Montefiore Medical Center
Montefiore Medical Center in Bronx, NY publishes cash prices for 410 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 253 of 401 procedures and below it for 145. By typical cash price it ranks #77 of 114 New York hospitals and #51 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
3415 Bainbridge Ave, Bronx, NY 10467 Collected Sep 29, 2026 Source price file (718) 920-4321
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 330059 · CMS hospital register NPI 1952476988
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL | $2,331.51 | $3,565.00 | $57.79–$2,139.00 | 81% above | 35% |
| Abdominal CT scan without and with contrast CPT 74170 CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL | $2,331.51 | $3,565.00 | $57.79–$2,139.00 | 81% above | 35% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL | $2,331.51 | $3,565.00 | $57.79–$2,139.00 | — | 35% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL | $2,331.51 | $3,565.00 | $57.79–$2,139.00 | — | 35% |
| Abdominal X-ray, 2 views CPT 74019 CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $160.23 | $245.00 | $9.74–$147.00 | 38% below | 35% |
| Abdominal X-ray, 2 views CPT 74019 CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $160.23 | $245.00 | $9.74–$147.00 | 38% below | 35% |
| Abdominal X-ray, 2 views inpatient CPT 74019 CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $160.23 | $245.00 | $9.74–$147.00 | — | 35% |
| Abdominal X-ray, 2 views inpatient CPT 74019 CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $160.23 | $245.00 | $9.74–$147.00 | — | 35% |
| Ankle X-ray, complete, 3 or more views CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | 24% below | 35% |
| Ankle X-ray, complete, 3 or more views CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | 24% below | 35% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | — | 35% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | — | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $497.04 | $760.00 | $10.68–$456.00 | 67% above | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $497.04 | $760.00 | $10.68–$456.00 | 67% above | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $497.04 | $760.00 | $10.68–$456.00 | — | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $497.04 | $760.00 | $10.68–$456.00 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CHG CT UPPER EXTREMITY W/O CONTRAST MATERIAL | $1,095.45 | $1,675.00 | $41.23–$1,005.00 | 49% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CHG CT UPPER EXTREMITY W/O CONTRAST MATERIAL | $1,095.45 | $1,675.00 | $41.23–$1,005.00 | 49% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CHG CT UPPER EXTREMITY W/O CONTRAST MATERIAL | $1,095.45 | $1,675.00 | $41.23–$1,005.00 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CHG CT UPPER EXTREMITY W/O CONTRAST MATERIAL | $1,095.45 | $1,675.00 | $41.23–$1,005.00 | — | 35% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $298.92 | $457.07 | $22.92–$274.24 | 11% below | 35% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $298.92 | $457.07 | $22.92–$274.24 | 11% below | 35% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $298.92 | $457.07 | $22.92–$274.24 | — | 35% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $298.92 | $457.07 | $22.92–$274.24 | — | 35% |
| Bone scan, whole body (nuclear medicine) CPT 78306 CHG BONE &/JOINT IMAGING WHOLE BODY | $1,494.39 | $2,285.00 | $34.84–$1,371.00 | 57% above | 35% |
| Bone scan, whole body (nuclear medicine) CPT 78306 CHG BONE &/JOINT IMAGING WHOLE BODY | $1,494.39 | $2,285.00 | $34.84–$1,371.00 | 57% above | 35% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 CHG BONE &/JOINT IMAGING WHOLE BODY | $1,494.39 | $2,285.00 | $34.84–$1,371.00 | — | 35% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 CHG BONE &/JOINT IMAGING WHOLE BODY | $1,494.39 | $2,285.00 | $34.84–$1,371.00 | — | 35% |
| Breast ultrasound, complete, one breast CPT 76641 CHG US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $608.22 | $930.00 | $30.54–$558.00 | 94% above | 35% |
| Breast ultrasound, complete, one breast CPT 76641 CHG US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $608.22 | $930.00 | $30.54–$558.00 | 94% above | 35% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 CHG US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $608.22 | $930.00 | $30.54–$558.00 | — | 35% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 CHG US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $608.22 | $930.00 | $30.54–$558.00 | — | 35% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED | $497.04 | $760.00 | $28.50–$456.00 | 102% above | 35% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED | $497.04 | $760.00 | $28.50–$456.00 | 102% above | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED | $497.04 | $760.00 | $28.50–$456.00 | — | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED | $497.04 | $760.00 | $28.50–$456.00 | — | 35% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING | $1,750.82 | $2,677.09 | $90.82–$1,606.25 | 12% above | 35% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING | $1,750.82 | $2,677.09 | $90.82–$1,606.25 | 12% above | 35% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING | $1,750.82 | $2,677.09 | $90.82–$1,606.25 | — | 35% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING | $1,750.82 | $2,677.09 | $90.82–$1,606.25 | — | 35% |
| CT angiography (CTA) of the head CPT 70496 CHG CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | $1,907.52 | $2,916.70 | $72.64–$1,750.02 | 82% above | 35% |
| CT angiography (CTA) of the head CPT 70496 CHG CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | $1,907.52 | $2,916.70 | $72.64–$1,750.02 | 82% above | 35% |
| CT angiography (CTA) of the head inpatient CPT 70496 CHG CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | $1,907.52 | $2,916.70 | $72.64–$1,750.02 | — | 35% |
| CT angiography (CTA) of the head inpatient CPT 70496 CHG CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | $1,907.52 | $2,916.70 | $72.64–$1,750.02 | — | 35% |
| CT angiography (CTA) of the neck CPT 70498 CHG CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | $1,916.22 | $2,930.00 | $72.64–$1,758.00 | 69% above | 35% |
| CT angiography (CTA) of the neck CPT 70498 CHG CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | $1,916.22 | $2,930.00 | $72.64–$1,758.00 | 69% above | 35% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CHG CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | $1,916.22 | $2,930.00 | $72.64–$1,758.00 | — | 35% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CHG CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | $1,916.22 | $2,930.00 | $72.64–$1,758.00 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $2,109.15 | $3,225.00 | $75.74–$1,935.00 | 67% above | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $2,109.15 | $3,225.00 | $75.74–$1,935.00 | 67% above | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $2,109.15 | $3,225.00 | $75.74–$1,935.00 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $2,109.15 | $3,225.00 | $75.74–$1,935.00 | — | 35% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CHG CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $1,700.43 | $2,600.04 | $98.50–$1,560.02 | 65% above | 35% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CHG CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $1,700.43 | $2,600.04 | $98.50–$1,560.02 | 65% above | 35% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CHG CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $1,700.43 | $2,600.04 | $98.50–$1,560.02 | — | 35% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CHG CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $1,700.43 | $2,600.04 | $98.50–$1,560.02 | — | 35% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $497.04 | $760.00 | $24.29–$456.00 | 201% above | 35% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $497.04 | $760.00 | $24.29–$456.00 | 201% above | 35% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $497.04 | $760.00 | $24.29–$456.00 | — | 35% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $497.04 | $760.00 | $24.29–$456.00 | — | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | $941.76 | $1,440.00 | $72.37–$864.00 | 13% below | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | $941.76 | $1,440.00 | $72.37–$864.00 | 13% below | 35% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | $941.76 | $1,440.00 | $72.37–$864.00 | — | 35% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | $941.76 | $1,440.00 | $72.37–$864.00 | — | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $1,504.20 | $2,300.00 | $76.04–$1,380.00 | 4% below | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $1,504.20 | $2,300.00 | $76.04–$1,380.00 | 4% below | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $1,504.20 | $2,300.00 | $76.04–$1,380.00 | — | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $1,504.20 | $2,300.00 | $76.04–$1,380.00 | — | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH | $2,024.13 | $3,095.00 | $83.28–$1,857.00 | 14% above | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH | $2,024.13 | $3,095.00 | $83.28–$1,857.00 | 14% above | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH | $2,024.13 | $3,095.00 | $83.28–$1,857.00 | — | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH | $2,024.13 | $3,095.00 | $83.28–$1,857.00 | — | 35% |
| CT scan of the abdomen with contrast CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL | $1,481.31 | $2,265.00 | $52.90–$1,359.00 | 35% above | 35% |
| CT scan of the abdomen with contrast CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL | $1,481.31 | $2,265.00 | $52.90–$1,359.00 | 35% above | 35% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL | $1,481.31 | $2,265.00 | $52.90–$1,359.00 | — | 35% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL | $1,481.31 | $2,265.00 | $52.90–$1,359.00 | — | 35% |
| CT scan of the abdomen without contrast CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL | $798.44 | $1,220.85 | $49.23–$732.51 | 7% below | 35% |
| CT scan of the abdomen without contrast CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL | $798.44 | $1,220.85 | $49.23–$732.51 | 7% below | 35% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL | $798.44 | $1,220.85 | $49.23–$732.51 | — | 35% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL | $798.44 | $1,220.85 | $49.23–$732.51 | — | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL | $1,062.75 | $1,625.00 | $35.47–$975.00 | 37% above | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL | $1,062.75 | $1,625.00 | $35.47–$975.00 | 37% above | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL | $1,062.75 | $1,625.00 | $35.47–$975.00 | — | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL | $1,062.75 | $1,625.00 | $35.47–$975.00 | — | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,222.98 | $1,870.00 | $35.17–$1,122.00 | 54% above | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,222.98 | $1,870.00 | $35.17–$1,122.00 | 54% above | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,222.98 | $1,870.00 | $35.17–$1,122.00 | — | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,222.98 | $1,870.00 | $35.17–$1,122.00 | — | 35% |
| CT scan of the head with contrast CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL | $1,144.50 | $1,750.00 | $46.92–$1,050.00 | 23% above | 35% |
| CT scan of the head with contrast CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL | $1,144.50 | $1,750.00 | $46.92–$1,050.00 | 23% above | 35% |
| CT scan of the head with contrast inpatient CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL | $1,144.50 | $1,750.00 | $46.92–$1,050.00 | — | 35% |
| CT scan of the head with contrast inpatient CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL | $1,144.50 | $1,750.00 | $46.92–$1,050.00 | — | 35% |
| CT scan of the head without and with contrast CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | $1,002.99 | $1,533.63 | $52.90–$920.18 | 3% below | 35% |
| CT scan of the head without and with contrast CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | $1,002.99 | $1,533.63 | $52.90–$920.18 | 3% below | 35% |
| CT scan of the head without and with contrast inpatient CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | $1,002.99 | $1,533.63 | $52.90–$920.18 | — | 35% |
| CT scan of the head without and with contrast inpatient CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | $1,002.99 | $1,533.63 | $52.90–$920.18 | — | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL | $832.69 | $1,273.23 | $41.23–$763.94 | at median | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL | $832.69 | $1,273.23 | $41.23–$763.94 | at median | 35% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL | $832.69 | $1,273.23 | $41.23–$763.94 | — | 35% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL | $832.69 | $1,273.23 | $41.23–$763.94 | — | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL | $835.95 | $1,278.21 | $41.23–$766.93 | 5% below | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL | $835.95 | $1,278.21 | $41.23–$766.93 | 5% below | 35% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL | $835.95 | $1,278.21 | $41.23–$766.93 | — | 35% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL | $835.95 | $1,278.21 | $41.23–$766.93 | — | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $953.11 | $1,457.36 | $48.07–$874.42 | 1% above | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $953.11 | $1,457.36 | $48.07–$874.42 | 1% above | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $953.11 | $1,457.36 | $48.07–$874.42 | — | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $953.11 | $1,457.36 | $48.07–$874.42 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $1,311.27 | $2,005.00 | $33.50–$1,203.00 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $1,311.27 | $2,005.00 | $33.50–$1,203.00 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $1,311.27 | $2,005.00 | $33.50–$1,203.00 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $1,311.27 | $2,005.00 | $33.50–$1,203.00 | — | 35% |
| Chest CT scan without and with contrast CPT 71270 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ | $1,723.29 | $2,635.00 | $52.03–$1,581.00 | 38% above | 35% |
| Chest CT scan without and with contrast CPT 71270 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ | $1,723.29 | $2,635.00 | $52.03–$1,581.00 | 38% above | 35% |
| Chest CT scan without and with contrast inpatient CPT 71270 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ | $1,723.29 | $2,635.00 | $52.03–$1,581.00 | — | 35% |
| Chest CT scan without and with contrast inpatient CPT 71270 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ | $1,723.29 | $2,635.00 | $52.03–$1,581.00 | — | 35% |
| Chest X-ray, 2 views CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS | $143.88 | $220.00 | $9.15–$132.00 | 29% below | 35% |
| Chest X-ray, 2 views CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS | $143.88 | $220.00 | $9.15–$132.00 | 29% below | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS | $143.88 | $220.00 | $9.15–$132.00 | — | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS | $143.88 | $220.00 | $9.15–$132.00 | — | 35% |
| Chest X-ray, single view CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW | $94.83 | $145.00 | $7.71–$87.00 | 49% below | 35% |
| Chest X-ray, single view CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW | $94.83 | $145.00 | $7.71–$87.00 | 49% below | 35% |
| Chest X-ray, single view inpatient CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW | $94.83 | $145.00 | $7.71–$87.00 | — | 35% |
| Chest X-ray, single view inpatient CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW | $94.83 | $145.00 | $7.71–$87.00 | — | 35% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CHG RADEX CLAVICLE COMPLETE | $130.80 | $200.00 | $7.14–$120.00 | 35% below | 35% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CHG RADEX CLAVICLE COMPLETE | $130.80 | $200.00 | $7.14–$120.00 | 35% below | 35% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CHG RADEX CLAVICLE COMPLETE | $130.80 | $200.00 | $7.14–$120.00 | — | 35% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CHG RADEX CLAVICLE COMPLETE | $130.80 | $200.00 | $7.14–$120.00 | — | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | $644.19 | $985.00 | $30.82–$591.00 | 61% above | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | $644.19 | $985.00 | $30.82–$591.00 | 61% above | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | $644.19 | $985.00 | $30.82–$591.00 | — | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | $644.19 | $985.00 | $30.82–$591.00 | — | 35% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | $614.76 | $940.00 | $8.28–$564.00 | 130% above | 35% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | $614.76 | $940.00 | $8.28–$564.00 | 130% above | 35% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | $614.76 | $940.00 | $8.28–$564.00 | — | 35% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | $614.76 | $940.00 | $8.28–$564.00 | — | 35% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | $130.80 | $200.00 | $8.29–$179.56 | 9% below | 35% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | $130.80 | $200.00 | $8.29–$179.56 | 9% below | 35% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | $130.80 | $200.00 | $8.29–$179.56 | — | 35% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | $130.80 | $200.00 | $8.29–$179.56 | — | 35% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $1,082.37 | $1,655.00 | $77.97–$993.00 | 91% above | 35% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $1,082.37 | $1,655.00 | $77.97–$993.00 | 91% above | 35% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $1,082.37 | $1,655.00 | $77.97–$993.00 | — | 35% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $1,082.37 | $1,655.00 | $77.97–$993.00 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $1,154.31 | $1,765.00 | $44.90–$1,059.00 | 39% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $1,154.31 | $1,765.00 | $44.90–$1,059.00 | 39% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $1,154.31 | $1,765.00 | $44.90–$1,059.00 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $1,154.31 | $1,765.00 | $44.90–$1,059.00 | — | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | $1,389.75 | $2,125.00 | $48.11–$1,275.00 | 22% above | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | $1,389.75 | $2,125.00 | $48.11–$1,275.00 | 22% above | 35% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | $1,389.75 | $2,125.00 | $48.11–$1,275.00 | — | 35% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | $1,389.75 | $2,125.00 | $48.11–$1,275.00 | — | 35% |
| Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $510.12 | $780.00 | $33.72–$726.44 | 87% above | 35% |
| Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $510.12 | $780.00 | $33.72–$726.44 | 87% above | 35% |
| Diagnostic mammogram, one breast inpatient CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $510.12 | $780.00 | $33.72–$726.44 | — | 35% |
| Diagnostic mammogram, one breast inpatient CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $510.12 | $780.00 | $33.72–$726.44 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $1,268.76 | $1,940.00 | $32.87–$1,164.00 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $1,268.76 | $1,940.00 | $32.87–$1,164.00 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $1,268.76 | $1,940.00 | $32.87–$1,164.00 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $1,268.76 | $1,940.00 | $32.87–$1,164.00 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $1,461.69 | $2,235.00 | $28.64–$1,341.00 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $1,461.69 | $2,235.00 | $28.64–$1,341.00 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $1,461.69 | $2,235.00 | $28.64–$1,341.00 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $1,461.69 | $2,235.00 | $28.64–$1,341.00 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $1,723.29 | $2,635.00 | $59.09–$1,581.00 | 60% above | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $1,723.29 | $2,635.00 | $59.09–$1,581.00 | 60% above | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $1,723.29 | $2,635.00 | $59.09–$1,581.00 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $1,723.29 | $2,635.00 | $59.09–$1,581.00 | — | 35% |
| Elbow X-ray, 2 views CPT 73070 CHG RADEX ELBOW 2 VIEWS | $130.80 | $200.00 | $7.14–$120.00 | 34% below | 35% |
| Elbow X-ray, 2 views CPT 73070 CHG RADEX ELBOW 2 VIEWS | $130.80 | $200.00 | $7.14–$120.00 | 34% below | 35% |
| Elbow X-ray, 2 views inpatient CPT 73070 CHG RADEX ELBOW 2 VIEWS | $130.80 | $200.00 | $7.14–$120.00 | — | 35% |
| Elbow X-ray, 2 views inpatient CPT 73070 CHG RADEX ELBOW 2 VIEWS | $130.80 | $200.00 | $7.14–$120.00 | — | 35% |
| Elbow X-ray, complete, 3 or more views CPT 73080 CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $173.31 | $265.00 | $7.43–$159.00 | 14% below | 35% |
| Elbow X-ray, complete, 3 or more views CPT 73080 CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $173.31 | $265.00 | $7.43–$159.00 | 14% below | 35% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $173.31 | $265.00 | $7.43–$159.00 | — | 35% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $173.31 | $265.00 | $7.43–$159.00 | — | 35% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CHG CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | $971.81 | $1,485.95 | $53.50–$891.57 | 32% above | 35% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CHG CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | $971.81 | $1,485.95 | $53.50–$891.57 | 32% above | 35% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CHG CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | $971.81 | $1,485.95 | $53.50–$891.57 | — | 35% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CHG CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | $971.81 | $1,485.95 | $53.50–$891.57 | — | 35% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | $183.12 | $280.00 | $10.90–$168.00 | 30% below | 35% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | $183.12 | $280.00 | $10.90–$168.00 | 30% below | 35% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | $183.12 | $280.00 | $10.90–$168.00 | — | 35% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | $183.12 | $280.00 | $10.90–$168.00 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 CHG RADEX FOREARM 2 VIEWS | $117.72 | $180.00 | $6.84–$108.00 | 42% below | 35% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 CHG RADEX FOREARM 2 VIEWS | $117.72 | $180.00 | $6.84–$108.00 | 42% below | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 CHG RADEX FOREARM 2 VIEWS | $117.72 | $180.00 | $6.84–$108.00 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 CHG RADEX FOREARM 2 VIEWS | $117.72 | $180.00 | $6.84–$108.00 | — | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHG HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $1,033.75 | $1,580.65 | $30.51–$948.39 | 3% above | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHG HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $1,033.75 | $1,580.65 | $30.51–$948.39 | 3% above | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHG HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $1,033.75 | $1,580.65 | $30.51–$948.39 | — | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHG HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $1,033.75 | $1,580.65 | $30.51–$948.39 | — | 35% |
