Crouse Hospital
Crouse Hospital in Syracuse, NY publishes cash prices for 352 common procedures listed here, from its own machine-readable price file updated May 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 173 of 348 procedures and below it for 165. By typical cash price it ranks #62 of 115 New York hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
736 Irving Ave, Syracuse, NY 13210 Collected Sep 22, 2026 Source price file Check a bill from this hospital (315) 470-7449
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 330203 · CMS hospital register NPI 1033107743
The price file shows no self-pay discount
For 1466 of the 1466 prices listed here, the cash price in Crouse Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Crouse Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 74170 CT ABDOMEN W/O & W/CONTRAST MATERIAL_01 | $1,700.00 | $1,700.00 | — | 29% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 74170 CT ABDOMEN W/O & W/CONTRAST MATERIAL_01 | $1,700.00 | $1,700.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 74019 CH RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $258.00 | $258.00 | — | at median | — |
| Abdominal X-ray, 2 views CPT 74019 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $258.00 | $258.00 | — | at median | — |
| Abdominal X-ray, 2 views CPT 74019 74019 X-RAY ABDOMEN 2 VIEWS PORTABLE | $258.00 | $258.00 | — | at median | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 74019 X-RAY ABDOMEN 2 VIEWS PORTABLE | $258.00 | $258.00 | — | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 74019 CH RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $258.00 | $258.00 | — | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $258.00 | $258.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_RT | $245.00 | $245.00 | — | 21% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 73610 CH RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_RT | $245.00 | $245.00 | — | 21% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_LT | $245.00 | $245.00 | — | 21% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 73610 CH RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_LT | $245.00 | $245.00 | — | 21% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_LT | $245.00 | $245.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 73610 CH RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_LT | $245.00 | $245.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_RT | $245.00 | $245.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 73610 CH RADEX ANKLE COMPLETE MINIMUM 3 VIEWS_RT | $245.00 | $245.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 CH LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDI | $381.00 | $381.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LE | $260.00 | $260.00 | — | 19% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 CH LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDI | $381.00 | $381.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922 NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LE | $260.00 | $260.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 73200 CT UPPER EXTREMITY W/O CONTRAST MATERIAL_RT | $1,110.00 | $1,110.00 | — | 49% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 73200 CT UPPER EXTREMITY W/O CONTRAST MATERIAL_LT | $1,110.00 | $1,110.00 | — | 49% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 73200 CT UPPER EXTREMITY W/O CONTRAST MATERIAL_RT | $1,110.00 | $1,110.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 73200 CT UPPER EXTREMITY W/O CONTRAST MATERIAL_LT | $1,110.00 | $1,110.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 74220 RADEX ESOPHAGUS_01 | $297.00 | $297.00 | — | 13% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 74220 CH RADEX ESOPHAGUS_01 | $317.00 | $317.00 | — | 7% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 74220 RADEX ESOPHAGUS_01 | $297.00 | $297.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 74220 CH RADEX ESOPHAGUS_01 | $317.00 | $317.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 78306 BONE &/JOINT IMAGING WHOLE BODY_01 | $985.00 | $985.00 | — | at median | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 78306 BONE &/JOINT IMAGING WHOLE BODY_01 | $985.00 | $985.00 | — | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 76641 US BREAST REAL TIME W/IMAGE DOCUMENTATION BI | $606.00 | $606.00 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 76641 US BREAST REAL TIME W/IMAGE DOCUMENTATION_LT | $404.00 | $404.00 | — | 25% above | — |
| Breast ultrasound, complete, one breast CPT 76641 76641 US BREAST REAL TIME W/IMAGE DOCUMENTATION_RT | $404.00 | $404.00 | — | 25% above | — |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 76641 US BREAST REAL TIME W/IMAGE DOCUMENTATION BI | $606.00 | $606.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 76641 US BREAST REAL TIME W/IMAGE DOCUMENTATION_LT | $404.00 | $404.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 76641 US BREAST REAL TIME W/IMAGE DOCUMENTATION_RT | $404.00 | $404.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 76642 US BREAST UNI REAL TIME WITH IMAGE LIMITED_0 | $248.00 | $248.00 | — | 2% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 US BREAST UNI REAL TIME WITH IMAGE LIMITED_0 | $248.00 | $248.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 74174 CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST I | $2,640.00 | $2,640.00 | — | 51% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 74174 CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST I | $2,640.00 | $2,640.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST_0 | $1,095.00 | $1,095.00 | — | 11% below | — |
| CT angiography (CTA) of the head inpatient CPT 70496 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST_0 | $1,095.00 | $1,095.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST_0 | $1,516.00 | $1,516.00 | — | 22% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST_0 | $1,516.00 | $1,516.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST_ | $1,625.00 | $1,625.00 | — | 25% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST_ | $1,625.00 | $1,625.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 75574 CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D P | $1,602.00 | $1,602.00 | — | 23% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574 CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D P | $1,602.00 | $1,602.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING | $104.00 | $104.00 | — | 51% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 75571 CT HEART NO CONTRAST QUANT EVAL CORONRY CALC | $150.00 | $150.00 | — | 30% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CH CT HEART QUANTITATIVE EVALUATION CORONARY CALCI | $156.00 | $156.00 | — | 27% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING | $104.00 | $104.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 75571 CT HEART NO CONTRAST QUANT EVAL CORONRY CALC | $150.00 | $150.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CH CT HEART QUANTITATIVE EVALUATION CORONARY CALCI | $156.00 | $156.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL_01 | $1,238.00 | $1,238.00 | — | 8% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL_02 | $1,238.00 | $1,238.00 | — | 8% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 74176 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL_02 | $1,238.00 | $1,238.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 74176 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL_01 | $1,238.00 | $1,238.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL_02 | $1,507.00 | $1,507.00 | — | 4% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL_01 | $1,507.00 | $1,507.00 | — | 4% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL_02 | $1,507.00 | $1,507.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL_01 | $1,507.00 | $1,507.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT AORTA/CHEST/ABD W/& W/O CONTRST 1/> BODY | $2,072.00 | $2,072.00 | — | at median | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT ABDOMEN & PELVIS W/& W/O CONTRST 1/> BODY | $2,122.00 | $2,122.00 | — | 2% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 CT AORTA/CHEST/ABD W/& W/O CONTRST 1/> BODY | $2,072.00 | $2,072.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 CT ABDOMEN & PELVIS W/& W/O CONTRST 1/> BODY | $2,122.00 | $2,122.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 74160 CT ABDOMEN W/CONTRAST MATERIAL_01 | $1,373.00 | $1,373.00 | — | 18% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 74160 CT ABDOMEN W/CONTRAST MATERIAL_01 | $1,373.00 | $1,373.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 74150 CT ABDOMEN W/O CONTRAST MATERIAL_01 | $1,019.00 | $1,019.00 | — | 24% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 74150 CT ABDOMEN W/O CONTRAST MATERIAL_01 | $1,019.00 | $1,019.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 70486 CT MAXILLOFACIAL W/O CONTRAST MATERIAL_01 | $1,304.00 | $1,304.00 | — | 64% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 70486 CT MAXILLOFACIAL W/O CONTRAST MATERIAL_01 | $1,304.00 | $1,304.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL_02 | $880.00 | $880.00 | — | 6% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL_01 | $1,100.00 | $1,100.00 | — | 33% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL_02 | $880.00 | $880.00 | — | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL_01 | $1,100.00 | $1,100.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 70460 CT HEAD/BRAIN W/CONTRAST MATERIAL_01 | $1,094.00 | $1,094.00 | — | 12% above | — |
| CT scan of the head with contrast inpatient CPT 70460 70460 CT HEAD/BRAIN W/CONTRAST MATERIAL_01 | $1,094.00 | $1,094.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 70470 CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL_01 | $1,374.00 | $1,374.00 | — | 29% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 70470 CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL_01 | $1,374.00 | $1,374.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 CT LUMBAR SPINE W/O CONTRAST MATERIAL_01 | $1,175.00 | $1,175.00 | — | 33% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 72131 CT LUMBAR SPINE W/O CONTRAST MATERIAL_01 | $1,175.00 | $1,175.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 CT CERVICAL SPINE W/O CONTRAST MATERIAL_01 | $1,001.00 | $1,001.00 | — | 8% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 72125 CT CERVICAL SPINE W/O CONTRAST MATERIAL_01 | $1,001.00 | $1,001.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT PELVIS W/CONTRAST MATERIAL_01 | $1,168.00 | $1,168.00 | — | 14% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 CT PELVIS W/CONTRAST MATERIAL_01 | $1,168.00 | $1,168.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY_ | $631.00 | $631.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 93880 DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY_ | $631.00 | $631.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 71270 CT THORAX W/O & W/CONTRAST MATERIAL_01 | $1,607.00 | $1,607.00 | — | 23% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 71270 CT THORAX W/O & W/CONTRAST MATERIAL_01 | $1,607.00 | $1,607.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 71046 RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $203.00 | $203.00 | — | 1% above | — |
| Chest X-ray, 2 views CPT 71046 71046 X-RAY CHEST 2 VIEWS PORTABLE | $244.00 | $244.00 | — | 21% above | — |
| Chest X-ray, 2 views CPT 71046 71046 CH RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $244.00 | $244.00 | — | 21% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 71046 RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $203.00 | $203.00 | — | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 71046 X-RAY CHEST 2 VIEWS PORTABLE | $244.00 | $244.00 | — | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 71046 CH RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $244.00 | $244.00 | — | — | — |
| Chest X-ray, single view CPT 71045 71045 RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $223.00 | $223.00 | — | 12% above | — |
| Chest X-ray, single view CPT 71045 71045 X-RAY CHEST 1 VIEW PORTABLE | $223.00 | $223.00 | — | 12% above | — |
| Chest X-ray, single view CPT 71045 71045 CH RADIOLOGIC EXAMINATION, CHEST; SINGLE VIE | $223.00 | $223.00 | — | 12% above | — |
| Chest X-ray, single view inpatient CPT 71045 71045 X-RAY CHEST 1 VIEW PORTABLE | $223.00 | $223.00 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 71045 CH RADIOLOGIC EXAMINATION, CHEST; SINGLE VIE | $223.00 | $223.00 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 71045 RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $223.00 | $223.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 73000 RADEX CLAVICLE COMPLETE_RT | $145.00 | $145.00 | — | 28% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 73000 RADEX CLAVICLE COMPLETE_LT | $145.00 | $145.00 | — | 28% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 73000 CH RADEX CLAVICLE COMPLETE_RT | $174.00 | $174.00 | — | 14% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 73000 CH RADEX CLAVICLE COMPLETE_LT | $174.00 | $174.00 | — | 14% below | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 73000 RADEX CLAVICLE COMPLETE_RT | $145.00 | $145.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 73000 RADEX CLAVICLE COMPLETE_LT | $145.00 | $145.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 73000 CH RADEX CLAVICLE COMPLETE_LT | $174.00 | $174.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 73000 CH RADEX CLAVICLE COMPLETE_RT | $174.00 | $174.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 US RETROPERITONEAL REAL TIME W/IMAGE COMPLET | $468.00 | $468.00 | — | 11% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 76770 US RETROPERITONEAL REAL TIME W/IMAGE COMPLET | $468.00 | $468.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL_ | $399.00 | $399.00 | — | 45% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 77080 DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL_ | $399.00 | $399.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 77081 DXA BONE DENSITY STUDY 1/>SITES APPENDICLR S | $147.00 | $147.00 | — | 2% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 77081 DXA BONE DENSITY STUDY 1/>SITES APPENDICLR S | $147.00 | $147.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT THORAX W/O CONTRAST MATERIAL_02 | $1,031.00 | $1,031.00 | — | 19% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT THORAX W/O CONTRAST MATERIAL_01 | $1,289.00 | $1,289.00 | — | 49% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 CT THORAX W/O CONTRAST MATERIAL_02 | $1,031.00 | $1,031.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 CT THORAX W/O CONTRAST MATERIAL_01 | $1,289.00 | $1,289.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT THORAX W/CONTRAST MATERIAL_02 | $1,558.00 | $1,558.00 | — | 20% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT THORAX W/CONTRAST MATERIAL_01 | $1,558.00 | $1,558.00 | — | 20% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT THORAX W/CONTRAST MATERIAL_03 | $1,558.00 | $1,558.00 | — | 20% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 CT THORAX W/CONTRAST MATERIAL_01 | $1,558.00 | $1,558.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 CT THORAX W/CONTRAST MATERIAL_03 | $1,558.00 | $1,558.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 CT THORAX W/CONTRAST MATERIAL_02 | $1,558.00 | $1,558.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 CH 77066 DIAGNOSTIC BILATERAL MAMMO W CONTRAST | $399.00 | $399.00 | — | — | — |
| Diagnostic mammogram, both breasts CPT 77066 77066 DIAGNOSTIC MAMMO/INCLUDING COMPUTER-AIDED DE | $399.00 | $399.00 | — | 68% above | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CH 77066 DIAGNOSTIC BILATERAL MAMMO W CONTRAST | $399.00 | $399.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 77066 DIAGNOSTIC MAMMO/INCLUDING COMPUTER-AIDED DE | $399.00 | $399.00 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 77065 DIAGNOSTIC MAMMO INCLUDING COMPUTER-AIDED DE | $373.00 | $373.00 | — | 33% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 CH 77065 DIAGNOSTIC RIGHT MAMMO W CONTRAST | $373.00 | $373.00 | — | 33% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 CH 77065 DIAGNOSTIC LEFT MAMMO W CONTRAST | $373.00 | $373.00 | — | 33% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 77065 DIAGNOSTIC MAMMO INCLUDING COMPUTER-AIDED DE | $373.00 | $373.00 | — | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 CH 77065 DIAGNOSTIC LEFT MAMMO W CONTRAST | $373.00 | $373.00 | — | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 CH 77065 DIAGNOSTIC RIGHT MAMMO W CONTRAST | $373.00 | $373.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925 DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY_0 | $584.00 | $584.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 93925 DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY_0 | $584.00 | $584.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY_ | $567.00 | $567.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 93970 DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY_ | $567.00 | $567.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR | $948.00 | $948.00 | — | 14% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR | $948.00 | $948.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 73070 RADEX ELBOW 2 VIEWS_RT | $141.00 | $141.00 | — | 30% below | — |
| Elbow X-ray, 2 views CPT 73070 73070 RADEX ELBOW 2 VIEWS_LT | $141.00 | $141.00 | — | 30% below | — |
| Elbow X-ray, 2 views CPT 73070 73070 CH RADEX ELBOW 2 VIEWS_LT | $169.00 | $169.00 | — | 16% below | — |
| Elbow X-ray, 2 views CPT 73070 73070 CH RADEX ELBOW 2 VIEWS_RT | $169.00 | $169.00 | — | 16% below | — |
