Astera Health
Astera Health in Wadena, MN publishes cash prices for 282 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Minnesota median for 197 of 281 procedures and below it for 78. By typical cash price it ranks #60 of 85 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
415 Jefferson St N, Wadena, MN 56482 Collected Sep 29, 2026 Source price file (218) 631-7489
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 241354 · CMS hospital register NPI 1477545333
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Routine Rt 3 Views | $232.27 | $321.71 | $62.64–$289.54 | 1% above | 28% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Routine Lt 3 Views | $232.27 | $321.71 | $62.64–$289.54 | 1% above | 28% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle Routine Rt 3 Views | $223.23 | $321.71 | $62.64–$25,061.21 | — | 31% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle Routine Lt 3 Views | $223.23 | $321.71 | $62.64–$25,061.21 | — | 31% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr Esophagram Barium | $548.72 | $760.00 | $147.97–$684.00 | 86% above | 28% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Xr Esophagram Barium | $527.36 | $760.00 | $147.97–$59,204.00 | — | 31% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan Whole Body | $1,381.19 | $1,913.00 | $372.46–$1,721.70 | 13% above | 28% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Scan Whole Body | $1,327.43 | $1,913.00 | $372.46–$149,022.70 | — | 31% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Sage Unilateral Complete | $442.36 | $612.69 | $119.29–$551.42 | 10% above | 28% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Unilateral Complete | $442.36 | $612.69 | $119.29–$551.42 | 10% above | 28% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Sage Unilateral Complete | $425.15 | $612.69 | $119.29–$47,728.55 | — | 31% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Unilateral Complete | $425.15 | $612.69 | $119.29–$47,728.55 | — | 31% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Unilateral Limited | $370.16 | $512.69 | $99.82–$461.42 | 16% above | 28% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Sage Unilateral Limited | $370.16 | $512.69 | $99.82–$461.42 | 16% above | 28% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Unilateral Limited | $355.76 | $512.69 | $99.82–$39,938.55 | — | 31% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Sage Unilateral Limited | $355.76 | $512.69 | $99.82–$39,938.55 | — | 31% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest | $2,028.35 | $2,809.35 | $445.88–$2,528.42 | 12% above | 28% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Pulmonary Embolism Study | $2,028.35 | $2,809.35 | $445.88–$2,528.42 | 12% above | 28% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest | $1,949.41 | $2,809.35 | $546.98–$218,848.37 | — | 31% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Pulmonary Embolism Study | $1,949.41 | $2,809.35 | $546.98–$218,848.37 | — | 31% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd and Pelvis Without IV Contrast | $2,207.95 | $3,058.10 | $595.02–$2,752.29 | 6% above | 28% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd and Pelvis Without IV Contrast | $2,122.02 | $3,058.10 | $595.41–$238,225.99 | — | 31% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd and Pelvis With IV Contrast | $2,843.96 | $3,939.00 | $933.51–$3,545.10 | 12% above | 28% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd and Pelvis With IV Contrast | $2,733.27 | $3,939.00 | $766.92–$306,848.10 | — | 31% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd and Pelvis WO W IV Contrast | $2,992.65 | $4,144.95 | $933.51–$3,730.46 | 5% above | 28% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd and Pelvis WO W IV Contrast | $2,876.18 | $4,144.95 | $807.02–$322,891.61 | — | 31% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W IV Contrast | $1,607.19 | $2,226.02 | $445.88–$2,003.42 | 6% above | 28% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W IV Contrast | $1,544.64 | $2,226.02 | $433.41–$173,406.96 | — | 31% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen Routine WO IV Contrast | $1,390.59 | $1,926.02 | $266.72–$1,733.42 | 18% above | 28% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen Routine WO IV Contrast | $1,336.47 | $1,926.02 | $375.00–$150,036.96 | — | 31% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO IV Contrast | $1,390.59 | $1,926.02 | $266.72–$1,733.42 | 6% above | 28% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Facial Bones WO IV Contrast | $1,390.59 | $1,926.02 | $266.72–$1,733.42 | 6% above | 28% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Facial Bones WO IV Contrast | $1,336.47 | $1,926.02 | $375.00–$150,036.96 | — | 31% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO IV Contrast | $1,336.47 | $1,926.02 | $375.00–$150,036.96 | — | 31% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Routine WO IV Contrast | $1,390.59 | $1,926.02 | $266.72–$1,733.42 | 10% above | 28% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Routine WO IV Contrast | $1,336.47 | $1,926.02 | $375.00–$150,036.96 | — | 31% |
| CT scan of the head with contrast CPT 70460 CT Head W IV Contrast | $1,902.04 | $2,634.40 | $445.88–$2,370.96 | 47% above | 28% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head W IV Contrast | $1,828.01 | $2,634.40 | $512.92–$205,219.76 | — | 31% |
| CT scan of the head without and with contrast CPT 70470 CT Head WO W IV Contrast | $2,472.85 | $3,425.00 | $445.88–$3,082.50 | 56% above | 28% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head WO W IV Contrast | $2,376.61 | $3,425.00 | $666.85–$266,807.50 | — | 31% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine Routine Without Contrast | $1,681.03 | $2,328.29 | $266.72–$2,095.46 | 16% above | 28% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine Routine Without Contrast | $1,615.60 | $2,328.29 | $453.32–$181,373.79 | — | 31% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine Routine Without Contrast | $1,681.03 | $2,328.29 | $266.72–$2,095.46 | 17% above | 28% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine Routine Without Contrast | $1,615.60 | $2,328.29 | $453.32–$181,373.79 | — | 31% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W IV Contrast | $1,897.63 | $2,628.29 | $445.88–$2,365.46 | 29% above | 28% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W IV Contrast | $1,823.77 | $2,628.29 | $511.73–$204,743.79 | — | 31% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Bilateral Routine | $911.50 | $1,262.46 | $245.80–$1,136.21 | — | 28% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Bilateral Routine | $876.02 | $1,262.46 | $245.80–$98,345.63 | — | 31% |
| Chest X-ray, 2 views CPT 71046 Xr Chest Pa and Lat | $226.15 | $313.23 | $60.99–$440.79 | 2% below | 28% |
| Chest X-ray, 2 views CPT 71046 Xr Chest Obliques Only | $226.15 | $313.23 | $60.99–$440.79 | 2% below | 28% |
| Chest X-ray, 2 views inpatient CPT 71046 Xr Chest Pa and Lat | $217.35 | $313.23 | $60.99–$24,400.62 | — | 31% |
| Chest X-ray, 2 views inpatient CPT 71046 Xr Chest Obliques Only | $217.35 | $313.23 | $60.99–$24,400.62 | — | 31% |
| Chest X-ray, single view CPT 71045 Xr Chest Apical Lordotic | $211.23 | $292.56 | $56.96–$263.30 | 9% above | 28% |
| Chest X-ray, single view CPT 71045 Xr Chest One View | $211.23 | $292.56 | $56.96–$263.30 | 9% above | 28% |
| Chest X-ray, single view CPT 71045 Xr Chest Decubitus | $211.23 | $292.56 | $56.96–$263.30 | 9% above | 28% |
| Chest X-ray, single view inpatient CPT 71045 Xr Chest Decubitus | $203.01 | $292.56 | $56.96–$22,790.42 | — | 31% |
| Chest X-ray, single view inpatient CPT 71045 Xr Chest Apical Lordotic | $203.01 | $292.56 | $56.96–$22,790.42 | — | 31% |
| Chest X-ray, single view inpatient CPT 71045 Xr Chest One View | $203.01 | $292.56 | $56.96–$22,790.42 | — | 31% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Bil | $554.47 | $767.97 | $149.52–$691.17 | 5% above | 28% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal Bil | $532.89 | $767.97 | $149.52–$59,824.86 | — | 31% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Hip and Spine | $269.91 | $373.83 | $72.78–$336.45 | 20% below | 28% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Spine | $269.91 | $373.83 | $72.78–$336.45 | 20% below | 28% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Hip | $269.91 | $373.83 | $72.78–$336.45 | 20% below | 28% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Hip and Spine | $259.40 | $373.83 | $72.78–$29,121.36 | — | 31% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Hip | $259.40 | $373.83 | $72.78–$29,121.36 | — | 31% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Spine | $259.40 | $373.83 | $72.78–$29,121.36 | — | 31% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Forearm | $164.62 | $228.00 | $44.39–$205.20 | 15% below | 28% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Forearm | $158.21 | $228.00 | $44.39–$17,761.20 | — | 31% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resol WO IV Contrast | $1,442.25 | $1,997.57 | $266.72–$1,797.81 | 8% above | 28% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Pulmonary Nodule Followup WO Contr | $1,442.25 | $1,997.57 | $266.72–$1,797.81 | 8% above | 28% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest WO IV Contrast | $1,442.25 | $1,997.57 | $266.72–$1,797.81 | 8% above | 28% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest WO IV Contrast | $1,386.11 | $1,997.57 | $388.93–$155,610.70 | — | 31% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Pulmonary Nodule Followup WO Contr | $1,386.11 | $1,997.57 | $388.93–$155,610.70 | — | 31% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resol WO IV Contrast | $1,386.11 | $1,997.57 | $388.93–$155,610.70 | — | 31% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest W IV Contrast | $1,650.61 | $2,286.16 | $445.88–$2,057.54 | 6% above | 28% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest W IV Contrast | $1,586.37 | $2,286.16 | $445.12–$178,091.86 | — | 31% |
| Diagnostic mammogram, both breasts CPT 77066 Mammo Sage Diag Bil | $211.20 | $292.52 | $56.95–$263.27 | 34% below | 28% |
| Diagnostic mammogram, both breasts CPT 77066 Mammo Diag W Implants Bil | $211.23 | $292.56 | $56.96–$263.30 | 34% below | 28% |
| Diagnostic mammogram, both breasts CPT 77066 Mammo Diag Bil | $211.23 | $292.56 | $56.96–$263.30 | 34% below | 28% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Mammo Sage Diag Bil | $202.98 | $292.52 | $56.95–$22,787.31 | — | 31% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Mammo Diag Bil | $203.01 | $292.56 | $56.96–$22,790.42 | — | 31% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Mammo Diag W Implants Bil | $203.01 | $292.56 | $56.96–$22,790.42 | — | 31% |