| Hand X-ray, 2 views CPT 73120 CHG RADEX HAND 2 VIEWS | $134.07 | $205.00 | $7.14–$123.00 | 28% below | 35% |
| Hand X-ray, 2 views CPT 73120 CHG RADEX HAND 2 VIEWS | $134.07 | $205.00 | $7.14–$123.00 | 28% below | 35% |
| Hand X-ray, 2 views inpatient CPT 73120 CHG RADEX HAND 2 VIEWS | $134.07 | $205.00 | $7.14–$123.00 | — | 35% |
| Hand X-ray, 2 views inpatient CPT 73120 CHG RADEX HAND 2 VIEWS | $134.07 | $205.00 | $7.14–$123.00 | — | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CHG RADEX CALCANEUS MINIMUM 2 VIEWS | $127.53 | $195.00 | $6.84–$117.00 | 31% below | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CHG RADEX CALCANEUS MINIMUM 2 VIEWS | $127.53 | $195.00 | $6.84–$117.00 | 31% below | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CHG RADEX CALCANEUS MINIMUM 2 VIEWS | $127.53 | $195.00 | $6.84–$117.00 | — | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CHG RADEX CALCANEUS MINIMUM 2 VIEWS | $127.53 | $195.00 | $6.84–$117.00 | — | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | $1,255.68 | $1,920.00 | $37.83–$1,152.00 | 214% above | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | $1,255.68 | $1,920.00 | $37.83–$1,152.00 | 214% above | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | $1,255.68 | $1,920.00 | $37.83–$1,152.00 | — | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | $1,255.68 | $1,920.00 | $37.83–$1,152.00 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $2,874.33 | $4,395.00 | $106.48–$2,729.91 | 47% above | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $2,874.33 | $4,395.00 | $106.48–$2,729.91 | 47% above | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $2,874.33 | $4,395.00 | $106.48–$2,729.91 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $2,874.33 | $4,395.00 | $106.48–$2,729.91 | — | 35% |
| Knee X-ray, 3 views CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $170.04 | $260.00 | $8.02–$156.00 | 16% below | 35% |
| Knee X-ray, 3 views CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $170.04 | $260.00 | $8.02–$156.00 | 16% below | 35% |
| Knee X-ray, 3 views inpatient CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $170.04 | $260.00 | $8.02–$156.00 | — | 35% |
| Knee X-ray, 3 views inpatient CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $170.04 | $260.00 | $8.02–$156.00 | — | 35% |
| Knee X-ray, complete, 4 or more views CPT 73564 CHG RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | $186.39 | $285.00 | $9.46–$171.00 | 32% below | 35% |
| Knee X-ray, complete, 4 or more views CPT 73564 CHG RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | $186.39 | $285.00 | $9.46–$171.00 | 32% below | 35% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 CHG RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | $186.39 | $285.00 | $9.46–$171.00 | — | 35% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 CHG RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | $186.39 | $285.00 | $9.46–$171.00 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CHG CT LOWER EXTREMITY W/O CONTRAST MATERIAL | $790.89 | $1,209.31 | $41.23–$725.59 | 10% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CHG CT LOWER EXTREMITY W/O CONTRAST MATERIAL | $790.89 | $1,209.31 | $41.23–$725.59 | 10% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CHG CT LOWER EXTREMITY W/O CONTRAST MATERIAL | $790.89 | $1,209.31 | $41.23–$725.59 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CHG CT LOWER EXTREMITY W/O CONTRAST MATERIAL | $790.89 | $1,209.31 | $41.23–$725.59 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED | $506.85 | $775.00 | $24.57–$465.00 | 55% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED | $506.85 | $775.00 | $24.57–$465.00 | 55% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED | $506.85 | $775.00 | $24.57–$465.00 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED | $506.85 | $775.00 | $24.57–$465.00 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG | $225.63 | $345.00 | $19.06–$207.00 | 8% below | 35% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG | $225.63 | $345.00 | $19.06–$207.00 | 8% below | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG | $225.63 | $345.00 | $19.06–$207.00 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG | $225.63 | $345.00 | $19.06–$207.00 | — | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $392.40 | $600.00 | $44.90–$399.34 | 10% below | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $392.40 | $600.00 | $44.90–$399.34 | 10% below | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $392.40 | $600.00 | $44.90–$399.34 | — | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $392.40 | $600.00 | $44.90–$399.34 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 CHG RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | $137.34 | $210.00 | $6.84–$126.00 | 32% below | 35% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 CHG RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | $137.34 | $210.00 | $6.84–$126.00 | 32% below | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 CHG RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | $137.34 | $210.00 | $6.84–$126.00 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 CHG RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | $137.34 | $210.00 | $6.84–$126.00 | — | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 CHG MRA HEAD W/O CONTRST MATERIAL | $2,053.56 | $3,140.00 | $49.51–$1,884.00 | 65% above | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 CHG MRA HEAD W/O CONTRST MATERIAL | $2,053.56 | $3,140.00 | $49.51–$1,884.00 | 65% above | 35% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 CHG MRA HEAD W/O CONTRST MATERIAL | $2,053.56 | $3,140.00 | $49.51–$1,884.00 | — | 35% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 CHG MRA HEAD W/O CONTRST MATERIAL | $2,053.56 | $3,140.00 | $49.51–$1,884.00 | — | 35% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,550.60 | $3,900.00 | $95.50–$2,340.00 | — | 35% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,550.60 | $3,900.00 | $95.50–$2,340.00 | — | 35% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,550.60 | $3,900.00 | $95.50–$2,340.00 | — | 35% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,550.60 | $3,900.00 | $95.50–$2,340.00 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,602.39 | $2,450.13 | $56.39–$1,470.08 | 59% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,602.39 | $2,450.13 | $56.39–$1,470.08 | 59% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,602.39 | $2,450.13 | $56.39–$1,470.08 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,602.39 | $2,450.13 | $56.39–$1,470.08 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $3,440.04 | $5,260.00 | $89.24–$3,156.00 | 88% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $3,440.04 | $5,260.00 | $89.24–$3,156.00 | 88% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $3,440.04 | $5,260.00 | $89.24–$3,156.00 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $3,440.04 | $5,260.00 | $89.24–$3,156.00 | — | 35% |
| MRI of the abdomen without contrast CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL | $1,752.72 | $2,680.00 | $60.60–$1,608.00 | 69% above | 35% |
| MRI of the abdomen without contrast CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL | $1,752.72 | $2,680.00 | $60.60–$1,608.00 | 69% above | 35% |
| MRI of the abdomen without contrast inpatient CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL | $1,752.72 | $2,680.00 | $60.60–$1,608.00 | — | 35% |
| MRI of the abdomen without contrast inpatient CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL | $1,752.72 | $2,680.00 | $60.60–$1,608.00 | — | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 CHG MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST | $3,348.48 | $5,120.00 | $90.97–$3,072.00 | 103% above | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 CHG MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST | $3,348.48 | $5,120.00 | $90.97–$3,072.00 | 103% above | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 CHG MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST | $3,348.48 | $5,120.00 | $90.97–$3,072.00 | — | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 CHG MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST | $3,348.48 | $5,120.00 | $90.97–$3,072.00 | — | 35% |
| MRI of the brain, no contrast dye CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,122.23 | $3,245.00 | $61.46–$1,947.00 | 104% above | 35% |
| MRI of the brain, no contrast dye CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,122.23 | $3,245.00 | $61.46–$1,947.00 | 104% above | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,122.23 | $3,245.00 | $61.46–$1,947.00 | — | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,122.23 | $3,245.00 | $61.46–$1,947.00 | — | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $5,594.97 | $8,555.00 | $95.21–$5,133.00 | 239% above | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $5,594.97 | $8,555.00 | $95.21–$5,133.00 | 239% above | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $5,594.97 | $8,555.00 | $95.21–$5,133.00 | — | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $5,594.97 | $8,555.00 | $95.21–$5,133.00 | — | 35% |
| MRI of the lower back, no contrast dye CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,965.27 | $3,005.00 | $61.78–$1,803.00 | 73% above | 35% |
| MRI of the lower back, no contrast dye CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,965.27 | $3,005.00 | $61.78–$1,803.00 | 73% above | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,965.27 | $3,005.00 | $61.78–$1,803.00 | — | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,965.27 | $3,005.00 | $61.78–$1,803.00 | — | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | $3,126.12 | $4,780.00 | $95.21–$2,868.00 | 88% above | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | $3,126.12 | $4,780.00 | $95.21–$2,868.00 | 88% above | 35% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | $3,126.12 | $4,780.00 | $95.21–$2,868.00 | — | 35% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | $3,126.12 | $4,780.00 | $95.21–$2,868.00 | — | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | $1,988.16 | $3,040.00 | $61.78–$1,824.00 | 96% above | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | $1,988.16 | $3,040.00 | $61.78–$1,824.00 | 96% above | 35% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | $1,988.16 | $3,040.00 | $61.78–$1,824.00 | — | 35% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | $1,988.16 | $3,040.00 | $61.78–$1,824.00 | — | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $3,162.09 | $4,835.00 | $95.21–$2,901.00 | 95% above | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $3,162.09 | $4,835.00 | $95.21–$2,901.00 | 95% above | 35% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $3,162.09 | $4,835.00 | $95.21–$2,901.00 | — | 35% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $3,162.09 | $4,835.00 | $95.21–$2,901.00 | — | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $1,935.84 | $2,960.00 | $61.78–$1,776.00 | 92% above | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $1,935.84 | $2,960.00 | $61.78–$1,776.00 | 92% above | 35% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $1,935.84 | $2,960.00 | $61.78–$1,776.00 | — | 35% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $1,935.84 | $2,960.00 | $61.78–$1,776.00 | — | 35% |
| MRI of the pelvis without and with contrast CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL | $2,949.54 | $4,510.00 | $91.27–$2,706.00 | 90% above | 35% |
| MRI of the pelvis without and with contrast CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL | $2,949.54 | $4,510.00 | $91.27–$2,706.00 | 90% above | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL | $2,949.54 | $4,510.00 | $91.27–$2,706.00 | — | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL | $2,949.54 | $4,510.00 | $91.27–$2,706.00 | — | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL | $2,197.44 | $3,360.00 | $60.90–$2,016.00 | 114% above | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL | $2,197.44 | $3,360.00 | $60.90–$2,016.00 | 114% above | 35% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL | $2,197.44 | $3,360.00 | $60.90–$2,016.00 | — | 35% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL | $2,197.44 | $3,360.00 | $60.90–$2,016.00 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $2,808.93 | $4,295.00 | $56.39–$2,577.00 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $2,808.93 | $4,295.00 | $56.39–$2,577.00 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $2,808.93 | $4,295.00 | $56.39–$2,577.00 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $2,808.93 | $4,295.00 | $56.39–$2,577.00 | — | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS | $255.06 | $390.00 | $11.49–$234.00 | 7% below | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS | $255.06 | $390.00 | $11.49–$234.00 | 7% below | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS | $255.06 | $390.00 | $11.49–$234.00 | — | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS | $255.06 | $390.00 | $11.49–$234.00 | — | 35% |
| Neck soft tissue CT scan with contrast CPT 70491 CHG CT SOFT TISSUE NECK W/CONTRAST MATERIAL | $1,353.78 | $2,070.00 | $57.23–$1,242.00 | 37% above | 35% |
| Neck soft tissue CT scan with contrast CPT 70491 CHG CT SOFT TISSUE NECK W/CONTRAST MATERIAL | $1,353.78 | $2,070.00 | $57.23–$1,242.00 | 37% above | 35% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CHG CT SOFT TISSUE NECK W/CONTRAST MATERIAL | $1,353.78 | $2,070.00 | $57.23–$1,242.00 | — | 35% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CHG CT SOFT TISSUE NECK W/CONTRAST MATERIAL | $1,353.78 | $2,070.00 | $57.23–$1,242.00 | — | 35% |
| Neck soft tissue CT scan without contrast CPT 70490 CHG CT SOFT TISSUE NECK W/O CONTRAST MATERIAL | $810.95 | $1,239.98 | $53.50–$743.99 | 2% above | 35% |
| Neck soft tissue CT scan without contrast CPT 70490 CHG CT SOFT TISSUE NECK W/O CONTRAST MATERIAL | $810.95 | $1,239.98 | $53.50–$743.99 | 2% above | 35% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CHG CT SOFT TISSUE NECK W/O CONTRAST MATERIAL | $810.95 | $1,239.98 | $53.50–$743.99 | — | 35% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CHG CT SOFT TISSUE NECK W/O CONTRAST MATERIAL | $810.95 | $1,239.98 | $53.50–$743.99 | — | 35% |
| Neck soft tissue X-ray CPT 70360 CHG RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $111.18 | $170.00 | $7.71–$102.00 | 42% below | 35% |
| Neck soft tissue X-ray CPT 70360 CHG RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $111.18 | $170.00 | $7.71–$102.00 | 42% below | 35% |
| Neck soft tissue X-ray inpatient CPT 70360 CHG RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $111.18 | $170.00 | $7.71–$102.00 | — | 35% |
| Neck soft tissue X-ray inpatient CPT 70360 CHG RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $111.18 | $170.00 | $7.71–$102.00 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES | $2,645.43 | $4,045.00 | $65.31–$2,427.00 | 13% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES | $2,645.43 | $4,045.00 | $65.31–$2,427.00 | 13% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES | $2,645.43 | $4,045.00 | $65.31–$2,427.00 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES | $2,645.43 | $4,045.00 | $65.31–$2,427.00 | — | 35% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA | $173.31 | $265.00 | $15.71–$168.30 | — | 35% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA | $173.31 | $265.00 | $15.71–$168.30 | — | 35% |
| OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA | $173.31 | $265.00 | $15.71–$168.30 | — | 35% |
| OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA | $173.31 | $265.00 | $15.71–$168.30 | — | 35% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $12,259.23 | $18,745.00 | $98.41–$11,247.00 | 218% above | 35% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $12,259.23 | $18,745.00 | $98.41–$11,247.00 | 218% above | 35% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $12,259.23 | $18,745.00 | $98.41–$11,247.00 | — | 35% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $12,259.23 | $18,745.00 | $98.41–$11,247.00 | — | 35% |
| Pelvic CT scan without contrast CPT 72192 CHG CT PELVIS W/O CONTRAST MATERIAL | $1,527.09 | $2,335.00 | $45.18–$1,401.00 | 86% above | 35% |
| Pelvic CT scan without contrast CPT 72192 CHG CT PELVIS W/O CONTRAST MATERIAL | $1,527.09 | $2,335.00 | $45.18–$1,401.00 | 86% above | 35% |
| Pelvic CT scan without contrast inpatient CPT 72192 CHG CT PELVIS W/O CONTRAST MATERIAL | $1,527.09 | $2,335.00 | $45.18–$1,401.00 | — | 35% |
| Pelvic CT scan without contrast inpatient CPT 72192 CHG CT PELVIS W/O CONTRAST MATERIAL | $1,527.09 | $2,335.00 | $45.18–$1,401.00 | — | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $392.40 | $600.00 | $20.33–$360.00 | 45% above | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $392.40 | $600.00 | $20.33–$360.00 | 45% above | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $392.40 | $600.00 | $20.33–$360.00 | — | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $392.40 | $600.00 | $20.33–$360.00 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $601.68 | $920.00 | $28.62–$552.00 | 51% above | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $601.68 | $920.00 | $28.62–$552.00 | 51% above | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $601.68 | $920.00 | $28.62–$552.00 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $601.68 | $920.00 | $28.62–$552.00 | — | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $739.02 | $1,130.00 | $41.58–$678.00 | 111% above | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $739.02 | $1,130.00 | $41.58–$678.00 | 111% above | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $739.02 | $1,130.00 | $41.58–$678.00 | — | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $739.02 | $1,130.00 | $41.58–$678.00 | — | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | $706.32 | $1,080.00 | $41.26–$648.00 | 126% above | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | $706.32 | $1,080.00 | $41.26–$648.00 | 126% above | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | $706.32 | $1,080.00 | $41.26–$648.00 | — | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | $706.32 | $1,080.00 | $41.26–$648.00 | — | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES | $542.82 | $830.00 | $27.18–$498.00 | 87% above | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES | $542.82 | $830.00 | $27.18–$498.00 | 87% above | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES | $542.82 | $830.00 | $27.18–$498.00 | — | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES | $542.82 | $830.00 | $27.18–$498.00 | — | 35% |
| Rib X-ray, one side, 2 views one side CPT 71100 CHG RADEX RIBS UNILATERAL 2 VIEWS | $130.80 | $200.00 | $9.46–$120.00 | 35% below | 35% |
| Rib X-ray, one side, 2 views one side CPT 71100 CHG RADEX RIBS UNILATERAL 2 VIEWS | $130.80 | $200.00 | $9.46–$120.00 | 35% below | 35% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 CHG RADEX RIBS UNILATERAL 2 VIEWS | $130.80 | $200.00 | $9.46–$120.00 | — | 35% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 CHG RADEX RIBS UNILATERAL 2 VIEWS | $130.80 | $200.00 | $9.46–$120.00 | — | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CHG RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | $179.85 | $275.00 | $11.18–$165.00 | 19% below | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CHG RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | $179.85 | $275.00 | $11.18–$165.00 | 19% below | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CHG RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | $179.85 | $275.00 | $11.18–$165.00 | — | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CHG RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | $179.85 | $275.00 | $11.18–$165.00 | — | 35% |
| Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $735.75 | $1,125.00 | $32.01–$741.60 | — | 35% |
| Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $735.75 | $1,125.00 | $32.01–$741.60 | — | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $735.75 | $1,125.00 | $32.01–$741.60 | — | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $735.75 | $1,125.00 | $32.01–$741.60 | — | 35% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $140.61 | $215.00 | $8.02–$129.00 | 31% below | 35% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $140.61 | $215.00 | $8.02–$129.00 | 31% below | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $140.61 | $215.00 | $8.02–$129.00 | — | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $140.61 | $215.00 | $8.02–$129.00 | — | 35% |
| Sinus X-ray, complete, 3 or more views CPT 70220 CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | $176.58 | $270.00 | $9.15–$162.00 | 12% below | 35% |
| Sinus X-ray, complete, 3 or more views CPT 70220 CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | $176.58 | $270.00 | $9.15–$162.00 | 12% below | 35% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | $176.58 | $270.00 | $9.15–$162.00 | — | 35% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | $176.58 | $270.00 | $9.15–$162.00 | — | 35% |
| Skull X-ray, fewer than 4 views CPT 70250 CHG RADIOLOGIC EXAMINATION SKULL 4< VIEWS | $153.69 | $235.00 | $7.71–$141.00 | 28% below | 35% |
