IMC $200.75 $340.24 $136.10–$330.04 36% below 41%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSV VACC PREF RECOMB ADJT IMC $200.75 $340.24 $238.17–$330.04 — 41%
Rabies vaccine, one dose CPT 90675 RABIES VACC (AVIAN)IM 2.5IU/ML $526.17 $891.81 $341.98–$865.06 17% below 41%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC (AVIAN)IM 2.5IU/ML $526.17 $891.81 $624.27–$865.06 — 41%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTA VAC LIVE PENTAV 2ML SYR $154.74 $262.27 $104.91–$254.41 44% above 41%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTA VAC LIVE PENTAV 2ML SYR $154.74 $262.27 $183.59–$254.41 — 41%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM IMC $147.44 $249.89 $99.96–$249.89 48% below 41%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM IMC $147.44 $249.89 $174.93–$242.40 — 41%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD0.5ML $77.38 $131.15 $42.04–$127.22 55% above 41%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML $95.88 $162.50 $42.04–$157.63 92% above 41%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD0.5ML $77.38 $131.15 $91.81–$127.22 — 41%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML $95.88 $162.50 $113.75–$157.63 — 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM FPC $79.77 $135.19 $42.83–$131.14 15% above 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (ACELL) TET VAC. 5 ML $85.45 $144.82 $42.83–$140.48 23% above 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 10+YRS 0.5ML SYRNG $104.49 $177.09 $42.83–$171.78 50% above 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM FPC $79.77 $135.19 $94.64–$131.14 — 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (ACELL) TET VAC. 5 ML $85.45 $144.82 $101.38–$140.48 — 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 10+YRS 0.5ML SYRNG $104.49 $177.09 $123.97–$171.78 — 41%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYP VI POLY VACC 25 MCG/0.5ML $282.79 $479.29 $173.72–$464.92 88% above 41%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYP VI POLY VACC 25 MCG/0.5ML $282.79 $479.29 $335.51–$464.92 — 41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN HEP B NB (STATE) $12.39 $20.99 $8.40–$20.37 74% below 41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER WIC $34.81 $59.00 $23.60–$57.23 27% below 41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OTHER MS $56.64 $96.00 $38.40–$93.12 18% above 41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN FLU WIC $58.41 $99.00 $39.60–$96.03 22% above 41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN HEP B NB (STATE) $12.39 $20.99 $14.70–$20.37 — 41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER WIC $34.81 $59.00 $41.30–$57.23 — 41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OTHER MS $56.64 $96.00 $67.20–$93.12 — 41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN FLU WIC $58.41 $99.00 $69.30–$96.03 — 41%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH WHC $24.78 $42.00 $16.80–$40.74 15% below 41%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH MS $28.91 $49.00 $19.60–$47.53 1% below 41%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH WHC $24.78 $42.00 $29.40–$40.74 — 41%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH MS $28.91 $49.00 $34.30–$47.53 — 41%
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.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450226429-1992947956_st-josephs-hospital-and-health-center_standardcharges.json