| Diagnostic mammogram, one breast CPT 77065 Mammo Diag Post Clip or Wire Placement | $182.30 | $252.50 | $49.16–$227.25 | 42% below | 28% |
| Diagnostic mammogram, one breast CPT 77065 Mammo Diag Uni | $209.44 | $290.09 | $56.48–$261.08 | 33% below | 28% |
| Diagnostic mammogram, one breast CPT 77065 Mammo Sage Diag Uni | $209.44 | $290.09 | $56.48–$261.08 | 33% below | 28% |
| Diagnostic mammogram, one breast CPT 77065 Mammo Diag W Implants Uni | $255.21 | $353.47 | $68.82–$318.12 | 19% below | 28% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mammo Diag Post Clip or Wire Placement | $175.21 | $252.50 | $49.16–$19,669.75 | — | 31% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mammo Sage Diag Uni | $201.29 | $290.09 | $56.48–$22,598.01 | — | 31% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mammo Diag Uni | $201.29 | $290.09 | $56.48–$22,598.01 | — | 31% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mammo Diag W Implants Uni | $245.27 | $353.47 | $68.82–$27,535.31 | — | 31% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US Dop Artery Leg Bil | $744.38 | $1,031.00 | $200.74–$927.90 | at median | 28% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US Dop Artery Leg Bil | $715.41 | $1,031.00 | $200.74–$80,314.90 | — | 31% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Dop Vein Competence Study Bil | $744.38 | $1,031.00 | $200.74–$927.90 | 16% below | 28% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Dop Vein Arm Bil | $744.38 | $1,031.00 | $200.74–$927.90 | 16% below | 28% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Dop Vein Leg Bil | $744.38 | $1,031.00 | $200.74–$927.90 | 16% below | 28% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Dop Vein Competence Study Bil | $715.41 | $1,031.00 | $200.74–$80,314.90 | — | 31% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Dop Vein Arm Bil | $715.41 | $1,031.00 | $200.74–$80,314.90 | — | 31% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Dop Vein Leg Bil | $715.41 | $1,031.00 | $200.74–$80,314.90 | — | 31% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram, Pediatric | $1,506.53 | $2,086.61 | $778.31–$2,142.89 | 8% above | 28% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Complete Echo (2d/C/D) | $1,506.53 | $2,086.61 | $778.31–$2,142.89 | 8% above | 28% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram, Pediatric | $1,447.90 | $2,086.61 | $406.26–$162,546.92 | — | 31% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Complete Echo (2d/C/D) | $1,447.90 | $2,086.61 | $406.26–$162,546.92 | — | 31% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Scan | $1,164.59 | $1,613.00 | $314.05–$1,451.70 | 13% below | 28% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Scan | $1,119.26 | $1,613.00 | $314.05–$125,652.70 | — | 31% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study, Unattended, Simultaneous Recording of, Heart Rate, Oxygen, Respiratory Airflow/Effort (Procah) | $77.48 | $107.31 | $31.80–$224.24 | 87% below | 28% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study, Unattended | $563.16 | $780.00 | $151.87–$702.00 | 5% below | 28% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study, Unattended, Simultaneous Recording of, Heart Rate, Oxygen, Respiratory Airflow/Effort (Procah) | $74.46 | $107.31 | $20.89–$8,359.45 | — | 31% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study, Unattended | $541.24 | $780.00 | $151.87–$60,762.00 | — | 31% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Poly/Split, 6 Yrs and Older | $3,304.92 | $4,577.45 | $891.23–$4,119.71 | 5% below | 28% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Poly/Split, 6 Yrs and Older | $3,176.29 | $4,577.45 | $891.23–$356,583.36 | — | 31% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee and Patella Lt | $251.99 | $349.01 | $67.95–$314.11 | 4% above | 28% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee and Patella Rt | $251.99 | $349.01 | $67.95–$314.11 | 4% above | 28% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee Rt 3 Views | $251.99 | $349.01 | $67.95–$314.11 | 4% above | 28% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee Lt 3 Views | $251.99 | $349.01 | $67.95–$314.11 | 4% above | 28% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee Lt 3 Views | $242.18 | $349.01 | $67.95–$27,187.88 | — | 31% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee Rt 3 Views | $242.18 | $349.01 | $67.95–$27,187.88 | — | 31% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee and Patella Lt | $242.18 | $349.01 | $67.95–$27,187.88 | — | 31% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee and Patella Rt | $242.18 | $349.01 | $67.95–$27,187.88 | — | 31% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal Real Time W/Image Doc Limited | $430.31 | $596.00 | $116.04–$536.40 | 1% above | 28% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abd Ruq | $507.41 | $702.78 | $136.83–$632.50 | 19% above | 28% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abd Ltd | $507.41 | $702.78 | $136.83–$632.50 | 19% above | 28% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal Real Time W/Image Doc Limited | $413.56 | $596.00 | $116.04–$46,428.40 | — | 31% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abd Ruq | $487.66 | $702.78 | $136.83–$54,746.56 | — | 31% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abd Ltd | $487.66 | $702.78 | $136.83–$54,746.56 | — | 31% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening | $960.93 | $1,330.93 | $259.13–$1,197.84 | 53% above | 28% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Cancer Screening | $923.53 | $1,330.93 | $259.13–$103,679.45 | — | 31% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI, With or Without Contrast Material, Including Cad, When Performed; Bilateral (Procah) | $219.24 | $303.65 | $79.62–$739.30 | — | 28% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast Bil WO W Contrast Incl Cad | $1,907.21 | $2,641.57 | $445.88–$2,377.41 | 33% above | 28% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI, With or Without Contrast Material, Including Cad, When Performed; Bilateral (Procah) | $210.70 | $303.65 | $59.12–$23,654.34 | — | 31% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Breast Bil WO W Contrast Incl Cad | $1,832.99 | $2,641.57 | $514.31–$205,778.30 | — | 31% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Lt Any Jt Routine WO Contrast | $2,027.85 | $2,808.65 | $595.02–$2,527.79 | 4% below | 28% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Rt Any Jt Routine WO Contrast | $2,027.85 | $2,808.65 | $595.02–$2,527.79 | 4% below | 28% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Rt Any Jt Routine WO Contrast | $1,948.92 | $2,808.65 | $546.84–$218,793.84 | — | 31% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Lt Any Jt Routine WO Contrast | $1,948.92 | $2,808.65 | $546.84–$218,793.84 | — | 31% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Rt Any Jt WO W Contrast | $3,171.75 | $4,393.00 | $933.51–$3,953.70 | 23% above | 28% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Lt Any Jt WO W Contrast | $3,171.75 | $4,393.00 | $933.51–$3,953.70 | 23% above | 28% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Lt Any Jt WO W Contrast | $3,048.30 | $4,393.00 | $855.32–$342,214.70 | — | 31% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Rt Any Jt WO W Contrast | $3,048.30 | $4,393.00 | $855.32–$342,214.70 | — | 31% |
| MRI of the abdomen without contrast CPT 74181 MRI Mrcp Without Contrast | $2,084.41 | $2,887.00 | $595.02–$2,598.30 | 4% below | 28% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen Routine WO Contrast | $2,084.41 | $2,887.00 | $595.02–$2,598.30 | 4% below | 28% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen Routine WO Contrast | $2,003.29 | $2,887.00 | $562.10–$224,897.30 | — | 31% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Mrcp Without Contrast | $2,003.29 | $2,887.00 | $562.10–$224,897.30 | — | 31% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Liver Without and With Contrast | $3,161.54 | $4,378.86 | $933.51–$3,940.97 | 7% above | 28% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WO W Contrast | $3,161.54 | $4,378.86 | $933.51–$3,940.97 | 7% above | 28% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Pancreas Mrcp WO W Contrast | $3,573.32 | $4,949.20 | $335.54–$4,454.28 | 21% above | 28% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Pancreas Mrcp WO W Contrast | $3,038.49 | $4,378.86 | $852.56–$341,113.19 | — | 31% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Liver Without and With Contrast | $3,038.49 | $4,378.86 | $852.56–$341,113.19 | — | 31% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WO W Contrast | $3,038.49 | $4,378.86 | $852.56–$341,113.19 | — | 31% |
| MRI of the brain, no contrast dye CPT 70551 MRI Head Routine WO Contrast | $1,969.42 | $2,727.73 | $595.02–$2,454.96 | 7% below | 28% |
| MRI of the brain, no contrast dye CPT 70551 MRI Head WO Contrast Limited | $1,969.42 | $2,727.73 | $595.02–$2,454.96 | 7% below | 28% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Head Routine WO Contrast | $1,892.77 | $2,727.73 | $531.09–$212,490.17 | — | 31% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Head WO Contrast Limited | $1,892.77 | $2,727.73 | $531.09–$212,490.17 | — | 31% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Head WO W Contrast | $3,171.75 | $4,393.00 | $933.51–$3,953.70 | 9% above | 28% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Head WO W Contrast | $3,048.30 | $4,393.00 | $855.32–$342,214.70 | — | 31% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine Routine WO Contrast | $1,979.63 | $2,741.87 | $595.02–$2,467.68 | 5% below | 28% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar Spine Routine WO Contrast | $1,902.58 | $2,741.87 | $533.84–$213,591.67 | — | 31% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Lumbar Spine WO W Contrast | $3,423.63 | $4,741.87 | $933.51–$4,267.68 | 17% above | 28% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar Spine WO W Contrast | $3,290.38 | $4,741.87 | $923.24–$369,391.67 | — | 31% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine Routine WO Contrast | $1,979.63 | $2,741.87 | $595.02–$2,467.68 | 7% below | 28% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic Spine Routine WO Contrast | $1,902.58 | $2,741.87 | $533.84–$213,591.67 | — | 31% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Cervical Spine WO W Contrast | $3,423.63 | $4,741.87 | $933.51–$4,267.68 | 31% above | 28% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Cervical Spine WO W Contrast | $3,290.38 | $4,741.87 | $923.24–$369,391.67 | — | 31% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine Routine WO Contrast | $1,979.63 | $2,741.87 | $595.02–$2,467.68 | 6% below | 28% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical Spine Routine WO Contrast | $1,902.58 | $2,741.87 | $533.84–$213,591.67 | — | 31% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WO W Contrast | $3,171.75 | $4,393.00 | $933.51–$3,953.70 | 14% above | 28% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WO W Contrast | $3,048.30 | $4,393.00 | $855.32–$342,214.70 | — | 31% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis Routine WO Contrast | $2,883.67 | $3,994.00 | $595.02–$3,594.60 | 36% above | 28% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis Routine WO Contrast | $2,771.44 | $3,994.00 | $777.63–$311,132.60 | — | 31% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Upper Extremity Any Jt Limited | $2,027.85 | $2,808.65 | $595.02–$2,527.79 | 5% below | 28% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Upper Extremity Rt Any Jt WO Contrast | $2,027.85 | $2,808.65 | $595.02–$2,527.79 | 5% below | 28% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Upper Extremity Lt Any Jt WO Contrast | $2,027.85 | $2,808.65 | $595.02–$2,527.79 | 5% below | 28% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Upper Extremity Any Jt Limited | $1,948.92 | $2,808.65 | $546.84–$218,793.84 | — | 31% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Upper Extremity Rt Any Jt WO Contrast | $1,948.92 | $2,808.65 | $546.84–$218,793.84 | — | 31% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Upper Extremity Lt Any Jt WO Contrast | $1,948.92 | $2,808.65 | $546.84–$218,793.84 | — | 31% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Perfusion Scan Spect Multiple | $4,835.47 | $6,697.32 | $414.96–$6,027.59 | 70% above | 28% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Perfusion Scan Spect Multiple | $2,056.03 | $2,963.00 | $576.90–$230,817.70 | — | 31% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet CT Skull Base to Mid Thigh Subsequent Routine | $3,668.94 | $5,081.64 | $989.40–$4,573.48 | 36% above | 28% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet CT Skull Base to Mid Thigh Initial Routine | $3,668.94 | $5,081.64 | $989.40–$4,573.48 | 36% above | 28% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet CT Prostate Subsequent | $3,668.94 | $5,081.64 | $989.40–$4,573.48 | 36% above | 28% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet CT Head and Neck Initial Skull to Thigh | $3,668.94 | $5,081.64 | $989.40–$4,573.48 | 36% above | 28% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet CT Head and Neck Subsequent Skull to Thigh | $3,668.94 | $5,081.64 | $989.40–$4,573.48 | 36% above | 28% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet CT Prostate Initial | $3,668.94 | $5,081.64 | $989.40–$4,573.48 | 36% above | 28% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Pet CT Head and Neck Initial Skull to Thigh | $3,526.15 | $5,081.64 | $989.40–$5,128.33 | — | 31% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Pet CT Prostate Subsequent | $3,526.15 | $5,081.64 | $989.40–$5,128.33 | — | 31% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Pet CT Skull Base to Mid Thigh Subsequent Routine | $3,526.15 | $5,081.64 | $989.40–$5,128.33 | — | 31% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Pet CT Skull Base to Mid Thigh Initial Routine | $3,526.15 | $5,081.64 | $989.40–$5,128.33 | — | 31% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Pet CT Head and Neck Subsequent Skull to Thigh | $3,526.15 | $5,081.64 | $989.40–$5,128.33 | — | 31% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Pet CT Prostate Initial | $3,526.15 | $5,081.64 | $989.40–$5,128.33 | — | 31% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Bladder | $294.58 | $408.00 | $79.44–$367.20 | 13% below | 28% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Ltd Non OB | $294.58 | $408.00 | $79.44–$367.20 | 13% below | 28% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Ltd Non OB | $283.11 | $408.00 | $79.44–$31,783.20 | — | 31% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Bladder | $283.11 | $408.00 | $79.44–$31,783.20 | — | 31% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non OB | $537.64 | $744.65 | $144.98–$670.19 | 10% above | 28% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Non OB | $516.71 | $744.65 | $144.98–$58,008.24 | — | 31% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Over 14 Wks Comp | $856.98 | $1,186.95 | $231.10–$1,068.26 | 71% above | 28% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Over 14 Wks Comp | $823.62 | $1,186.95 | $231.10–$92,463.41 | — | 31% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Under 14 Wks Comp | $529.36 | $733.18 | $142.75–$659.86 | 24% above | 28% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Under 14 Wks Comp | $508.75 | $733.18 | $142.75–$57,114.72 | — | 31% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Ltd | $323.83 | $448.52 | $87.33–$403.67 | 2% below | 28% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Ltd | $311.23 | $448.52 | $87.33–$34,939.71 | — | 31% |
| Screening mammogram, both breasts CPT 77067 Mammo Screen Uni | $268.63 | $372.06 | $139.97–$770.63 | 20% below | 28% |
| Screening mammogram, both breasts CPT 77067 Mammo Sage Screen Bil | $268.63 | $372.06 | $139.97–$770.63 | 20% below | 28% |
| Screening mammogram, both breasts CPT 77067 Mammo Screen Bil | $268.63 | $372.06 | $139.97–$770.63 | 20% below | 28% |
| Screening mammogram, both breasts CPT 77067 Mammo Screen W Implants Bil | $268.63 | $372.06 | $139.97–$770.63 | 20% below | 28% |
| Screening mammogram, both breasts CPT 77067 Mammo Sage Screen Uni | $268.63 | $372.06 | $139.97–$770.63 | 20% below | 28% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammo Sage Screen Bil | $258.17 | $372.06 | $72.44–$28,983.47 | — | 31% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammo Screen Uni | $258.17 | $372.06 | $72.44–$28,983.47 | — | 31% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammo Sage Screen Uni | $258.17 | $372.06 | $72.44–$28,983.47 | — | 31% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammo Screen W Implants Bil | $258.17 | $372.06 | $72.44–$28,983.47 | — | 31% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammo Screen Bil | $258.17 | $372.06 | $72.44–$28,983.47 | — | 31% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Routine Rt 2 or More Views | $257.03 | $356.00 | $69.31–$320.40 | 10% above | 28% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Routine Lt 2 or More Views | $257.03 | $356.00 | $69.31–$320.40 | 10% above | 28% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr Shoulder Routine Rt 2 or More Views | $247.03 | $356.00 | $69.31–$27,732.40 | — | 31% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr Shoulder Routine Lt 2 or More Views | $247.03 | $356.00 | $69.31–$27,732.40 | — | 31% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography, 6 Yrs and Older | $2,864.63 | $3,967.63 | $772.50–$3,570.87 | 6% below | 28% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography, 6 Yrs and Older | $2,753.14 | $3,967.63 | $772.50–$309,078.38 | — | 31% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo Complete | $1,929.91 | $2,673.00 | $520.43–$2,405.70 | 9% above | 28% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echo Complete | $1,854.79 | $2,673.00 | $520.43–$208,226.70 | — | 31% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Xr Video Swallow Eval | $386.02 | $534.65 | $104.10–$481.19 | 24% above | 28% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Xr Video Swallow Eval | $370.99 | $534.65 | $104.10–$41,649.24 | — | 31% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $352.34 | $488.00 | $95.01–$439.20 | 10% below | 28% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $338.62 | $488.00 | $95.01–$38,015.20 | — | 31% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $407.21 | $564.00 | $109.81–$507.60 | 17% above | 28% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $391.36 | $564.00 | $109.81–$43,935.60 | — | 31% |
| Ultrasound of the abdomen, complete CPT 76700 US Abd Complete | $628.33 | $870.26 | $169.44–$783.23 | 4% above | 28% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abd Complete | $603.87 | $870.26 | $169.44–$67,793.25 | — | 31% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum | $420.20 | $582.00 | $113.32–$523.80 | 13% below | 28% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum | $403.85 | $582.00 | $113.32–$45,337.80 | — | 31% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $339.80 | $470.64 | $91.63–$423.58 | 25% below | 28% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue | $339.80 | $470.64 | $91.63–$423.58 | 25% below | 28% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue | $326.58 | $470.64 | $91.63–$36,662.86 | — | 31% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $326.58 | $470.64 | $91.63–$36,662.86 | — | 31% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr Upper GI and Esophagram | $770.37 | $1,067.00 | $207.74–$960.30 | 126% above | 28% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr Upper GI | $770.37 | $1,067.00 | $207.74–$960.30 | 126% above | 28% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xr Upper GI | $740.39 | $1,067.00 | $207.74–$83,119.30 | — | 31% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xr Upper GI and Esophagram | $740.39 | $1,067.00 | $207.74–$83,119.30 | — | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Dop Vein Competence Study Uni | $549.88 | $761.61 | $148.29–$685.45 | at median | 28% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Dop Vein Ltd Upper Extremity | $549.88 | $761.61 | $148.29–$685.45 | at median | 28% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dop Vein Leg Lt | $549.88 | $761.61 | $148.29–$685.45 | at median | 28% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dop Vein Leg Rt | $549.88 | $761.61 | $148.29–$685.45 | at median | 28% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dop Vein Arm Lt | $549.88 | $761.61 | $148.29–$685.45 | at median | 28% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dop Vein Arm Rt | $549.88 | $761.61 | $148.29–$685.45 | at median | 28% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Dop Vein Ltd Upper Extremity | $528.48 | $761.61 | $148.29–$59,329.42 | — | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Dop Vein Competence Study Uni | $528.48 | $761.61 | $148.29–$59,329.42 | — | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dop Vein Arm Rt | $528.48 | $761.61 | $148.29–$59,329.42 | — | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dop Vein Leg Rt | $528.48 | $761.61 | $148.29–$59,329.42 | — | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dop Vein Leg Lt | $528.48 | $761.61 | $148.29–$59,329.42 | — | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dop Vein Arm Lt | $528.48 | $761.61 | $148.29–$59,329.42 | — | 31% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Routine Lt 3 or More Views | $249.49 | $345.56 | $67.28–$311.00 | 8% above | 28% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Routine Rt 3 or More Views | $249.49 | $345.56 | $67.28–$311.00 | 8% above | 28% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist Routine Lt 3 or More Views | $239.78 | $345.56 | $67.28–$26,919.12 | — | 31% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist Routine Rt 3 or More Views | $239.78 | $345.56 | $67.28–$26,919.12 | — | 31% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr or Hip Lt Fixation | $317.99 | $440.43 | $85.75–$396.39 | 15% above | 28% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr or Hip Rt 2 Views | $317.99 | $440.43 | $85.75–$396.39 | 15% above | 28% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip Lt 2 Views | $317.99 | $440.43 | $85.75–$396.39 | 15% above | 28% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip Rt 2 Views | $317.99 | $440.43 | $85.75–$396.39 | 15% above | 28% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr or Hip Rt Fixation | $317.99 | $440.43 | $85.75–$396.39 | 15% above | 28% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip Lt 2 Views | $305.61 | $440.43 | $85.75–$34,309.50 | — | 31% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip Rt 2 Views | $305.61 | $440.43 | $85.75–$34,309.50 | — | 31% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr or Hip Lt Fixation | $305.61 | $440.43 | $85.75–$34,309.50 | — | 31% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr or Hip Rt Fixation | $305.61 | $440.43 | $85.75–$34,309.50 | — | 31% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr or Hip Rt 2 Views | $305.61 | $440.43 | $85.75–$34,309.50 | — | 31% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Kidneys Ureters and Bladder | $233.68 | $323.65 | $63.01–$291.29 | 11% above | 28% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen One View | $233.68 | $323.65 | $63.01–$291.29 | 11% above | 28% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Xr Kidneys Ureters and Bladder | $224.58 | $323.65 | $63.01–$25,212.34 | — | 31% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Xr Abdomen One View | $224.58 | $323.65 | $63.01–$25,212.34 | — | 31% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle Lt 2 Views | $217.86 | $301.75 | $58.75–$271.58 | 27% above | 28% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle Rt 2 Views | $217.86 | $301.75 | $58.75–$271.58 | 27% above | 28% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Xr Ankle Rt 2 Views | $209.38 | $301.75 | $58.75–$23,506.33 | — | 31% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Xr Ankle Lt 2 Views | $209.38 | $301.75 | $58.75–$23,506.33 | — | 31% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Rt Thumb | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Lt Fourth | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Lt Second | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Lt Fifth | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Rt Fifth | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Lt Thumb | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Lt Third | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Rt Fourth | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Rt Second | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Rt Third | $175.26 | $242.74 | $47.26–$218.47 | 10% below | 28% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Rt Fifth | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Lt Thumb | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Lt Fifth | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Lt Third | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Lt Fourth | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Lt Second | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Rt Third | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Rt Second | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Rt Fourth | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger Rt Thumb | $168.44 | $242.74 | $47.26–$18,909.45 | — | 31% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot Lt 2 Views | $203.58 | $281.96 | $54.90–$253.76 | 16% above | 28% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot Rt 2 Views | $203.58 | $281.96 | $54.90–$253.76 | 16% above | 28% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Xr Foot Lt 2 Views | $195.65 | $281.96 | $54.90–$21,964.68 | — | 31% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Xr Foot Rt 2 Views | $195.65 | $281.96 | $54.90–$21,964.68 | — | 31% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Routine Rt 3 Views | $256.76 | $355.63 | $69.24–$320.07 | 16% above | 28% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Routine Lt 3 Views | $256.76 | $355.63 | $69.24–$320.07 | 16% above | 28% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot Routine Rt 3 Views | $246.77 | $355.63 | $69.24–$27,703.58 | — | 31% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot Routine Lt 3 Views | $246.77 | $355.63 | $69.24–$27,703.58 | — | 31% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Routine Rt 3 Views | $249.49 | $345.56 | $67.28–$311.00 | 13% above | 28% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Routine Lt 3 Views | $249.49 | $345.56 | $67.28–$311.00 | 13% above | 28% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Routine Rt 3 Views | $239.78 | $345.56 | $67.28–$26,919.12 | — | 31% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Routine Lt 3 Views | $239.78 | $345.56 | $67.28–$26,919.12 | — | 31% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Patella Routine Lt 2 View | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Routine Rt 2 Views | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Rt One View | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Patella Routine Rt 2 View | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Lt One View | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Routine Lt 2 Views | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Bil Standing Ap W Lt Lat | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Bil Standing Ap W Rt Lat | $222.71 | $308.46 | $60.06–$277.61 | 3% above | 28% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Patella Routine Lt 2 View | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee Routine Lt 2 Views | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee Bil Standing Ap W Lt Lat | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee Bil Standing Ap W Rt Lat | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee Lt One View | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee Rt One View | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Patella Routine Rt 2 View | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee Routine Rt 2 Views | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Lumbar Spine 2 or 3 Views | $262.09 | $363.00 | $70.68–$326.70 | at median | 28% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr Lumbar Spine 2 or 3 Views | $251.89 | $363.00 | $70.68–$28,277.70 | — | 31% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Lumbar Spine W Obliq 4 or More Views | $280.87 | $389.02 | $75.74–$350.12 | 18% below | 28% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Lumbar Spine 4 Views | $280.87 | $389.02 | $75.74–$350.12 | 18% below | 28% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Lumbar Spine W Obliq 4 or More Views | $269.94 | $389.02 | $75.74–$30,304.66 | — | 31% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Lumbar Spine 4 Views | $269.94 | $389.02 | $75.74–$30,304.66 | — | 31% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Thoracic Spine Ap and Lat | $234.95 | $325.42 | $63.36–$292.88 | 8% below | 28% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr Thoracic Spine Ap and Lat | $225.81 | $325.42 | $63.36–$25,350.22 | — | 31% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones | $241.93 | $335.08 | $65.24–$301.57 | 11% above | 28% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xr Nasal Bones | $232.51 | $335.08 | $65.24–$26,102.73 | — | 31% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Cervical Spine 2 or 3 Views | $222.71 | $308.46 | $60.06–$277.61 | 10% below | 28% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Cervical Spine Flex and Ext Only 2 or 3 Views | $222.71 | $308.46 | $60.06–$277.61 | 10% below | 28% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr Cervical Spine 2 or 3 Views | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr Cervical Spine Flex and Ext Only 2 or 3 Views | $214.04 | $308.46 | $60.06–$24,029.03 | — | 31% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis Routine 1 or 2 Views | $225.99 | $313.00 | $60.94–$281.70 | 2% above | 28% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis Routine 1 or 2 Views | $217.19 | $313.00 | $60.94–$24,382.70 | — | 31% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum and or Coccyx | $233.21 | $323.00 | $62.89–$290.70 | 3% above | 28% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum and or Coccyx | $224.13 | $323.00 | $62.89–$25,161.70 | — | 31% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase (Alt) | $54.59 | $75.61 | $14.72–$68.05 | 15% above | 28% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase (Alt) | $52.47 | $75.61 | $14.72–$5,890.02 | — | 31% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartimine Aminotransferase (Ast) | $55.10 | $76.32 | $14.86–$68.69 | 19% above | 28% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartimine Aminotransferase (Ast) | $52.96 | $76.32 | $14.86–$5,945.33 | — | 31% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Profile (Mayo) | $196.38 | $272.00 | $52.96–$244.80 | 13% below | 28% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute | $196.38 | $272.00 | $52.96–$244.80 | 13% below | 28% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute | $188.74 | $272.00 | $52.96–$21,188.80 | — | 31% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Profile (Mayo) | $188.74 | $272.00 | $52.96–$21,188.80 | — | 31% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust/Greer Lab, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Green Pepper, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Carrot, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food-Seafood Panel (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Codfish, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Weed Panel # 1 (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rye Grass, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree Panel # 1 (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan-Food, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food-Fruit Panel (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Panel (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust/H-S Lab, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Giant Ragweed, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grass