| Elbow X-ray, 2 views inpatient CPT 73070 73070 RADEX ELBOW 2 VIEWS_LT | $141.00 | $141.00 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 73070 RADEX ELBOW 2 VIEWS_RT | $141.00 | $141.00 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 73070 CH RADEX ELBOW 2 VIEWS_LT | $169.00 | $169.00 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 73070 CH RADEX ELBOW 2 VIEWS_RT | $169.00 | $169.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 73080 RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_LT | $168.00 | $168.00 | — | 17% below | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 73080 RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_RT | $168.00 | $168.00 | — | 17% below | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 73080 CH RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_RT | $202.00 | $202.00 | — | at median | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 73080 CH RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_LT | $202.00 | $202.00 | — | at median | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 73080 RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_RT | $168.00 | $168.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 73080 RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_LT | $168.00 | $168.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 73080 CH RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_LT | $202.00 | $202.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 73080 CH RADEX ELBOW COMPLETE MINIMUM 3 VIEWS_RT | $202.00 | $202.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 70480 CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST M | $1,366.00 | $1,366.00 | — | 83% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 70480 CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST M | $1,366.00 | $1,366.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 70150 RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS_ | $162.00 | $162.00 | — | 40% below | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 70150 CH RADEX FACIAL BONES COMPLETE MINIMUM 3 VIE | $334.00 | $334.00 | — | 23% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 70150 RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS_ | $162.00 | $162.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 70150 CH RADEX FACIAL BONES COMPLETE MINIMUM 3 VIE | $334.00 | $334.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 73090 RADEX FOREARM 2 VIEWS_RT | $199.00 | $199.00 | — | 1% below | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 73090 RADEX FOREARM 2 VIEWS_LT | $199.00 | $199.00 | — | 1% below | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 73090 CH RADEX FOREARM 2 VIEWS_LT | $239.00 | $239.00 | — | 18% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 73090 CH RADEX FOREARM 2 VIEWS_RT | $239.00 | $239.00 | — | 18% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 73090 RADEX FOREARM 2 VIEWS_LT | $199.00 | $199.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 73090 RADEX FOREARM 2 VIEWS_RT | $199.00 | $199.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 73090 CH RADEX FOREARM 2 VIEWS_LT | $239.00 | $239.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 73090 CH RADEX FOREARM 2 VIEWS_RT | $239.00 | $239.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 78226 HEPATOBILIARY SYST IMAGING INCLUDING GALLBLA | $1,008.00 | $1,008.00 | — | 2% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 78226 HEPATOBILIARY SYST IMAGING INCLUDING GALLBLA | $1,008.00 | $1,008.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 73120 RADEX HAND 2 VIEWS_RT | $135.00 | $135.00 | — | 35% below | — |
| Hand X-ray, 2 views CPT 73120 73120 RADIOLOGIC EXAMINATION, HAND; 2 VIEWS_50 | $162.00 | $162.00 | — | 22% below | — |
| Hand X-ray, 2 views CPT 73120 73120 RADEX HAND 2 VIEWS_LT | $162.00 | $162.00 | — | 22% below | — |
| Hand X-ray, 2 views CPT 73120 73120 CH RADEX HAND 2 VIEWS_RT | $162.00 | $162.00 | — | 22% below | — |
| Hand X-ray, 2 views CPT 73120 73120 CH RADEX HAND 2 VIEWS_LT | $162.00 | $162.00 | — | 22% below | — |
| Hand X-ray, 2 views inpatient CPT 73120 73120 RADEX HAND 2 VIEWS_RT | $135.00 | $135.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 73120 RADIOLOGIC EXAMINATION, HAND; 2 VIEWS_50 | $162.00 | $162.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 73120 CH RADEX HAND 2 VIEWS_RT | $162.00 | $162.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 73120 CH RADEX HAND 2 VIEWS_LT | $162.00 | $162.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 73120 RADEX HAND 2 VIEWS_LT | $162.00 | $162.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 73650 RADEX CALCANEUS MINIMUM 2 VIEWS_RT | $139.00 | $139.00 | — | 28% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 73650 RADEX CALCANEUS MINIMUM 2 VIEWS_LT | $167.00 | $167.00 | — | 13% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 73650 CH RADEX CALCANEUS MINIMUM 2 VIEWS_RT | $167.00 | $167.00 | — | 13% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 73650 CH RADEX CALCANEUS MINIMUM 2 VIEWS_LT | $167.00 | $167.00 | — | 13% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 73650 RADEX CALCANEUS MINIMUM 2 VIEWS_RT | $139.00 | $139.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 73650 RADEX CALCANEUS MINIMUM 2 VIEWS_LT | $167.00 | $167.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 73650 CH RADEX CALCANEUS MINIMUM 2 VIEWS_LT | $167.00 | $167.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 73650 CH RADEX CALCANEUS MINIMUM 2 VIEWS_RT | $167.00 | $167.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM A | $2,447.00 | $2,447.00 | — | 15% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 95811 POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM A | $2,447.00 | $2,447.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 73562 CH RADIOLOGIC EXAMINATION KNEE 3 VIEWS_LT | $254.00 | $254.00 | — | 23% above | — |
| Knee X-ray, 3 views CPT 73562 73562 RADIOLOGIC EXAMINATION KNEE 3 VIEWS_RT | $254.00 | $254.00 | — | 23% above | — |
| Knee X-ray, 3 views CPT 73562 73562 CH RADIOLOGIC EXAMINATION KNEE 3 VIEWS_RT | $254.00 | $254.00 | — | 23% above | — |
| Knee X-ray, 3 views CPT 73562 73562 RADIOLOGIC EXAMINATION KNEE 3 VIEWS_LT | $254.00 | $254.00 | — | 23% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 73562 RADIOLOGIC EXAMINATION KNEE 3 VIEWS_RT | $254.00 | $254.00 | — | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 73562 RADIOLOGIC EXAMINATION KNEE 3 VIEWS_LT | $254.00 | $254.00 | — | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 73562 CH RADIOLOGIC EXAMINATION KNEE 3 VIEWS_RT | $254.00 | $254.00 | — | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 73562 CH RADIOLOGIC EXAMINATION KNEE 3 VIEWS_LT | $254.00 | $254.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 73564 RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS_L | $225.00 | $225.00 | — | 18% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 73564 RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS_R | $225.00 | $225.00 | — | 18% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 73564 CH RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEW | $270.00 | $270.00 | — | 2% below | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 73564 RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS_R | $225.00 | $225.00 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 73564 RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS_L | $225.00 | $225.00 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 73564 CH RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEW | $270.00 | $270.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 73700 CT LOWER EXTREMITY W/O CONTRAST MATERIAL LEG | $886.00 | $886.00 | — | 19% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 73700 CT LOWER EXTREMITY W/O CONTRAST MATERIAL LEG | $886.00 | $886.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 ULTRASOUND ABDOMINAL REAL TIME W/IMAGE LIMIT | $284.00 | $284.00 | — | 25% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 ECHO EXAM OF ABDOMEN | $296.00 | $296.00 | — | 22% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 ULTRASOUND ABDOMINAL REAL TIME W/IMAGE LIMIT | $284.00 | $284.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 ECHO EXAM OF ABDOMEN | $296.00 | $296.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 US EXTREMITY NON-VASC REAL-TIME IMG LMTD_01 | $246.00 | $246.00 | — | 9% below | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 76882 US JOINT UPPER EXTREMITY LT LIMITED | $295.00 | $295.00 | — | 9% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 76882 US SOFT TISSUE NON VASCULAR ARM/LEG LT LIMIT | $295.00 | $295.00 | — | 9% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 76882 US SOFT TISSUE NON VASCULAR ARM/LEG RT LIMIT | $295.00 | $295.00 | — | 9% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 76882 US JOINT UPPER EXTREMITY RT LIMITED | $295.00 | $295.00 | — | 9% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 76882 US EXTREMITY NON-VASC REAL-TIME IMG LMTD_01 | $246.00 | $246.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 76882 US SOFT TISSUE NON VASCULAR ARM/LEG LT LIMIT | $295.00 | $295.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 76882 US JOINT UPPER EXTREMITY RT LIMITED | $295.00 | $295.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 76882 US JOINT UPPER EXTREMITY LT LIMITED | $295.00 | $295.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 76882 US SOFT TISSUE NON VASCULAR ARM/LEG RT LIMIT | $295.00 | $295.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CH CT CHEST LOW DOSE LUNG SCREENING | $1,011.00 | $1,011.00 | — | 132% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CH CT CHEST LOW DOSE LUNG SCREENING | $1,011.00 | $1,011.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 73590 CH RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 V | $193.00 | $193.00 | — | 4% below | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 73590 RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEW | $193.00 | $193.00 | — | 4% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 73590 RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEW | $193.00 | $193.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 73590 CH RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 V | $193.00 | $193.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 70544 MRA ANGIO HEAD WO CONTRAST | $900.00 | $900.00 | — | 29% below | — |
| MR angiography (MRA) of the head without contrast CPT 70544 70544 MRA HEAD WO DYE | $900.00 | $900.00 | — | 29% below | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 70544 MRA ANGIO HEAD WO CONTRAST | $900.00 | $900.00 | — | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 70544 MRA HEAD WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 RT MRI JOINT LOWER EXTREM WO DYE | $900.00 | $900.00 | — | 25% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 LT MRI JOINT LOWER EXTREM WO DYE | $900.00 | $900.00 | — | 25% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 RT MRI JOINT LOWER EXTREM WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 LT MRI JOINT LOWER EXTREM WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 LT MRI JOINT LWR EXTREM W&WO DYE | $1,580.00 | $1,580.00 | — | 22% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 RT MRI JOINT LWR EXTREM W&WO DYE | $1,580.00 | $1,580.00 | — | 22% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 LT MRI JOINT LWR EXTREM W&WO DYE | $1,580.00 | $1,580.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 RT MRI JOINT LWR EXTREM W&WO DYE | $1,580.00 | $1,580.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 74181 MRI ABDOMEN WO DYE | $900.00 | $900.00 | — | 18% below | — |
| MRI of the abdomen without contrast CPT 74181 74181 MRI ABDOMEN | $900.00 | $900.00 | — | 18% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 74181 MRI ABDOMEN | $900.00 | $900.00 | — | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 74181 MRI ABDOMEN WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183 MRI ABDOMEN W&WO DYE | $1,050.00 | $1,050.00 | — | 37% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 74183 MRI ABDOMEN W&WO DYE | $1,050.00 | $1,050.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 70551 MRI BRAIN WO DYE | $900.00 | $900.00 | — | 23% below | — |
| MRI of the brain, no contrast dye CPT 70551 70551 MRI BRAIN WO CONTRAST | $900.00 | $900.00 | — | 23% below | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 70551 MRI BRAIN WO CONTRAST | $900.00 | $900.00 | — | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 70551 MRI BRAIN WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 70553 MRI BRAIN W&WO DYE | $1,050.00 | $1,050.00 | — | 41% below | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 70553 MRI BRAIN W&WO DYE | $1,050.00 | $1,050.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI LUMBAR SPINE WO DYE | $900.00 | $900.00 | — | 31% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MRI LUMBAR SPINE WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 CH MR L-SPINE W/WO CONTRAST | $1,050.00 | $1,050.00 | — | 41% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 72158 MRI LUMBAR SPINE W&WO DYE | $1,050.00 | $1,050.00 | — | 41% below | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 72158 MRI LUMBAR SPINE W&WO DYE | $1,050.00 | $1,050.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 CH MR L-SPINE W/WO CONTRAST | $1,050.00 | $1,050.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 72146 MRI THORACIC SPINE WO DYE | $900.00 | $900.00 | — | 30% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 72146 MRI THORACIC SPINE WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 72156 MRI CERVICAL SPINE W&WO DYE | $1,050.00 | $1,050.00 | — | 36% below | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 72156 MRI CERVICAL SPINE W&WO DYE | $1,050.00 | $1,050.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 MRI CERVICAL SPINE WO DYE | $900.00 | $900.00 | — | 32% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 72141 MRI CERVICAL SPINE WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 72197 MRI PELVIS W&WO DYE | $1,050.00 | $1,050.00 | — | 35% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 72197 MRI PELVIS W&WO DYE | $1,050.00 | $1,050.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 72195 MRI PELVIS WO DYE | $900.00 | $900.00 | — | 16% below | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 72195 MRI PELVIS WO DYE | $900.00 | $900.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 73221 LT MRI JOINT UPPER EXTREM WO DYE | $787.00 | $787.00 | — | 39% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 73221 RT MRI JOINT UPPER EXTREM WO DYE | $787.00 | $787.00 | — | 39% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 73221 LT MRI JOINT UPPER EXTREM WO DYE | $787.00 | $787.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 73221 RT MRI JOINT UPPER EXTREM WO DYE | $787.00 | $787.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 72050 RADEX SPINE CERVICAL 4 OR 5 VIEWS_01 | $230.00 | $230.00 | — | 19% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 72050 CH RADEX SPINE CERVICAL 4 OR 5 VIEWS_01 | $276.00 | $276.00 | — | 2% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 72050 RADEX SPINE CERVICAL 4 OR 5 VIEWS_01 | $230.00 | $230.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 72050 CH RADEX SPINE CERVICAL 4 OR 5 VIEWS_01 | $276.00 | $276.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 70491 CT SOFT TISSUE NECK W/CONTRAST MATERIAL_01 | $1,086.00 | $1,086.00 | — | 8% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 70491 CT SOFT TISSUE NECK W/CONTRAST MATERIAL_01 | $1,086.00 | $1,086.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 70490 CT SOFT TISSUE NECK W/O CONTRAST MATERIAL_01 | $719.00 | $719.00 | — | 11% below | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 70490 CT SOFT TISSUE NECK W/O CONTRAST MATERIAL_01 | $719.00 | $719.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 70360 RADIOLOGIC EXAMINATION NECK SOFT TISSUE_01 | $168.00 | $168.00 | — | 17% below | — |
| Neck soft tissue X-ray CPT 70360 70360 CH RADIOLOGIC EXAMINATION NECK SOFT TISSUE_0 | $202.00 | $202.00 | — | at median | — |
| Neck soft tissue X-ray inpatient CPT 70360 70360 RADIOLOGIC EXAMINATION NECK SOFT TISSUE_01 | $168.00 | $168.00 | — | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 70360 CH RADIOLOGIC EXAMINATION NECK SOFT TISSUE_0 | $202.00 | $202.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452 MYOCARDIAL SPECT MULTIPLE STUDIES_01 | $1,956.00 | $1,956.00 | — | 27% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452 MYOCARDIAL SPECT MULTIPLE STUDIES_01 | $1,956.00 | $1,956.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 72192 CT PELVIS W/O CONTRAST MATERIAL_01 | $1,013.00 | $1,013.00 | — | 22% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 72192 CT PELVIS W/O CONTRAST MATERIAL_01 | $1,013.00 | $1,013.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F | $187.00 | $187.00 | — | 38% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F | $187.00 | $187.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPL | $318.00 | $318.00 | — | 20% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPL | $318.00 | $318.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTA | $306.00 | $306.00 | — | 19% below | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTA | $306.00 | $306.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GES | $222.00 | $222.00 | — | 37% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GES | $222.00 | $222.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US PREGNANT UTERUS LIMITED 1/> FETUSES_01 | $213.00 | $213.00 | — | 26% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US PREGNANT UTERUS LIMITED 1/> FETUSES_01 | $213.00 | $213.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 71100 RADEX RIBS UNILATERAL 2 VIEWS_RT | $153.00 | $153.00 | — | 27% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 71100 CH RADEX RIBS UNILATERAL 2 VIEWS_RT | $184.00 | $184.00 | — | 12% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 71100 RADEX RIBS UNILATERAL 2 VIEWS_LT | $184.00 | $184.00 | — | 12% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 71100 CH RADEX RIBS UNILATERAL 2 VIEWS_LT | $184.00 | $184.00 | — | 12% below | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 71100 RADEX RIBS UNILATERAL 2 VIEWS_RT | $153.00 | $153.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 71100 CH RADEX RIBS UNILATERAL 2 VIEWS_RT | $184.00 | $184.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 71100 CH RADEX RIBS UNILATERAL 2 VIEWS_LT | $184.00 | $184.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 71100 RADEX RIBS UNILATERAL 2 VIEWS_LT | $184.00 | $184.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 71101 RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIE | $186.00 | $186.00 | — | 29% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 71101 CH RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 | $223.00 | $223.00 | — | 15% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 71101 RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIE | $186.00 | $186.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 71101 CH RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 | $223.00 | $223.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 77067 SCREENING MAMMO/CAD BILATERAL (2-VIEW STUD | $317.00 | $317.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 77067 SCREENING MAMMO/CAD BILATERAL (2-VIEW STUDY | $317.00 | $317.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 SCREENING MAMMO/CAD BILATERAL (2-VIEW STUD | $317.00 | $317.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 SCREENING MAMMO/CAD BILATERAL (2-VIEW STUDY | $317.00 | $317.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 73030 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_LT | $216.00 | $216.00 | — | 3% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 73030 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_RT | $216.00 | $216.00 | — | 3% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 73030 CH RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_R | $245.00 | $245.00 | — | 16% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 73030 CH RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_L | $245.00 | $245.00 | — | 16% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 73030 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_LT | $216.00 | $216.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 73030 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_RT | $216.00 | $216.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 73030 CH RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_L | $245.00 | $245.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 73030 CH RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS_R | $245.00 | $245.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 70220 RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEW | $215.00 | $215.00 | — | 3% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 70220 CH RADEX SINUSES PARANASAL COMPL MINIMUM 3 V | $245.00 | $245.00 | — | 18% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 70220 RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEW | $215.00 | $215.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 70220 CH RADEX SINUSES PARANASAL COMPL MINIMUM 3 V | $245.00 | $245.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 70250 RADIOLOGIC EXAMINATION SKULL 4/> VIEWS_01 | $234.00 | $234.00 | — | 1% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 70250 CH RADIOLOGIC EXAMINATION SKULL 4/> VIEWS_01 | $281.00 | $281.00 | — | 22% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 70250 RADIOLOGIC EXAMINATION SKULL 4/> VIEWS_01 | $234.00 | $234.00 | — | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 70250 CH RADIOLOGIC EXAMINATION SKULL 4/> VIEWS_01 | $281.00 | $281.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND_02 | $2,316.00 | $2,316.00 | — | 11% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND_01 | $2,316.00 | $2,316.00 | — | 11% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND_01 | $2,316.00 | $2,316.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND_02 | $2,316.00 | $2,316.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 93351 ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT | $1,327.00 | $1,327.00 | — | 15% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 93351 ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT | $1,327.00 | $1,327.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 74230 SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG_ | $499.00 | $499.00 | — | 38% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 74230 SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG_ | $499.00 | $499.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 73552 RADIOLOGIC EXAMINATION, FEMUR; MINIMUM 2 VIE | $186.00 | $186.00 | — | 5% below | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 73552 CH RADIOLOGIC EXAMINATION, FEMUR; MINIMUM 2 | $223.00 | $223.00 | — | 14% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 73552 RADIOLOGIC EXAMINATION, FEMUR; MINIMUM 2 VIE | $186.00 | $186.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 73552 CH RADIOLOGIC EXAMINATION, FEMUR; MINIMUM 2 | $223.00 | $223.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 72128 CT THORACIC SPINE W/O CONTRAST MATERIAL_01 | $1,293.00 | $1,293.00 | — | 45% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 72128 CT THORACIC SPINE W/O CONTRAST MATERIAL_01 | $1,293.00 | $1,293.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 73660 RADEX TOE MINIMUM 2 VIEWS_01 | $164.00 | $164.00 | — | 2% below | — |