| Skull X-ray, fewer than 4 views CPT 70250 CHG RADIOLOGIC EXAMINATION SKULL 4< VIEWS | $153.69 | $235.00 | $7.71–$141.00 | 28% below | 35% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 CHG RADIOLOGIC EXAMINATION SKULL 4< VIEWS | $153.69 | $235.00 | $7.71–$141.00 | — | 35% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 CHG RADIOLOGIC EXAMINATION SKULL 4< VIEWS | $153.69 | $235.00 | $7.71–$141.00 | — | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,606.19 | $3,985.00 | $101.74–$2,614.53 | 40% above | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,606.19 | $3,985.00 | $101.74–$2,614.53 | 40% above | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,606.19 | $3,985.00 | $101.74–$2,614.53 | — | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,606.19 | $3,985.00 | $101.74–$2,614.53 | — | 35% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $1,952.19 | $2,985.00 | $70.83–$1,791.00 | 90% above | 35% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $1,952.19 | $2,985.00 | $70.83–$1,791.00 | 90% above | 35% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $1,952.19 | $2,985.00 | $70.83–$1,791.00 | — | 35% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $1,952.19 | $2,985.00 | $70.83–$1,791.00 | — | 35% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $140.61 | $215.00 | $22.27–$217.14 | 58% below | 35% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $140.61 | $215.00 | $22.27–$217.14 | 58% below | 35% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $140.61 | $215.00 | $22.27–$217.14 | — | 35% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $140.61 | $215.00 | $22.27–$217.14 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $189.66 | $290.00 | $7.71–$174.00 | 3% above | 35% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $189.66 | $290.00 | $7.71–$174.00 | 3% above | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $189.66 | $290.00 | $7.71–$174.00 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $189.66 | $290.00 | $7.71–$174.00 | — | 35% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CHG CT THORACIC SPINE W/O CONTRAST MATERIAL | $833.78 | $1,274.89 | $41.23–$764.93 | 4% below | 35% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CHG CT THORACIC SPINE W/O CONTRAST MATERIAL | $833.78 | $1,274.89 | $41.23–$764.93 | 4% below | 35% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CHG CT THORACIC SPINE W/O CONTRAST MATERIAL | $833.78 | $1,274.89 | $41.23–$764.93 | — | 35% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CHG CT THORACIC SPINE W/O CONTRAST MATERIAL | $833.78 | $1,274.89 | $41.23–$764.93 | — | 35% |
| Toe X-ray, 2 or more views CPT 73660 CHG RADEX TOE MINIMUM 2 VIEWS | $232.17 | $355.00 | $5.68–$213.00 | 32% above | 35% |
| Toe X-ray, 2 or more views CPT 73660 CHG RADEX TOE MINIMUM 2 VIEWS | $232.17 | $355.00 | $5.68–$213.00 | 32% above | 35% |
| Toe X-ray, 2 or more views inpatient CPT 73660 CHG RADEX TOE MINIMUM 2 VIEWS | $232.17 | $355.00 | $5.68–$213.00 | — | 35% |
| Toe X-ray, 2 or more views inpatient CPT 73660 CHG RADEX TOE MINIMUM 2 VIEWS | $232.17 | $355.00 | $5.68–$213.00 | — | 35% |
| Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL | $578.79 | $885.00 | $28.93–$531.00 | 55% above | 35% |
| Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL | $578.79 | $885.00 | $28.93–$531.00 | 55% above | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL | $578.79 | $885.00 | $28.93–$531.00 | — | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL | $578.79 | $885.00 | $28.93–$531.00 | — | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | $873.09 | $1,335.00 | $31.23–$801.00 | 201% above | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | $873.09 | $1,335.00 | $31.23–$801.00 | 201% above | 35% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | $873.09 | $1,335.00 | $31.23–$801.00 | — | 35% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | $873.09 | $1,335.00 | $31.23–$801.00 | — | 35% |
| Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $680.16 | $1,040.00 | $33.72–$624.00 | 52% above | 35% |
| Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $680.16 | $1,040.00 | $33.72–$624.00 | 52% above | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $680.16 | $1,040.00 | $33.72–$624.00 | — | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $680.16 | $1,040.00 | $33.72–$624.00 | — | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 CHG US SCROTUM & CONTENTS | $480.69 | $735.00 | $26.59–$441.00 | 36% above | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 CHG US SCROTUM & CONTENTS | $480.69 | $735.00 | $26.59–$441.00 | 36% above | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 CHG US SCROTUM & CONTENTS | $480.69 | $735.00 | $26.59–$441.00 | — | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 CHG US SCROTUM & CONTENTS | $480.69 | $735.00 | $26.59–$441.00 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | $555.90 | $850.00 | $23.73–$510.00 | 68% above | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | $555.90 | $850.00 | $23.73–$510.00 | 68% above | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | $555.90 | $850.00 | $23.73–$510.00 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | $555.90 | $850.00 | $23.73–$510.00 | — | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $367.56 | $562.02 | $33.44–$337.21 | 12% below | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $367.56 | $562.02 | $33.44–$337.21 | 12% below | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $367.56 | $562.02 | $33.44–$337.21 | — | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $367.56 | $562.02 | $33.44–$337.21 | — | 35% |
| Upper arm X-ray (humerus), 2 views CPT 73060 CHG RADEX HUMERUS MINIMUM 2 VIEWS | $143.88 | $220.00 | $6.84–$132.00 | 25% below | 35% |
| Upper arm X-ray (humerus), 2 views CPT 73060 CHG RADEX HUMERUS MINIMUM 2 VIEWS | $143.88 | $220.00 | $6.84–$132.00 | 25% below | 35% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 CHG RADEX HUMERUS MINIMUM 2 VIEWS | $143.88 | $220.00 | $6.84–$132.00 | — | 35% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 CHG RADEX HUMERUS MINIMUM 2 VIEWS | $143.88 | $220.00 | $6.84–$132.00 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | $1,059.48 | $1,620.00 | $18.46–$972.00 | 191% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | $1,059.48 | $1,620.00 | $18.46–$972.00 | 191% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | $1,059.48 | $1,620.00 | $18.46–$972.00 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | $1,059.48 | $1,620.00 | $18.46–$972.00 | — | 35% |
| Wrist X-ray, 2 views CPT 73100 CHG RADEX WRIST 2 VIEWS | $150.42 | $230.00 | $7.14–$138.00 | 18% below | 35% |
| Wrist X-ray, 2 views CPT 73100 CHG RADEX WRIST 2 VIEWS | $150.42 | $230.00 | $7.14–$138.00 | 18% below | 35% |
| Wrist X-ray, 2 views inpatient CPT 73100 CHG RADEX WRIST 2 VIEWS | $150.42 | $230.00 | $7.14–$138.00 | — | 35% |
| Wrist X-ray, 2 views inpatient CPT 73100 CHG RADEX WRIST 2 VIEWS | $150.42 | $230.00 | $7.14–$138.00 | — | 35% |
| Wrist X-ray, complete, 3 or more views CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $166.77 | $255.00 | $7.43–$153.00 | 17% below | 35% |
| Wrist X-ray, complete, 3 or more views CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $166.77 | $255.00 | $7.43–$153.00 | 17% below | 35% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $166.77 | $255.00 | $7.43–$153.00 | — | 35% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $166.77 | $255.00 | $7.43–$153.00 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $238.71 | $365.00 | $9.46–$219.00 | 18% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $238.71 | $365.00 | $9.46–$219.00 | 18% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $238.71 | $365.00 | $9.46–$219.00 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $238.71 | $365.00 | $9.46–$219.00 | — | 35% |
| X-ray of the abdomen, 1 view CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW | $130.80 | $200.00 | $7.71–$120.00 | 35% below | 35% |
| X-ray of the abdomen, 1 view CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW | $130.80 | $200.00 | $7.71–$120.00 | 35% below | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW | $130.80 | $200.00 | $7.71–$120.00 | — | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW | $130.80 | $200.00 | $7.71–$120.00 | — | 35% |
| X-ray of the ankle, 2 views CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $140.61 | $215.00 | $6.84–$129.00 | 27% below | 35% |
| X-ray of the ankle, 2 views CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $140.61 | $215.00 | $6.84–$129.00 | 27% below | 35% |
| X-ray of the ankle, 2 views inpatient CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $140.61 | $215.00 | $6.84–$129.00 | — | 35% |
| X-ray of the ankle, 2 views inpatient CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $140.61 | $215.00 | $6.84–$129.00 | — | 35% |
| X-ray of the finger(s), 2 or more views CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS | $251.79 | $385.00 | $5.98–$231.00 | 44% above | 35% |
| X-ray of the finger(s), 2 or more views CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS | $251.79 | $385.00 | $5.98–$231.00 | 44% above | 35% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS | $251.79 | $385.00 | $5.98–$231.00 | — | 35% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS | $251.79 | $385.00 | $5.98–$231.00 | — | 35% |
| X-ray of the foot, 2 views CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $124.26 | $190.00 | $6.54–$114.00 | 32% below | 35% |
| X-ray of the foot, 2 views CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $124.26 | $190.00 | $6.54–$114.00 | 32% below | 35% |
| X-ray of the foot, 2 views inpatient CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $124.26 | $190.00 | $6.54–$114.00 | — | 35% |
| X-ray of the foot, 2 views inpatient CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $124.26 | $190.00 | $6.54–$114.00 | — | 35% |
| X-ray of the foot, complete, 3 or more views CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $140.61 | $215.00 | $7.13–$129.00 | 27% below | 35% |
| X-ray of the foot, complete, 3 or more views CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $140.61 | $215.00 | $7.13–$129.00 | 27% below | 35% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $140.61 | $215.00 | $7.13–$129.00 | — | 35% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $140.61 | $215.00 | $7.13–$129.00 | — | 35% |
| X-ray of the hand, 3 or more views CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | 25% below | 35% |
| X-ray of the hand, 3 or more views CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | 25% below | 35% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | — | 35% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS | $150.42 | $230.00 | $7.43–$138.00 | — | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | $147.15 | $225.00 | $7.14–$135.00 | 27% below | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | $147.15 | $225.00 | $7.14–$135.00 | 27% below | 35% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | $147.15 | $225.00 | $7.14–$135.00 | — | 35% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | $147.15 | $225.00 | $7.14–$135.00 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS | $186.39 | $285.00 | $9.46–$171.00 | 32% below | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS | $186.39 | $285.00 | $9.46–$171.00 | 32% below | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS | $186.39 | $285.00 | $9.46–$171.00 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS | $186.39 | $285.00 | $9.46–$171.00 | — | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $215.82 | $330.00 | $10.90–$198.00 | 28% below | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $215.82 | $330.00 | $10.90–$198.00 | 28% below | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $215.82 | $330.00 | $10.90–$198.00 | — | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $215.82 | $330.00 | $10.90–$198.00 | — | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS | $160.23 | $245.00 | $8.59–$147.00 | 29% below | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS | $160.23 | $245.00 | $8.59–$147.00 | 29% below | 35% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS | $160.23 | $245.00 | $8.59–$147.00 | — | 35% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS | $160.23 | $245.00 | $8.59–$147.00 | — | 35% |
| X-ray of the nasal bones, 3 or more views CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $130.80 | $200.00 | $7.43–$120.00 | 28% below | 35% |
| X-ray of the nasal bones, 3 or more views CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $130.80 | $200.00 | $7.43–$120.00 | 28% below | 35% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $130.80 | $200.00 | $7.43–$120.00 | — | 35% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $130.80 | $200.00 | $7.43–$120.00 | — | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS | $156.96 | $240.00 | $9.46–$144.00 | 22% below | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS | $156.96 | $240.00 | $9.46–$144.00 | 22% below | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS | $156.96 | $240.00 | $9.46–$144.00 | — | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS | $156.96 | $240.00 | $9.46–$144.00 | — | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | $127.53 | $195.00 | $7.43–$117.00 | 43% below | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | $127.53 | $195.00 | $7.43–$117.00 | 43% below | 35% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | $127.53 | $195.00 | $7.43–$117.00 | — | 35% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | $127.53 | $195.00 | $7.43–$117.00 | — | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | $134.07 | $205.00 | $7.43–$123.00 | 27% below | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | $134.07 | $205.00 | $7.43–$123.00 | 27% below | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | $134.07 | $205.00 | $7.43–$123.00 | — | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | $134.07 | $205.00 | $7.43–$123.00 | — | 35% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $49.05 | $75.00 | $5.44–$68.58 | 24% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $49.05 | $75.00 | $5.44–$68.58 | 24% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $49.05 | $75.00 | $5.44–$68.58 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $49.05 | $75.00 | $5.44–$68.58 | — | 35% |
| Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $75.21 | $115.00 | $4.03–$108.57 | 24% above | 35% |
| Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $75.21 | $115.00 | $4.03–$108.57 | 24% above | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $75.21 | $115.00 | $4.03–$108.57 | — | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $75.21 | $115.00 | $4.03–$108.57 | — | 35% |
| Bilirubin blood test, total CPT 82247 CHG BILIRUBIN TOTAL | $35.97 | $55.00 | $3.00–$49.35 | 74% above | 35% |
| Bilirubin blood test, total CPT 82247 CHG BILIRUBIN TOTAL | $35.97 | $55.00 | $3.00–$49.35 | 74% above | 35% |
| Bilirubin blood test, total inpatient CPT 82247 CHG BILIRUBIN TOTAL | $35.97 | $55.00 | $3.00–$49.35 | — | 35% |
| Bilirubin blood test, total inpatient CPT 82247 CHG BILIRUBIN TOTAL | $35.97 | $55.00 | $3.00–$49.35 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $317.19 | $485.00 | $31.45–$291.00 | 119% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $317.19 | $485.00 | $31.45–$291.00 | 119% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $317.19 | $485.00 | $31.45–$291.00 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $317.19 | $485.00 | $31.45–$291.00 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE | $37.08 | $57.05 | $1.70–$41.72 | 151% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE | $37.08 | $57.05 | $1.70–$41.72 | 151% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE | $37.08 | $57.05 | $1.70–$41.72 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE | $37.08 | $57.05 | $1.70–$41.72 | — | 35% |
| Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $29.43 | $45.00 | $2.48–$49.35 | 64% above | 35% |
| Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $29.43 | $45.00 | $2.48–$49.35 | 64% above | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $29.43 | $45.00 | $2.48–$49.35 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $29.43 | $45.00 | $2.48–$49.35 | — | 35% |
| Blood lead test CPT 83655 CHG ASSAY OF LEAD | $81.08 | $124.74 | $7.64–$139.17 | 88% above | 35% |
| Blood lead test CPT 83655 CHG ASSAY OF LEAD | $81.08 | $124.74 | $7.64–$139.17 | 88% above | 35% |
| Blood lead test inpatient CPT 83655 CHG ASSAY OF LEAD | $81.08 | $124.74 | $7.64–$139.17 | — | 35% |
| Blood lead test inpatient CPT 83655 CHG ASSAY OF LEAD | $81.08 | $124.74 | $7.64–$139.17 | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHG GONADOTROPIN CHORIONIC QUALITATIVE | $126.75 | $195.00 | $2.00–$173.71 | 290% above | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHG GONADOTROPIN CHORIONIC QUALITATIVE | $126.75 | $195.00 | $2.00–$173.71 | 290% above | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHG GONADOTROPIN CHORIONIC QUALITATIVE | $126.75 | $195.00 | $2.00–$173.71 | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHG GONADOTROPIN CHORIONIC QUALITATIVE | $126.75 | $195.00 | $2.00–$173.71 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO | $35.97 | $55.00 | $1.89–$49.35 | 76% below | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO | $35.97 | $55.00 | $1.89–$49.35 | 76% below | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO | $35.97 | $55.00 | $1.89–$49.35 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO | $35.97 | $55.00 | $1.89–$49.35 | — | 35% |
| Chickenpox (varicella) immunity blood test CPT 86787 CHG ANTIBODY VARICELLA-ZOSTER | $75.21 | $115.00 | $3.67–$103.90 | 81% above | 35% |
| Chickenpox (varicella) immunity blood test CPT 86787 CHG ANTIBODY VARICELLA-ZOSTER | $75.21 | $115.00 | $3.67–$103.90 | 81% above | 35% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 CHG ANTIBODY VARICELLA-ZOSTER | $75.21 | $115.00 | $3.67–$103.90 | — | 35% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 CHG ANTIBODY VARICELLA-ZOSTER | $75.21 | $115.00 | $3.67–$103.90 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $96.05 | $146.87 | $6.04–$139.17 | 43% above | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $96.05 | $146.87 | $6.04–$139.17 | 43% above | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL | $96.05 | $146.87 | $6.04–$139.17 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL | $96.05 | $146.87 | $6.04–$139.17 | — | 35% |
| Complete blood count (CBC) with differential CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $65.40 | $100.00 | $3.17–$98.70 | 71% above | 35% |
| Complete blood count (CBC) with differential CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $65.40 | $100.00 | $3.17–$98.70 | 71% above | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $65.40 | $100.00 | $3.17–$98.70 | — | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $65.40 | $100.00 | $3.17–$98.70 | — | 35% |
| Complete blood count (CBC), no differential CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $58.86 | $90.00 | $3.17–$88.83 | 107% above | 35% |
| Complete blood count (CBC), no differential CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $58.86 | $90.00 | $3.17–$88.83 | 107% above | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $58.86 | $90.00 | $3.17–$88.83 | — | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $58.86 | $90.00 | $3.17–$88.83 | — | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $78.48 | $120.00 | $6.04–$139.17 | 4% below | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $78.48 | $120.00 | $6.04–$139.17 | 4% below | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $78.48 | $120.00 | $6.04–$139.17 | — | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $78.48 | $120.00 | $6.04–$139.17 | — | 35% |
| Creatinine blood test CPT 82565 CHG CREATININE BLOOD | $42.51 | $65.00 | $3.23–$59.22 | 82% above | 35% |
| Creatinine blood test CPT 82565 CHG CREATININE BLOOD | $42.51 | $65.00 | $3.23–$59.22 | 82% above | 35% |
| Creatinine blood test inpatient CPT 82565 CHG CREATININE BLOOD | $42.51 | $65.00 | $3.23–$59.22 | — | 35% |
| Creatinine blood test inpatient CPT 82565 CHG CREATININE BLOOD | $42.51 | $65.00 | $3.23–$59.22 | — | 35% |
| Estradiol blood test CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL | $199.47 | $305.00 | $17.63–$277.35 | 106% above | 35% |
| Estradiol blood test CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL | $199.47 | $305.00 | $17.63–$277.35 | 106% above | 35% |
| Estradiol blood test inpatient CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL | $199.47 | $305.00 | $17.63–$277.35 | — | 35% |
| Estradiol blood test inpatient CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL | $199.47 | $305.00 | $17.63–$277.35 | — | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE | $134.07 | $205.00 | $11.72–$183.58 | 95% above | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE | $134.07 | $205.00 | $11.72–$183.58 | 95% above | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE | $134.07 | $205.00 | $11.72–$183.58 | — | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE | $134.07 | $205.00 | $11.72–$183.58 | — | 35% |
| Ferritin blood test (iron stores) CPT 82728 CHG ASSAY OF FERRITIN | $78.32 | $119.75 | $8.60–$114.49 | 41% above | 35% |
| Ferritin blood test (iron stores) CPT 82728 CHG ASSAY OF FERRITIN | $78.32 | $119.75 | $8.60–$114.49 | 41% above | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 CHG ASSAY OF FERRITIN | $78.32 | $119.75 | $8.60–$114.49 | — | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 CHG ASSAY OF FERRITIN | $78.32 | $119.75 | $8.60–$114.49 | — | 35% |
| Folate (folic acid) blood test CPT 82746 CHG ASSAY OF FOLIC ACID SERUM | $130.15 | $199.00 | $9.28–$178.65 | 140% above | 35% |
| Folate (folic acid) blood test CPT 82746 CHG ASSAY OF FOLIC ACID SERUM | $130.15 | $199.00 | $9.28–$178.65 | 140% above | 35% |
| Folate (folic acid) blood test inpatient CPT 82746 CHG ASSAY OF FOLIC ACID SERUM | $130.15 | $199.00 | $9.28–$178.65 | — | 35% |
| Folate (folic acid) blood test inpatient CPT 82746 CHG ASSAY OF FOLIC ACID SERUM | $130.15 | $199.00 | $9.28–$178.65 | — | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG ASSAY OF FREE THYROXINE | $156.31 | $239.00 | $5.69–$143.40 | 222% above | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG ASSAY OF FREE THYROXINE | $156.31 | $239.00 | $5.69–$143.40 | 222% above | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG ASSAY OF FREE THYROXINE | $156.31 | $239.00 | $5.69–$143.40 | — | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG ASSAY OF FREE THYROXINE | $156.31 | $239.00 | $5.69–$143.40 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE | $39.24 | $60.00 | $3.00–$54.29 | 121% above | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE | $39.24 | $60.00 | $3.00–$54.29 | 121% above | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE | $39.24 | $60.00 | $3.00–$54.29 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE | $39.24 | $60.00 | $3.00–$54.29 | — | 35% |
| Glucose tolerance test, 3 samples CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $75.21 | $115.00 | $6.84–$103.90 | 48% above | 35% |
| Glucose tolerance test, 3 samples CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $75.21 | $115.00 | $6.84–$103.90 | 48% above | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $75.21 | $115.00 | $6.84–$103.90 | — | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $75.21 | $115.00 | $6.84–$103.90 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $177.40 | $271.25 | $21.43–$326.70 | 93% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $177.40 | $271.25 | $21.43–$326.70 | 93% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $177.40 | $271.25 | $21.43–$326.70 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $177.40 | $271.25 | $21.43–$326.70 | — | 35% |