Panel # 1 (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chicken, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tomato, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lambs Quarter, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut-Food, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oat, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food-Nut Panel # 2 (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rice, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mold Panel (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Latex, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sunflower Seed, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn Pollen, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Honeybee Venom, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coconut, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Ash, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Component Reflex, S (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Elm, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 June Grass, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Tenuis, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Short Ragweed, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Mites/D.P., Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Mites/D.F., Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Epithelium, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Helminthosporium Halodes, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust/Greer Lab, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust/H-S Lab, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lambs Quarter, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Candida Albicans, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmon, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tuna, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Meadow Fescue, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rye Grass, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Blue Mussel, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Box Elder/Maple, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Broccoli, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cow Epithelium, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cherry, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin G, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cocklebur, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Hickory, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Onion, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Kiwi Fruit, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternar Tenuis, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rye, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pear, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Potato, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Tree, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Galactose-Alpha-1, 3-Galactose (Alpha-Gal) Mammalian Meat Allergy Profile, Serum (Bill Only) (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Panel #2, Serum (Bill Only) (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food-Grain Panel, Serum (Bill Only) (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Apple, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Urine Protein, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Nettle, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen (Nuts Profile) (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen (Dairy and Grain Profile) (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen (Stinging Insects Profile) (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chestnut, Sweet, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Garlic, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Helminthosporium Halodes, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn-Food, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Panel (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pine Nut, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food-Nut Panel # 1 (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut-Food, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cacao/Cocoa, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gum Xanthan Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mulberry Tree, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marshelder, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Ash, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Upper & Lower Respriratory, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Silver Birch, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Short Ragweed, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Scallops, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle Weed, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marshelder, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orchard Grass, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Nettle, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mulberry Tree, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mugwort, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orchard Grass, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Juniper Tree, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 June Grass, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Elm, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dust Mites (Derm Far), Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dust Mites (D Pteron), Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Epithelium, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Codfish, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Clam, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Epithelium, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Scallops, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Silver Birch, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Clam, Ige (Mayo) | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fum, Ige | $25.57 | $35.41 | $6.89–$31.87 | 30% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mango, Ige (Mayo) | $29.05 | $40.23 | $7.83–$36.21 | 48% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Paprika, Ige (Mayo) | $29.05 | $40.23 | $7.83–$36.21 | 48% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin V, Ige (Mayo) | $29.05 | $40.23 | $7.83–$36.21 | 48% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walleye Ige (Mayo) | $56.30 | $77.98 | $15.18–$70.18 | 187% above | 28% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Feather Profile 2, Ige (Mayo) | $57.04 | $79.00 | $15.38–$71.10 | 191% above | 28% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Epithelium, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Meadow Fescue, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pistachio, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye Grass, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Helminthosporium Halodes, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust/Greer Lab, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust/H-S Lab, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lambs Quarter, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Candida Albicans, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blue Mussel, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Box Elder/Maple, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Panel (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut-Food, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pistachio, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Epithelium, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Mites/D.F., Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Mites/D.P., Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Short Ragweed, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Tenuis, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 June Grass, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillium, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Component Reflex, S (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Strawberry, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honeybee Venom, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn Pollen, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sunflower Seed, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Banana, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Panel (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Yolk, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food-Nut Panel # 2 (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Pigweed, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oat, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut-Food, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lambs Quarter, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grass Panel # 1 (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orchard Grass, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Juniper Tree, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 June Grass, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternar Tenuis, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fum, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Silver Birch, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Yolk, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dust Mites (Derm Far), Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dust Mites (D Pteron), Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Epithelium, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallops, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Giant Ragweed, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust/H-S Lab, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Panel (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food-Fruit Panel (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan-Food, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tree Panel # 1 (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye Grass, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Weed Panel # 1 (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food-Seafood Panel (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Carrot, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green Pepper, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust/Greer Lab, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Kiwi Fruit, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Onion, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Hickory, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocklebur, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin G, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cherry, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Tree, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Galactose-Alpha-1, 3-Galactose (Alpha-Gal) Mammalian Meat Allergy Profile, Serum (Bill Only) (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Panel #2, Serum (Bill Only) (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food-Grain Panel, Serum (Bill Only) (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apple, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Urine Protein, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nettle, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen (Nuts Profile) (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen (Dairy and Grain Profile) (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen (Stinging Insects Profile) (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse Dander, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chestnut, Sweet, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pineapple, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Garlic, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Helminthosporium Halodes, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn-Food, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pine Nut, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food-Nut Panel # 1 (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cacao/Cocoa, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gum Xanthan Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mulberry Tree, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Marshelder, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Upper & Lower Respriratory, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Silver Birch, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Short Ragweed, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow Epithelium, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Potato, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Broccoli, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pear, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye, Ige (Mayo) | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallops, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle Weed, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Marshelder, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillium, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orchard Grass, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nettle, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mulberry Tree, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwort, Ige | $24.57 | $35.41 | $6.89–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mango, Ige (Mayo) | $27.92 | $40.23 | $7.83–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin V, Ige (Mayo) | $27.92 | $40.23 | $7.83–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paprika, Ige (Mayo) | $27.92 | $40.23 | $7.83–$5,128.33 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walleye Ige (Mayo) | $54.11 | $77.98 | $15.18–$6,074.64 | — | 31% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Feather Profile 2, Ige (Mayo) | $54.82 | $79.00 | $15.38–$6,154.10 | — | 31% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $72.71 | $100.70 | $19.61–$90.63 | 44% above | 28% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab, S (Mayo) | $72.71 | $100.70 | $19.61–$90.63 | 44% above | 28% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide | $69.88 | $100.70 | $19.61–$7,844.53 | — | 31% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab, S (Mayo) | $69.88 | $100.70 | $19.61–$7,844.53 | — | 31% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab, S (Mayo) | $52.81 | $73.14 | $14.24–$65.83 | 9% above | 28% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Screen | $52.81 | $73.14 | $14.24–$65.83 | 9% above | 28% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Abs Cascade | $52.81 | $73.14 | $14.24–$65.83 | 9% above | 28% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Connective Tissue Disease Cascade,S (Mayo) | $52.81 | $73.14 | $14.24–$65.83 | 9% above | 28% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Abs Cascade | $50.75 | $73.14 | $14.24–$5,697.61 | — | 31% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab Screen | $50.75 | $73.14 | $14.24–$5,697.61 | — | 31% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab, S (Mayo) | $50.75 | $73.14 | $14.24–$5,697.61 | — | 31% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Connective Tissue Disease Cascade,S (Mayo) | $50.75 | $73.14 | $14.24–$5,697.61 | — | 31% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide (Mayo) | $197.81 | $273.98 | $53.34–$246.58 | 42% above | 28% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Pro Bnp, S (Mayo) | $215.25 | $298.13 | $58.05–$268.32 | 54% above | 28% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt Pro B-Type Natriuretic Peptide | $215.25 | $298.13 | $58.05–$268.32 | 54% above | 28% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide B | $215.25 | $298.13 | $58.05–$268.32 | 54% above | 28% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide (Mayo) | $190.11 | $273.98 | $53.34–$21,343.04 | — | 31% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide B | $206.87 | $298.13 | $58.05–$23,224.33 | — | 31% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt-Pro Bnp, S (Mayo) | $206.87 | $298.13 | $58.05–$23,224.33 | — | 31% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt Pro B-Type Natriuretic Peptide | $206.87 | $298.13 | $58.05–$23,224.33 | — | 31% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $90.31 | $125.08 | $43.27–$112.57 | 10% below | 28% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $86.79 | $125.08 | $24.35–$9,743.73 | — | 31% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical Pathology, Gross and Microscopic Examination (Path) | $220.53 | $305.45 | $105.36–$274.91 | 109% above | 28% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV - Surgical Pathology, Gross and Microscopic Examination (Path) | $211.95 | $305.45 | $59.47–$23,794.56 | — | 31% |
| Blood culture for bacteria CPT 87040 Blood Culture | $150.90 | $209.00 | $40.69–$188.10 | 33% above | 28% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $145.03 | $209.00 | $40.69–$16,281.10 | — | 31% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $29.62 | $41.02 | $16.41–$40.72 | 41% above | 28% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $28.46 | $41.02 | $7.99–$5,128.33 | — | 31% |
| Blood glucose (sugar) test CPT 82947 Glucose | $50.32 | $69.70 | $13.57–$62.73 | 13% above | 28% |
| Blood glucose (sugar) test CPT 82947 Glucometer (Whole Blood Glucose) (POC) | $50.32 | $69.70 | $13.57–$62.73 | 13% above | 28% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucometer (Whole Blood Glucose) (POC) | $48.36 | $69.70 | $13.57–$5,429.63 | — | 31% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose | $48.36 | $69.70 | $13.57–$5,429.63 | — | 31% |
| Blood lead test CPT 83655 LEAD | $51.26 | $71.00 | $13.82–$63.90 | 11% above | 28% |
| Blood lead test CPT 83655 Lead (Mayo) | $51.26 | $71.00 | $13.82–$63.90 | 11% above | 28% |
| Blood lead test CPT 83655 Lead With Demographics, B (Mayo) | $51.26 | $71.00 | $13.82–$63.90 | 11% above | 28% |
| Blood lead test inpatient CPT 83655 LEAD | $49.27 | $71.00 | $13.82–$5,530.90 | — | 31% |
| Blood lead test inpatient CPT 83655 Lead (Mayo) | $49.27 | $71.00 | $13.82–$5,530.90 | — | 31% |
| Blood lead test inpatient CPT 83655 Lead With Demographics, B (Mayo) | $49.27 | $71.00 | $13.82–$5,530.90 | — | 31% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Qualitative, Serum | $74.37 | $103.00 | $20.05–$92.70 | 6% above | 28% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg, Qualitative, Serum | $71.47 | $103.00 | $20.05–$8,023.70 | — | 31% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Arc Abo Testing (Bb) | $46.50 | $64.40 | $12.54–$57.96 | 12% below | 28% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing, Serologic; Abo (Bb) | $50.66 | $70.16 | $13.66–$63.14 | 4% below | 28% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Arc Abo Testing (Bb) | $44.69 | $64.40 | $12.54–$5,128.33 | — | 31% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing, Serologic; Abo (Bb) | $48.68 | $70.16 | $13.66–$5,465.46 | — | 31% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein, Inflammatory | $77.11 | $106.80 | $20.79–$96.12 | 27% above | 28% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein, Inflammatory | $74.11 | $106.80 | $20.79–$8,319.72 | — | 31% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile, Pcr | $1,026.94 | $1,422.35 | $37.27–$1,280.12 | 654% above | 28% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Difficile, Pcr | $100.03 | $144.16 | $28.07–$11,230.06 | — | 31% |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Ag 19-9, S (Mayo) | $88.01 | $121.90 | $23.73–$109.71 | 13% below | 28% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Ag 19-9, S (Mayo) | $84.59 | $121.90 | $23.73–$9,496.01 | — | 31% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Ag 125 | $85.33 | $118.19 | $23.01–$106.37 | 16% below | 28% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Ag 125 | $82.01 | $118.19 | $23.01–$9,207.00 | — | 31% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19/Sars Cov2 by Nucleic Acid (Dna or Rna), Amplified Probe | $96.75 | $134.00 | $26.09–$208.69 | 19% below | 28% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19/Sars-Cov2, Naat | $96.75 | $134.00 | $26.09–$208.69 | 19% below | 28% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19/Sars-Cov2, Pcr (Hpcov) (Mayo) | $96.75 | $134.00 | $26.09–$208.69 | 19% below | 28% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19/Sars-Cov2, Pcr (Hpcov) (Mayo) | $92.98 | $134.00 | $26.09–$10,438.60 | — | 31% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19/Sars Cov2 by Nucleic Acid (Dna or Rna), Amplified Probe | $92.98 | $134.00 | $26.09–$10,438.60 | — | 31% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19/Sars-Cov2, Naat | $92.98 | $134.00 | $26.09–$10,438.60 | — | 31% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis, Misc Sources Rna, Naat (Mayo) | $87.25 | $120.84 | $23.53–$108.76 | 5% below | 28% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis, Misc Sources | $87.25 | $120.84 | $23.53–$108.76 | 5% below | 28% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia (Quest) | $87.25 | $120.84 | $23.53–$108.76 | 5% below | 28% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis, Genital and Urine Sources, Naat | $87.25 | $120.84 | $23.53–$108.76 | 5% below | 28% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis and Neisseria Gonorrhoeae, Genital and Urine Sources, Naat | $90.40 | $125.21 | $24.38–$112.69 | 1% below | 28% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis, Genital and Urine Sources, Naat | $83.85 | $120.84 | $23.53–$9,413.44 | — | 31% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis, Misc Sources Rna, Naat (Mayo) | $83.85 | $120.84 | $23.53–$9,413.44 | — | 31% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia (Quest) | $83.85 | $120.84 | $23.53–$9,413.44 | — | 31% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis, Misc Sources | $83.85 | $120.84 | $23.53–$9,413.44 | — | 31% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis and Neisseria Gonorrhoeae, Genital and Urine Sources, Naat | $86.88 | $125.21 | $24.38–$9,753.86 | — | 31% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With Direct Ldl | $85.97 | $119.07 | $47.63–$108.93 | 7% below | 28% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $85.97 | $119.07 | $47.63–$108.93 | 7% below | 28% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $82.62 | $119.07 | $23.18–$9,275.55 | — | 31% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With Direct Ldl | $82.62 | $119.07 | $23.18–$9,275.55 | — | 31% |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Differential and Platelet Count | $87.25 | $120.84 | $39.70–$108.76 | 5% above | 28% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Differential and Platelet Count | $83.85 | $120.84 | $23.53–$9,413.44 | — | 31% |