| Toe X-ray, 2 or more views CPT 73660 73660 RADEX TOE MINIMUM 2 VIEWS_02 | $164.00 | $164.00 | — | 2% below | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 73660 RADEX TOE MINIMUM 2 VIEWS_01 | $164.00 | $164.00 | — | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 73660 RADEX TOE MINIMUM 2 VIEWS_02 | $164.00 | $164.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 76830 ULTRASOUND TRANSVAGINAL_01 | $253.00 | $253.00 | — | 34% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 ULTRASOUND TRANSVAGINAL_01 | $253.00 | $253.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANS | $311.00 | $311.00 | — | 6% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANS | $311.00 | $311.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $459.00 | $459.00 | — | 2% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $459.00 | $459.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 76870 ULTRASOUND SCROTUM & CONTENTS_01 | $388.00 | $388.00 | — | 5% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 ULTRASOUND SCROTUM & CONTENTS_01 | $388.00 | $388.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 US SOFT TISSUE HEAD & NECK REAL TIME IMGE DO | $435.00 | $435.00 | — | 18% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 US SOFT TISSUE HEAD & NECK REAL TIME IMGE DO | $435.00 | $435.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 RADEX GI TRACT UPPER W/WO DELAYED FILMS W/O | $492.00 | $492.00 | — | 17% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST S | $492.00 | $492.00 | — | 17% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 UPPER GI SINGLE CONTRAST | $492.00 | $492.00 | — | 17% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST S | $492.00 | $492.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 UPPER GI SINGLE CONTRAST | $492.00 | $492.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 RADEX GI TRACT UPPER W/WO DELAYED FILMS W/O | $492.00 | $492.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 73060 RADEX HUMERUS MINIMUM 2 VIEWS_LT | $168.00 | $168.00 | — | 17% below | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 73060 RADEX HUMERUS MINIMUM 2 VIEWS_RT | $168.00 | $168.00 | — | 17% below | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 73060 CH RADEX HUMERUS MINIMUM 2 VIEWS_LT | $202.00 | $202.00 | — | at median | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 73060 CH RADEX HUMERUS MINIMUM 2 VIEWS_RT | $202.00 | $202.00 | — | at median | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 73060 RADEX HUMERUS MINIMUM 2 VIEWS_LT | $168.00 | $168.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 73060 RADEX HUMERUS MINIMUM 2 VIEWS_RT | $168.00 | $168.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 73060 CH RADEX HUMERUS MINIMUM 2 VIEWS_LT | $202.00 | $202.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 73060 CH RADEX HUMERUS MINIMUM 2 VIEWS_RT | $202.00 | $202.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY_ | $372.00 | $372.00 | — | 2% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 93971 DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY_ | $372.00 | $372.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 73100 RADEX WRIST 2 VIEWS_LT | $176.00 | $176.00 | — | 10% below | — |
| Wrist X-ray, 2 views CPT 73100 73100 CH RADEX WRIST 2 VIEWS_RT | $211.00 | $211.00 | — | 8% above | — |
| Wrist X-ray, 2 views CPT 73100 73100 RADEX WRIST 2 VIEWS_RT | $211.00 | $211.00 | — | 8% above | — |
| Wrist X-ray, 2 views CPT 73100 73100 CH RADEX WRIST 2 VIEWS_LT | $211.00 | $211.00 | — | 8% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 73100 RADEX WRIST 2 VIEWS_LT | $176.00 | $176.00 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 73100 CH RADEX WRIST 2 VIEWS_RT | $211.00 | $211.00 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 73100 CH RADEX WRIST 2 VIEWS_LT | $211.00 | $211.00 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 73100 RADEX WRIST 2 VIEWS_RT | $211.00 | $211.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 73110 RADEX WRIST COMPLETE MINIMUM 3 VIEWS_RT | $151.00 | $151.00 | — | 25% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 73110 RADEX WRIST COMPLETE MINIMUM 3 VIEWS_LT | $151.00 | $151.00 | — | 25% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 73110 CH RADEX WRIST COMPLETE MINIMUM 3 VIEWS_RT | $226.00 | $226.00 | — | 12% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 73110 CH RADEX WRIST COMPLETE MINIMUM 3 VIEWS_LT | $226.00 | $226.00 | — | 12% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 73110 RADEX WRIST COMPLETE MINIMUM 3 VIEWS_LT | $151.00 | $151.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 73110 RADEX WRIST COMPLETE MINIMUM 3 VIEWS_RT | $151.00 | $151.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 73110 CH RADEX WRIST COMPLETE MINIMUM 3 VIEWS_LT | $226.00 | $226.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 73110 CH RADEX WRIST COMPLETE MINIMUM 3 VIEWS_RT | $226.00 | $226.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 73502 CH RADIOLOGIC EXAMINATION, HIP, UNILATERAL, | $262.00 | $262.00 | — | 14% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 73502 RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WIT | $262.00 | $262.00 | — | 14% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 73502 CH RADIOLOGIC EXAMINATION, HIP, UNILATERAL, | $262.00 | $262.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 73502 RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WIT | $262.00 | $262.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 74018 RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $245.00 | $245.00 | — | 17% above | — |
| X-ray of the abdomen, 1 view CPT 74018 74018 X-RAY ABDOMEN 1 VIEW PORTABLE | $245.00 | $245.00 | — | 17% above | — |
| X-ray of the abdomen, 1 view CPT 74018 74018 CH RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $245.00 | $245.00 | — | 17% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 74018 CH RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $245.00 | $245.00 | — | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 74018 X-RAY ABDOMEN 1 VIEW PORTABLE | $245.00 | $245.00 | — | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 74018 RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $245.00 | $245.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 73600 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_LT | $151.00 | $151.00 | — | 22% below | — |
| X-ray of the ankle, 2 views CPT 73600 73600 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_RT | $151.00 | $151.00 | — | 22% below | — |
| X-ray of the ankle, 2 views CPT 73600 73600 CH RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_RT | $181.00 | $181.00 | — | 6% below | — |
| X-ray of the ankle, 2 views CPT 73600 73600 CH RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_LT | $181.00 | $181.00 | — | 6% below | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 73600 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_RT | $151.00 | $151.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 73600 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_LT | $151.00 | $151.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 73600 CH RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_LT | $181.00 | $181.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 73600 CH RADIOLOGIC EXAMINATION ANKLE 2 VIEWS_RT | $181.00 | $181.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 73140 RADEX FINGR MINIMUM 2 VIEWS_RT | $162.00 | $162.00 | — | 10% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 73140 CH RADEX FINGR MINIMUM 2 VIEWS_LT | $162.00 | $162.00 | — | 10% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 73140 CH RADEX FINGR MINIMUM 2 VIEWS_RT | $162.00 | $162.00 | — | 10% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 73140 RADEX FINGR MINIMUM 2 VIEWS_LT | $162.00 | $162.00 | — | 10% below | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 73140 RADEX FINGR MINIMUM 2 VIEWS_LT | $162.00 | $162.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 73140 CH RADEX FINGR MINIMUM 2 VIEWS_RT | $162.00 | $162.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 73140 CH RADEX FINGR MINIMUM 2 VIEWS_LT | $162.00 | $162.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 73140 RADEX FINGR MINIMUM 2 VIEWS_RT | $162.00 | $162.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS_LT | $156.00 | $156.00 | — | 21% below | — |
| X-ray of the foot, 2 views CPT 73620 73620 CH RADIOLOGIC EXAMINATION FOOT 2 VIEWS_RT | $187.00 | $187.00 | — | 5% below | — |
| X-ray of the foot, 2 views CPT 73620 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS_50 | $187.00 | $187.00 | — | 5% below | — |
| X-ray of the foot, 2 views CPT 73620 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS_RT | $187.00 | $187.00 | — | 5% below | — |
| X-ray of the foot, 2 views CPT 73620 73620 RADIOLOGIC EXAMINATION TOES 2 VIEWS_RT | $187.00 | $187.00 | — | 5% below | — |
| X-ray of the foot, 2 views CPT 73620 73620 RADIOLOGIC EXAMINATION TOES 2 VIEWS_LT | $187.00 | $187.00 | — | 5% below | — |
| X-ray of the foot, 2 views CPT 73620 73620 CH RADIOLOGIC EXAMINATION FOOT 2 VIEWS_LT | $187.00 | $187.00 | — | 5% below | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS_LT | $156.00 | $156.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 CH RADIOLOGIC EXAMINATION FOOT 2 VIEWS_RT | $187.00 | $187.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 RADIOLOGIC EXAMINATION TOES 2 VIEWS_RT | $187.00 | $187.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 RADIOLOGIC EXAMINATION TOES 2 VIEWS_LT | $187.00 | $187.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS_50 | $187.00 | $187.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS_RT | $187.00 | $187.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 CH RADIOLOGIC EXAMINATION FOOT 2 VIEWS_LT | $187.00 | $187.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 73630 RADEX FOOT COMPLETE MINIMUM 3 VIEWS_RT | $178.00 | $178.00 | — | 12% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 73630 CH RADEX FOOT COMPLETE MINIMUM 3 VIEWS_LT | $214.00 | $214.00 | — | 6% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 73630 RADEX FOOT COMPLETE MINIMUM 3 VIEWS_LT | $214.00 | $214.00 | — | 6% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 73630 CH RADEX FOOT COMPLETE MINIMUM 3 VIEWS_RT | $214.00 | $214.00 | — | 6% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 73630 RADEX FOOT COMPLETE MINIMUM 3 VIEWS_RT | $178.00 | $178.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 73630 CH RADEX FOOT COMPLETE MINIMUM 3 VIEWS_RT | $214.00 | $214.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 73630 RADEX FOOT COMPLETE MINIMUM 3 VIEWS_LT | $214.00 | $214.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 73630 CH RADEX FOOT COMPLETE MINIMUM 3 VIEWS_LT | $214.00 | $214.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 73130 RADEX HAND MINIMUM 3 VIEWS_RT | $206.00 | $206.00 | — | 2% below | — |
| X-ray of the hand, 3 or more views CPT 73130 73130 RADEX HAND MINIMUM 3 VIEWS_LT | $206.00 | $206.00 | — | 2% below | — |
| X-ray of the hand, 3 or more views CPT 73130 73130 CH RADEX HAND MINIMUM 3 VIEWS_RT | $245.00 | $245.00 | — | 17% above | — |
| X-ray of the hand, 3 or more views CPT 73130 73130 CH RADEX HAND MINIMUM 3 VIEWS_LT | $245.00 | $245.00 | — | 17% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 73130 RADEX HAND MINIMUM 3 VIEWS_RT | $206.00 | $206.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 73130 RADEX HAND MINIMUM 3 VIEWS_LT | $206.00 | $206.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 73130 CH RADEX HAND MINIMUM 3 VIEWS_LT | $245.00 | $245.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 73130 CH RADEX HAND MINIMUM 3 VIEWS_RT | $245.00 | $245.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_LT | $198.00 | $198.00 | — | 3% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_RT | $198.00 | $198.00 | — | 3% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS PORT_L | $238.00 | $238.00 | — | 17% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 CH RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_LT | $238.00 | $238.00 | — | 17% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 CH RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_RT | $238.00 | $238.00 | — | 17% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS PORT_R | $238.00 | $238.00 | — | 17% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_LT | $198.00 | $198.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_RT | $198.00 | $198.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 CH RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_LT | $238.00 | $238.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS PORT_L | $238.00 | $238.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS PORT_R | $238.00 | $238.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 CH RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS_RT | $238.00 | $238.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 RADEX SPINE LUMBOSACRAL 2/3 VIEWS_01 | $186.00 | $186.00 | — | 32% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 CH RADEX SPINE LUMBOSACRAL 2/3 VIEWS_01 | $263.00 | $263.00 | — | 4% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100 RADEX SPINE LUMBOSACRAL 2/3 VIEWS_01 | $186.00 | $186.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100 CH RADEX SPINE LUMBOSACRAL 2/3 VIEWS_01 | $263.00 | $263.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS_01 | $276.00 | $276.00 | — | 9% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 72110 CH RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS_0 | $296.00 | $296.00 | — | 2% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS_01 | $276.00 | $276.00 | — | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 CH RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS_0 | $296.00 | $296.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070 RADEX SPINE THORACIC 2 VIEWS_01 | $186.00 | $186.00 | — | 16% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070 CH RADEX SPINE THORACIC 2 VIEWS_01 | $223.00 | $223.00 | — | at median | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 72070 RADEX SPINE THORACIC 2 VIEWS_01 | $186.00 | $186.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 72070 CH RADEX SPINE THORACIC 2 VIEWS_01 | $223.00 | $223.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 70160 RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS_0 | $145.00 | $145.00 | — | 28% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 70160 CH RADEX NASAL BONES COMPLETE MINIMUM 3 VIEW | $174.00 | $174.00 | — | 14% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 70160 RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS_0 | $145.00 | $145.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 70160 CH RADEX NASAL BONES COMPLETE MINIMUM 3 VIEW | $174.00 | $174.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 RADEX SPINE CERVICAL 2 OR 3 VIEWS_01 | $168.00 | $168.00 | — | 21% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 CH RADEX SPINE CERVICAL 2 OR 3 VIEWS_01 | $202.00 | $202.00 | — | 5% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040 RADEX SPINE CERVICAL 2 OR 3 VIEWS_01 | $168.00 | $168.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040 CH RADEX SPINE CERVICAL 2 OR 3 VIEWS_01 | $202.00 | $202.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS_01 | $210.00 | $210.00 | — | 8% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 CH RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS_0 | $252.00 | $252.00 | — | 11% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS_01 | $210.00 | $210.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 CH RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS_0 | $252.00 | $252.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 RADEX SACRUM & COCCYX MINIMUM 2 VIEWS_01 | $176.00 | $176.00 | — | 13% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 CH RADEX SACRUM & COCCYX MINIMUM 2 VIEWS_01 | $211.00 | $211.00 | — | 5% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 72220 RADEX SACRUM & COCCYX MINIMUM 2 VIEWS_01 | $176.00 | $176.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 72220 CH RADEX SACRUM & COCCYX MINIMUM 2 VIEWS_01 | $211.00 | $211.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 82024 ADRENOCORTICOTROPIC HORMONE ACTH_01 | $122.00 | $122.00 | — | 14% below | — |