| HIV-1 and HIV-2 antibody test CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $91.46 | $140.71 | $8.65–$110.14 | 84% above | 35% |
| HIV-1 and HIV-2 antibody test CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $91.46 | $140.71 | $8.65–$110.14 | 84% above | 35% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $91.46 | $140.71 | $8.65–$110.14 | — | 35% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $91.46 | $140.71 | $8.65–$110.14 | — | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $292.50 | $450.00 | $15.20–$207.81 | 258% above | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $292.50 | $450.00 | $15.20–$207.81 | 258% above | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $292.50 | $450.00 | $15.20–$207.81 | — | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $292.50 | $450.00 | $15.20–$207.81 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C | $65.52 | $100.80 | $6.12–$78.97 | 81% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C | $65.52 | $100.80 | $6.12–$78.97 | 81% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C | $65.52 | $100.80 | $6.12–$78.97 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C | $65.52 | $100.80 | $6.12–$78.97 | — | 35% |
| Hemoglobin blood test CPT 85018 CHG BLOOD COUNT HEMOGLOBIN | $19.50 | $30.00 | $1.50–$24.68 | 35% above | 35% |
| Hemoglobin blood test CPT 85018 CHG BLOOD COUNT HEMOGLOBIN | $19.50 | $30.00 | $1.50–$24.68 | 35% above | 35% |
| Hemoglobin blood test inpatient CPT 85018 CHG BLOOD COUNT HEMOGLOBIN | $19.50 | $30.00 | $1.50–$24.68 | — | 35% |
| Hemoglobin blood test inpatient CPT 85018 CHG BLOOD COUNT HEMOGLOBIN | $19.50 | $30.00 | $1.50–$24.68 | — | 35% |
| Hepatitis B core antibody test (total) CPT 86704 CHG HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $61.31 | $93.74 | $7.60–$149.04 | 41% above | 35% |
| Hepatitis B core antibody test (total) CPT 86704 CHG HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $61.31 | $93.74 | $7.60–$149.04 | 41% above | 35% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 CHG HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $61.31 | $93.74 | $7.60–$149.04 | — | 35% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 CHG HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $61.31 | $93.74 | $7.60–$149.04 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN | $52.17 | $79.77 | $6.52–$93.77 | 40% above | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN | $52.17 | $79.77 | $6.52–$93.77 | 40% above | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN | $52.17 | $79.77 | $6.52–$93.77 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN | $52.17 | $79.77 | $6.52–$93.77 | — | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 CHG HEPATITIS C ANTIBODY | $71.74 | $109.70 | $9.00–$114.49 | 34% above | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 CHG HEPATITIS C ANTIBODY | $71.74 | $109.70 | $9.00–$114.49 | 34% above | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 CHG HEPATITIS C ANTIBODY | $71.74 | $109.70 | $9.00–$114.49 | — | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 CHG HEPATITIS C ANTIBODY | $71.74 | $109.70 | $9.00–$114.49 | — | 35% |
| Homocysteine blood test CPT 83090 CHG ASSAY OF HOMOCYSTEINE | $84.78 | $129.63 | $10.64–$217.14 | 28% above | 35% |
| Homocysteine blood test CPT 83090 CHG ASSAY OF HOMOCYSTEINE | $84.78 | $129.63 | $10.64–$217.14 | 28% above | 35% |
| Homocysteine blood test inpatient CPT 83090 CHG ASSAY OF HOMOCYSTEINE | $84.78 | $129.63 | $10.64–$217.14 | — | 35% |
| Homocysteine blood test inpatient CPT 83090 CHG ASSAY OF HOMOCYSTEINE | $84.78 | $129.63 | $10.64–$217.14 | — | 35% |
| Iron blood test (serum iron) CPT 83540 CHG ASSAY OF IRON | $55.59 | $85.00 | $4.09–$78.96 | 114% above | 35% |
| Iron blood test (serum iron) CPT 83540 CHG ASSAY OF IRON | $55.59 | $85.00 | $4.09–$78.96 | 114% above | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 CHG ASSAY OF IRON | $55.59 | $85.00 | $4.09–$78.96 | — | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 CHG ASSAY OF IRON | $55.59 | $85.00 | $4.09–$78.96 | — | 35% |
| LH (luteinizing hormone) test CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE | $140.61 | $215.00 | $11.68–$193.45 | 106% above | 35% |
| LH (luteinizing hormone) test CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE | $140.61 | $215.00 | $11.68–$193.45 | 106% above | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE | $140.61 | $215.00 | $11.68–$193.45 | — | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE | $140.61 | $215.00 | $11.68–$193.45 | — | 35% |
| Lyme disease antibody test CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $97.52 | $149.12 | $10.74–$137.15 | 112% above | 35% |
| Lyme disease antibody test CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $97.52 | $149.12 | $10.74–$137.15 | 112% above | 35% |
| Lyme disease antibody test inpatient CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $97.52 | $149.12 | $10.74–$137.15 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $97.52 | $149.12 | $10.74–$137.15 | — | 35% |
| Mumps immunity blood test CPT 86735 CHG ANTIBODY MUMPS | $66.52 | $101.72 | $3.67–$105.98 | 57% above | 35% |
| Mumps immunity blood test CPT 86735 CHG ANTIBODY MUMPS | $66.52 | $101.72 | $3.67–$105.98 | 57% above | 35% |
| Mumps immunity blood test inpatient CPT 86735 CHG ANTIBODY MUMPS | $66.52 | $101.72 | $3.67–$105.98 | — | 35% |
| Mumps immunity blood test inpatient CPT 86735 CHG ANTIBODY MUMPS | $66.52 | $101.72 | $3.67–$105.98 | — | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $92.61 | $141.60 | $11.61–$149.04 | 41% above | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $92.61 | $141.60 | $11.61–$149.04 | 41% above | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $92.61 | $141.60 | $11.61–$149.04 | — | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $92.61 | $141.60 | $11.61–$149.04 | — | 35% |
| Progesterone blood test CPT 84144 CHG ASSAY OF PROGESTERONE | $117.72 | $180.00 | $13.17–$173.71 | 37% above | 35% |
| Progesterone blood test CPT 84144 CHG ASSAY OF PROGESTERONE | $117.72 | $180.00 | $13.17–$173.71 | 37% above | 35% |
| Progesterone blood test inpatient CPT 84144 CHG ASSAY OF PROGESTERONE | $117.72 | $180.00 | $13.17–$173.71 | — | 35% |
| Progesterone blood test inpatient CPT 84144 CHG ASSAY OF PROGESTERONE | $117.72 | $180.00 | $13.17–$173.71 | — | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $26.16 | $40.00 | $2.48–$31.17 | 64% above | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $26.16 | $40.00 | $2.48–$31.17 | 64% above | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $26.16 | $40.00 | $2.48–$31.17 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $26.16 | $40.00 | $2.48–$31.17 | — | 35% |
| Rapid flu test (influenza antigen) CPT 87804 CHG IAADIADOO INFLUENZA | $111.18 | $170.00 | $5.52–$207.27 | 173% above | 35% |
| Rapid flu test (influenza antigen) CPT 87804 CHG IAADIADOO INFLUENZA | $111.18 | $170.00 | $5.52–$207.27 | 173% above | 35% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 CHG IAADIADOO INFLUENZA | $111.18 | $170.00 | $5.52–$207.27 | — | 35% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 CHG IAADIADOO INFLUENZA | $111.18 | $170.00 | $5.52–$207.27 | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A | $84.50 | $130.00 | $3.75–$124.36 | 111% above | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A | $84.50 | $130.00 | $3.75–$124.36 | 111% above | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A | $84.50 | $130.00 | $3.75–$124.36 | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A | $84.50 | $130.00 | $3.75–$124.36 | — | 35% |
| Rh blood typing CPT 86901 CHG BLOOD TYPING SEROLOGIC RH (D) | $39.24 | $60.00 | $1.89–$54.29 | 16% below | 35% |
| Rh blood typing CPT 86901 CHG BLOOD TYPING SEROLOGIC RH (D) | $39.24 | $60.00 | $1.89–$54.29 | 16% below | 35% |
| Rh blood typing inpatient CPT 86901 CHG BLOOD TYPING SEROLOGIC RH (D) | $39.24 | $60.00 | $1.89–$54.29 | — | 35% |
| Rh blood typing inpatient CPT 86901 CHG BLOOD TYPING SEROLOGIC RH (D) | $39.24 | $60.00 | $1.89–$54.29 | — | 35% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 CHG SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | $202.74 | $310.00 | $7.60–$186.00 | 440% above | 35% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 CHG SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | $202.74 | $310.00 | $7.60–$186.00 | 440% above | 35% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 CHG SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | $202.74 | $310.00 | $7.60–$186.00 | — | 35% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 CHG SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | $202.74 | $310.00 | $7.60–$186.00 | — | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $22.05 | $33.92 | $2.05–$27.02 | 68% above | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $22.05 | $33.92 | $2.05–$27.02 | 68% above | 35% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $22.05 | $33.92 | $2.05–$27.02 | — | 35% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $22.05 | $33.92 | $2.05–$27.02 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $192.93 | $295.00 | $3.40–$345.45 | 329% above | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $192.93 | $295.00 | $3.40–$345.45 | 329% above | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $192.93 | $295.00 | $3.40–$345.45 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $192.93 | $295.00 | $3.40–$345.45 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $313.05 | $478.67 | $39.11–$498.74 | 109% above | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $313.05 | $478.67 | $39.11–$498.74 | 109% above | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $313.05 | $478.67 | $39.11–$498.74 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $313.05 | $478.67 | $39.11–$498.74 | — | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $157.61 | $241.00 | $9.00–$144.60 | 115% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $157.61 | $241.00 | $9.00–$144.60 | 115% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $157.61 | $241.00 | $9.00–$144.60 | — | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $157.61 | $241.00 | $9.00–$144.60 | — | 35% |
| Urinalysis with microscope exam, automated CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $26.00 | $40.00 | $2.00–$34.55 | 4% below | 35% |
| Urinalysis with microscope exam, automated CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $26.00 | $40.00 | $2.00–$34.55 | 4% below | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $26.00 | $40.00 | $2.00–$34.55 | — | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $26.00 | $40.00 | $2.00–$34.55 | — | 35% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $26.00 | $40.00 | $2.00–$34.55 | 121% above | 35% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $26.00 | $40.00 | $2.00–$34.55 | 121% above | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $26.00 | $40.00 | $2.00–$34.55 | — | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $26.00 | $40.00 | $2.00–$34.55 | — | 35% |
| Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.57 | $23.96 | $1.42–$18.70 | 24% above | 35% |
| Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.57 | $23.96 | $1.42–$18.70 | 24% above | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.57 | $23.96 | $1.42–$18.70 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.57 | $23.96 | $1.42–$18.70 | — | 35% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $17.55 | $27.00 | $1.62–$20.78 | 69% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $17.55 | $27.00 | $1.62–$20.78 | 69% above | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $17.55 | $27.00 | $1.62–$20.78 | — | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $17.55 | $27.00 | $1.62–$20.78 | — | 35% |
| Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $45.78 | $70.00 | $5.10–$64.42 | 20% above | 35% |
| Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $45.78 | $70.00 | $5.10–$64.42 | 20% above | 35% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $45.78 | $70.00 | $5.10–$64.42 | — | 35% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $45.78 | $70.00 | $5.10–$64.42 | — | 35% |
| Urine microalbumin (albumin) test CPT 82043 CHG URINE ALBUMIN QUANTITATIVE | $80.44 | $123.00 | $3.65–$73.80 | 184% above | 35% |
| Urine microalbumin (albumin) test CPT 82043 CHG URINE ALBUMIN QUANTITATIVE | $80.44 | $123.00 | $3.65–$73.80 | 184% above | 35% |
| Urine microalbumin (albumin) test inpatient CPT 82043 CHG URINE ALBUMIN QUANTITATIVE | $80.44 | $123.00 | $3.65–$73.80 | — | 35% |
| Urine microalbumin (albumin) test inpatient CPT 82043 CHG URINE ALBUMIN QUANTITATIVE | $80.44 | $123.00 | $3.65–$73.80 | — | 35% |
| Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $42.81 | $65.86 | $2.00–$51.95 | 62% above | 35% |
| Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $42.81 | $65.86 | $2.00–$51.95 | 62% above | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $42.81 | $65.86 | $2.00–$51.95 | — | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $42.81 | $65.86 | $2.00–$51.95 | — | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 | $127.53 | $195.00 | $9.51–$188.52 | 129% above | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 | $127.53 | $195.00 | $9.51–$188.52 | 129% above | 35% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 | $127.53 | $195.00 | $9.51–$188.52 | — | 35% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 | $127.53 | $195.00 | $9.51–$188.52 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE | $134.07 | $205.00 | $9.50–$183.58 | 141% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE | $134.07 | $205.00 | $9.50–$183.58 | 141% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE | $134.07 | $205.00 | $9.50–$183.58 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE | $134.07 | $205.00 | $9.50–$183.58 | — | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12 | $1,670.97 | $2,555.00 | $100.23–$2,319.45 | 56% below | 35% |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12 | $1,670.97 | $2,555.00 | $100.23–$2,319.45 | 56% below | 35% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12 | $1,670.97 | $2,555.00 | $100.23–$2,319.45 | — | 35% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12 | $1,670.97 | $2,555.00 | $100.23–$2,319.45 | — | 35% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $12,589.50 | $19,250.00 | $676.52–$17,499.51 | 17% below | 35% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $12,589.50 | $19,250.00 | $676.52–$17,499.51 | 17% below | 35% |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $12,589.50 | $19,250.00 | $676.52–$17,499.51 | — | 35% |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $12,589.50 | $19,250.00 | $676.52–$17,499.51 | — | 35% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $5,588.43 | $8,545.00 | $389.16–$8,271.06 | 35% above | 35% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $5,588.43 | $8,545.00 | $389.16–$8,271.06 | 35% above | 35% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $5,588.43 | $8,545.00 | $389.16–$8,271.06 | — | 35% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $5,588.43 | $8,545.00 | $389.16–$8,271.06 | — | 35% |
| Appendectomy, open surgery CPT 44950 PR APPENDECTOMY | $4,829.79 | $7,385.00 | $291.96–$6,711.60 | 29% below | 35% |
| Appendectomy, open surgery CPT 44950 PR APPENDECTOMY | $4,829.79 | $7,385.00 | $291.96–$6,711.60 | 29% below | 35% |
| Appendectomy, open surgery inpatient CPT 44950 PR APPENDECTOMY | $4,829.79 | $7,385.00 | $291.96–$6,711.60 | — | 35% |
| Appendectomy, open surgery inpatient CPT 44950 PR APPENDECTOMY | $4,829.79 | $7,385.00 | $291.96–$6,711.60 | — | 35% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $10,624.23 | $16,245.00 | $479.98–$14,765.52 | 35% above | 35% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $10,624.23 | $16,245.00 | $479.98–$14,765.52 | 35% above | 35% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $10,624.23 | $16,245.00 | $479.98–$14,765.52 | — | 35% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $10,624.23 | $16,245.00 | $479.98–$14,765.52 | — | 35% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR | $11,595.42 | $17,730.00 | $531.79–$16,117.71 | 48% above | 35% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR | $11,595.42 | $17,730.00 | $531.79–$16,117.71 | 48% above | 35% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR | $11,595.42 | $17,730.00 | $531.79–$16,117.71 | — | 35% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR | $11,595.42 | $17,730.00 | $531.79–$16,117.71 | — | 35% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $7,880.70 | $12,050.00 | $137.72–$7,230.00 | 1% above | 35% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $7,880.70 | $12,050.00 | $137.72–$7,230.00 | 1% above | 35% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $7,880.70 | $12,050.00 | $137.72–$7,230.00 | — | 35% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $7,880.70 | $12,050.00 | $137.72–$7,230.00 | — | 35% |
| Botox injections for chronic migraine CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $918.87 | $1,405.00 | $68.67–$1,273.23 | 129% above | 35% |
| Botox injections for chronic migraine CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $918.87 | $1,405.00 | $68.67–$1,273.23 | 129% above | 35% |
| Botox injections for chronic migraine inpatient CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $918.87 | $1,405.00 | $68.67–$1,273.23 | — | 35% |
| Botox injections for chronic migraine inpatient CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $918.87 | $1,405.00 | $68.67–$1,273.23 | — | 35% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID | $2,753.34 | $4,210.00 | $100.54–$3,824.10 | 5% below | 35% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID | $2,753.34 | $4,210.00 | $100.54–$3,824.10 | 5% below | 35% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID | $2,753.34 | $4,210.00 | $100.54–$3,824.10 | — | 35% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID | $2,753.34 | $4,210.00 | $100.54–$3,824.10 | — | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $2,308.62 | $3,530.00 | $128.64–$3,207.75 | 340% above | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $2,308.62 | $3,530.00 | $128.64–$3,207.75 | 340% above | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $2,308.62 | $3,530.00 | $128.64–$3,207.75 | — | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $2,308.62 | $3,530.00 | $128.64–$3,207.75 | — | 35% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $1,635.00 | $2,500.00 | $89.52–$2,270.10 | 259% above | 35% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $1,635.00 | $2,500.00 | $89.52–$2,270.10 | 259% above | 35% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $1,635.00 | $2,500.00 | $89.52–$2,270.10 | — | 35% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $1,635.00 | $2,500.00 | $89.52–$2,270.10 | — | 35% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $7,030.50 | $10,750.00 | $288.07–$9,771.30 | 83% above | 35% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $7,030.50 | $10,750.00 | $288.07–$9,771.30 | 83% above | 35% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $7,030.50 | $10,750.00 | $288.07–$9,771.30 | — | 35% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $7,030.50 | $10,750.00 | $288.07–$9,771.30 | — | 35% |
| Bunion correction with removal of part of the big toe joint CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE | $6,477.87 | $9,905.00 | $288.17–$9,001.44 | 69% above | 35% |
| Bunion correction with removal of part of the big toe joint CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE | $6,477.87 | $9,905.00 | $288.17–$9,001.44 | 69% above | 35% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE | $6,477.87 | $9,905.00 | $288.17–$9,001.44 | — | 35% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE | $6,477.87 | $9,905.00 | $288.17–$9,001.44 | — | 35% |
| Cardiac catheterization with coronary angiogram CPT 93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $3,251.53 | $4,971.76 | $269.33–$4,784.38 | 51% below | 35% |
| Cardiac catheterization with coronary angiogram CPT 93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $3,251.53 | $4,971.76 | $269.33–$4,784.38 | 51% below | 35% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $3,251.53 | $4,971.76 | $269.33–$4,784.38 | — | 35% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $3,251.53 | $4,971.76 | $269.33–$4,784.38 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,569.60 | $2,400.00 | $67.07–$2,181.27 | 95% above | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,569.60 | $2,400.00 | $67.07–$2,181.27 | 95% above | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,569.60 | $2,400.00 | $67.07–$2,181.27 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,569.60 | $2,400.00 | $67.07–$2,181.27 | — | 35% |
| Carpal tunnel release, open surgery CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $8,521.62 | $13,030.00 | $200.67–$11,844.00 | 269% above | 35% |
| Carpal tunnel release, open surgery CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $8,521.62 | $13,030.00 | $200.67–$11,844.00 | 269% above | 35% |
| Carpal tunnel release, open surgery inpatient CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $8,521.62 | $13,030.00 | $200.67–$11,844.00 | — | 35% |
| Carpal tunnel release, open surgery inpatient CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $8,521.62 | $13,030.00 | $200.67–$11,844.00 | — | 35% |
| Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $5,800.98 | $8,870.00 | $444.40–$8,063.79 | 115% above | 35% |
| Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $5,800.98 | $8,870.00 | $444.40–$8,063.79 | 115% above | 35% |
| Cataract surgery with lens implant inpatient CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $5,800.98 | $8,870.00 | $444.40–$8,063.79 | — | 35% |
| Cataract surgery with lens implant inpatient CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $5,800.98 | $8,870.00 | $444.40–$8,063.79 | — | 35% |
| Catheter ablation for atrial fibrillation CPT 93656 PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $10,575.18 | $16,170.00 | $573.30–$14,696.43 | 64% below | 35% |
| Catheter ablation for atrial fibrillation CPT 93656 PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $10,575.18 | $16,170.00 | $573.30–$14,696.43 | 64% below | 35% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $10,575.18 | $16,170.00 | $573.30–$14,696.43 | — | 35% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $10,575.18 | $16,170.00 | $573.30–$14,696.43 | — | 35% |