| Complete blood count (CBC), no differential CPT 85027 Hemogram With Platelet Count | $73.28 | $101.50 | $19.76–$91.35 | 4% above | 28% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hemogram With Platelet Count | $70.43 | $101.50 | $19.76–$7,906.85 | — | 31% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $122.35 | $169.46 | $53.95–$152.51 | 17% above | 28% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $117.59 | $169.46 | $32.99–$13,200.93 | — | 31% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer, Quantitative (Mayo) | $94.90 | $131.44 | $25.59–$118.30 | 6% below | 28% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer | $94.90 | $131.44 | $25.59–$118.30 | 6% below | 28% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quant. (Mayo) | $94.90 | $131.44 | $25.59–$118.30 | 6% below | 28% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quant. (Mayo) | $91.21 | $131.44 | $25.59–$10,239.18 | — | 31% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer | $91.21 | $131.44 | $25.59–$10,239.18 | — | 31% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer, Quantitative (Mayo) | $91.21 | $131.44 | $25.59–$10,239.18 | — | 31% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-S | $52.89 | $73.26 | $14.26–$65.93 | 8% below | 28% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate, S (Mayo) | $78.70 | $109.00 | $21.22–$98.10 | 36% above | 28% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-S | $50.84 | $73.26 | $14.26–$5,706.95 | — | 31% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate, S (Mayo) | $75.64 | $109.00 | $21.22–$8,491.10 | — | 31% |
| Estradiol blood test CPT 82670 Estradiol; Total | $99.64 | $138.00 | $26.87–$124.20 | 51% above | 28% |
| Estradiol blood test CPT 82670 Estradiol; Total, Mass Spectrometry, S (Mayo) | $99.64 | $138.00 | $26.87–$124.20 | 51% above | 28% |
| Estradiol blood test inpatient CPT 82670 Estradiol; Total | $95.76 | $138.00 | $26.87–$10,750.20 | — | 31% |
| Estradiol blood test inpatient CPT 82670 Estradiol; Total, Mass Spectrometry, S (Mayo) | $95.76 | $138.00 | $26.87–$10,750.20 | — | 31% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating | $84.47 | $117.00 | $22.78–$105.30 | 4% above | 28% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating | $81.19 | $117.00 | $22.78–$9,114.30 | — | 31% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, F (Mayo) | $95.66 | $132.50 | $25.80–$119.25 | 1% above | 28% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, F (Mayo) | $91.94 | $132.50 | $25.80–$10,321.75 | — | 31% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $110.78 | $153.44 | $29.87–$138.10 | 24% above | 28% |
| Ferritin blood test (iron stores) CPT 82728 Assay of Ferritin (Mayo) | $110.78 | $153.44 | $29.87–$138.10 | 24% above | 28% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay of Ferritin (Mayo) | $106.47 | $153.44 | $29.87–$11,952.98 | — | 31% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $106.47 | $153.44 | $29.87–$11,952.98 | — | 31% |
| Folate (folic acid) blood test CPT 82746 Folate | $69.07 | $95.67 | $18.63–$86.10 | 14% below | 28% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate | $66.39 | $95.67 | $18.63–$7,452.69 | — | 31% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3) Free | $67.43 | $93.40 | $18.18–$84.06 | 34% below | 28% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3) Free | $64.81 | $93.40 | $18.18–$7,275.86 | — | 31% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (Thyroxine), Free by Dialysis, S (Mayo) | $69.26 | $95.93 | $18.68–$86.34 | 2% above | 28% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free | $69.26 | $95.93 | $18.68–$86.34 | 2% above | 28% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free | $66.57 | $95.93 | $18.68–$7,472.95 | — | 31% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (Thyroxine), Free by Dialysis, S (Mayo) | $66.57 | $95.93 | $18.68–$7,472.95 | — | 31% |
| Free testosterone test CPT 84402 Testosterone; Free (Mayo) | $54.70 | $75.76 | $14.75–$68.18 | 14% below | 28% |
| Free testosterone test CPT 84402 Testosterone Free (Mayo) | $153.83 | $213.06 | $41.48–$191.75 | 143% above | 28% |
| Free testosterone test inpatient CPT 84402 Testosterone; Free (Mayo) | $52.57 | $75.76 | $14.75–$5,901.70 | — | 31% |
| Free testosterone test inpatient CPT 84402 Testosterone Free (Mayo) | $147.84 | $213.06 | $41.48–$16,597.37 | — | 31% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $351.46 | $486.78 | $94.78–$438.10 | 33% above | 28% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $337.78 | $486.78 | $94.78–$37,920.16 | — | 31% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; Post Glucose Dose (Includes Glucose) | $42.08 | $58.28 | $11.35–$52.45 | 2% below | 28% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose; Post Glucose Dose (Includes Glucose) | $40.44 | $58.28 | $11.35–$5,128.33 | — | 31% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; Tolerance Test (Gtt), 3 Specimens (Includes Glucose) | $335.09 | $464.11 | $90.36–$417.70 | 230% above | 28% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose; Tolerance Test (Gtt), 3 Specimens (Includes Glucose) | $322.05 | $464.11 | $90.36–$36,154.17 | — | 31% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. Gonorr, Misc, Amplified Rna (Mayo) | $79.21 | $109.71 | $21.36–$98.74 | 6% below | 28% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhoeae (Quest) | $79.21 | $109.71 | $21.36–$98.74 | 6% below | 28% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae, Naat | $90.40 | $125.21 | $24.38–$112.69 | 7% above | 28% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhoeae (Quest) | $76.13 | $109.71 | $21.36–$8,546.41 | — | 31% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. Gonorr, Misc, Amplified Rna (Mayo) | $76.13 | $109.71 | $21.36–$8,546.41 | — | 31% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae, Naat | $86.88 | $125.21 | $24.38–$9,753.86 | — | 31% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag, Stool | $53.43 | $74.00 | $14.41–$66.60 | 50% below | 28% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Ag, Stool | $51.35 | $74.00 | $14.41–$5,764.60 | — | 31% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Detect / Quant, P (Mayo) | $366.05 | $507.00 | $98.71–$456.30 | 219% above | 28% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna Detect / Quant, P (Mayo) | $351.81 | $507.00 | $98.71–$39,495.30 | — | 31% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Ab/Hiv 1/2 Ag | $97.20 | $134.62 | $26.21–$121.16 | 54% above | 28% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1/2 Ab/Hiv 1/2 Ag | $93.41 | $134.62 | $26.21–$10,486.90 | — | 31% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High Risk, Pooled Result | $92.60 | $128.26 | $24.97–$115.43 | 27% below | 28% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv High Risk, Pooled Result | $89.00 | $128.26 | $24.97–$9,991.45 | — | 31% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $69.46 | $96.20 | $38.48–$86.58 | 11% above | 28% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c, B (Mayo) | $69.46 | $96.20 | $38.48–$86.58 | 11% above | 28% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c, B (Mayo) | $66.75 | $96.20 | $18.73–$7,493.98 | — | 31% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $66.75 | $96.20 | $18.73–$7,493.98 | — | 31% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hbs Antibody, S (Mayo) | $53.21 | $73.70 | $14.35–$66.33 | 24% below | 28% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Virus Surface Ab | $53.21 | $73.70 | $14.35–$66.33 | 24% below | 28% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Virus Surface Ab | $51.14 | $73.70 | $14.35–$5,741.23 | — | 31% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hbs Antibody, S (Mayo) | $51.14 | $73.70 | $14.35–$5,741.23 | — | 31% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen (Mayo) | $57.02 | $78.97 | $15.38–$71.07 | 2% above | 28% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbs Antigen, S (Mayo) | $57.02 | $78.97 | $15.38–$71.07 | 2% above | 28% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Virus Surface Ag | $57.02 | $78.97 | $15.38–$71.07 | 2% above | 28% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Virus Surface Ag | $54.80 | $78.97 | $15.38–$6,151.76 | — | 31% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen (Mayo) | $54.80 | $78.97 | $15.38–$6,151.76 | — | 31% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hbs Antigen, S (Mayo) | $54.80 | $78.97 | $15.38–$6,151.76 | — | 31% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Screen (Mayo) | $65.05 | $90.10 | $17.54–$81.09 | 19% below | 28% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Ab | $88.06 | $121.96 | $23.75–$109.76 | 10% above | 28% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody Screen (Mayo) | $62.52 | $90.10 | $17.54–$7,018.79 | — | 31% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Ab | $84.63 | $121.96 | $23.75–$9,500.68 | — | 31% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Detect/Quant, S (Mayo) | $186.28 | $258.00 | $50.23–$232.20 | 49% above | 28% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious Agent Detection by Nucleic Acid, Hepatitis C, Reverse Transcription and Quant (Hcvqg) (Mayo) | $186.28 | $258.00 | $50.23–$232.20 | 49% above | 28% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna Detect/Quant, S (Mayo) | $179.03 | $258.00 | $50.23–$20,098.20 | — | 31% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Infectious Agent Detection by Nucleic Acid, Hepatitis C, Reverse Transcription and Quant (Hcvqg) (Mayo) | $179.03 | $258.00 | $50.23–$20,098.20 | — | 31% |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; Herpes Simplex, Type 1 (Mayo) | $47.65 | $66.00 | $12.85–$59.40 | 3% above | 28% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Test (Mayo) | $47.65 | $66.00 | $12.85–$59.40 | 3% above | 28% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Test (Mayo) | $45.80 | $66.00 | $12.85–$5,141.40 | — | 31% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Antibody; Herpes Simplex, Type 1 (Mayo) | $45.80 | $66.00 | $12.85–$5,141.40 | — | 31% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 (Mayo) | $68.59 | $95.00 | $18.50–$85.50 | 20% above | 28% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex 2 (Mayo) | $68.59 | $95.00 | $18.50–$85.50 | 20% above | 28% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Type 2 (Mayo) | $65.92 | $95.00 | $18.50–$7,400.50 | — | 31% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex 2 (Mayo) | $65.92 | $95.00 | $18.50–$7,400.50 | — | 31% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein, Cardiac High Sensitivity | $64.98 | $90.00 | $17.52–$81.00 | 11% below | 28% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein, Cardiac High Sensitivity | $62.45 | $90.00 | $17.52–$7,011.00 | — | 31% |