| ACTH blood test inpatient CPT 82024 82024 ADRENOCORTICOTROPIC HORMONE ACTH_01 | $122.00 | $122.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALANINE AMINO ALT SGPT_02 | $48.00 | $48.00 | — | 108% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALANINE AMINO ALT SGPT_01 | $48.00 | $48.00 | — | 108% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALANINE AMINO ALT SGPT_01 | $48.00 | $48.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALANINE AMINO ALT SGPT_02 | $48.00 | $48.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 TRANSFERASE ASPARTATE AMINO AST SGOT_02 | $31.00 | $31.00 | — | 29% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 TRANSFERASE ASPARTATE AMINO AST SGOT_01 | $31.00 | $31.00 | — | 29% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 TRANSFERASE ASPARTATE AMINO AST SGOT_01 | $31.00 | $31.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 TRANSFERASE ASPARTATE AMINO AST SGOT_02 | $31.00 | $31.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 80074 ACUTE HEPATITIS PANEL_01 | $143.00 | $143.00 | — | 18% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 80074 ACUTE HEPATITIS PANEL_01 | $143.00 | $143.00 | — | — | — |
| Albumin blood test CPT 82040 CH ALBUMIN, SERUM | $21.00 | $21.00 | — | 15% above | — |
| Albumin blood test CPT 82040 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD_03 | $21.00 | $21.00 | — | 15% above | — |
| Albumin blood test CPT 82040 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD_02 | $21.00 | $21.00 | — | 15% above | — |
| Albumin blood test CPT 82040 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD_01 | $21.00 | $21.00 | — | 15% above | — |
| Albumin blood test CPT 82040 CH ALBUMIN | $21.00 | $21.00 | — | 15% above | — |
| Albumin blood test inpatient CPT 82040 CH ALBUMIN | $21.00 | $21.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD_03 | $21.00 | $21.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 CH ALBUMIN, SERUM | $21.00 | $21.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD_02 | $21.00 | $21.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD_01 | $21.00 | $21.00 | — | — | — |
| Aldosterone blood test CPT 82088 CH ALDOSTERONE 24 URINE | $109.00 | $109.00 | — | 13% below | — |
| Aldosterone blood test CPT 82088 82088 ASSAY OF ALDOSTERONE_02 | $109.00 | $109.00 | — | 13% below | — |
| Aldosterone blood test CPT 82088 CH ALDOSTERONE LC/MS/MS | $122.00 | $122.00 | — | 3% below | — |
| Aldosterone blood test CPT 82088 82088 ASSAY OF ALDOSTERONE_01 | $122.00 | $122.00 | — | 3% below | — |
| Aldosterone blood test inpatient CPT 82088 82088 ASSAY OF ALDOSTERONE_02 | $109.00 | $109.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 CH ALDOSTERONE 24 URINE | $109.00 | $109.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 CH ALDOSTERONE LC/MS/MS | $122.00 | $122.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 82088 ASSAY OF ALDOSTERONE_01 | $122.00 | $122.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 ASSAY OF PHOSPHATASE ALKALINE_02 | $28.00 | $28.00 | — | 39% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 ASSAY OF PHOSPHATASE ALKALINE_01 | $28.00 | $28.00 | — | 39% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 ASSAY OF PHOSPHATASE ALKALINE_03 | $28.00 | $28.00 | — | 39% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 CH ALK PHOS BONE SPEC | $35.00 | $35.00 | — | 74% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 ASSAY OF PHOSPHATASE ALKALINE_01 | $28.00 | $28.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 ASSAY OF PHOSPHATASE ALKALINE_02 | $28.00 | $28.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 ASSAY OF PHOSPHATASE ALKALINE_03 | $28.00 | $28.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 CH ALK PHOS BONE SPEC | $35.00 | $35.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH GLUTEN IGE | $16.00 | $16.00 | — | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH BLACK BEAN IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAT EPITHELIUM IGE` | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN, BROCCOLI IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMIQ | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH PAPRIKA/SWET PEP IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMI | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN SPECIFIC IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN SPECIFIC IGE QUAN/SEMIQUAN EA ALLER | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN FOOD ALLERGEN | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003_DUST GREER ALLGN | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN, MUSHROOM | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN, MACKEREL | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN, TROUT IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN, HALIBUT IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 HOPS ALLERGEN IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN, CUCUMBER | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH ASPERGILL NIGER IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH GOLDENROD IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE ALLERGEN IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN, PERCH IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH CANOLA OIL IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH TILAPIA ALLERGEN IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, POPPY SEED | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH EGGPLANT, IGE | $26.00 | $26.00 | — | 62% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH CASEIN IGE | $29.00 | $29.00 | — | 81% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH ACREM KILIENSE IGE | $32.00 | $32.00 | — | 100% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CH HADDOCK IGE | $85.00 | $85.00 | — | 431% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH GLUTEN IGE | $16.00 | $16.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003_DUST GREER ALLGN | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, POPPY SEED | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE ALLERGEN IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE ALLERGEN IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMI | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMIQ | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN, BROCCOLI IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAT EPITHELIUM IGE` | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN, CUCUMBER | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN, HALIBUT IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN, MACKEREL | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN, MUSHROOM | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN, PERCH IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN, TROUT IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 HOPS ALLERGEN IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH BLACK BEAN IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH CANOLA OIL IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH TILAPIA ALLERGEN IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH EGGPLANT, IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH GOLDENROD IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH PAPRIKA/SWET PEP IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH ASPERGILL NIGER IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN SPECIFIC IGE QUAN/SEMIQUAN EA ALLER | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN SPECIFIC IGE | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN FOOD ALLERGEN | $26.00 | $26.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH CASEIN IGE | $29.00 | $29.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH ACREM KILIENSE IGE | $32.00 | $32.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CH HADDOCK IGE | $85.00 | $85.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL SCREEN AFP | $42.00 | $42.00 | — | 32% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 82105 ALPHA-FETOPROTEIN SERUM_01 | $50.00 | $50.00 | — | 19% below | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 MATERNAL SCREEN AFP | $42.00 | $42.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 ALPHA-FETOPROTEIN SERUM_01 | $50.00 | $50.00 | — | — | — |
| Ammonia blood test CPT 82140 82140 ASSAY OF AMMONIA_01 | $73.00 | $73.00 | — | 36% above | — |
| Ammonia blood test inpatient CPT 82140 82140 ASSAY OF AMMONIA_01 | $73.00 | $73.00 | — | — | — |
| Amylase blood test CPT 82150 82150 ASSAY OF AMYLASE_01 | $21.00 | $21.00 | — | 31% below | — |
| Amylase blood test CPT 82150 82150 ASSAY OF AMYLASE_02 | $21.00 | $21.00 | — | 31% below | — |
| Amylase blood test CPT 82150 82150 ASSAY OF AMYLASE_05 | $21.00 | $21.00 | — | 31% below | — |
| Amylase blood test CPT 82150 82150 ASSAY OF AMYLASE_04 | $21.00 | $21.00 | — | 31% below | — |
| Amylase blood test CPT 82150 82150 ASSAY OF AMYLASE_03 | $21.00 | $21.00 | — | 31% below | — |
| Amylase blood test inpatient CPT 82150 82150 ASSAY OF AMYLASE_04 | $21.00 | $21.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 82150 ASSAY OF AMYLASE_01 | $21.00 | $21.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 82150 ASSAY OF AMYLASE_02 | $21.00 | $21.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 82150 ASSAY OF AMYLASE_05 | $21.00 | $21.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 82150 ASSAY OF AMYLASE_03 | $21.00 | $21.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY_01 | $39.00 | $39.00 | — | 18% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY_01 | $39.00 | $39.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 ANTINUCLEAR ANTIBODIES ANA_01 | $31.00 | $31.00 | — | 29% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 ANTINUCLEAR ANTIBODIES ANA_02 | $36.00 | $36.00 | — | 18% below | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 ANTINUCLEAR ANTIBODIES ANA_01 | $31.00 | $31.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 ANTINUCLEAR ANTIBODIES ANA_02 | $36.00 | $36.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 NATRIURETIC PEPTIDE_02 | $102.00 | $102.00 | — | 17% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CH NT PRO BNP | $118.00 | $118.00 | — | 4% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 NATRIURETIC PEPTIDE_01 | $118.00 | $118.00 | — | 4% below | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 83880 NATRIURETIC PEPTIDE_02 | $102.00 | $102.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 83880 NATRIURETIC PEPTIDE_01 | $118.00 | $118.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CH NT PRO BNP | $118.00 | $118.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 BAL CULTURE | $26.00 | $26.00 | — | 18% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $26.00 | $26.00 | — | 18% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 BAL CULTURE | $26.00 | $26.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $26.00 | $26.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 80048 BASIC METABOLIC PANEL CALCIUM TOTAL_01 | $25.00 | $25.00 | — | 57% below | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 80048 BASIC METABOLIC PANEL CALCIUM TOTAL_01 | $25.00 | $25.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL_02 | $34.00 | $34.00 | — | 51% above | — |
| Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL_01 | $34.00 | $34.00 | — | 51% above | — |
| Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL_01 | $34.00 | $34.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL_02 | $34.00 | $34.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CH 88305 LEVEL IV PATHOLOGY (10-20 PROSTATE BIOPSI | $146.00 | $146.00 | — | 5% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EX | $146.00 | $146.00 | — | 5% below | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CH 88305 LEVEL IV PATHOLOGY (10-20 PROSTATE BIOPSI | $146.00 | $146.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EX | $146.00 | $146.00 | — | — | — |
| Blood culture for bacteria CPT 87040 87040 CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATE | $78.00 | $78.00 | — | 24% above | — |
| Blood culture for bacteria inpatient CPT 87040 87040 CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATE | $78.00 | $78.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE_01 | $41.00 | $41.00 | — | 173% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE_01 | $41.00 | $41.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 82947 GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRI | $18.00 | $18.00 | — | at median | — |
| Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRI | $18.00 | $18.00 | — | — | — |
| Blood lead test CPT 83655 CH LEAD (VENOUS) | $50.00 | $50.00 | — | 14% above | — |
| Blood lead test CPT 83655 CH LEAD | $50.00 | $50.00 | — | 14% above | — |
| Blood lead test CPT 83655 83655 ASSAY OF LEAD_02 | $55.00 | $55.00 | — | 26% above | — |
| Blood lead test CPT 83655 83655 ASSAY OF LEAD_03 | $55.00 | $55.00 | — | 26% above | — |
| Blood lead test CPT 83655 83655 ASSAY OF LEAD_01 | $55.00 | $55.00 | — | 26% above | — |
| Blood lead test inpatient CPT 83655 CH LEAD | $50.00 | $50.00 | — | — | — |
| Blood lead test inpatient CPT 83655 CH LEAD (VENOUS) | $50.00 | $50.00 | — | — | — |
| Blood lead test inpatient CPT 83655 83655 ASSAY OF LEAD_03 | $55.00 | $55.00 | — | — | — |
| Blood lead test inpatient CPT 83655 83655 ASSAY OF LEAD_01 | $55.00 | $55.00 | — | — | — |
| Blood lead test inpatient CPT 83655 83655 ASSAY OF LEAD_02 | $55.00 | $55.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 GONADOTROPIN CHORIONIC QUALITATIVE_01 | $48.00 | $48.00 | — | 50% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 84703 GONADOTROPIN CHORIONIC QUALITATIVE_01 | $48.00 | $48.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO_01 | $160.00 | $160.00 | — | 5% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO_02 | $160.00 | $160.00 | — | 5% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO_01 | $160.00 | $160.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO_02 | $160.00 | $160.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 84520 ASSAY OF UREA NITROGEN QUANTITATIVE_01 | $31.00 | $31.00 | — | 39% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 84520 ASSAY OF UREA NITROGEN QUANTITATIVE_02 | $31.00 | $31.00 | — | 39% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 84520 ASSAY OF UREA NITROGEN QUANTITATIVE_02 | $31.00 | $31.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 84520 ASSAY OF UREA NITROGEN QUANTITATIVE_01 | $31.00 | $31.00 | — | — | — |
| C-peptide blood test CPT 84681 84681 ASSAY OF C-PEPTIDE_01 | $72.00 | $72.00 | — | 16% below | — |
| C-peptide blood test inpatient CPT 84681 84681 ASSAY OF C-PEPTIDE_01 | $72.00 | $72.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 C-REACTIVE PROTEIN_02 | $21.00 | $21.00 | — | 21% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 C-REACTIVE PROTEIN_01 | $21.00 | $21.00 | — | 21% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140 C-REACTIVE PROTEIN_02 | $21.00 | $21.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140 C-REACTIVE PROTEIN_01 | $21.00 | $21.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP P | $136.00 | $136.00 | — | 8% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP P | $136.00 | $136.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER AG GI 19 9 | $44.00 | $44.00 | — | 42% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 86301 IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19 | $62.00 | $62.00 | — | 18% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER AG GI 19 9 | $44.00 | $44.00 | — | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 86301 IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19 | $62.00 | $62.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 86304 IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 12 | $166.00 | $166.00 | — | 116% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 86304 IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 12 | $166.00 | $166.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635 COVID 19 TEST | $154.00 | $154.00 | — | 57% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 87635 COVID 19 TEST | $154.00 | $154.00 | — | — | — |
| Calcium blood test, total CPT 82310 82310 CALCIUM TOTAL_01 | $28.00 | $28.00 | — | 10% above | — |
| Calcium blood test, total CPT 82310 82310 CALCIUM TOTAL_02 | $28.00 | $28.00 | — | 10% above | — |
| Calcium blood test, total inpatient CPT 82310 82310 CALCIUM TOTAL_02 | $28.00 | $28.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 82310 CALCIUM TOTAL_01 | $28.00 | $28.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 82378 CARCINOEMBRYONIC ANTIGEN CEA_01 | $96.00 | $96.00 | — | 19% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 82378 CARCINOEMBRYONIC ANTIGEN CEA_02 | $96.00 | $96.00 | — | 19% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 82378 CARCINOEMBRYONIC ANTIGEN CEA_02 | $96.00 | $96.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 82378 CARCINOEMBRYONIC ANTIGEN CEA_01 | $96.00 | $96.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 86787 ANTIBODY VARICELLA-ZOSTER_02 | $64.00 | $64.00 | — | 42% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 86787 ANTIBODY VARICELLA-ZOSTER_01 | $64.00 | $64.00 | — | 42% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 CH VZV AB IGM | $64.00 | $64.00 | — | 42% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 CH VZV AB IGM | $64.00 | $64.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 86787 ANTIBODY VARICELLA-ZOSTER_01 | $64.00 | $64.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 86787 ANTIBODY VARICELLA-ZOSTER_02 | $64.00 | $64.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 STD PANEL 87491 | $74.00 | $74.00 | — | 26% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA PROB | $74.00 | $74.00 | — | 26% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT NG TMA THIN PREP 1 | $74.00 | $74.00 | — | 26% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE | $105.00 | $105.00 | — | 5% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 STD PANEL 87491 | $74.00 | $74.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT NG TMA THIN PREP 1 | $74.00 | $74.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA PROB | $74.00 | $74.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE | $105.00 | $105.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 LIPID PANEL_01 | $67.00 | $67.00 | — | 1% below | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 LIPID PANEL_01 | $67.00 | $67.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC_0 | $23.00 | $23.00 | — | 44% below | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC_0 | $23.00 | $23.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 85027 BLOOD COUNT COMPLETE AUTOMATED_01 | $21.00 | $21.00 | — | 27% below | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 BLOOD COUNT COMPLETE AUTOMATED_01 | $21.00 | $21.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 80053 COMPREHENSIVE METABOLIC PANEL_01 | $53.00 | $53.00 | — | 9% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 COMPREHENSIVE METABOLIC PANEL_01 | $53.00 | $53.00 | — | — | — |
| Cortisol blood test, total CPT 82533 82533 CORTISOL TOTAL_02 | $48.00 | $48.00 | — | 2% below | — |
| Cortisol blood test, total CPT 82533 82533 CORTISOL TOTAL_01 | $49.00 | $49.00 | — | at median | — |
| Cortisol blood test, total inpatient CPT 82533 82533 CORTISOL TOTAL_02 | $48.00 | $48.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 82533 CORTISOL TOTAL_01 | $49.00 | $49.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL_02 | $21.00 | $21.00 | — | 16% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL_01 | $21.00 | $21.00 | — | 16% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 CH CREATINE KINASE TOT | $30.00 | $30.00 | — | 20% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL_02 | $21.00 | $21.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL_01 | $21.00 | $21.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CH CREATINE KINASE TOT | $30.00 | $30.00 | — | — | — |