| Cervical biopsy CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $712.86 | $1,090.00 | $36.20–$987.00 | 51% below | 35% |
| Cervical biopsy CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $712.86 | $1,090.00 | $36.20–$987.00 | 51% below | 35% |
| Cervical biopsy inpatient CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $712.86 | $1,090.00 | $36.20–$987.00 | — | 35% |
| Cervical biopsy inpatient CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $712.86 | $1,090.00 | $36.20–$987.00 | — | 35% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,967.57–$35,263.78 | 998% above | 35% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,967.57–$35,263.78 | 998% above | 35% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,967.57–$35,263.78 | — | 35% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,967.57–$35,263.78 | — | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR CIRCUMCISION AGE >28 DAYS | $1,775.61 | $2,715.00 | $99.86–$2,467.50 | 43% below | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR CIRCUMCISION AGE >28 DAYS | $1,775.61 | $2,715.00 | $99.86–$2,467.50 | 43% below | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PR CIRCUMCISION AGE >28 DAYS | $1,775.61 | $2,715.00 | $99.86–$2,467.50 | — | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PR CIRCUMCISION AGE >28 DAYS | $1,775.61 | $2,715.00 | $99.86–$2,467.50 | — | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $794.61 | $1,215.00 | $50.72–$921.11 | 67% below | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $794.61 | $1,215.00 | $50.72–$921.11 | 67% below | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $794.61 | $1,215.00 | $50.72–$921.11 | — | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $794.61 | $1,215.00 | $50.72–$921.11 | — | 35% |
| Circumcision, surgical, older than a newborn CPT 54160 PR CIRCUMCISION NEONATE | $670.35 | $1,025.00 | $73.01–$927.91 | 48% below | 35% |
| Circumcision, surgical, older than a newborn CPT 54160 PR CIRCUMCISION NEONATE | $670.35 | $1,025.00 | $73.01–$927.91 | 48% below | 35% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 PR CIRCUMCISION NEONATE | $670.35 | $1,025.00 | $73.01–$927.91 | — | 35% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 PR CIRCUMCISION NEONATE | $670.35 | $1,025.00 | $73.01–$927.91 | — | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ | $2,452.50 | $3,750.00 | $117.76–$3,405.15 | 342% above | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ | $2,452.50 | $3,750.00 | $117.76–$3,405.15 | 342% above | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ | $2,452.50 | $3,750.00 | $117.76–$3,405.15 | — | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ | $2,452.50 | $3,750.00 | $117.76–$3,405.15 | — | 35% |
| Colonoscopy with endoscopic ultrasound CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $2,321.70 | $3,550.00 | $142.75–$3,227.49 | 66% above | 35% |
| Colonoscopy with endoscopic ultrasound CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $2,321.70 | $3,550.00 | $142.75–$3,227.49 | 66% above | 35% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $2,321.70 | $3,550.00 | $142.75–$3,227.49 | — | 35% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $2,321.70 | $3,550.00 | $142.75–$3,227.49 | — | 35% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $2,400.18 | $3,670.00 | $146.87–$3,336.06 | 72% above | 35% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $2,400.18 | $3,670.00 | $146.87–$3,336.06 | 72% above | 35% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $2,400.18 | $3,670.00 | $146.87–$3,336.06 | — | 35% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $2,400.18 | $3,670.00 | $146.87–$3,336.06 | — | 35% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,017.59 | $3,085.00 | $161.60–$2,803.08 | 45% above | 35% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,017.59 | $3,085.00 | $161.60–$2,803.08 | 45% above | 35% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,017.59 | $3,085.00 | $161.60–$2,803.08 | — | 35% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,017.59 | $3,085.00 | $161.60–$2,803.08 | — | 35% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,690.59 | $2,585.00 | $103.24–$2,349.06 | 6% above | 35% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,690.59 | $2,585.00 | $103.24–$2,349.06 | 6% above | 35% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,690.59 | $2,585.00 | $103.24–$2,349.06 | — | 35% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,690.59 | $2,585.00 | $103.24–$2,349.06 | — | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $2,308.62 | $3,530.00 | $80.48–$3,207.75 | 39% below | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $2,308.62 | $3,530.00 | $80.48–$3,207.75 | 39% below | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $2,308.62 | $3,530.00 | $80.48–$3,207.75 | — | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $2,308.62 | $3,530.00 | $80.48–$3,207.75 | — | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | $1,088.91 | $1,665.00 | $73.73–$1,510.11 | 64% above | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | $1,088.91 | $1,665.00 | $73.73–$1,510.11 | 64% above | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | $1,088.91 | $1,665.00 | $73.73–$1,510.11 | — | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | $1,088.91 | $1,665.00 | $73.73–$1,510.11 | — | 35% |
| Complex cataract surgery with lens implant CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $7,308.45 | $11,175.00 | $461.55–$10,156.23 | 171% above | 35% |
| Complex cataract surgery with lens implant CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $7,308.45 | $11,175.00 | $461.55–$10,156.23 | 171% above | 35% |
| Complex cataract surgery with lens implant inpatient CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $7,308.45 | $11,175.00 | $461.55–$10,156.23 | — | 35% |
| Complex cataract surgery with lens implant inpatient CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $7,308.45 | $11,175.00 | $461.55–$10,156.23 | — | 35% |
| Coronary stent placement, one artery CPT 92928 PR PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $5,810.79 | $8,885.00 | $315.25–$8,073.66 | 58% below | 35% |
| Coronary stent placement, one artery CPT 92928 PR PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $5,810.79 | $8,885.00 | $315.25–$8,073.66 | 58% below | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 PR PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $5,810.79 | $8,885.00 | $315.25–$8,073.66 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 PR PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $5,810.79 | $8,885.00 | $315.25–$8,073.66 | — | 35% |
| Cystoscopy with ureteral stent placement CPT 52332 PR CYSTO W/INSERT URETERAL STENT | $1,890.06 | $2,890.00 | $79.47–$2,625.42 | 54% below | 35% |
| Cystoscopy with ureteral stent placement CPT 52332 PR CYSTO W/INSERT URETERAL STENT | $1,890.06 | $2,890.00 | $79.47–$2,625.42 | 54% below | 35% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 PR CYSTO W/INSERT URETERAL STENT | $1,890.06 | $2,890.00 | $79.47–$2,625.42 | — | 35% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 PR CYSTO W/INSERT URETERAL STENT | $1,890.06 | $2,890.00 | $79.47–$2,625.42 | — | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY | $1,357.05 | $2,075.00 | $62.22–$1,885.17 | 6% below | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY | $1,357.05 | $2,075.00 | $62.22–$1,885.17 | 6% below | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 PR CYSTOURETHROSCOPY | $1,357.05 | $2,075.00 | $62.22–$1,885.17 | — | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 PR CYSTOURETHROSCOPY | $1,357.05 | $2,075.00 | $62.22–$1,885.17 | — | 35% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $2,982.24 | $4,560.00 | $153.52–$4,145.40 | 21% below | 35% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $2,982.24 | $4,560.00 | $153.52–$4,145.40 | 21% below | 35% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $2,982.24 | $4,560.00 | $153.52–$4,145.40 | — | 35% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $2,982.24 | $4,560.00 | $153.52–$4,145.40 | — | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST | $274.68 | $420.00 | $24.55–$379.10 | 5% above | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST | $274.68 | $420.00 | $24.55–$379.10 | 5% above | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST | $274.68 | $420.00 | $24.55–$379.10 | — | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST | $274.68 | $420.00 | $24.55–$379.10 | — | 35% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA | $2,279.19 | $3,485.00 | $101.00–$3,168.27 | 30% above | 35% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA | $2,279.19 | $3,485.00 | $101.00–$3,168.27 | 30% above | 35% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA | $2,279.19 | $3,485.00 | $101.00–$3,168.27 | — | 35% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA | $2,279.19 | $3,485.00 | $101.00–$3,168.27 | — | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $1,919.49 | $2,935.00 | $62.54–$2,664.90 | 78% above | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $1,919.49 | $2,935.00 | $62.54–$2,664.90 | 78% above | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $1,919.49 | $2,935.00 | $62.54–$2,664.90 | — | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $1,919.49 | $2,935.00 | $62.54–$2,664.90 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $68.67 | $105.00 | $13.55–$98.70 | 43% below | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $119.51 | $183.86 | $13.55–$110.32 | 1% below | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $68.67 | $105.00 | $13.55–$98.70 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $119.51 | $183.86 | $13.55–$110.32 | — | 35% |
| Earwax removal with instruments, one ear one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $163.50 | $250.00 | $18.08–$246.75 | 26% above | 35% |
| Earwax removal with instruments, one ear one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $163.50 | $250.00 | $18.08–$246.75 | 26% above | 35% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $163.50 | $250.00 | $18.08–$246.75 | — | 35% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $163.50 | $250.00 | $18.08–$246.75 | — | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $542.82 | $830.00 | $43.20–$544.45 | 18% above | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $542.82 | $830.00 | $43.20–$544.45 | 18% above | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $542.82 | $830.00 | $43.20–$544.45 | — | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $542.82 | $830.00 | $43.20–$544.45 | — | 35% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY | $3,616.62 | $5,530.00 | $203.60–$5,023.83 | 50% below | 35% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY | $3,616.62 | $5,530.00 | $203.60–$5,023.83 | 50% below | 35% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY | $3,616.62 | $5,530.00 | $203.60–$5,023.83 | — | 35% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY | $3,616.62 | $5,530.00 | $203.60–$5,023.83 | — | 35% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS | $4,581.27 | $7,005.00 | $256.34–$6,366.15 | 41% below | 35% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS | $4,581.27 | $7,005.00 | $256.34–$6,366.15 | 41% below | 35% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS | $4,581.27 | $7,005.00 | $256.34–$6,366.15 | — | 35% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS | $4,581.27 | $7,005.00 | $256.34–$6,366.15 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $1,726.56 | $2,640.00 | $100.09–$2,398.41 | 60% below | 35% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $1,726.56 | $2,640.00 | $100.09–$2,398.41 | 60% below | 35% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $1,726.56 | $2,640.00 | $100.09–$2,398.41 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $1,726.56 | $2,640.00 | $100.09–$2,398.41 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS | $2,841.63 | $4,345.00 | $160.98–$3,948.00 | 63% below | 35% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS | $2,841.63 | $4,345.00 | $160.98–$3,948.00 | 63% below | 35% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS | $2,841.63 | $4,345.00 | $160.98–$3,948.00 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS | $2,841.63 | $4,345.00 | $160.98–$3,948.00 | — | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $654.00 | $1,000.00 | $60.93–$934.59 | 39% below | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $654.00 | $1,000.00 | $60.93–$934.59 | 39% below | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $654.00 | $1,000.00 | $60.93–$934.59 | — | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $654.00 | $1,000.00 | $60.93–$934.59 | — | 35% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | $1,180.47 | $1,805.00 | $83.29–$1,638.42 | 64% above | 35% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | $1,180.47 | $1,805.00 | $83.29–$1,638.42 | 64% above | 35% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | $1,180.47 | $1,805.00 | $83.29–$1,638.42 | — | 35% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | $1,180.47 | $1,805.00 | $83.29–$1,638.42 | — | 35% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $657.27 | $1,005.00 | $37.29–$877.94 | 67% below | 35% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $657.27 | $1,005.00 | $37.29–$877.94 | 67% below | 35% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $657.27 | $1,005.00 | $37.29–$877.94 | — | 35% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $657.27 | $1,005.00 | $37.29–$877.94 | — | 35% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $2,907.03 | $4,445.00 | $320.99–$4,040.96 | 61% below | 35% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $2,907.03 | $4,445.00 | $320.99–$4,040.96 | 61% below | 35% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $2,907.03 | $4,445.00 | $320.99–$4,040.96 | — | 35% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $2,907.03 | $4,445.00 | $320.99–$4,040.96 | — | 35% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $3,904.38 | $5,970.00 | $431.56–$5,426.82 | 47% below | 35% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $3,904.38 | $5,970.00 | $431.56–$5,426.82 | 47% below | 35% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $3,904.38 | $5,970.00 | $431.56–$5,426.82 | — | 35% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $3,904.38 | $5,970.00 | $431.56–$5,426.82 | — | 35% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $1,736.37 | $2,655.00 | $191.73–$2,412.51 | 58% below | 35% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $1,736.37 | $2,655.00 | $191.73–$2,412.51 | 58% below | 35% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $1,736.37 | $2,655.00 | $191.73–$2,412.51 | — | 35% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $1,736.37 | $2,655.00 | $191.73–$2,412.51 | — | 35% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $719.40 | $1,100.00 | $29.69–$996.87 | 47% below | 35% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $719.40 | $1,100.00 | $29.69–$996.87 | 47% below | 35% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $719.40 | $1,100.00 | $29.69–$996.87 | — | 35% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $719.40 | $1,100.00 | $29.69–$996.87 | — | 35% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $5,434.74 | $8,310.00 | $333.58–$7,550.55 | 8% below | 35% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $5,434.74 | $8,310.00 | $333.58–$7,550.55 | 8% below | 35% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $5,434.74 | $8,310.00 | $333.58–$7,550.55 | — | 35% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $5,434.74 | $8,310.00 | $333.58–$7,550.55 | — | 35% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $5,800.98 | $8,870.00 | $343.71–$8,063.79 | 12% below | 35% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $5,800.98 | $8,870.00 | $343.71–$8,063.79 | 12% below | 35% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $5,800.98 | $8,870.00 | $343.71–$8,063.79 | — | 35% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $5,800.98 | $8,870.00 | $343.71–$8,063.79 | — | 35% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 PR CHOLECYSTECTOMY | $6,739.47 | $10,305.00 | $470.42–$9,366.63 | 148% above | 35% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 PR CHOLECYSTECTOMY | $6,739.47 | $10,305.00 | $470.42–$9,366.63 | 148% above | 35% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PR CHOLECYSTECTOMY | $6,739.47 | $10,305.00 | $470.42–$9,366.63 | — | 35% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PR CHOLECYSTECTOMY | $6,739.47 | $10,305.00 | $470.42–$9,366.63 | — | 35% |
| Hammertoe correction surgery CPT 28285 PR CORRECTION HAMMERTOE | $2,096.07 | $3,205.00 | $161.15–$2,911.65 | 45% below | 35% |
| Hammertoe correction surgery CPT 28285 PR CORRECTION HAMMERTOE | $2,096.07 | $3,205.00 | $161.15–$2,911.65 | 45% below | 35% |
| Hammertoe correction surgery inpatient CPT 28285 PR CORRECTION HAMMERTOE | $2,096.07 | $3,205.00 | $161.15–$2,911.65 | — | 35% |
| Hammertoe correction surgery inpatient CPT 28285 PR CORRECTION HAMMERTOE | $2,096.07 | $3,205.00 | $161.15–$2,911.65 | — | 35% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $915.60 | $1,400.00 | $82.68–$1,271.38 | 15% below | 35% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $915.60 | $1,400.00 | $82.68–$1,271.38 | 15% below | 35% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $915.60 | $1,400.00 | $82.68–$1,271.38 | — | 35% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $915.60 | $1,400.00 | $82.68–$1,271.38 | — | 35% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $2,550.60 | $3,900.00 | $155.94–$3,543.33 | 21% below | 35% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $2,550.60 | $3,900.00 | $155.94–$3,543.33 | 21% below | 35% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $2,550.60 | $3,900.00 | $155.94–$3,543.33 | — | 35% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $2,550.60 | $3,900.00 | $155.94–$3,543.33 | — | 35% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT | $17,098.83 | $26,145.00 | $815.62–$23,766.96 | 20% above | 35% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT | $17,098.83 | $26,145.00 | $815.62–$23,766.96 | 20% above | 35% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT | $17,098.83 | $26,145.00 | $815.62–$23,766.96 | — | 35% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT | $17,098.83 | $26,145.00 | $815.62–$23,766.96 | — | 35% |
| Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | $12,141.51 | $18,565.00 | $476.06–$16,877.70 | 136% above | 35% |
| Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | $12,141.51 | $18,565.00 | $476.06–$16,877.70 | 136% above | 35% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | $12,141.51 | $18,565.00 | $476.06–$16,877.70 | — | 35% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | $12,141.51 | $18,565.00 | $476.06–$16,877.70 | — | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $712.86 | $1,090.00 | $29.36–$987.00 | 133% above | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $712.86 | $1,090.00 | $29.36–$987.00 | 133% above | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $712.86 | $1,090.00 | $29.36–$987.00 | — | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $712.86 | $1,090.00 | $29.36–$987.00 | — | 35% |
| Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION | $11,814.51 | $18,065.00 | $169.42–$10,839.00 | 102% above | 35% |
| Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION | $11,814.51 | $18,065.00 | $169.42–$10,839.00 | 102% above | 35% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION | $11,814.51 | $18,065.00 | $169.42–$10,839.00 | — | 35% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION | $11,814.51 | $18,065.00 | $169.42–$10,839.00 | — | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $3,675.48 | $5,620.00 | $113.35–$5,181.75 | 14% below | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $3,675.48 | $5,620.00 | $113.35–$5,181.75 | 14% below | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $3,675.48 | $5,620.00 | $113.35–$5,181.75 | — | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $3,675.48 | $5,620.00 | $113.35–$5,181.75 | — | 35% |