| Creatinine blood test CPT 82565 82565 CREATININE BLOOD_01 | $35.00 | $35.00 | — | 42% above | — |
| Creatinine blood test inpatient CPT 82565 82565 CREATININE BLOOD_01 | $35.00 | $35.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 86644 ANTIBODY CYTOMEGALOVIRUS CMV_01 | $44.00 | $44.00 | — | 16% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CH CMV AB IGG | $44.00 | $44.00 | — | 16% below | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 ANTIBODY CYTOMEGALOVIRUS CMV_01 | $44.00 | $44.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CH CMV AB IGG | $44.00 | $44.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 85379 FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE_ | $37.00 | $37.00 | — | 1% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 85379 FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE_ | $37.00 | $37.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 82627 DEHYDROEPIANDROSTERONE-SULFATE_01 | $83.00 | $83.00 | — | 2% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 82627 DEHYDROEPIANDROSTERONE-SULFATE_01 | $83.00 | $83.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH CH BUPRENORPHINE | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH 80307 BUPRENORPHINE | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH COCAINE | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH FENTANYL | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH TRAMADOL | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH 80307 AMPHETAMINES | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH TAPENTADOL | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH OPIATES | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH METHADONE | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH 80307 BENZODIAZEPINES | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH MARIJUANA | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH HEROIN METABOLITE | $40.00 | $40.00 | — | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 80307 ETHANOL, URINE | $96.00 | $96.00 | — | 21% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH AMPHETAMINES. | $105.00 | $105.00 | — | 14% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH ALCOHOL METABOLITE. | $105.00 | $105.00 | — | 14% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH ALCOHOL METABOLITE | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH MDMA | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH COCAINE_ | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH NALTREXONE | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH BENZODIAZEPINES | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH BARBITURATES | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH NICOTINE METABOLITE | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH PHENCYCLIDINE | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH AMPHETAMINES | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH METHYLPHENIDATE | $119.00 | $119.00 | — | 2% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CH MARIJUANA. | $186.00 | $186.00 | — | 53% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 80307 DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRU | $186.00 | $186.00 | — | 53% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH 80307 AMPHETAMINES | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH TRAMADOL | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH MARIJUANA | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH FENTANYL | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH HEROIN METABOLITE | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH METHADONE | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH COCAINE | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH OPIATES | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH 80307 BUPRENORPHINE | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH CH BUPRENORPHINE | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH TAPENTADOL | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH 80307 BENZODIAZEPINES | $40.00 | $40.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 80307 ETHANOL, URINE | $96.00 | $96.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH AMPHETAMINES. | $105.00 | $105.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH ALCOHOL METABOLITE. | $105.00 | $105.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH PHENCYCLIDINE | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH ALCOHOL METABOLITE | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH BARBITURATES | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH BENZODIAZEPINES | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH COCAINE_ | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH MDMA | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH NALTREXONE | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH NICOTINE METABOLITE | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH METHYLPHENIDATE | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH AMPHETAMINES | $119.00 | $119.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 80307 DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRU | $186.00 | $186.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CH MARIJUANA. | $186.00 | $186.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 80051 ELECTROLYTE PANEL_01 | $21.00 | $21.00 | — | 33% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 80051 ELECTROLYTE PANEL_01 | $21.00 | $21.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID | $79.00 | $79.00 | — | 74% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID | $79.00 | $79.00 | — | — | — |
| Estradiol blood test CPT 82670 82670 ASSAY OF ESTRADIOL_01 | $140.00 | $140.00 | — | 37% above | — |
| Estradiol blood test inpatient CPT 82670 82670 ASSAY OF ESTRADIOL_01 | $140.00 | $140.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE_01 | $118.00 | $118.00 | — | 57% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE_01 | $118.00 | $118.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 83993 ASSAY OF CALPROTECTIN FECAL_01 | $144.00 | $144.00 | — | 59% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 83993 ASSAY OF CALPROTECTIN FECAL_01 | $144.00 | $144.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 82728 ASSAY OF FERRITIN_02 | $86.00 | $86.00 | — | 42% above | — |
| Ferritin blood test (iron stores) CPT 82728 82728 ASSAY OF FERRITIN_01 | $86.00 | $86.00 | — | 42% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 82728 ASSAY OF FERRITIN_01 | $86.00 | $86.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 82728 ASSAY OF FERRITIN_02 | $86.00 | $86.00 | — | — | — |
| Fibrinogen blood test CPT 85384 85384 FIBRINOGEN ACTIVITY_01 | $29.00 | $29.00 | — | 23% below | — |
| Fibrinogen blood test inpatient CPT 85384 85384 FIBRINOGEN ACTIVITY_01 | $29.00 | $29.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 82746 ASSAY OF FOLIC ACID SERUM_01 | $44.00 | $44.00 | — | 20% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 82746 ASSAY OF FOLIC ACID SERUM_01 | $44.00 | $44.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 84481 ASSAY OF TRIIODOTHYRONINE T3 FREE_01 | $75.00 | $75.00 | — | 18% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 84481 ASSAY OF TRIIODOTHYRONINE T3 FREE_01 | $75.00 | $75.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 ASSAY OF FREE THYROXINE_02 | $79.00 | $79.00 | — | 65% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 ASSAY OF FREE THYROXINE_01 | $79.00 | $79.00 | — | 65% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 CH T4 FREE DIALYSIS | $79.00 | $79.00 | — | 65% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 ASSAY OF FREE THYROXINE_01 | $79.00 | $79.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 ASSAY OF FREE THYROXINE_02 | $79.00 | $79.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CH T4 FREE DIALYSIS | $79.00 | $79.00 | — | — | — |
| Free testosterone test CPT 84402 84402 ASSAY OF TESTOSTERONE FREE_01 | $83.00 | $83.00 | — | at median | — |
| Free testosterone test inpatient CPT 84402 84402 ASSAY OF TESTOSTERONE FREE_01 | $83.00 | $83.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 ASSAY OF GLUTAMYLTRASE GAMMA_01 | $22.00 | $22.00 | — | 18% below | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 ASSAY OF GLUTAMYLTRASE GAMMA_01 | $22.00 | $22.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 GLUCOSE POST GLUCOSE DOSE_02 | $26.00 | $26.00 | — | 23% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 GLUCOSE POST GLUCOSE DOSE_01 | $26.00 | $26.00 | — | 23% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 82950 GLUCOSE POST GLUCOSE DOSE_02 | $26.00 | $26.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 82950 GLUCOSE POST GLUCOSE DOSE_01 | $26.00 | $26.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 82951 GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS_01 | $39.00 | $39.00 | — | 32% below | — |
| Glucose tolerance test, 3 samples CPT 82951 CH LACTOSE TOL FASTING | $41.00 | $41.00 | — | 28% below | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 82951 GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS_01 | $39.00 | $39.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 CH LACTOSE TOL FASTING | $41.00 | $41.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 STD PANEL 87591 | $109.00 | $109.00 | — | 9% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROB | $109.00 | $109.00 | — | 9% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE | $109.00 | $109.00 | — | 9% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CT NG TMA THIN PREP 2 | $109.00 | $109.00 | — | 9% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CT NG TMA THIN PREP 2 | $109.00 | $109.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 STD PANEL 87591 | $109.00 | $109.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PROB | $109.00 | $109.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE | $109.00 | $109.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI_01 | $25.00 | $25.00 | — | 52% below | — |
| H. pylori antibody blood test CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI_03 | $25.00 | $25.00 | — | 52% below | — |
| H. pylori antibody blood test CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI_02 | $25.00 | $25.00 | — | 52% below | — |
| H. pylori antibody blood test inpatient CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI_02 | $25.00 | $25.00 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI_01 | $25.00 | $25.00 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI_03 | $25.00 | $25.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 87338 IAAD EIA HPYLORI STOOL_01 | $43.00 | $43.00 | — | 20% below | — |
| H. pylori stool antigen test inpatient CPT 87338 87338 IAAD EIA HPYLORI STOOL_01 | $43.00 | $43.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 QNT, PLASMA | $164.00 | $164.00 | — | 30% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION_01 | $255.00 | $255.00 | — | 9% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 QNT, PLASMA | $164.00 | $164.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 87536 IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION_01 | $255.00 | $255.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 86703 ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $70.00 | $70.00 | — | 40% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 86703 ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $70.00 | $70.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CH HIV AG/AB, 4TH GEN | $27.00 | $27.00 | — | 62% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 87389 DETECTION TEST FOR HIV-1 AND HIV-2 | $60.00 | $60.00 | — | 17% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 SCREEN | $72.00 | $72.00 | — | at median | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CH HIV AG/AB, 4TH GEN | $27.00 | $27.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 87389 DETECTION TEST FOR HIV-1 AND HIV-2 | $60.00 | $60.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 SCREEN | $72.00 | $72.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 CH 87624 HPV BY NAA | $88.00 | $88.00 | — | 7% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 IADNA PAPILLOMAVIRUS HUMAN AMPLIFIED PROBE T | $105.00 | $105.00 | — | 11% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CH 87624 HPV BY NAA | $88.00 | $88.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 IADNA PAPILLOMAVIRUS HUMAN AMPLIFIED PROBE T | $105.00 | $105.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 HEMOGLOBIN GLYCOSYLATED A1C_01 | $39.00 | $39.00 | — | 9% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 HEMOGLOBIN GLYCOSYLATED A1C_02 | $39.00 | $39.00 | — | 9% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 HEMOGLOBIN GLYCOSYLATED A1C_02 | $39.00 | $39.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 HEMOGLOBIN GLYCOSYLATED A1C_01 | $39.00 | $39.00 | — | — | — |
| Hemoglobin blood test CPT 85018 85018 BLOOD COUNT HEMOGLOBIN_01 | $20.00 | $20.00 | — | 39% above | — |
| Hemoglobin blood test inpatient CPT 85018 85018 BLOOD COUNT HEMOGLOBIN_01 | $20.00 | $20.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 86704 HEPATITIS B CORE ANTIBODY HBCAB TOTAL_01 | $36.00 | $36.00 | — | 17% below | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 86704 HEPATITIS B CORE ANTIBODY HBCAB TOTAL_01 | $36.00 | $36.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 HEPATITIS B SURF ANTIBODY HBSAB_01 | $32.00 | $32.00 | — | 19% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706 HEPATITIS B SURF ANTIBODY HBSAB_01 | $32.00 | $32.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 IAAD EIA HEPATITIS B SURFACE ANTIGEN_01 | $31.00 | $31.00 | — | 17% below | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 IAAD EIA HEPATITIS B SURFACE ANTIGEN_01 | $31.00 | $31.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 HEPATITIS C ANTIBODY_01 | $43.00 | $43.00 | — | 19% below | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803 HEPATITIS C ANTIBODY_01 | $43.00 | $43.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT RNA | $110.00 | $110.00 | — | 19% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QNT RFX TO GENO | $110.00 | $110.00 | — | 19% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 CH HCV RNA QUANTITATIVE | $129.00 | $129.00 | — | 5% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 87522 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPT | $129.00 | $129.00 | — | 5% below | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QNT RFX TO GENO | $110.00 | $110.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT RNA | $110.00 | $110.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 87522 IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPT | $129.00 | $129.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CH HCV RNA QUANTITATIVE | $129.00 | $129.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 ANTIBODY HERPES SMPLX TYPE 1_01 | $63.00 | $63.00 | — | 56% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 ANTIBODY HERPES SMPLX TYPE 1_01 | $63.00 | $63.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 ANTIBODY HERPES SMPLX TYPE 2_01 | $58.00 | $58.00 | — | at median | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 ANTIBODY HERPES SMPLX TYPE 2_01 | $58.00 | $58.00 | — | — | — |
| Homocysteine blood test CPT 83090 83090 ASSAY OF HOMOCYSTEINE_01 | $98.00 | $98.00 | — | 34% above | — |
| Homocysteine blood test inpatient CPT 83090 83090 ASSAY OF HOMOCYSTEINE_01 | $98.00 | $98.00 | — | — | — |
| Insulin blood test CPT 83525 83525 ASSAY OF INSULIN TOTAL_01 | $57.00 | $57.00 | — | 35% above | — |
| Insulin blood test inpatient CPT 83525 83525 ASSAY OF INSULIN TOTAL_01 | $57.00 | $57.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 83540 ASSAY OF IRON_01 | $21.00 | $21.00 | — | 18% below | — |
| Iron blood test (serum iron) inpatient CPT 83540 83540 ASSAY OF IRON_01 | $21.00 | $21.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACITY_01 | $26.00 | $26.00 | — | 35% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACITY_01 | $26.00 | $26.00 | — | — | — |
| Kidney function blood test panel CPT 80069 80069 RENAL FUNCTION PANEL_01 | $66.00 | $66.00 | — | 2% below | — |
| Kidney function blood test panel inpatient CPT 80069 80069 RENAL FUNCTION PANEL_01 | $66.00 | $66.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 83002 GONADOTROPIN LUTEINIZING HORMONE_01 | $110.00 | $110.00 | — | 43% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 83002 GONADOTROPIN LUTEINIZING HORMONE_01 | $110.00 | $110.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 83605 ASSAY OF LACTATE_03 | $58.00 | $58.00 | — | 44% above | — |
| Lactate (lactic acid) blood test CPT 83605 83605 ASSAY OF LACTATE_02 | $58.00 | $58.00 | — | 44% above | — |
| Lactate (lactic acid) blood test CPT 83605 83605 ASSAY OF LACTATE_01 | $58.00 | $58.00 | — | 44% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 83605 ASSAY OF LACTATE_01 | $58.00 | $58.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 83605 ASSAY OF LACTATE_02 | $58.00 | $58.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 83605 ASSAY OF LACTATE_03 | $58.00 | $58.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROGENASE LDH_04 | $21.00 | $21.00 | — | 6% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CH LDH TOTAL CSF | $21.00 | $21.00 | — | 6% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CH LD | $21.00 | $21.00 | — | 6% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROGENASE LDH_02 | $21.00 | $21.00 | — | 6% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROGENASE LDH_03 | $21.00 | $21.00 | — | 6% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CH LD, CSF | $21.00 | $21.00 | — | 6% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROGENASE LDH_01 | $21.00 | $21.00 | — | 6% below | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROGENASE LDH_02 | $21.00 | $21.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CH LDH TOTAL CSF | $21.00 | $21.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CH LD | $21.00 | $21.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CH LD, CSF | $21.00 | $21.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROGENASE LDH_01 | $21.00 | $21.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROGENASE LDH_03 | $21.00 | $21.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROGENASE LDH_04 | $21.00 | $21.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 83690 ASSAY OF LIPASE_02 | $44.00 | $44.00 | — | 57% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 83690 ASSAY OF LIPASE_01 | $44.00 | $44.00 | — | 57% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 83690 ASSAY OF LIPASE_01 | $44.00 | $44.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 83690 ASSAY OF LIPASE_02 | $44.00 | $44.00 | — | — | — |
| Liver function blood test panel CPT 80076 80076 HEPATIC FUNCTION PANEL_01 | $41.00 | $41.00 | — | 28% below | — |
| Liver function blood test panel inpatient CPT 80076 80076 HEPATIC FUNCTION PANEL_01 | $41.00 | $41.00 | — | — | — |
| Lyme disease antibody test CPT 86618 CH LYME CONFIRMATION | $51.00 | $51.00 | — | 5% above | — |
| Lyme disease antibody test CPT 86618 CH LYME CONFIRMATION. | $51.00 | $51.00 | — | 5% above | — |
| Lyme disease antibody test CPT 86618 86618 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE_0 | $134.00 | $134.00 | — | 176% above | — |
| Lyme disease antibody test CPT 86618 86618 LYME C6 PEPTIDE ABS | $134.00 | $134.00 | — | 176% above | — |
| Lyme disease antibody test CPT 86618 CH 86618 LYME VLSE1 PEPC10 AB | $134.00 | $134.00 | — | 176% above | — |
| Lyme disease antibody test inpatient CPT 86618 CH LYME CONFIRMATION. | $51.00 | $51.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 CH LYME CONFIRMATION | $51.00 | $51.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 CH 86618 LYME VLSE1 PEPC10 AB | $134.00 | $134.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 86618 LYME C6 PEPTIDE ABS | $134.00 | $134.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 86618 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE_0 | $134.00 | $134.00 | — | — | — |
| Magnesium blood test CPT 83735 CH MAGNESIUM, RBC | $62.00 | $62.00 | — | 151% above | — |
| Magnesium blood test CPT 83735 83735 ASSAY OF MAGNESIUM_02 | $62.00 | $62.00 | — | 151% above | — |
| Magnesium blood test CPT 83735 83735 ASSAY OF MAGNESIUM_03 | $62.00 | $62.00 | — | 151% above | — |
| Magnesium blood test CPT 83735 83735 ASSAY OF MAGNESIUM_01 | $62.00 | $62.00 | — | 151% above | — |
| Magnesium blood test inpatient CPT 83735 83735 ASSAY OF MAGNESIUM_01 | $62.00 | $62.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 CH MAGNESIUM, RBC | $62.00 | $62.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 83735 ASSAY OF MAGNESIUM_02 | $62.00 | $62.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 83735 ASSAY OF MAGNESIUM_03 | $62.00 | $62.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 86765 ANTIBODY RUBEOLA_02 | $25.00 | $25.00 | — | 46% below | — |
| Measles (rubeola) antibody test CPT 86765 86765 ANTIBODY RUBEOLA_01 | $39.00 | $39.00 | — | 16% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 ANTIBODY RUBEOLA_02 | $25.00 | $25.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 ANTIBODY RUBEOLA_01 | $39.00 | $39.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 86308 HETEROPHILE ANTIBODIES SCREEN_01 | $17.00 | $17.00 | — | 51% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 86308 HETEROPHILE ANTIBODIES SCREEN_01 | $17.00 | $17.00 | — | — | — |
| Mumps immunity blood test CPT 86735 CH MUMPS AB IGM | $65.00 | $65.00 | — | 53% above | — |
| Mumps immunity blood test CPT 86735 86735 ANTIBODY MUMPS_01 | $65.00 | $65.00 | — | 53% above | — |
| Mumps immunity blood test CPT 86735 86735 ANTIBODY MUMPS_02 | $65.00 | $65.00 | — | 53% above | — |
| Mumps immunity blood test inpatient CPT 86735 86735 ANTIBODY MUMPS_02 | $65.00 | $65.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 86735 ANTIBODY MUMPS_01 | $65.00 | $65.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 CH MUMPS AB IGM | $65.00 | $65.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 CH PAS FREE_2 | $55.00 | $55.00 | — | 17% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE_01 | $55.00 | $55.00 | — | 17% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE_01 | $55.00 | $55.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CH PAS FREE_2 | $55.00 | $55.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL_03 | $71.00 | $71.00 | — | 7% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CH PSA FREE_1 | $71.00 | $71.00 | — | 7% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PROSTATE CANCER SCREENING; PROSTATE SPECIFIC | $71.00 | $71.00 | — | 7% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL_01 | $71.00 | $71.00 | — | 7% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL_02 | $71.00 | $71.00 | — | 7% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL_03 | $71.00 | $71.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CH PSA FREE_1 | $71.00 | $71.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL_01 | $71.00 | $71.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL_02 | $71.00 | $71.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 PROSTATE CANCER SCREENING; PROSTATE SPECIFIC | $71.00 | $71.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREE | $61.00 | $61.00 | — | 13% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREE | $61.00 | $61.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 ASSAY OF PARATHORMONE_01 | $148.00 | $148.00 | — | 1% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 ASSAY OF PARATHORMONE_02 | $148.00 | $148.00 | — | 1% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 ASSAY OF PARATHORMONE_01 | $148.00 | $148.00 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 ASSAY OF PARATHORMONE_02 | $148.00 | $148.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLO | $21.00 | $21.00 | — | 11% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CH PTT-LA SCREEN | $21.00 | $21.00 | — | 11% below | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLO | $21.00 | $21.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CH PTT-LA SCREEN | $21.00 | $21.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 84100 ASSAY OF PHOSPHORUS INORGANIC_01 | $21.00 | $21.00 | — | 3% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 84100 ASSAY OF PHOSPHORUS INORGANIC_01 | $21.00 | $21.00 | — | — | — |
| Potassium blood test CPT 84132 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD_03 | $31.00 | $31.00 | — | 35% above | — |
| Potassium blood test CPT 84132 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD_01 | $31.00 | $31.00 | — | 35% above | — |
| Potassium blood test CPT 84132 CH PLASMA POTASSIUM | $31.00 | $31.00 | — | 35% above | — |
| Potassium blood test CPT 84132 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD_02 | $31.00 | $31.00 | — | 35% above | — |
| Potassium blood test inpatient CPT 84132 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD_01 | $31.00 | $31.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD_02 | $31.00 | $31.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD_03 | $31.00 | $31.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 CH PLASMA POTASSIUM | $31.00 | $31.00 | — | — | — |
| Progesterone blood test CPT 84144 84144 ASSAY OF PROGESTERONE_01 | $104.00 | $104.00 | — | 21% above | — |
| Progesterone blood test inpatient CPT 84144 84144 ASSAY OF PROGESTERONE_01 | $104.00 | $104.00 | — | — | — |
| Prolactin blood test CPT 84146 84146 ASSAY OF PROLACTIN_01 | $97.00 | $97.00 | — | 34% above | — |
| Prolactin blood test inpatient CPT 84146 84146 ASSAY OF PROLACTIN_01 | $97.00 | $97.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME_02 | $15.00 | $15.00 | — | 3% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME_01 | $21.00 | $21.00 | — | 35% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME_02 | $15.00 | $15.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME_01 | $21.00 | $21.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 CH POC LAB TESTING | $44.00 | $44.00 | — | 10% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CH POC LAB TESTING | $44.00 | $44.00 | — | — | — |
| Renin blood test CPT 84244 84244 ASSAY OF RENIN_01 | $66.00 | $66.00 | — | 19% below | — |
| Renin blood test CPT 84244 CH PLASMA RENIN ACT | $66.00 | $66.00 | — | 19% below | — |
| Renin blood test inpatient CPT 84244 84244 ASSAY OF RENIN_01 | $66.00 | $66.00 | — | — | — |
| Renin blood test inpatient CPT 84244 CH PLASMA RENIN ACT | $66.00 | $66.00 | — | — | — |
| Rh blood typing CPT 86901 86901 BLOOD TYPING RH (D)_01 | $91.00 | $91.00 | — | 65% above | — |
| Rh blood typing CPT 86901 86901 BLOOD TYPING RH (D)_02 | $91.00 | $91.00 | — | 65% above | — |
| Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH (D)_01 | $91.00 | $91.00 | — | — | — |
| Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH (D)_02 | $91.00 | $91.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 86431 RHEUMATOID FACTOR QUANTITATIVE_01 | $21.00 | $21.00 | — | at median | — |
| Rheumatoid factor (RF) test CPT 86431 CH ZNT8 ZINC TRANS AB | $80.00 | $80.00 | — | 282% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 RHEUMATOID FACTOR QUANTITATIVE_01 | $21.00 | $21.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 CH ZNT8 ZINC TRANS AB | $80.00 | $80.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 86762 ANTIBODY RUBELLA_01 | $25.00 | $25.00 | — | 44% below | — |
| Rubella antibody test (immunity check) CPT 86762 86762 ANTIBODY RUBELLA_02 | $43.00 | $43.00 | — | 4% below | — |
| Rubella antibody test (immunity check) CPT 86762 CH RUBELLA AB IGM | $43.00 | $43.00 | — | 4% below | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 ANTIBODY RUBELLA_01 | $25.00 | $25.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 ANTIBODY RUBELLA_02 | $43.00 | $43.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 CH RUBELLA AB IGM | $43.00 | $43.00 | — | — | — |
| Sodium blood test CPT 84295 84295 SODIUM SERUM PLASMA OR WHOLE BLOOD_01 | $21.00 | $21.00 | — | 3% below | — |
| Sodium blood test CPT 84295 84295 SODIUM SERUM PLASMA OR WHOLE BLOOD_02 | $21.00 | $21.00 | — | 3% below | — |
| Sodium blood test inpatient CPT 84295 84295 SODIUM SERUM PLASMA OR WHOLE BLOOD_01 | $21.00 | $21.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 84295 SODIUM SERUM PLASMA OR WHOLE BLOOD_02 | $21.00 | $21.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 OAPSMEARS | $24.00 | $24.00 | — | 27% below | — |
| Stool ova and parasites exam CPT 87177 87177 OVA AND PARASITE SMEARS | $24.00 | $24.00 | — | 27% below | — |
| Stool ova and parasites exam CPT 87177 87177 OVA&PARASITES DIRECT SMEARS CONCENTRATION & | $27.00 | $27.00 | — | 18% below | — |
| Stool ova and parasites exam inpatient CPT 87177 OAPSMEARS | $24.00 | $24.00 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 87177 OVA AND PARASITE SMEARS | $24.00 | $24.00 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 87177 OVA&PARASITES DIRECT SMEARS CONCENTRATION & | $27.00 | $27.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DE | $21.00 | $21.00 | — | 48% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DE | $21.00 | $21.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 82274 IMMUNOASSAY ANALYTE QUANTITATIVE NOS_12 | $50.00 | $50.00 | — | 2% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 82274 IMMUNOASSAY ANALYTE QUANTITATIVE NOS_12 | $50.00 | $50.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 TREPONEMA G/M CORD | $56.00 | $56.00 | — | 32% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_04 | $56.00 | $56.00 | — | 32% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_03 | $56.00 | $56.00 | — | 32% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 CH T PALLIDUM AB AGG | $56.00 | $56.00 | — | 32% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_01 | $56.00 | $56.00 | — | 32% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_02 | $56.00 | $56.00 | — | 32% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_01 | $56.00 | $56.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 CH T PALLIDUM AB AGG | $56.00 | $56.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_03 | $56.00 | $56.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_02 | $56.00 | $56.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 TREPONEMA G/M CORD | $56.00 | $56.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 ANTIBODY TREPONEMA PALLIDUM_04 | $56.00 | $56.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CH VDRL, CSF | $26.00 | $26.00 | — | 65% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL_0 | $26.00 | $26.00 | — | 65% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL_0 | $26.00 | $26.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CH VDRL, CSF | $26.00 | $26.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERF | $162.00 | $162.00 | — | 1% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB PLUS4 | $162.00 | $162.00 | — | 1% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 QUANTIFERON TB @ | $186.00 | $186.00 | — | 14% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 86480 TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERF | $162.00 | $162.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB PLUS4 | $162.00 | $162.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 86480 QUANTIFERON TB @ | $186.00 | $186.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 ASSAY OF TESTOSTERONE TOTAL_05 | $70.00 | $70.00 | — | 25% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 ASSAY OF TESTOSTERONE TOTAL_01 | $77.00 | $77.00 | — | 18% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 CH TESTOSTERONE TOTAL | $77.00 | $77.00 | — | 18% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 ASSAY OF TESTOSTERONE TOTAL_03 | $77.00 | $77.00 | — | 18% below | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 ASSAY OF TESTOSTERONE TOTAL_05 | $70.00 | $70.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 ASSAY OF TESTOSTERONE TOTAL_01 | $77.00 | $77.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 ASSAY OF TESTOSTERONE TOTAL_03 | $77.00 | $77.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CH TESTOSTERONE TOTAL | $77.00 | $77.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL ANTIBODIES EACH_01 | $65.00 | $65.00 | — | 22% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 MICROSOMAL ANTIBODIES EACH_01 | $65.00 | $65.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CH TSH W/ REFLX FREE T4 | $84.00 | $84.00 | — | 15% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 ASSAY OF THYROID STIMULATING HORMONE TSH_02 | $84.00 | $84.00 | — | 15% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 ASSAY OF THYROID STIMULATING HORMONE TSH_01 | $84.00 | $84.00 | — | 15% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 ASSAY OF THYROID STIMULATING HORMONE TSH_01 | $84.00 | $84.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 ASSAY OF THYROID STIMULATING HORMONE TSH_02 | $84.00 | $84.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CH TSH W/ REFLX FREE T4 | $84.00 | $84.00 | — | — | — |
| Total IgE blood test CPT 82785 82785 ASSAY OF GAMMAGLOBULIN IGE_01 | $89.00 | $89.00 | — | 46% above | — |
| Total IgE blood test CPT 82785 82785 ASSAY OF GAMMAGLOBULIN IGE_02 | $89.00 | $89.00 | — | 46% above | — |
| Total IgE blood test inpatient CPT 82785 82785 ASSAY OF GAMMAGLOBULIN IGE_02 | $89.00 | $89.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 82785 ASSAY OF GAMMAGLOBULIN IGE_01 | $89.00 | $89.00 | — | — | — |
| Total cholesterol blood test CPT 82465 82465 CHOLESTEROL SERUM/WHOLE BLOOD TOTAL_02 | $21.00 | $21.00 | — | 7% below | — |
| Total cholesterol blood test CPT 82465 82465 CHOLESTEROL SERUM/WHOLE BLOOD TOTAL_01 | $21.00 | $21.00 | — | 7% below | — |
| Total cholesterol blood test inpatient CPT 82465 82465 CHOLESTEROL SERUM/WHOLE BLOOD TOTAL_01 | $21.00 | $21.00 | — | — | — |
| Total cholesterol blood test inpatient CPT 82465 82465 CHOLESTEROL SERUM/WHOLE BLOOD TOTAL_02 | $21.00 | $21.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 84436 ASSAY OF THYROXINE TOTAL_01 | $41.00 | $41.00 | — | 40% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 84436 ASSAY OF THYROXINE TOTAL_01 | $41.00 | $41.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 84480 ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3_01 | $107.00 | $107.00 | — | 69% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 84480 ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3_01 | $107.00 | $107.00 | — | — | — |
| Transferrin blood test CPT 84466 CH TRANSFERRIN | $66.00 | $66.00 | — | 40% above | — |
| Transferrin blood test CPT 84466 84466 ASSAY OF L7383TRANSFERRIN_01 | $66.00 | $66.00 | — | 40% above | — |
| Transferrin blood test inpatient CPT 84466 84466 ASSAY OF L7383TRANSFERRIN_01 | $66.00 | $66.00 | — | — | — |
| Transferrin blood test inpatient CPT 84466 CH TRANSFERRIN | $66.00 | $66.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE | $113.00 | $113.00 | — | 49% above | — |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS BY TMA | $113.00 | $113.00 | — | 49% above | — |
| Trichomonas test (NAAT) CPT 87661 STD PANEL 87661 | $113.00 | $113.00 | — | 49% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 STD PANEL 87661 | $113.00 | $113.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE | $113.00 | $113.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS BY TMA | $113.00 | $113.00 | — | — | — |
| Triglycerides blood test CPT 84478 84478 ASSAY OF TRIGLYCERIDES_01 | $30.00 | $30.00 | — | 23% above | — |
| Triglycerides blood test CPT 84478 84478 ASSAY OF TRIGLYCERIDES_03 | $30.00 | $30.00 | — | 23% above | — |
| Triglycerides blood test CPT 84478 84478 ASSAY OF TRIGLYCERIDES_02 | $30.00 | $30.00 | — | 23% above | — |
| Triglycerides blood test inpatient CPT 84478 84478 ASSAY OF TRIGLYCERIDES_01 | $30.00 | $30.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 84478 ASSAY OF TRIGLYCERIDES_03 | $30.00 | $30.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 84478 ASSAY OF TRIGLYCERIDES_02 | $30.00 | $30.00 | — | — | — |
| Troponin test, quantitative CPT 84484 84484 ASSAY OF TROPONIN QUANTITATIVE_01 | $62.00 | $62.00 | — | 43% above | — |
| Troponin test, quantitative CPT 84484 CH HS TROPONIN I | $62.00 | $62.00 | — | 43% above | — |
| Troponin test, quantitative inpatient CPT 84484 CH HS TROPONIN I | $62.00 | $62.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 84484 ASSAY OF TROPONIN QUANTITATIVE_01 | $62.00 | $62.00 | — | — | — |
| Uric acid blood test CPT 84550 84550 ASSAY OF BLOOD/URIC ACID_01 | $21.00 | $21.00 | — | 4% above | — |
| Uric acid blood test inpatient CPT 84550 84550 ASSAY OF BLOOD/URIC ACID_01 | $21.00 | $21.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 81001 URNLS DIP STICK/TABLET REAGENT AUTO MICROSCO | $17.00 | $17.00 | — | 48% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 URNLS DIP STICK/TABLET REAGENT AUTO MICROSCO | $17.00 | $17.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 81003 URNLS DIP STICK/TABLET RGNT GLUCOSE, AUTO W/ | $17.00 | $17.00 | — | at median | — |
| Urinalysis without microscope exam, automated CPT 81003 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSC | $17.00 | $17.00 | — | at median | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSC | $17.00 | $17.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 URNLS DIP STICK/TABLET RGNT GLUCOSE, AUTO W/ | $17.00 | $17.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC | $42.00 | $42.00 | — | 303% above | — |
| Urinalysis without microscope exam, manual CPT 81002 CH 81002 URINALYSIS NONAUTO W/O SCOPE | $42.00 | $42.00 | — | 303% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CH 81002 URINALYSIS NONAUTO W/O SCOPE | $42.00 | $42.00 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MIC | $42.00 | $42.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 87086 CULTURE BACTERIAL QUANTTATIVE COLONY COUNT U | $60.00 | $60.00 | — | 57% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 87086 CULTURE BACTERIAL QUANTTATIVE COLONY COUNT U | $60.00 | $60.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 82043 ALBUMIN URINE MICROALBUMIN QUANTIATIVE_01 | $61.00 | $61.00 | — | 105% above | — |
| Urine microalbumin (albumin) test CPT 82043 82043 ALBUMIN URINE MICROALBUMIN QUANTIATIVE_02 | $61.00 | $61.00 | — | 105% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 82043 ALBUMIN URINE MICROALBUMIN QUANTIATIVE_01 | $61.00 | $61.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 82043 ALBUMIN URINE MICROALBUMIN QUANTIATIVE_02 | $61.00 | $61.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 CH 81025 URINE PREGNANCY TEST | $46.00 | $46.00 | — | 59% above | — |