| IUD insertion (the device itself billed separately) CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD | $640.92 | $980.00 | $45.77–$888.30 | 132% above | 35% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD | $640.92 | $980.00 | $45.77–$888.30 | — | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $533.01 | $815.00 | $43.67–$740.25 | 34% above | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $533.01 | $815.00 | $43.67–$740.25 | 34% above | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $533.01 | $815.00 | $43.67–$740.25 | — | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $533.01 | $815.00 | $43.67–$740.25 | — | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $3,871.68 | $5,920.00 | $233.75–$5,379.15 | 7% below | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $3,871.68 | $5,920.00 | $233.75–$5,379.15 | 7% below | 35% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $3,871.68 | $5,920.00 | $233.75–$5,379.15 | — | 35% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $3,871.68 | $5,920.00 | $233.75–$5,379.15 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $271.41 | $415.00 | $19.96–$345.45 | 44% below | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $271.41 | $415.00 | $19.96–$345.45 | 44% below | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $271.41 | $415.00 | $19.96–$345.45 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $271.41 | $415.00 | $19.96–$345.45 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $650.73 | $995.00 | $24.23–$597.00 | 41% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $650.73 | $995.00 | $24.23–$597.00 | 41% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $650.73 | $995.00 | $24.23–$597.00 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $650.73 | $995.00 | $24.23–$597.00 | — | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT | $562.44 | $860.00 | $59.30–$779.73 | 106% above | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT | $562.44 | $860.00 | $59.30–$779.73 | 106% above | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT | $562.44 | $860.00 | $59.30–$779.73 | — | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT | $562.44 | $860.00 | $59.30–$779.73 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $281.22 | $430.00 | $20.26–$394.80 | 30% below | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $281.22 | $430.00 | $20.26–$394.80 | 30% below | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $281.22 | $430.00 | $20.26–$394.80 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $281.22 | $430.00 | $20.26–$394.80 | — | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $284.49 | $435.00 | $19.66–$394.80 | 32% below | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $284.49 | $435.00 | $19.66–$394.80 | 32% below | 35% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $284.49 | $435.00 | $19.66–$394.80 | — | 35% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $284.49 | $435.00 | $19.66–$394.80 | — | 35% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $6,925.86 | $10,590.00 | $332.52–$9,623.25 | 80% above | 35% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $6,925.86 | $10,590.00 | $332.52–$9,623.25 | 80% above | 35% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $6,925.86 | $10,590.00 | $332.52–$9,623.25 | — | 35% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $6,925.86 | $10,590.00 | $332.52–$9,623.25 | — | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $6,471.33 | $9,895.00 | $308.07–$8,991.57 | 69% above | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $6,471.33 | $9,895.00 | $308.07–$8,991.57 | 69% above | 35% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $6,471.33 | $9,895.00 | $308.07–$8,991.57 | — | 35% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $6,471.33 | $9,895.00 | $308.07–$8,991.57 | — | 35% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $6,974.91 | $10,665.00 | $338.35–$9,692.34 | 82% above | 35% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $6,974.91 | $10,665.00 | $338.35–$9,692.34 | 82% above | 35% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $6,974.91 | $10,665.00 | $338.35–$9,692.34 | — | 35% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $6,974.91 | $10,665.00 | $338.35–$9,692.34 | — | 35% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG | $6,193.38 | $9,470.00 | $295.98–$8,606.64 | 61% above | 35% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG | $6,193.38 | $9,470.00 | $295.98–$8,606.64 | 61% above | 35% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG | $6,193.38 | $9,470.00 | $295.98–$8,606.64 | — | 35% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG | $6,193.38 | $9,470.00 | $295.98–$8,606.64 | — | 35% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | $19,342.05 | $29,575.00 | $782.78–$26,885.88 | at median | 35% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | $19,342.05 | $29,575.00 | $782.78–$26,885.88 | at median | 35% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | $19,342.05 | $29,575.00 | $782.78–$26,885.88 | — | 35% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | $19,342.05 | $29,575.00 | $782.78–$26,885.88 | — | 35% |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 PR LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE | $2,834.25 | $4,333.72 | $504.61–$12,801.39 | 77% below | 35% |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 PR LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE | $2,834.25 | $4,333.72 | $504.61–$12,801.39 | 77% below | 35% |
| Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 PR LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE | $2,834.25 | $4,333.72 | $504.61–$12,801.39 | — | 35% |
| Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 PR LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE | $2,834.25 | $4,333.72 | $504.61–$12,801.39 | — | 35% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PR LAPAROSCOPIC APPENDECTOMY | $4,362.18 | $6,670.00 | $267.83–$6,060.18 | 37% below | 35% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PR LAPAROSCOPIC APPENDECTOMY | $4,362.18 | $6,670.00 | $267.83–$6,060.18 | 37% below | 35% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PR LAPAROSCOPIC APPENDECTOMY | $4,362.18 | $6,670.00 | $267.83–$6,060.18 | — | 35% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PR LAPAROSCOPIC APPENDECTOMY | $4,362.18 | $6,670.00 | $267.83–$6,060.18 | — | 35% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY | $12,887.07 | $19,705.00 | $496.42–$17,914.05 | 19% above | 35% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY | $12,887.07 | $19,705.00 | $496.42–$17,914.05 | 19% above | 35% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY | $12,887.07 | $19,705.00 | $496.42–$17,914.05 | — | 35% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY | $12,887.07 | $19,705.00 | $496.42–$17,914.05 | — | 35% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< | $12,030.33 | $18,395.00 | $438.74–$16,719.78 | 15% above | 35% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< | $12,030.33 | $18,395.00 | $438.74–$16,719.78 | 15% above | 35% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< | $12,030.33 | $18,395.00 | $438.74–$16,719.78 | — | 35% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< | $12,030.33 | $18,395.00 | $438.74–$16,719.78 | — | 35% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $13,122.51 | $20,065.00 | $479.71–$18,239.76 | 58% above | 35% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $13,122.51 | $20,065.00 | $479.71–$18,239.76 | 58% above | 35% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $13,122.51 | $20,065.00 | $479.71–$18,239.76 | — | 35% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $13,122.51 | $20,065.00 | $479.71–$18,239.76 | — | 35% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | $3,211.14 | $4,910.00 | $193.57–$4,461.24 | 51% below | 35% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | $3,211.14 | $4,910.00 | $193.57–$4,461.24 | 51% below | 35% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | $3,211.14 | $4,910.00 | $193.57–$4,461.24 | — | 35% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | $3,211.14 | $4,910.00 | $193.57–$4,461.24 | — | 35% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA | $4,234.65 | $6,475.00 | $249.48–$5,882.52 | 31% below | 35% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA | $4,234.65 | $6,475.00 | $249.48–$5,882.52 | 31% below | 35% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA | $4,234.65 | $6,475.00 | $249.48–$5,882.52 | — | 35% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA | $4,234.65 | $6,475.00 | $249.48–$5,882.52 | — | 35% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT | $8,073.63 | $12,345.00 | $435.89–$11,222.19 | 79% above | 35% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT | $8,073.63 | $12,345.00 | $435.89–$11,222.19 | 79% above | 35% |
| Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT | $8,073.63 | $12,345.00 | $435.89–$11,222.19 | — | 35% |
| Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT | $8,073.63 | $12,345.00 | $435.89–$11,222.19 | — | 35% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $10,352.82 | $15,830.00 | $313.65–$14,390.46 | 65% above | 35% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $10,352.82 | $15,830.00 | $313.65–$14,390.46 | 65% above | 35% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $10,352.82 | $15,830.00 | $313.65–$14,390.46 | — | 35% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $10,352.82 | $15,830.00 | $313.65–$14,390.46 | — | 35% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY | $12,455.43 | $19,045.00 | $679.63–$17,311.98 | 6% below | 35% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY | $12,455.43 | $19,045.00 | $679.63–$17,311.98 | 6% below | 35% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY | $12,455.43 | $19,045.00 | $679.63–$17,311.98 | — | 35% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY | $12,455.43 | $19,045.00 | $679.63–$17,311.98 | — | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY | $1,912.95 | $2,925.00 | $131.95–$2,655.03 | 78% above | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY | $1,912.95 | $2,925.00 | $131.95–$2,655.03 | 78% above | 35% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 PR POST-CATARACT LASER SURGERY | $1,912.95 | $2,925.00 | $131.95–$2,655.03 | — | 35% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 PR POST-CATARACT LASER SURGERY | $1,912.95 | $2,925.00 | $131.95–$2,655.03 | — | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $918.87 | $1,405.00 | $68.85–$1,126.79 | 55% above | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $918.87 | $1,405.00 | $68.85–$1,126.79 | 55% above | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $918.87 | $1,405.00 | $68.85–$1,126.79 | — | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $918.87 | $1,405.00 | $68.85–$1,126.79 | — | 35% |
| Left heart catheterization, diagnostic CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $3,133.99 | $4,792.04 | $216.17–$4,159.40 | 54% below | 35% |
| Left heart catheterization, diagnostic CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $3,133.99 | $4,792.04 | $216.17–$4,159.40 | 54% below | 35% |
| Left heart catheterization, diagnostic inpatient CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $3,133.99 | $4,792.04 | $216.17–$4,159.40 | — | 35% |
| Left heart catheterization, diagnostic inpatient CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $3,133.99 | $4,792.04 | $216.17–$4,159.40 | — | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $595.14 | $910.00 | $55.41–$848.92 | 60% below | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $595.14 | $910.00 | $55.41–$848.92 | 60% below | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $595.14 | $910.00 | $55.41–$848.92 | — | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $595.14 | $910.00 | $55.41–$848.92 | — | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $523.20 | $800.00 | $48.57–$744.59 | 64% below | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $523.20 | $800.00 | $48.57–$744.59 | 64% below | 35% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $523.20 | $800.00 | $48.57–$744.59 | — | 35% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $523.20 | $800.00 | $48.57–$744.59 | — | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $745.56 | $1,140.00 | $51.02–$1,036.35 | 49% below | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $745.56 | $1,140.00 | $51.02–$1,036.35 | 49% below | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $745.56 | $1,140.00 | $51.02–$1,036.35 | — | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $745.56 | $1,140.00 | $51.02–$1,036.35 | — | 35% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | $15,238.20 | $23,300.00 | $456.89–$21,181.02 | 80% above | 35% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | $15,238.20 | $23,300.00 | $456.89–$21,181.02 | 80% above | 35% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | $15,238.20 | $23,300.00 | $456.89–$21,181.02 | — | 35% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | $15,238.20 | $23,300.00 | $456.89–$21,181.02 | — | 35% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 PR ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR | $13,272.93 | $20,295.00 | $709.39–$18,447.03 | 39% below | 35% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 PR ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR | $13,272.93 | $20,295.00 | $709.39–$18,447.03 | 39% below | 35% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 PR ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR | $13,272.93 | $20,295.00 | $709.39–$18,447.03 | — | 35% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 PR ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR | $13,272.93 | $20,295.00 | $709.39–$18,447.03 | — | 35% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR | $15,686.19 | $23,985.00 | $736.40–$21,802.83 | 28% below | 35% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR | $15,686.19 | $23,985.00 | $736.40–$21,802.83 | 28% below | 35% |
| Lumbar interbody fusion (PLIF or TLIF), one level inpatient CPT 22630 PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR | $15,686.19 | $23,985.00 | $736.40–$21,802.83 | — | 35% |
| Lumbar interbody fusion (PLIF or TLIF), one level inpatient CPT 22630 PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR | $15,686.19 | $23,985.00 | $736.40–$21,802.83 | — | 35% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR | $18,177.93 | $27,795.00 | $521.88–$25,267.20 | 115% above | 35% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR | $18,177.93 | $27,795.00 | $521.88–$25,267.20 | 115% above | 35% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR | $18,177.93 | $27,795.00 | $521.88–$25,267.20 | — | 35% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR | $18,177.93 | $27,795.00 | $521.88–$25,267.20 | — | 35% |
| Lumbar spinal fusion (posterior), one level CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR | $15,620.79 | $23,885.00 | $762.84–$21,714.00 | 28% below | 35% |
| Lumbar spinal fusion (posterior), one level CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR | $15,620.79 | $23,885.00 | $762.84–$21,714.00 | 28% below | 35% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR | $15,620.79 | $23,885.00 | $762.84–$21,714.00 | — | 35% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR | $15,620.79 | $23,885.00 | $762.84–$21,714.00 | — | 35% |
| Lumpectomy (partial mastectomy) CPT 19301 PR MASTECTOMY PARTIAL | $3,855.33 | $5,895.00 | $270.03–$5,359.41 | 10% below | 35% |
| Lumpectomy (partial mastectomy) CPT 19301 PR MASTECTOMY PARTIAL | $3,855.33 | $5,895.00 | $270.03–$5,359.41 | 10% below | 35% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 PR MASTECTOMY PARTIAL | $3,855.33 | $5,895.00 | $270.03–$5,359.41 | — | 35% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 PR MASTECTOMY PARTIAL | $3,855.33 | $5,895.00 | $270.03–$5,359.41 | — | 35% |
| Mastectomy (total removal of the breast) CPT 19303 PR MASTECTOMY SIMPLE COMPLETE | $8,054.01 | $12,315.00 | $415.96–$11,192.58 | 19% above | 35% |
| Mastectomy (total removal of the breast) CPT 19303 PR MASTECTOMY SIMPLE COMPLETE | $8,054.01 | $12,315.00 | $415.96–$11,192.58 | 19% above | 35% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 PR MASTECTOMY SIMPLE COMPLETE | $8,054.01 | $12,315.00 | $415.96–$11,192.58 | — | 35% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 PR MASTECTOMY SIMPLE COMPLETE | $8,054.01 | $12,315.00 | $415.96–$11,192.58 | — | 35% |
| Miscarriage treatment with D&C, first trimester CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $2,841.63 | $4,345.00 | $195.94–$3,948.00 | 28% below | 35% |
| Miscarriage treatment with D&C, first trimester CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $2,841.63 | $4,345.00 | $195.94–$3,948.00 | 28% below | 35% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $2,841.63 | $4,345.00 | $195.94–$3,948.00 | — | 35% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $2,841.63 | $4,345.00 | $195.94–$3,948.00 | — | 35% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS | $2,485.20 | $3,800.00 | $174.20–$3,454.50 | 124% above | 35% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS | $2,485.20 | $3,800.00 | $174.20–$3,454.50 | 124% above | 35% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS | $2,485.20 | $3,800.00 | $174.20–$3,454.50 | — | 35% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS | $2,485.20 | $3,800.00 | $174.20–$3,454.50 | — | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< | $421.83 | $645.00 | $35.01–$621.81 | 61% below | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< | $421.83 | $645.00 | $35.01–$621.81 | 61% below | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< | $421.83 | $645.00 | $35.01–$621.81 | — | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< | $421.83 | $645.00 | $35.01–$621.81 | — | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $758.64 | $1,160.00 | $46.21–$858.69 | 25% below | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $758.64 | $1,160.00 | $46.21–$858.69 | 25% below | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $758.64 | $1,160.00 | $46.21–$858.69 | — | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $758.64 | $1,160.00 | $46.21–$858.69 | — | 35% |
| Nail removal (partial or complete), one nail CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $542.82 | $830.00 | $29.03–$498.00 | 68% above | 35% |
| Nail removal (partial or complete), one nail CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $542.82 | $830.00 | $29.03–$498.00 | 68% above | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $542.82 | $830.00 | $29.03–$498.00 | — | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $542.82 | $830.00 | $29.03–$498.00 | — | 35% |
| Occipital nerve block (injection for headaches) CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $533.01 | $815.00 | $34.08–$740.25 | 27% above | 35% |
| Occipital nerve block (injection for headaches) CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $533.01 | $815.00 | $34.08–$740.25 | 27% above | 35% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $533.01 | $815.00 | $34.08–$740.25 | — | 35% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $533.01 | $815.00 | $34.08–$740.25 | — | 35% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | $8,351.58 | $12,770.00 | $808.00–$17,173.80 | 57% below | 35% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | $8,351.58 | $12,770.00 | $808.00–$17,173.80 | 57% below | 35% |
| Open Roux-en-Y gastric bypass through an abdominal incision inpatient CPT 43846 PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | $8,351.58 | $12,770.00 | $808.00–$17,173.80 | — | 35% |
| Open Roux-en-Y gastric bypass through an abdominal incision inpatient CPT 43846 PR GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | $8,351.58 | $12,770.00 | $808.00–$17,173.80 | — | 35% |
| Pacemaker implant (dual chamber) CPT 33208 PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $7,727.01 | $11,815.00 | $268.30–$10,738.56 | 38% below | 35% |
| Pacemaker implant (dual chamber) CPT 33208 PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $7,727.01 | $11,815.00 | $268.30–$10,738.56 | 38% below | 35% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $7,727.01 | $11,815.00 | $268.30–$10,738.56 | — | 35% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $7,727.01 | $11,815.00 | $268.30–$10,738.56 | — | 35% |
| Paracentesis with imaging guidance CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $742.29 | $1,135.00 | $95.69–$1,095.57 | 47% below | 35% |
| Paracentesis with imaging guidance CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $742.29 | $1,135.00 | $95.69–$1,095.57 | 47% below | 35% |
| Paracentesis with imaging guidance inpatient CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $742.29 | $1,135.00 | $95.69–$1,095.57 | — | 35% |
| Paracentesis with imaging guidance inpatient CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $742.29 | $1,135.00 | $95.69–$1,095.57 | — | 35% |
| Partial knee replacement (one compartment) CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | $11,938.77 | $18,255.00 | $545.37–$16,591.47 | 22% below | 35% |
| Partial knee replacement (one compartment) CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | $11,938.77 | $18,255.00 | $545.37–$16,591.47 | 22% below | 35% |
| Partial knee replacement (one compartment) inpatient CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | $11,938.77 | $18,255.00 | $545.37–$16,591.47 | — | 35% |
| Partial knee replacement (one compartment) inpatient CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | $11,938.77 | $18,255.00 | $545.37–$16,591.47 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL | $873.09 | $1,335.00 | $83.01–$1,214.01 | 21% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL | $873.09 | $1,335.00 | $83.01–$1,214.01 | 21% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL | $873.09 | $1,335.00 | $83.01–$1,214.01 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL | $873.09 | $1,335.00 | $83.01–$1,214.01 | — | 35% |
| Prostate biopsy CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $1,121.61 | $1,715.00 | $66.66–$1,559.46 | 54% below | 35% |
| Prostate biopsy CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $1,121.61 | $1,715.00 | $66.66–$1,559.46 | 54% below | 35% |
| Prostate biopsy inpatient CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $1,121.61 | $1,715.00 | $66.66–$1,559.46 | — | 35% |
| Prostate biopsy inpatient CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $1,121.61 | $1,715.00 | $66.66–$1,559.46 | — | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $13,953.09 | $21,335.00 | $881.41–$19,394.55 | 36% above | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $13,953.09 | $21,335.00 | $881.41–$19,394.55 | 36% above | 35% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $13,953.09 | $21,335.00 | $881.41–$19,394.55 | — | 35% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $13,953.09 | $21,335.00 | $881.41–$19,394.55 | — | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,706.94 | $2,610.00 | $170.81–$2,368.80 | 48% below | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,706.94 | $2,610.00 | $170.81–$2,368.80 | 48% below | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,706.94 | $2,610.00 | $170.81–$2,368.80 | — | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,706.94 | $2,610.00 | $170.81–$2,368.80 | — | 35% |
| Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $3,727.80 | $5,700.00 | $183.82–$5,181.75 | 13% below | 35% |
| Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $3,727.80 | $5,700.00 | $183.82–$5,181.75 | 13% below | 35% |
| Removal of a breast lump, open surgery inpatient CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $3,727.80 | $5,700.00 | $183.82–$5,181.75 | — | 35% |
| Removal of a breast lump, open surgery inpatient CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $3,727.80 | $5,700.00 | $183.82–$5,181.75 | — | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $425.10 | $650.00 | $43.22–$643.77 | 34% below | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $425.10 | $650.00 | $43.22–$643.77 | 34% below | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $425.10 | $650.00 | $43.22–$643.77 | — | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $425.10 | $650.00 | $43.22–$643.77 | — | 35% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | $9,940.80 | $15,200.00 | $358.41–$13,818.00 | 44% above | 35% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | $9,940.80 | $15,200.00 | $358.41–$13,818.00 | 44% above | 35% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | $9,940.80 | $15,200.00 | $358.41–$13,818.00 | — | 35% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | $9,940.80 | $15,200.00 | $358.41–$13,818.00 | — | 35% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND | $1,690.59 | $2,585.00 | $169.27–$2,349.06 | 13% above | 35% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND | $1,690.59 | $2,585.00 | $169.27–$2,349.06 | — | 35% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND | $1,690.59 | $2,585.00 | $168.77–$2,349.06 | 57% above | 35% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND | $1,690.59 | $2,585.00 | $168.77–$2,349.06 | — | 35% |
| Septoplasty to straighten the nasal septum CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $3,871.68 | $5,920.00 | $278.77–$5,379.15 | 1% above | 35% |