| Urine pregnancy test, read by color change CPT 81025 81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN MET | $46.00 | $46.00 | — | 59% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN MET | $46.00 | $46.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 CH 81025 URINE PREGNANCY TEST | $46.00 | $46.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 82607 CYANOCOBALAMIN VITAMIN B-12_01 | $45.00 | $45.00 | — | 19% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 82607 CYANOCOBALAMIN VITAMIN B-12_01 | $45.00 | $45.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED_0 | $89.00 | $89.00 | — | 17% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED_0 | $89.00 | $89.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 82652 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORM | $116.00 | $116.00 | — | 8% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 82652 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORM | $116.00 | $116.00 | — | — | — |
| Zinc blood test CPT 84630 84630 ASSAY OF ZINC_01 | $34.00 | $34.00 | — | 16% below | — |
| Zinc blood test inpatient CPT 84630 84630 ASSAY OF ZINC_01 | $34.00 | $34.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CH BETA HCG, TUMOR MARKER | $114.00 | $114.00 | — | 105% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CH HCG, TOTAL, QN | $114.00 | $114.00 | — | 105% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 GONADOTROPIN CHORIONIC QUANTITATIVE_02 | $114.00 | $114.00 | — | 105% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 GONADOTROPIN CHORIONIC QUANTITATIVE_01 | $114.00 | $114.00 | — | 105% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 GONADOTROPIN CHORIONIC QUANTITATIVE_01 | $114.00 | $114.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CH BETA HCG, TUMOR MARKER | $114.00 | $114.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 GONADOTROPIN CHORIONIC QUANTITATIVE_02 | $114.00 | $114.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CH HCG, TOTAL, QN | $114.00 | $114.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 BX BREAST W DEVICE 1ST LESION STEREOTACTIC G | $1,659.00 | $1,659.00 | — | 46% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 19081 BX BREAST W DEVICE 1ST LESION STEREOTACTIC G | $1,659.00 | $1,659.00 | — | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 93458 CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $5,849.00 | $5,849.00 | — | 4% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 93458 CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $5,849.00 | $5,849.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL_0 | $1,270.00 | $1,270.00 | — | 23% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL_0 | $1,270.00 | $1,270.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 93656 EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM | $27,959.00 | $27,959.00 | — | 4% below | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 93656 EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM | $27,959.00 | $27,959.00 | — | — | — |
| Coronary stent placement, one artery CPT 92928 92928 PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BR | $18,494.00 | $18,494.00 | — | 33% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 92928 PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BR | $18,494.00 | $18,494.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 CH REMOVAL CERUMAN IRRIGATION. | $131.00 | $131.00 | — | 8% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 IMPACT EAR WAX | $131.00 | $131.00 | — | 8% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL CERUMAN IRRIGATION | $131.00 | $131.00 | — | 8% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 CH REMOVAL IMPACTED CERUMEN REQUIRING LAVAGE/IRRIG | $177.00 | $177.00 | — | 46% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL CERUMAN IRRIGATION | $131.00 | $131.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 IMPACT EAR WAX | $131.00 | $131.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CH REMOVAL CERUMAN IRRIGATION. | $131.00 | $131.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CH REMOVAL IMPACTED CERUMEN REQUIRING LAVAGE/IRRIG | $177.00 | $177.00 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 CH REMOVE IMPACTED EAR WX UNI | $131.00 | $131.00 | — | 1% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WX UNI | $131.00 | $131.00 | — | 1% above | — |
| Earwax removal with instruments, one ear CPT 69210 CH REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTAT | $177.00 | $177.00 | — | 36% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 CH REMOVE IMPACTED EAR WX UNI | $131.00 | $131.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WX UNI | $131.00 | $131.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 CH REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTAT | $177.00 | $177.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSAL | $850.00 | $850.00 | — | 181% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSAL | $850.00 | $850.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 CH DRAINAGE OF SKIN ABSCESS_ | $324.00 | $324.00 | — | 20% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE_01 | $340.00 | $340.00 | — | 16% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 CH INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $588.00 | $588.00 | — | 45% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CH DRAINAGE OF SKIN ABSCESS_ | $324.00 | $324.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE_01 | $340.00 | $340.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CH INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $588.00 | $588.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROS | $487.00 | $487.00 | — | 1% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROS | $487.00 | $487.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BUR | $1,053.00 | $1,053.00 | — | 108% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BUR | $1,053.00 | $1,053.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BU | $821.00 | $821.00 | — | 79% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BU | $821.00 | $821.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BUR | $487.00 | $487.00 | — | 8% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BUR | $487.00 | $487.00 | — | — | — |
| Left heart catheterization, diagnostic CPT 93452 93452 L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I_ | $5,839.00 | $5,839.00 | — | 15% below | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 93452 L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I_ | $5,839.00 | $5,839.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC S | $1,518.00 | $1,518.00 | — | 2% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC S | $1,518.00 | $1,518.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 LUMBAR TRANSFORAMINAL EPIDURAL | $1,545.00 | $1,545.00 | — | at median | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 LUMBAR TRANSFORAMINAL EPIDURAL | $1,545.00 | $1,545.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 N. BLOCK INJ OCCIPITAL | $554.00 | $554.00 | — | 17% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 N. BLOCK INJ OCCIPITAL | $554.00 | $554.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANC | $1,117.00 | $1,117.00 | — | 22% below | — |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANC | $1,117.00 | $1,117.00 | — | — | — |
| Prostate biopsy CPT 55700 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH_01 | $2,518.00 | $2,518.00 | — | 4% above | — |
| Prostate biopsy inpatient CPT 55700 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH_01 | $2,518.00 | $2,518.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 REMOVE FOREIGN BODY | $455.00 | $455.00 | — | 29% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 REMOVE FOREIGN BODY | $455.00 | $455.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM_LT | $325.00 | $325.00 | — | 24% below | — |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM_RT | $325.00 | $325.00 | — | 24% below | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM_LT | $325.00 | $325.00 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM_RT | $325.00 | $325.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 CH 29125 APPLY FOREARM SPLINT_LT | $188.00 | $188.00 | — | 11% below | — |
| Short arm splint (forearm and hand) CPT 29125 CH 29125 APPLY FOREARM SPLINT_RT | $188.00 | $188.00 | — | 11% below | — |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND ST | $188.00 | $188.00 | — | 11% below | — |
| Short arm splint (forearm and hand) one side CPT 29125 29125 IP-OT APP SHORT ARM SPLINT-STAT LT | $188.00 | $188.00 | — | 11% below | — |
| Short arm splint (forearm and hand) one side CPT 29125 29125 OP-OT OP APP SHORT ARM SPLINT-STAT RT | $188.00 | $188.00 | — | 11% below | — |
| Short arm splint (forearm and hand) one side CPT 29125 29125 OP-OT OP APP SHORT ARM SPLINT-STAT LT | $188.00 | $188.00 | — | 11% below | — |
| Short arm splint (forearm and hand) one side CPT 29125 29125 IP-OT APP SHORT ARM SPLINT-STAT RT | $188.00 | $188.00 | — | 11% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 CH 29125 APPLY FOREARM SPLINT_LT | $188.00 | $188.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND ST | $188.00 | $188.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 CH 29125 APPLY FOREARM SPLINT_RT | $188.00 | $188.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 29125 OP-OT OP APP SHORT ARM SPLINT-STAT RT | $188.00 | $188.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 29125 OP-OT OP APP SHORT ARM SPLINT-STAT LT | $188.00 | $188.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 29125 IP-OT APP SHORT ARM SPLINT-STAT RT | $188.00 | $188.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 29125 IP-OT APP SHORT ARM SPLINT-STAT LT | $188.00 | $188.00 | — | — | — |
| Short leg cast (below the knee) one side CPT 29405 CAST SHORT LEG RT | $566.00 | $566.00 | — | 15% above | — |
| Short leg cast (below the knee) one side CPT 29405 CAST SHORT LEG LT | $566.00 | $566.00 | — | 15% above | — |
| Short leg cast (below the knee) inpatient one side CPT 29405 CAST SHORT LEG RT | $566.00 | $566.00 | — | — | — |
| Short leg cast (below the knee) inpatient one side CPT 29405 CAST SHORT LEG LT | $566.00 | $566.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT_LT | $210.00 | $210.00 | — | 26% below | — |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT_RT | $210.00 | $210.00 | — | 26% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT_RT | $210.00 | $210.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT_LT | $210.00 | $210.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 CH REPAIR SUPERFICIAL WOUNDS_01 | $367.00 | $367.00 | — | 3% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 L/D SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/ | $406.00 | $406.00 | — | 7% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 CH REPAIR SUPERFICIAL WOUNDS_01 | $367.00 | $367.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 L/D SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/ | $406.00 | $406.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC_01 | $1,185.00 | $1,185.00 | — | at median | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC_01 | $1,185.00 | $1,185.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING_0 | $970.00 | $970.00 | — | 24% below | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING_0 | $970.00 | $970.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $554.00 | $554.00 | — | 32% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $554.00 | $554.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 BX BREAST W DEVICE 1ST LESION ULTRASOUND GUI | $1,549.00 | $1,549.00 | — | 47% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 BX BREAST W DEVICE 1ST LESION ULTRASOUND GUI | $1,549.00 | $1,549.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<_0 | $587.00 | $587.00 | — | 30% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CH DEBRIDEMENT: SUB Q - FIRST 20 SQ CM OR LESS | $1,182.00 | $1,182.00 | — | 40% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<_0 | $587.00 | $587.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 CH DEBRIDEMENT: SUB Q - FIRST 20 SQ CM OR LESS | $1,182.00 | $1,182.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS_01 | $1,391.00 | $1,391.00 | — | 90% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS_01 | $1,391.00 | $1,391.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 PRESSURIZED/NONPRESSURIZED INHALATION TREATM | $264.00 | $264.00 | — | 18% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 PRESSURIZED/NONPRESSURIZED INHALATION TREATM | $264.00 | $264.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DR | $738.00 | $738.00 | — | 21% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DR | $738.00 | $738.00 | — | — | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 CH NEONATAL EYE EXAM | $174.00 | $174.00 | — | 24% below | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 CH NEONATAL EYE EXAM | $174.00 | $174.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 | $1,717.00 | $1,717.00 | — | at median | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 | $1,717.00 | $1,717.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 CH RAPID EEG 20-40 MINS AWAKE AND DROWSY | $415.00 | $415.00 | — | 40% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY_01 | $524.00 | $524.00 | — | 24% below | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CH RAPID EEG 20-40 MINS AWAKE AND DROWSY | $415.00 | $415.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816 ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY_01 | $524.00 | $524.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O | $165.00 | $165.00 | — | 15% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O | $165.00 | $165.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PRO | $279.00 | $279.00 | — | 12% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PRO | $279.00 | $279.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERIT | $485.00 | $485.00 | — | 44% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERIT | $485.00 | $485.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY | $821.00 | $821.00 | — | 46% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY | $821.00 | $821.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVER | $1,151.00 | $1,151.00 | — | 36% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVER | $1,151.00 | $1,151.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FU | $1,657.00 | $1,657.00 | — | 40% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FU | $1,657.00 | $1,657.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 CARDIAC STRESS TEST | $344.00 | $344.00 | — | 38% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 SESTIMIBI STRESS | $344.00 | $344.00 | — | 38% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 LEXISCAN NUCLEAR STRESS | $344.00 | $344.00 | — | 38% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 LEXISCAN NUCLEAR STRESS | $344.00 | $344.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 SESTIMIBI STRESS | $344.00 | $344.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 CARDIAC STRESS TEST | $344.00 | $344.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT (30 M | $314.00 | $314.00 | — | 12% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT (30 M | $314.00 | $314.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 CH T1006-FAMILY PSYTX W/O PT 30MIN | $314.00 | $314.00 | — | 19% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 CH T1006-FAMILY PSYTX W/O PT 30MIN | $314.00 | $314.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR_ | $243.00 | $243.00 | — | 35% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR_ | $243.00 | $243.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 | $601.00 | $601.00 | — | 44% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 | $601.00 | $601.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 96374 THER/PROPH/DIAG INJ. IV PUSH | $209.00 | $209.00 | — | 18% below | — |
| IV push of a medicine, first drug CPT 96374 CH 96374 DIAGNOSTIC INJECTION OF CONTRAST | $347.00 | $347.00 | — | 36% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 THER/PROPH/DIAG INJ. IV PUSH | $209.00 | $209.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 CH 96374 DIAGNOSTIC INJECTION OF CONTRAST | $347.00 | $347.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $130.00 | $130.00 | — | 17% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CH 96372 THERAPEUTIC DIAGNOSTIC INJECT INFUSION | $130.00 | $130.00 | — | 17% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/I | $132.00 | $132.00 | — | 19% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CH THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $211.00 | $211.00 | — | 89% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $130.00 | $130.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CH 96372 THERAPEUTIC DIAGNOSTIC INJECT INFUSION | $130.00 | $130.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/I | $132.00 | $132.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CH THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $211.00 | $211.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 CH 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $373.00 | $373.00 | — | 47% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CH 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $373.00 | $373.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 IP-PT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | 3% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 IP-OT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | 3% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 PT NEUROMUSCULAR REEDUCATION 15 MIN (PTA) | $84.00 | $84.00 | — | 3% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 OP-OT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | 3% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 OP-PT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | 3% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 PT NEUROMUSCULAR REEDUCATION 15 MIN (PTA) | $84.00 | $84.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 IP-PT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 IP-OT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 OP-OT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 OP-PT NEUROMUSCULAR REEDUCATION 15 MIN | $84.00 | $84.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 | $69.00 | $69.00 | — | 30% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 TELEHEALTH MEDICAL NUTRITION ASSMT&IVNTJ IND | $69.00 | $69.00 | — | 30% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 TELEHEALTH MEDICAL NUTRITION ASSMT&IVNTJ IND | $69.00 | $69.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 | $69.00 | $69.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 97165 OP-OT OT EVAL LOW COMPLEXITY 30 MIN | $107.00 | $107.00 | — | 37% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 97165 IP-OT EVAL LOW COMPLEXITY 30 MIN | $107.00 | $107.00 | — | 37% below | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 IP-OT EVAL LOW COMPLEXITY 30 MIN | $107.00 | $107.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 OP-OT OT EVAL LOW COMPLEXITY 30 MIN | $107.00 | $107.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163 IP-PT EVAL HIGH COMPLEXITY 45 MIN | $146.00 | $146.00 | — | 45% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163 OP-PT PT EVAL HIGH COMPLEXITY 45 MIN | $146.00 | $146.00 | — | 45% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 97163 IP-PT EVAL HIGH COMPLEXITY 45 MIN | $146.00 | $146.