| Septoplasty to straighten the nasal septum CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $3,871.68 | $5,920.00 | $278.77–$5,379.15 | 1% above | 35% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $3,871.68 | $5,920.00 | $278.77–$5,379.15 | — | 35% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $3,871.68 | $5,920.00 | $278.77–$5,379.15 | — | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE | $6,867.00 | $10,500.00 | $283.93–$9,544.29 | 41% above | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE | $6,867.00 | $10,500.00 | $283.93–$9,544.29 | 41% above | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE | $6,867.00 | $10,500.00 | $283.93–$9,544.29 | — | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE | $6,867.00 | $10,500.00 | $283.93–$9,544.29 | — | 35% |
| Short arm cast (elbow to hand) CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM | $487.23 | $745.00 | $29.60–$447.00 | 19% above | 35% |
| Short arm cast (elbow to hand) CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM | $487.23 | $745.00 | $29.60–$447.00 | 19% above | 35% |
| Short arm cast (elbow to hand) inpatient CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM | $487.23 | $745.00 | $29.60–$447.00 | — | 35% |
| Short arm cast (elbow to hand) inpatient CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM | $487.23 | $745.00 | $29.60–$447.00 | — | 35% |
| Short arm splint (forearm and hand) CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $313.92 | $480.00 | $19.96–$434.28 | 52% above | 35% |
| Short arm splint (forearm and hand) CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $313.92 | $480.00 | $19.96–$434.28 | 52% above | 35% |
| Short arm splint (forearm and hand) inpatient CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $313.92 | $480.00 | $19.96–$434.28 | — | 35% |
| Short arm splint (forearm and hand) inpatient CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $313.92 | $480.00 | $19.96–$434.28 | — | 35% |
| Short leg cast (below the knee) CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $595.14 | $910.00 | $31.56–$546.00 | 38% above | 35% |
| Short leg cast (below the knee) CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $595.14 | $910.00 | $31.56–$546.00 | 38% above | 35% |
| Short leg cast (below the knee) inpatient CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $595.14 | $910.00 | $31.56–$546.00 | — | 35% |
| Short leg cast (below the knee) inpatient CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $595.14 | $910.00 | $31.56–$546.00 | — | 35% |
| Short leg splint (calf to foot) CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT | $349.89 | $535.00 | $23.71–$483.63 | 46% above | 35% |
| Short leg splint (calf to foot) CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT | $349.89 | $535.00 | $23.71–$483.63 | 46% above | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT | $349.89 | $535.00 | $23.71–$483.63 | — | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT | $349.89 | $535.00 | $23.71–$483.63 | — | 35% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC | $6,867.00 | $10,500.00 | $324.02–$9,544.29 | 79% above | 35% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC | $6,867.00 | $10,500.00 | $324.02–$9,544.29 | 79% above | 35% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC | $6,867.00 | $10,500.00 | $324.02–$9,544.29 | — | 35% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC | $6,867.00 | $10,500.00 | $324.02–$9,544.29 | — | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $7,265.94 | $11,110.00 | $162.30–$10,097.01 | 73% above | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $7,265.94 | $11,110.00 | $162.30–$10,097.01 | 73% above | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $7,265.94 | $11,110.00 | $162.30–$10,097.01 | — | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $7,265.94 | $11,110.00 | $162.30–$10,097.01 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $699.78 | $1,070.00 | $42.14–$690.90 | 85% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $699.78 | $1,070.00 | $42.14–$690.90 | 85% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $699.78 | $1,070.00 | $42.14–$690.90 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $699.78 | $1,070.00 | $42.14–$690.90 | — | 35% |
| Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION | $523.20 | $800.00 | $27.52–$698.69 | 24% below | 35% |
| Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION | $523.20 | $800.00 | $27.52–$698.69 | 24% below | 35% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION | $523.20 | $800.00 | $27.52–$698.69 | — | 35% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION | $523.20 | $800.00 | $27.52–$698.69 | — | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< | $559.17 | $855.00 | $50.75–$1,056.09 | 35% below | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< | $559.17 | $855.00 | $50.75–$1,056.09 | 35% below | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< | $559.17 | $855.00 | $50.75–$1,056.09 | — | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< | $559.17 | $855.00 | $50.75–$1,056.09 | — | 35% |
| Skin tag removal, up to 15 tags CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $487.23 | $745.00 | $31.60–$483.63 | 41% above | 35% |
| Skin tag removal, up to 15 tags CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $487.23 | $745.00 | $31.60–$483.63 | 41% above | 35% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $487.23 | $745.00 | $31.60–$483.63 | — | 35% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $487.23 | $745.00 | $31.60–$483.63 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $745.56 | $1,140.00 | $36.93–$1,036.35 | 34% below | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $745.56 | $1,140.00 | $36.93–$1,036.35 | 34% below | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $745.56 | $1,140.00 | $36.93–$1,036.35 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $745.56 | $1,140.00 | $36.93–$1,036.35 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $712.86 | $1,090.00 | $53.61–$987.00 | 81% above | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $712.86 | $1,090.00 | $53.61–$987.00 | 81% above | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $712.86 | $1,090.00 | $53.61–$987.00 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $712.86 | $1,090.00 | $53.61–$987.00 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $742.29 | $1,135.00 | $49.60–$789.60 | 96% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $742.29 | $1,135.00 | $49.60–$789.60 | 96% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $742.29 | $1,135.00 | $49.60–$789.60 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $742.29 | $1,135.00 | $49.60–$789.60 | — | 35% |
| TURP (transurethral resection of the prostate) CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | $8,521.62 | $13,030.00 | $416.27–$11,844.00 | 42% above | 35% |
| TURP (transurethral resection of the prostate) CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | $8,521.62 | $13,030.00 | $416.27–$11,844.00 | 42% above | 35% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | $8,521.62 | $13,030.00 | $416.27–$11,844.00 | — | 35% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | $8,521.62 | $13,030.00 | $416.27–$11,844.00 | — | 35% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION | $418.56 | $640.00 | $21.95–$555.76 | 10% below | 35% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION | $418.56 | $640.00 | $21.95–$555.76 | 10% below | 35% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION | $418.56 | $640.00 | $21.95–$555.76 | — | 35% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION | $418.56 | $640.00 | $21.95–$555.76 | — | 35% |
| Thoracentesis with imaging guidance CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $860.01 | $1,315.00 | $58.35–$1,204.89 | 32% below | 35% |
| Thoracentesis with imaging guidance CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $860.01 | $1,315.00 | $58.35–$1,204.89 | 32% below | 35% |
| Thoracentesis with imaging guidance inpatient CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $860.01 | $1,315.00 | $58.35–$1,204.89 | — | 35% |
| Thoracentesis with imaging guidance inpatient CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $860.01 | $1,315.00 | $58.35–$1,204.89 | — | 35% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $2,848.17 | $4,355.00 | $148.06–$3,957.87 | 26% below | 35% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $2,848.17 | $4,355.00 | $148.06–$3,957.87 | 26% below | 35% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $2,848.17 | $4,355.00 | $148.06–$3,957.87 | — | 35% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $2,848.17 | $4,355.00 | $148.06–$3,957.87 | — | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $2,743.53 | $4,195.00 | $141.04–$3,809.82 | 61% below | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $2,743.53 | $4,195.00 | $141.04–$3,809.82 | 61% below | 35% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $2,743.53 | $4,195.00 | $141.04–$3,809.82 | — | 35% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $2,743.53 | $4,195.00 | $141.04–$3,809.82 | — | 35% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $2,393.64 | $3,660.00 | $122.66–$3,326.19 | 38% below | 35% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $2,393.64 | $3,660.00 | $122.66–$3,326.19 | 38% below | 35% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $2,393.64 | $3,660.00 | $122.66–$3,326.19 | — | 35% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $2,393.64 | $3,660.00 | $122.66–$3,326.19 | — | 35% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 | $2,387.10 | $3,650.00 | $127.00–$3,316.32 | 66% below | 35% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 | $2,387.10 | $3,650.00 | $127.00–$3,316.32 | 66% below | 35% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 | $2,387.10 | $3,650.00 | $127.00–$3,316.32 | — | 35% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 | $2,387.10 | $3,650.00 | $127.00–$3,316.32 | — | 35% |
| Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $14,715.00 | $22,500.00 | $697.27–$20,450.64 | 3% below | 35% |
| Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $14,715.00 | $22,500.00 | $697.27–$20,450.64 | 3% below | 35% |
| Total hip replacement inpatient CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $14,715.00 | $22,500.00 | $697.27–$20,450.64 | — | 35% |
| Total hip replacement inpatient CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $14,715.00 | $22,500.00 | $697.27–$20,450.64 | — | 35% |
| Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $15,843.15 | $24,225.00 | $749.09–$22,019.97 | 4% above | 35% |
| Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $15,843.15 | $24,225.00 | $749.09–$22,019.97 | 4% above | 35% |
| Total knee replacement inpatient CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $15,843.15 | $24,225.00 | $749.09–$22,019.97 | — | 35% |
| Total knee replacement inpatient CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $15,843.15 | $24,225.00 | $749.09–$22,019.97 | — | 35% |
| Total shoulder replacement CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $15,287.25 | $23,375.00 | $730.45–$21,250.11 | 29% below | 35% |
| Total shoulder replacement CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $15,287.25 | $23,375.00 | $730.45–$21,250.11 | 29% below | 35% |
| Total shoulder replacement inpatient CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $15,287.25 | $23,375.00 | $730.45–$21,250.11 | — | 35% |
| Total shoulder replacement inpatient CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $15,287.25 | $23,375.00 | $730.45–$21,250.11 | — | 35% |
| Total thyroid removal (thyroidectomy) CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE | $10,934.88 | $16,720.00 | $457.88–$15,199.80 | 58% above | 35% |
| Total thyroid removal (thyroidectomy) CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE | $10,934.88 | $16,720.00 | $457.88–$15,199.80 | 58% above | 35% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE | $10,934.88 | $16,720.00 | $457.88–$15,199.80 | — | 35% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE | $10,934.88 | $16,720.00 | $457.88–$15,199.80 | — | 35% |
| Trigger finger release surgery CPT 26055 PR TENDON SHEATH INCISION | $2,743.53 | $4,195.00 | $140.00–$3,809.82 | 22% above | 35% |
| Trigger finger release surgery CPT 26055 PR TENDON SHEATH INCISION | $2,743.53 | $4,195.00 | $140.00–$3,809.82 | 22% above | 35% |
| Trigger finger release surgery inpatient CPT 26055 PR TENDON SHEATH INCISION | $2,743.53 | $4,195.00 | $140.00–$3,809.82 | — | 35% |
| Trigger finger release surgery inpatient CPT 26055 PR TENDON SHEATH INCISION | $2,743.53 | $4,195.00 | $140.00–$3,809.82 | — | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $398.94 | $610.00 | $18.18–$552.72 | 5% below | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $398.94 | $610.00 | $18.18–$552.72 | 5% below | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $398.94 | $610.00 | $18.18–$552.72 | — | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $398.94 | $610.00 | $18.18–$552.72 | — | 35% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS | $5,853.30 | $8,950.00 | $182.81–$8,132.88 | 15% below | 35% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS | $5,853.30 | $8,950.00 | $182.81–$8,132.88 | 15% below | 35% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS | $5,853.30 | $8,950.00 | $182.81–$8,132.88 | — | 35% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS | $5,853.30 | $8,950.00 | $182.81–$8,132.88 | — | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID | $2,756.61 | $4,215.00 | $94.08–$3,804.99 | 5% below | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID | $2,756.61 | $4,215.00 | $94.08–$3,804.99 | 5% below | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID | $2,756.61 | $4,215.00 | $94.08–$3,804.99 | — | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID | $2,756.61 | $4,215.00 | $94.08–$3,804.99 | — | 35% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $1,268.76 | $1,940.00 | $68.49–$1,865.43 | 43% below | 35% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $1,268.76 | $1,940.00 | $68.49–$1,865.43 | 43% below | 35% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $1,268.76 | $1,940.00 | $68.49–$1,865.43 | — | 35% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $1,268.76 | $1,940.00 | $68.49–$1,865.43 | — | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,327.62 | $2,030.00 | $101.00–$1,845.69 | 14% below | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,327.62 | $2,030.00 | $101.00–$1,845.69 | 14% below | 35% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,327.62 | $2,030.00 | $101.00–$1,845.69 | — | 35% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,327.62 | $2,030.00 | $101.00–$1,845.69 | — | 35% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $1,350.51 | $2,065.00 | $101.00–$1,875.30 | 22% above | 35% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $1,350.51 | $2,065.00 | $101.00–$1,875.30 | 22% above | 35% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $1,350.51 | $2,065.00 | $101.00–$1,875.30 | — | 35% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $1,350.51 | $2,065.00 | $101.00–$1,875.30 | — | 35% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $1,690.59 | $2,585.00 | $104.09–$2,349.06 | 25% below | 35% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $1,690.59 | $2,585.00 | $104.09–$2,349.06 | 25% below | 35% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $1,690.59 | $2,585.00 | $104.09–$2,349.06 | — | 35% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $1,690.59 | $2,585.00 | $104.09–$2,349.06 | — | 35% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $1,458.42 | $2,230.00 | $90.27–$2,023.35 | 31% above | 35% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $1,458.42 | $2,230.00 | $90.27–$2,023.35 | 31% above | 35% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $1,458.42 | $2,230.00 | $90.27–$2,023.35 | — | 35% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $1,458.42 | $2,230.00 | $90.27–$2,023.35 | — | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,115.07 | $1,705.00 | $80.80–$1,549.59 | at median | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,115.07 | $1,705.00 | $80.80–$1,549.59 | at median | 35% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,115.07 | $1,705.00 | $80.80–$1,549.59 | — | 35% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,115.07 | $1,705.00 | $80.80–$1,549.59 | — | 35% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $3,103.23 | $4,745.00 | $189.30–$4,313.19 | 56% below | 35% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $3,103.23 | $4,745.00 | $189.30–$4,313.19 | 56% below | 35% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $3,103.23 | $4,745.00 | $189.30–$4,313.19 | — | 35% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $3,103.23 | $4,745.00 | $189.30–$4,313.19 | — | 35% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $5,290.86 | $8,090.00 | $222.20–$7,353.15 | 12% below | 35% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $5,290.86 | $8,090.00 | $222.20–$7,353.15 | 12% below | 35% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $5,290.86 | $8,090.00 | $222.20–$7,353.15 | — | 35% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $5,290.86 | $8,090.00 | $222.20–$7,353.15 | — | 35% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $3,404.07 | $5,205.00 | $223.31–$4,810.76 | 43% below | 35% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $3,404.07 | $5,205.00 | $223.31–$4,810.76 | 43% below | 35% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $3,404.07 | $5,205.00 | $223.31–$4,810.76 | — | 35% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $3,404.07 | $5,205.00 | $223.31–$4,810.76 | — | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $25,368.66 | $38,790.00 | $1,829.32–$35,263.78 | 405% above | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $25,368.66 | $38,790.00 | $1,829.32–$35,263.78 | 405% above | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $25,368.66 | $38,790.00 | $1,829.32–$35,263.78 | — | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $25,368.66 | $38,790.00 | $1,829.32–$35,263.78 | — | 35% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,737.96–$35,263.78 | 705% above | 35% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,737.96–$35,263.78 | 705% above | 35% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,737.96–$35,263.78 | — | 35% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $25,368.66 | $38,790.00 | $1,737.96–$35,263.78 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $2,763.15 | $4,225.00 | $116.36–$2,535.00 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $2,763.15 | $4,225.00 | $116.36–$2,535.00 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $2,763.15 | $4,225.00 | $116.36–$2,535.00 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $2,763.15 | $4,225.00 | $116.36–$2,535.00 | — | 35% |
| Vein ablation, radiofrequency, first vein CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $6,853.92 | $10,480.00 | $172.81–$9,526.77 | 84% above | 35% |
| Vein ablation, radiofrequency, first vein CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $6,853.92 | $10,480.00 | $172.81–$9,526.77 | 84% above | 35% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $6,853.92 | $10,480.00 | $172.81–$9,526.77 | — | 35% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $6,853.92 | $10,480.00 | $172.81–$9,526.77 | — | 35% |
| Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 | $402.21 | $615.00 | $28.82–$534.94 | 24% above | 35% |
| Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 | $402.21 | $615.00 | $28.82–$534.94 | 24% above | 35% |
| Wart removal, up to 14 warts inpatient CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 | $402.21 | $615.00 | $28.82–$534.94 | — | 35% |
| Wart removal, up to 14 warts inpatient CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 | $402.21 | $615.00 | $28.82–$534.94 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< | $398.94 | $610.00 | $23.16–$552.72 | 52% below | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< | $398.94 | $610.00 | $23.16–$552.72 | 52% below | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< | $398.94 | $610.00 | $23.16–$552.72 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< | $398.94 | $610.00 | $23.16–$552.72 | — | 35% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION | $5,758.47 | $8,805.00 | $335.37–$8,004.57 | 32% below | 35% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION | $5,758.47 | $8,805.00 | $335.37–$8,004.57 | 32% below | 35% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION | $5,758.47 | $8,805.00 | $335.37–$8,004.57 | — | 35% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION | $5,758.47 | $8,805.00 | $335.37–$8,004.57 | — | 35% |
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 PR TRANSFUSION BLOOD/BLOOD COMPONENTS | $333.54 | $510.00 | $21.23–$493.50 | 56% below | 35% |
| Blood transfusion (giving blood or blood components) CPT 36430 PR TRANSFUSION BLOOD/BLOOD COMPONENTS | $543.37 | $835.95 | $25.47–$501.57 | 28% below | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PR TRANSFUSION BLOOD/BLOOD COMPONENTS | $333.54 | $510.00 | $21.23–$493.50 | — | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PR TRANSFUSION BLOOD/BLOOD COMPONENTS | $543.37 | $835.95 | $25.47–$501.57 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $248.52 | $380.00 | $7.42–$345.45 | 32% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $282.96 | $435.33 | $7.74–$345.45 | 50% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $248.52 | $380.00 | $7.42–$345.45 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $282.96 | $435.33 | $7.74–$345.45 | — | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 PR CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $2,185.85 | $3,362.85 | $87.39–$2,233.09 | 257% above | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 PR CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $2,185.85 | $3,362.85 | $116.15–$2,233.09 | 257% above | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 PR CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $2,185.85 | $3,362.85 | $116.15–$2,233.09 | — | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 PR CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $2,185.85 | $3,362.85 | $87.39–$2,233.09 | — | 35% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | $454.53 | $695.00 | $44.80–$657.15 | 151% above | 35% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | $454.53 | $695.00 | $44.80–$657.15 | 151% above | 35% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | $454.53 | $695.00 | $44.80–$657.15 | — | 35% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | $454.53 | $695.00 | $44.80–$657.15 | — | 35% |