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 97163 OP-PT PT EVAL HIGH COMPLEXITY 45 MIN | $146.00 | $146.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 IP-PT EVAL LOW COMPLEXITY 20 MIN | $82.00 | $82.00 | — | 54% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 OP-PT PT EVAL LOW COMPLEXITY 20 MIN | $82.00 | $82.00 | — | 54% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 97161 IP-PT EVAL LOW COMPLEXITY 20 MIN | $82.00 | $82.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 97161 OP-PT PT EVAL LOW COMPLEXITY 20 MIN | $82.00 | $82.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 IP-PT EVAL MODERATE COMPLEXITY 30 MIN | $107.00 | $107.00 | — | 55% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 OP-PT PT EVAL MODERATE COMPLEXITY 30 MIN | $107.00 | $107.00 | — | 55% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 97162 OP-PT PT EVAL MODERATE COMPLEXITY 30 MIN | $107.00 | $107.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 97162 IP-PT EVAL MODERATE COMPLEXITY 30 MIN | $107.00 | $107.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 OP-OT MANUAL THERAPY 1/> REGIONS 15 MIN | $91.00 | $91.00 | — | 9% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 OP-PT MANUAL THERAPY 1/> REGIONS 15 MIN | $91.00 | $91.00 | — | 9% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 IP-OT MANUAL THERAPY 1/> REGIONS 15 MIN | $91.00 | $91.00 | — | 9% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 OP-OT MANUAL THERAPY 1/> REGIONS 15 MIN | $91.00 | $91.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 IP-OT MANUAL THERAPY 1/> REGIONS 15 MIN | $91.00 | $91.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 OP-PT MANUAL THERAPY 1/> REGIONS 15 MIN | $91.00 | $91.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 OP-PT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | 7% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 OP-OT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | 7% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 IP-OT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | 7% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 IP-PT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | 7% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 PT THERAPEUTIC EXERCISES 15 MIN (PTA) | $81.00 | $81.00 | — | 7% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 PT THERAPEUTIC EXERCISES 15 MIN (PTA) | $81.00 | $81.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 IP-PT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 IP-OT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 OP-OT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 OP-PT THERAPEUTIC EXERCISES 15 MIN | $81.00 | $81.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 CH 99385 PREV VISIT NEW AGE 18-39 | $141.00 | $141.00 | — | 30% below | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 CH 99385 PREV VISIT NEW AGE 18-39 | $141.00 | $141.00 | — | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 CH 99386 PREV VISIT NEW AGE 40-64 | $141.00 | $141.00 | — | 37% below | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 CH 99386 PREV VISIT NEW AGE 40-64 | $141.00 | $141.00 | — | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 CH 99387 INITIAL PREVENTIVE MEDICINE NEW PATIENT 6 | $148.00 | $148.00 | — | 42% below | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 CH 99387 INITIAL PREVENTIVE MEDICINE NEW PATIENT 6 | $148.00 | $148.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 CH 99395 PREV VISIT EST AGE 18-39 | $138.00 | $138.00 | — | 32% below | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 TELEHEALTH PERIODIC PREVENTIVE MED EST PATIE | $138.00 | $138.00 | — | 32% below | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 PERIODIC PREVENTIVE MED EST PATIENT 18-39 YR | $161.00 | $161.00 | — | 20% below | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 TELEHEALTH PERIODIC PREVENTIVE MED EST PATIE | $138.00 | $138.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 CH 99395 PREV VISIT EST AGE 18-39 | $138.00 | $138.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 PERIODIC PREVENTIVE MED EST PATIENT 18-39 YR | $161.00 | $161.00 | — | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 CH 99396 PREV VISIT EST AGE 40-64 | $142.00 | $142.00 | — | 39% below | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 CH 99396 PREV VISIT EST AGE 40-64 | $142.00 | $142.00 | — | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 CH 99397 PERIODIC PREVENTIVE MED EST PATIENT 65YRS | $148.00 | $148.00 | — | 27% below | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PERIODIC PREVENTIVE MED EST PATIENT 65YRS& O | $148.00 | $148.00 | — | 27% below | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 PERIODIC PREVENTIVE MED EST PATIENT 65YRS& O | $148.00 | $148.00 | — | — | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 CH 99397 PERIODIC PREVENTIVE MED EST PATIENT 65YRS | $148.00 | $148.00 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 CH 90792 PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SER | $373.00 | $373.00 | — | 25% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 CH 90792 PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SER | $373.00 | $373.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 90832- BRIEF IND TX 30MIN | $176.00 | $176.00 | — | 11% below | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832- BRIEF IND TX 30MIN | $176.00 | $176.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 90834 - NORM IND TX 45MIN | $232.00 | $232.00 | — | 11% below | — |
| Psychotherapy session, 45 minutes CPT 90834 CH 90834 ALCOHOL/SUBS INTERV >30 MIN | $278.00 | $278.00 | — | 6% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 - NORM IND TX 45MIN | $232.00 | $232.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 CH 90834 ALCOHOL/SUBS INTERV >30 MIN | $278.00 | $278.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 1_02 | $252.00 | $252.00 | — | 7% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 1 | $252.00 | $252.00 | — | 7% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CH 99215 OFFICE/OUTPATIENT ESTABLISHED | $327.00 | $327.00 | — | 39% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OUTPATIENT VISIT EST_25 | $327.00 | $327.00 | — | 39% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OUTPATIENT VISIT EST | $327.00 | $327.00 | — | 39% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CH 99215 OFFICE / OUTPATIENT VISIT - ESTABLISHED | $631.00 | $631.00 | — | 169% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 1 | $252.00 | $252.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 1_02 | $252.00 | $252.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CH 99215 OFFICE/OUTPATIENT ESTABLISHED | $327.00 | $327.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OUTPATIENT VISIT EST_25 | $327.00 | $327.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OUTPATIENT VISIT EST | $327.00 | $327.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CH 99215 OFFICE / OUTPATIENT VISIT - ESTABLISHED | $631.00 | $631.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 3 | $142.00 | $142.00 | — | 22% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 3_01 | $142.00 | $142.00 | — | 22% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE/OUTPATIENT VISIT EST | $184.00 | $184.00 | — | 1% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CH 99213 OFFICE/OUTPATIENT ESTABLISHED | $184.00 | $184.00 | — | 1% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE/OUTPATIENT VISIT EST_25 | $184.00 | $184.00 | — | 1% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 3_01 | $142.00 | $142.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 3 | $142.00 | $142.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE/OUTPATIENT VISIT EST_25 | $184.00 | $184.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CH 99213 OFFICE/OUTPATIENT ESTABLISHED | $184.00 | $184.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE/OUTPATIENT VISIT EST | $184.00 | $184.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 2_01 | $148.00 | $148.00 | — | 25% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 2 | $148.00 | $148.00 | — | 25% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OUTPATIENT VISIT EST | $252.00 | $252.00 | — | 28% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OUTPATIENT VISIT EST_25 | $252.00 | $252.00 | — | 28% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CH 99214 OFFICE/OUTPATIENT ESTABLISHED | $252.00 | $252.00 | — | 28% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 2 | $148.00 | $148.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OUTPATIENT VISIT_TRIAGE PRIORITY 2_01 | $148.00 | $148.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CH 99214 OFFICE/OUTPATIENT ESTABLISHED | $252.00 | $252.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OUTPATIENT VISIT EST_25 | $252.00 | $252.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OUTPATIENT VISIT EST | $252.00 | $252.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 4_01 | $129.00 | $129.00 | — | 23% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 4 | $129.00 | $129.00 | — | 23% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE/OUTPATIENT VISIT EST_25 | $142.00 | $142.00 | — | 15% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE OUTPATIENT VISIT 10 MINUTES | $142.00 | $142.00 | — | 15% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CH 99212 OFFICE/OUTPATIENT ESTABLISHED | $142.00 | $142.00 | — | 15% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE/OUTPATIENT VISIT EST | $142.00 | $142.00 | — | 15% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 4 | $129.00 | $129.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE OUTPATIENT VISIT TRIAGE PRIORITY 4_01 | $129.00 | $129.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE/OUTPATIENT VISIT EST_25 | $142.00 | $142.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE/OUTPATIENT VISIT EST | $142.00 | $142.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CH 99212 OFFICE/OUTPATIENT ESTABLISHED | $142.00 | $142.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE OUTPATIENT VISIT 10 MINUTES | $142.00 | $142.00 | — | — | — |
| Speech and language evaluation CPT 92523 92523 IP-ST SPEECH SOUND LANG COMPREHEN | $301.00 | $301.00 | — | 23% below | — |
| Speech and language evaluation CPT 92523 92523 OP-ST SPEECH SOUND LANG COMPREHEN | $301.00 | $301.00 | — | 23% below | — |
| Speech and language evaluation inpatient CPT 92523 92523 OP-ST SPEECH SOUND LANG COMPREHEN | $301.00 | $301.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 92523 IP-ST SPEECH SOUND LANG COMPREHEN | $301.00 | $301.00 | — | — | — |
| Speech therapy session, individual CPT 92507 92507 IP-ST SPEECH/LANG/VOICE AUDIO TX IND | $192.00 | $192.00 | — | 14% above | — |
| Speech therapy session, individual CPT 92507 92507 OP-ST SPEECH/LANG/VOICE AUDIO TX IND | $192.00 | $192.00 | — | 14% above | — |
| Speech therapy session, individual inpatient CPT 92507 92507 OP-ST SPEECH/LANG/VOICE AUDIO TX IND | $192.00 | $192.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 92507 IP-ST SPEECH/LANG/VOICE AUDIO TX IND | $192.00 | $192.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 94010 SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNT | $259.00 | $259.00 | — | 17% above | — |
| Spirometry (breathing test) inpatient CPT 94010 94010 SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNT | $259.00 | $259.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 94060 BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT AD | $378.00 | $378.00 | — | 3% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT AD | $378.00 | $378.00 | — | — | — |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 CH REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | $486.00 | $486.00 | — | 32% above | — |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 CH REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | $486.00 | $486.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 IP-PT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | at median | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 OP-PT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | at median | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 PT FUNCTIONAL ACTIVITIES 15 MINS EA (PTA) | $86.00 | $86.00 | — | at median | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 FUNCTIONAL ACTIVITIES PT(A) 15 MINS EA._01 | $86.00 | $86.00 | — | at median | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERAPEUTIC ACTIVITIES TO IMPROVE FUNCTION, | $86.00 | $86.00 | — | at median | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 OP-OT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | at median | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 IP-OT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | at median | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 IP-PT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 FUNCTIONAL ACTIVITIES PT(A) 15 MINS EA._01 | $86.00 | $86.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 OP-PT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 THERAPEUTIC ACTIVITIES TO IMPROVE FUNCTION, | $86.00 | $86.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 OP-OT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 PT FUNCTIONAL ACTIVITIES 15 MINS EA (PTA) | $86.00 | $86.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 IP-OT FUNCTIONAL ACTIVITIES 15 MINS EA. | $86.00 | $86.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 CH COVID-19 VACC 2023-24 MODERNA/PF 0.5ML | $240.77 | $240.77 | — | 17% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 CH COVID-19 VACC 2023-24 MODERNA/PF 0.5ML | $240.77 | $240.77 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE-MERCK SHARP & D | $355.74 | $355.74 | — | 34% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE-MERCK SHARP & D | $355.74 | $355.74 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 CH HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $167.00 | $167.00 | — | 62% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 CH HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $167.00 | $167.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/ML-GLAXOSMITHKLINE | $161.35 | $161.35 | — | 81% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/ML-GLAXOSMITHKLINE | $161.35 | $161.35 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B INFLUENZA VACINE-SANOFI | $52.01 | $52.01 | — | 62% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B INFLUENZA VACINE-SANOFI | $52.01 | $52.01 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA HIGH-DOSE VACCINE | $277.95 | $277.95 | — | 150% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA HIGH-DOSE VACCINE | $277.95 | $277.95 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE-MERCK SHARP & D | $389.09 | $389.09 | — | 189% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II VACCINE-MERCK SHARP & D | $389.09 | $389.09 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 MENINGOCOCCAL CONJ VACCINE TETRAVALENT IM_01 | $340.14 | $340.14 | — | 67% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 90734 MENINGOCOCCAL CONJ VACCINE TETRAVALENT IM_01 | $340.14 | $340.14 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 90670PNEUMOCOCCAL POLYSAC VACCINE PCV 13 <2 YR | $924.11 | $924.11 | — | 182% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 90670PNEUMOCOCCAL POLYSAC VACCINE PCV 13 <2 YR | $924.11 | $924.11 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 CH PNEUMOCOCCAL VACCINE 20VAL CONJ-PF | $560.08 | $560.08 | — | 31% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 CH PNEUMOCOCCAL VACCINE 20VAL CONJ-PF | $560.08 | $560.08 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 PNEUMOCOCCAL POLYSAC VACCINE 23-V 2 YRS/>SUB | $477.71 | $477.71 | — | 182% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 PNEUMOCOCCAL POLYSAC VACCINE 23-V 2 YRS/>SUB | $477.71 | $477.71 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 CH BEYFORTUS 100 MG/1 ML SYRINGE | $1,038.89 | $1,038.89 | — | 1% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 CH BEYFORTUS 100 MG/1 ML SYRINGE | $1,038.89 | $1,038.89 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 CH BEYFORTUS 50 MG/0.5 ML SYRINGE | $1,038.89 | $1,038.89 | — | 1% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 CH BEYFORTUS 50 MG/0.5 ML SYRINGE | $1,038.89 | $1,038.89 | — | — | — |
| Rabies vaccine, one dose CPT 90675 90675 RABIES VACCINE INTRAMUSCULAR_01 | $482.00 | $482.00 | — | 2% above | — |
| Rabies vaccine, one dose CPT 90675 90675 RABIES VACCINE INTRAMUSCULAR_02 | $603.57 | $603.57 | — | 28% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 90675 RABIES VACCINE INTRAMUSCULAR_01 | $482.00 | $482.00 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 90675 RABIES VACCINE INTRAMUSCULAR_02 | $603.57 | $603.57 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 TD TOXOIDS ADSORBED PRSRV FR 7 YR/> IM_01 | $194.35 | $194.35 | — | 267% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 TD TOXOIDS ADSORBED PRSRV FR 7 YR/> IM_02 | $224.49 | $224.49 | — | 324% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 TD TOXOIDS ADSORBED PRSRV FR 7 YR/> IM_01 | $194.35 | $194.35 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 TD TOXOIDS ADSORBED PRSRV FR 7 YR/> IM_02 | $224.49 | $224.49 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 TDAP VACCINE 7 YRS/> IM_01 | $185.00 | $185.00 | — | 233% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 TETANUS, DIPHTHERIA, ACELL. PERTUSSIS IM TDA | $185.00 | $185.00 | — | 233% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 TDAP VACCINE 7 YRS/> IM_01 | $185.00 | $185.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 TETANUS, DIPHTHERIA, ACELL. PERTUSSIS IM TDA | $185.00 | $185.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMADM PRQ ID SUBQ/IM NJXS 1 VACCINE_01 | $131.00 | $131.00 | — | 56% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF PNEUMOCOCCAL VACCINE_01 | $131.00 | $131.00 | — | 56% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0008 ADMINISTRATION OF INFLUENZA VIRUS VACCINE_02 | $131.00 | $131.00 | — | 56% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CH 90471 IMMUNIZATION ADMIN | $131.00 | $131.00 | — | 56% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CH ADMINISTRATION OF HEPATITIS B VACCINE_03 | $131.00 | $131.00 | — | 56% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 G0008 ADMINISTRATION OF INFLUENZA VIRUS VACCINE_02 | $131.00 | $131.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION OF PNEUMOCOCCAL VACCINE_01 | $131.00 | $131.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CH ADMINISTRATION OF HEPATITIS B VACCINE_03 | $131.00 | $131.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMADM PRQ ID SUBQ/IM NJXS 1 VACCINE_01 | $131.00 | $131.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CH 90471 IMMUNIZATION ADMIN | $131.00 | $131.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $45.00 | $45.00 | — | at median | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CH 90472 IMMUNIZATION ADMIN EACH ADD | $45.00 | $45.00 | — | at median | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $45.00 | $45.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CH 90472 IMMUNIZATION ADMIN EACH ADD | $45.00 | $45.00 | — | — | — |
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.crouse.org/wp-content/uploads/2026/05/16-0960470_Crouse-Hospital_standardcharges.csv