| Comprehensive eye exam, returning patient CPT 92014 PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | $372.78 | $570.00 | $34.10–$539.59 | 91% above | 35% |
| Comprehensive eye exam, returning patient CPT 92014 PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | $372.78 | $570.00 | $34.10–$539.59 | 91% above | 35% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | $372.78 | $570.00 | $34.10–$539.59 | — | 35% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | $372.78 | $570.00 | $34.10–$539.59 | — | 35% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ | $202.74 | $310.00 | $26.91–$296.10 | 5% above | 35% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ | $202.74 | $310.00 | $26.91–$296.10 | 5% above | 35% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ | $202.74 | $310.00 | $26.91–$296.10 | — | 35% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ | $202.74 | $310.00 | $26.91–$296.10 | — | 35% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $866.55 | $1,325.00 | $84.68–$1,283.10 | — | 35% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $866.55 | $1,325.00 | $84.68–$1,283.10 | — | 35% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $850.04 | $1,299.76 | $42.55–$1,654.05 | 28% above | 35% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $850.04 | $1,299.76 | $42.55–$1,654.05 | 28% above | 35% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $850.04 | $1,299.76 | $42.55–$1,654.05 | — | 35% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $850.04 | $1,299.76 | $42.55–$1,654.05 | — | 35% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $198.25 | $305.00 | $13.29–$276.36 | 223% above | 35% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $198.25 | $305.00 | $16.41 | 223% above | 35% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $198.25 | $305.00 | $13.29–$276.36 | — | 35% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $198.25 | $305.00 | $16.41 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $133.25 | $205.00 | $7.60 | 3% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $133.25 | $205.00 | $6.16–$197.40 | 3% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $133.25 | $205.00 | $7.60 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $133.25 | $205.00 | $6.16–$197.40 | — | 35% |
| Electroconvulsive therapy (ECT), one session CPT 90870 PR ELECTROCONVULSIVE THERAPY | $533.01 | $815.00 | $45.45–$740.25 | 28% below | 35% |
| Electroconvulsive therapy (ECT), one session CPT 90870 PR ELECTROCONVULSIVE THERAPY | $533.01 | $815.00 | $45.45–$740.25 | 28% below | 35% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 PR ELECTROCONVULSIVE THERAPY | $533.01 | $815.00 | $45.45–$740.25 | — | 35% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 PR ELECTROCONVULSIVE THERAPY | $533.01 | $815.00 | $45.45–$740.25 | — | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | $228.90 | $350.00 | $8.04–$315.84 | 8% below | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | $228.90 | $350.00 | $8.04–$315.84 | 8% below | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | $228.90 | $350.00 | $8.04–$315.84 | — | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | $228.90 | $350.00 | $8.04–$315.84 | — | 35% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | $248.52 | $380.00 | $15.11–$345.45 | 32% below | 35% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | $248.52 | $380.00 | $15.11–$345.45 | 32% below | 35% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | $248.52 | $380.00 | $15.11–$345.45 | — | 35% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | $248.52 | $380.00 | $15.11–$345.45 | — | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM | $294.30 | $450.00 | $24.41–$419.39 | 45% below | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM | $294.30 | $450.00 | $24.41–$419.39 | 45% below | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM | $294.30 | $450.00 | $24.41–$419.39 | — | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM | $294.30 | $450.00 | $24.41–$419.39 | — | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $454.53 | $695.00 | $45.02–$700.74 | 45% below | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $454.53 | $695.00 | $45.02–$700.74 | 45% below | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $454.53 | $695.00 | $45.02–$700.74 | — | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $454.53 | $695.00 | $45.02–$700.74 | — | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM | $680.16 | $1,040.00 | $64.75–$1,020.28 | 41% below | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM | $680.16 | $1,040.00 | $64.75–$1,020.28 | 41% below | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM | $680.16 | $1,040.00 | $64.75–$1,020.28 | — | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM | $680.16 | $1,040.00 | $64.75–$1,020.28 | — | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PR CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $552.50 | $850.00 | $45.10 | 1% above | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PR CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $552.50 | $850.00 | $36.53–$769.86 | 1% above | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PR CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $552.50 | $850.00 | $36.53–$769.86 | — | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PR CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $552.50 | $850.00 | $45.10 | — | 35% |
| Eye exam, returning patient, intermediate CPT 92012 PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT | $245.25 | $375.00 | $30.30–$371.83 | 7% above | 35% |
| Eye exam, returning patient, intermediate CPT 92012 PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT | $245.25 | $375.00 | $30.30–$371.83 | 7% above | 35% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT | $245.25 | $375.00 | $30.30–$371.83 | — | 35% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT | $245.25 | $375.00 | $30.30–$371.83 | — | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $415.29 | $635.00 | $55.50–$574.36 | 54% above | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $415.29 | $635.00 | $55.50–$574.36 | 54% above | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $415.29 | $635.00 | $55.50–$574.36 | — | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $415.29 | $635.00 | $55.50–$574.36 | — | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $640.92 | $980.00 | $85.96–$888.30 | 147% above | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $640.92 | $980.00 | $85.96–$888.30 | 147% above | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $640.92 | $980.00 | $85.96–$888.30 | — | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $640.92 | $980.00 | $85.96–$888.30 | — | 35% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $179.85 | $275.00 | $21.47–$246.75 | 46% above | 35% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $179.85 | $275.00 | $21.47–$246.75 | 46% above | 35% |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $179.85 | $275.00 | $21.47–$246.75 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $179.85 | $275.00 | $21.47–$246.75 | — | 35% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 PR XTRNL ECG REC<48 HRS RECORDING SCAN A/R R&I | $1,313.00 | $2,020.00 | $61.23–$1,835.82 | 382% above | 35% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 PR XTRNL ECG REC<48 HRS RECORDING SCAN A/R R&I | $1,313.00 | $2,020.00 | $80.89 | 382% above | 35% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 PR XTRNL ECG REC<48 HRS RECORDING SCAN A/R R&I | $1,313.00 | $2,020.00 | $61.23–$1,835.82 | — | 35% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 PR XTRNL ECG REC<48 HRS RECORDING SCAN A/R R&I | $1,313.00 | $2,020.00 | $80.89 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $578.50 | $890.00 | $28.83–$809.34 | 65% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $578.50 | $890.00 | $28.83–$809.34 | 65% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $578.50 | $890.00 | $28.83–$809.34 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $578.50 | $890.00 | $28.83–$809.34 | — | 35% |
| IV infusion of a medicine, first hour CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $663.00 | $1,020.00 | $36.91–$987.00 | 55% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $663.00 | $1,020.00 | $56.28–$987.00 | 55% above | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $663.00 | $1,020.00 | $56.28–$987.00 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $663.00 | $1,020.00 | $36.91–$987.00 | — | 35% |
| IV push of a medicine, first drug CPT 96374 PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $490.75 | $755.00 | $32.75–$730.38 | 92% above | 35% |
| IV push of a medicine, first drug CPT 96374 PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $490.75 | $755.00 | $32.75–$730.38 | 92% above | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $490.75 | $755.00 | $32.75–$730.38 | — | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $490.75 | $755.00 | $32.75–$730.38 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $157.98 | $243.05 | $13.11–$227.01 | 58% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $157.98 | $243.05 | $11.14–$227.01 | 58% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $157.98 | $243.05 | $13.11–$227.01 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $157.98 | $243.05 | $11.14–$227.01 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $1,023.51 | $1,565.00 | $107.67–$1,421.28 | 326% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $1,023.51 | $1,565.00 | $107.67–$1,421.28 | 326% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $1,023.51 | $1,565.00 | $107.67–$1,421.28 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $1,023.51 | $1,565.00 | $107.67–$1,421.28 | — | 35% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES | $745.56 | $1,140.00 | $91.38–$754.56 | 96% above | 35% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES | $745.56 | $1,140.00 | $91.38–$754.56 | 96% above | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES | $745.56 | $1,140.00 | $91.38–$754.56 | — | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES | $745.56 | $1,140.00 | $91.38–$754.56 | — | 35% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $330.27 | $505.00 | $34.04–$477.72 | 61% above | 35% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $330.27 | $505.00 | $34.04–$477.72 | 61% above | 35% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $503.58 | $770.00 | $56.57–$727.40 | 69% above | 35% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $503.58 | $770.00 | $56.57–$727.40 | 69% above | 35% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $631.11 | $965.00 | $64.75–$933.19 | 94% above | 35% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $631.11 | $965.00 | $64.75–$933.19 | 94% above | 35% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | $228.90 | $350.00 | $22.18–$345.45 | 42% above | 35% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | $228.90 | $350.00 | $22.18–$345.45 | 42% above | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $173.31 | $265.00 | $23.00–$236.88 | 220% above | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $173.31 | $265.00 | $23.00–$236.88 | 220% above | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $173.31 | $265.00 | $23.00–$236.88 | — | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $173.31 | $265.00 | $23.00–$236.88 | — | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $327.00 | $500.00 | $64.75–$513.21 | 19% above | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $327.00 | $500.00 | $64.75–$513.21 | 19% above | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $327.00 | $500.00 | $64.75–$513.21 | — | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $327.00 | $500.00 | $64.75–$513.21 | — | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $327.00 | $500.00 | $64.75–$513.21 | 36% above | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $327.00 | $500.00 | $64.75–$513.21 | 36% above | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $327.00 | $500.00 | $64.75–$513.21 | — | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $327.00 | $500.00 | $64.75–$513.21 | — | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $533.01 | $815.00 | $37.20–$740.25 | 164% above | 35% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $533.01 | $815.00 | $37.20–$740.25 | — | 35% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $533.01 | $815.00 | $45.71–$740.25 | 128% above | 35% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $533.01 | $815.00 | $45.71–$740.25 | — | 35% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> | $533.01 | $815.00 | $49.67–$740.25 | 108% above | 35% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> | $533.01 | $815.00 | $49.67–$740.25 | — | 35% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS | $497.04 | $760.00 | $33.05–$690.90 | 126% above | 35% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS | $497.04 | $760.00 | $33.05–$690.90 | — | 35% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | $497.04 | $760.00 | $37.20–$690.90 | 98% above | 35% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | $497.04 | $760.00 | $37.20–$690.90 | — | 35% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER | $497.04 | $760.00 | $41.56–$690.90 | 138% above | 35% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER | $497.04 | $760.00 | $41.56–$690.90 | — | 35% |
| Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $1,023.51 | $1,565.00 | $116.22–$1,421.28 | 255% above | 35% |
| Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $1,023.51 | $1,565.00 | $116.22–$1,421.28 | 255% above | 35% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $1,023.51 | $1,565.00 | $116.22–$1,421.28 | — | 35% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $1,023.51 | $1,565.00 | $116.22–$1,421.28 | — | 35% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $640.92 | $980.00 | $58.30–$890.27 | 86% above | 35% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $640.92 | $980.00 | $58.30–$890.27 | 86% above | 35% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $640.92 | $980.00 | $58.30–$890.27 | — | 35% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $640.92 | $980.00 | $58.30–$890.27 | — | 35% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $739.02 | $1,130.00 | $116.44–$1,026.48 | 214% above | 35% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $739.02 | $1,130.00 | $116.44–$1,026.48 | 214% above | 35% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $739.02 | $1,130.00 | $116.44–$1,026.48 | — | 35% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $739.02 | $1,130.00 | $116.44–$1,026.48 | — | 35% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $392.40 | $600.00 | $52.84–$542.85 | 104% above | 35% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $392.40 | $600.00 | $52.84–$542.85 | 104% above | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $392.40 | $600.00 | $52.84–$542.85 | — | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $392.40 | $600.00 | $52.84–$542.85 | — | 35% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $739.02 | $1,130.00 | $71.09–$1,026.48 | 191% above | 35% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $739.02 | $1,130.00 | $71.09–$1,026.48 | 191% above | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $739.02 | $1,130.00 | $71.09–$1,026.48 | — | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $739.02 | $1,130.00 | $71.09–$1,026.48 | — | 35% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $739.02 | $1,130.00 | $106.12–$1,026.48 | 148% above | 35% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $739.02 | $1,130.00 | $106.12–$1,026.48 | 148% above | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $739.02 | $1,130.00 | $106.12–$1,026.48 | — | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $739.02 | $1,130.00 | $106.12–$1,026.48 | — | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $91.56 | $140.00 | $10.53–$127.72 | 103% above | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $91.56 | $140.00 | $10.53–$127.72 | 103% above | 35% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $91.56 | $140.00 | $10.53–$127.72 | — | 35% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $91.56 | $140.00 | $10.53–$127.72 | — | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN | $516.66 | $790.00 | $48.89–$730.36 | 108% above | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN | $516.66 | $790.00 | $48.89–$730.36 | 108% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $261.60 | $400.00 | $21.76–$345.45 | 43% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $261.60 | $400.00 | $21.76–$345.45 | 43% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $330.27 | $505.00 | $34.03–$494.02 | 64% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $330.27 | $505.00 | $34.03–$494.02 | 64% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN | $320.46 | $490.00 | $11.47–$444.15 | 148% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN | $320.46 | $490.00 | $11.47–$444.15 | 148% above | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $591.87 | $905.00 | $48.30–$819.21 | 99% above | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $654.00 | $1,000.00 | $75.62–$944.64 | 119% above | 35% |
| Speech and language evaluation CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $629.11 | $961.94 | $101.20–$1,549.59 | 60% above | 35% |
| Speech and language evaluation CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $629.11 | $961.94 | $101.20–$1,549.59 | 60% above | 35% |
| Speech and language evaluation inpatient CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $629.11 | $961.94 | $101.20–$1,549.59 | — | 35% |
| Speech and language evaluation inpatient CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $629.11 | $961.94 | $101.20–$1,549.59 | — | 35% |
| Speech therapy session, individual CPT 92507 PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO INDIV | $176.47 | $269.83 | $30.28–$449.26 | 5% above | 35% |
| Speech therapy session, individual CPT 92507 PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO INDIV | $176.47 | $269.83 | $30.28–$449.26 | 5% above | 35% |
| Speech therapy session, individual inpatient CPT 92507 PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO INDIV | $176.47 | $269.83 | $30.28–$449.26 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 PR TX SPEECH LANG VOICE COMMJ&/AUD PROC DO INDIV | $176.47 | $269.83 | $30.28–$449.26 | — | 35% |
| Spirometry (breathing test) CPT 94010 PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | $219.09 | $335.00 | $7.13–$227.01 | at median | 35% |
| Spirometry (breathing test) CPT 94010 PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | $219.09 | $335.00 | $7.13–$227.01 | at median | 35% |
| Spirometry (breathing test) inpatient CPT 94010 PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | $219.09 | $335.00 | $7.13–$227.01 | — | 35% |
| Spirometry (breathing test) inpatient CPT 94010 PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | $219.09 | $335.00 | $7.13–$227.01 | — | 35% |
| Spirometry before and after a bronchodilator CPT 94060 PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $274.68 | $420.00 | $8.84–$252.00 | 27% below | 35% |
| Spirometry before and after a bronchodilator CPT 94060 PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $274.68 | $420.00 | $8.84–$252.00 | 27% below | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $274.68 | $420.00 | $8.84–$252.00 | — | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PR BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $274.68 | $420.00 | $8.84–$252.00 | — | 35% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | $1,700.40 | $2,600.00 | $190.29–$2,361.40 | 361% above | 35% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | $1,700.40 | $2,600.00 | $190.29–$2,361.40 | 361% above | 35% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | $1,700.40 | $2,600.00 | $190.29–$2,361.40 | — | 35% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | $1,700.40 | $2,600.00 | $190.29–$2,361.40 | — | 35% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $435.50 | $670.00 | $22.00–$608.95 | 105% above | 35% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $438.18 | $670.00 | $22.00–$608.95 | 106% above | 35% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $435.50 | $670.00 | $22.00–$608.95 | — | 35% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $438.18 | $670.00 | $22.00–$608.95 | — | 35% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $1,764.28 | $2,714.28 | $82.65 | 414% above | 35% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $1,764.28 | $2,714.28 | $66.85–$1,628.57 | 414% above | 35% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $1,764.28 | $2,714.28 | $66.85–$1,628.57 | — | 35% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $1,764.28 | $2,714.28 | $82.65 | — | 35% |
| Visual field test, extended both sides CPT 92083 PR EXTENDED VISUAL FIELD XM UNI/BI I&R | $327.00 | $500.00 | $23.26–$473.76 | — | 35% |
| Visual field test, extended both sides CPT 92083 PR EXTENDED VISUAL FIELD XM UNI/BI I&R | $327.00 | $500.00 | $23.26–$473.76 | — | 35% |
| Visual field test, extended inpatient both sides CPT 92083 PR EXTENDED VISUAL FIELD XM UNI/BI I&R | $327.00 | $500.00 | $23.26–$473.76 | — | 35% |
| Visual field test, extended inpatient both sides CPT 92083 PR EXTENDED VISUAL FIELD XM UNI/BI I&R | $327.00 | $500.00 | $23.26–$473.76 | — | 35% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $709.59 | $1,085.00 | $141.15–$896.19 | 80% above | 35% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $709.59 | $1,085.00 | $141.15–$896.19 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM | $333.54 | $510.00 | $30.43–$586.50 | 501% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM | $333.54 | $510.00 | $30.43–$586.50 | 501% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM | $333.54 | $510.00 | $30.43–$586.50 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM | $333.54 | $510.00 | $30.43–$586.50 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $116.33 | $178.97 | $5.00–$124.31 | 38% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $116.33 | $178.97 | $5.00–$124.31 | 38% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $116.33 | $178.97 | $5.00–$124.31 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $116.33 | $178.97 | $5.00–$124.31 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $63.45 | $97.62 | $5.00–$76.42 | 41% above | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $63.45 | $97.62 | $5.00–$76.42 | 41% above | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $63.45 | $97.62 | $5.00–$76.42 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $63.45 | $97.62 | $5.00–$76.42 | — | 35% |
Source file: https://assets.montefioreeinstein.org/patient-information/131740114_montefiore-medical-center_standardcharges.csv