| Homocysteine blood test CPT 83090 Homocysteine, Total, P (Mayo) | $59.93 | $83.00 | $16.16–$74.70 | 34% below | 28% |
| Homocysteine blood test CPT 83090 Homocysteine, Total, S (Mayo) | $59.93 | $83.00 | $16.16–$74.70 | 34% below | 28% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine, Total, S (Mayo) | $57.59 | $83.00 | $16.16–$6,465.70 | — | 31% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine, Total, P (Mayo) | $57.59 | $83.00 | $16.16–$6,465.70 | — | 31% |
| Insulin blood test CPT 83525 Insulin | $47.20 | $65.38 | $12.73–$58.84 | 14% below | 28% |
| Insulin blood test CPT 83525 Insulin, S (Mayo) | $82.31 | $114.00 | $22.20–$102.60 | 50% above | 28% |
| Insulin blood test inpatient CPT 83525 Insulin | $45.37 | $65.38 | $12.73–$5,128.33 | — | 31% |
| Insulin blood test inpatient CPT 83525 Insulin, S (Mayo) | $79.10 | $114.00 | $22.20–$8,880.60 | — | 31% |
| Iron blood test (serum iron) CPT 83540 IRON | $47.45 | $65.72 | $12.80–$59.15 | 8% below | 28% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $45.60 | $65.72 | $12.80–$5,128.33 | — | 31% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $70.92 | $98.23 | $19.13–$88.41 | 10% above | 28% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity | $68.16 | $98.23 | $19.13–$7,652.12 | — | 31% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $108.29 | $149.99 | $29.20–$134.99 | at median | 28% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $104.08 | $149.99 | $29.20–$11,684.22 | — | 31% |
| LH (luteinizing hormone) test CPT 83002 Lutropin (Lh) | $64.98 | $90.00 | $17.52–$81.00 | 21% below | 28% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone, Serum (Bill Only) (Mayo) | $64.98 | $90.00 | $17.52–$81.00 | 21% below | 28% |
| LH (luteinizing hormone) test inpatient CPT 83002 Lutropin (Lh) | $62.45 | $90.00 | $17.52–$7,011.00 | — | 31% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone, Serum (Bill Only) (Mayo) | $62.45 | $90.00 | $17.52–$7,011.00 | — | 31% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Body Fluid | $80.94 | $112.10 | $21.83–$100.89 | 25% above | 28% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $80.94 | $112.10 | $21.83–$100.89 | 25% above | 28% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Body Fluid | $77.79 | $112.10 | $21.83–$8,732.59 | — | 31% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $77.79 | $112.10 | $21.83–$8,732.59 | — | 31% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $96.43 | $133.56 | $26.00–$120.20 | 5% below | 28% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $92.68 | $133.56 | $26.00–$10,404.32 | — | 31% |
| Lyme disease antibody test CPT 86618 Borrelia Species Cns Infection Igg With Reflex Ab Index (Mayo) | $59.69 | $82.68 | $16.10–$74.41 | 2% below | 28% |
| Lyme disease antibody test CPT 86618 Antibody, Borrelia Burgdorferi (Mayo) | $59.69 | $82.68 | $16.10–$74.41 | 2% below | 28% |
| Lyme disease antibody test CPT 86618 Lyme Antibodies Igg/Igm-II (Mayo) | $59.69 | $82.68 | $16.10–$74.41 | 2% below | 28% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi Serology, Evaluation With Reflex | $59.69 | $82.68 | $16.10–$74.41 | 2% below | 28% |
| Lyme disease antibody test CPT 86618 Lyme Ab, Modified 2-Tier, Eia, S (Mayo) | $59.69 | $82.68 | $16.10–$74.41 | 2% below | 28% |
| Lyme disease antibody test inpatient CPT 86618 Borrelia Burgdorferi Serology, Evaluation With Reflex | $57.37 | $82.68 | $16.10–$6,440.77 | — | 31% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Ab, Modified 2-Tier, Eia, S (Mayo) | $57.37 | $82.68 | $16.10–$6,440.77 | — | 31% |
| Lyme disease antibody test inpatient CPT 86618 Antibody, Borrelia Burgdorferi (Mayo) | $57.37 | $82.68 | $16.10–$6,440.77 | — | 31% |
| Lyme disease antibody test inpatient CPT 86618 Borrelia Species Cns Infection Igg With Reflex Ab Index (Mayo) | $57.37 | $82.68 | $16.10–$6,440.77 | — | 31% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Antibodies Igg/Igm-II (Mayo) | $57.37 | $82.68 | $16.10–$6,440.77 | — | 31% |
| Magnesium blood test CPT 83735 Magnesium | $65.25 | $90.37 | $17.60–$81.33 | 70% above | 28% |
| Magnesium blood test CPT 83735 Magnesium, Random (Mayo) | $65.25 | $90.37 | $17.60–$81.33 | 70% above | 28% |
| Magnesium blood test CPT 83735 Magnesium for Supersaturation Profile (Mayo) | $65.25 | $90.37 | $17.60–$81.33 | 70% above | 28% |
| Magnesium blood test CPT 83735 Magnesium, 24 Hr, U (Mayo) | $65.25 | $90.37 | $17.60–$81.33 | 70% above | 28% |
| Magnesium blood test inpatient CPT 83735 Magnesium, Random (Mayo) | $62.71 | $90.37 | $17.60–$7,039.82 | — | 31% |
| Magnesium blood test inpatient CPT 83735 Magnesium | $62.71 | $90.37 | $17.60–$7,039.82 | — | 31% |
| Magnesium blood test inpatient CPT 83735 Magnesium, 24 Hr, U (Mayo) | $62.71 | $90.37 | $17.60–$7,039.82 | — | 31% |
| Magnesium blood test inpatient CPT 83735 Magnesium for Supersaturation Profile (Mayo) | $62.71 | $90.37 | $17.60–$7,039.82 | — | 31% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Ab, Igm and Igg,S (Mayo) | $54.55 | $75.56 | $14.71–$68.00 | 49% above | 28% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Ab, Igm, S (Mayo) | $55.33 | $76.64 | $14.92–$68.98 | 52% above | 28% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Ab, Igg, S (Mayo) | $81.04 | $112.25 | $21.86–$101.03 | 122% above | 28% |
| Measles (rubeola) antibody test CPT 86765 Rubeola (Mayo) | $81.04 | $112.25 | $21.86–$101.03 | 122% above | 28% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Ab, Igm and Igg,S (Mayo) | $52.43 | $75.56 | $14.71–$5,886.12 | — | 31% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Ab, Igm, S (Mayo) | $53.18 | $76.64 | $14.92–$5,970.26 | — | 31% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola (Mayo) | $77.89 | $112.25 | $21.86–$8,744.28 | — | 31% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Ab, Igg, S (Mayo) | $77.89 | $112.25 | $21.86–$8,744.28 | — | 31% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Infectious Mononucleosis Screen | $39.71 | $55.00 | $10.71–$49.50 | 23% below | 28% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Infectious Mononucleosis Screen | $38.16 | $55.00 | $10.71–$5,128.33 | — | 31% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen (Psa); Free (Mayo) | $114.80 | $159.00 | $30.96–$143.10 | 183% above | 28% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $114.80 | $159.00 | $30.96–$143.10 | 183% above | 28% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen (Psa); Free (Mayo) | $110.33 | $159.00 | $30.96–$12,386.10 | — | 31% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free | $110.33 | $159.00 | $30.96–$12,386.10 | — | 31% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Diagnostic | $93.88 | $130.03 | $25.32–$117.03 | 10% above | 28% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen (Psa); Total (Mayo) | $93.88 | $130.03 | $25.32–$117.03 | 10% above | 28% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Health Index (Phi), S (Mayo) | $93.88 | $130.03 | $25.32–$117.03 | 10% above | 28% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Screening | $101.44 | $140.50 | $27.36–$126.45 | 19% above | 28% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Health Index (Phi), S (Mayo) | $90.23 | $130.03 | $25.32–$10,129.34 | — | 31% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen (Psa); Total (Mayo) | $90.23 | $130.03 | $25.32–$10,129.34 | — | 31% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Diagnostic | $90.23 | $130.03 | $25.32–$10,129.34 | — | 31% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Screening | $97.49 | $140.50 | $27.36–$10,944.95 | — | 31% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, Cervical or Vaginal, Preserve Fld, Thin Prep; Manual Screen, Phys Supervision (Path) | $593.62 | $822.19 | $20.26–$739.97 | 666% above | 28% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopathology, Cervical or Vaginal, Preserve Fld, Thin Prep; Manual Screen, Phys Supervision (Path) | $51.49 | $74.20 | $14.45–$5,780.18 | — | 31% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyrin Intact | $118.88 | $164.65 | $32.06–$148.19 | 1% above | 28% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyrin Intact | $114.25 | $164.65 | $32.06–$12,826.24 | — | 31% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Thromboplastin Time (Aptt) | $77.30 | $107.06 | $20.84–$96.35 | 31% above | 28% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time, Partial; Plasma or Whole Blood (Mayo) | $77.30 | $107.06 | $20.84–$96.35 | 31% above | 28% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time, Partial (Mayo) | $77.30 | $107.06 | $20.84–$96.35 | 31% above | 28% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoag; Thromboplastin Time, Partial; Plasma or Whole Blood (Mayo) | $77.30 | $107.06 | $20.84–$96.35 | 31% above | 28% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time, Partial (Ptt); Plasma or Whole Blood (Mayo) | $77.30 | $107.06 | $20.84–$96.35 | 31% above | 28% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time, Partial; Plasma or Whole Blood (Mayo) | $74.29 | $107.06 | $20.84–$8,339.97 | — | 31% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time, Partial (Mayo) | $74.29 | $107.06 | $20.84–$8,339.97 | — | 31% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoag; Thromboplastin Time, Partial; Plasma or Whole Blood (Mayo) | $74.29 | $107.06 | $20.84–$8,339.97 | — | 31% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time, Partial (Ptt); Plasma or Whole Blood (Mayo) | $74.29 | $107.06 | $20.84–$8,339.97 | — | 31% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Thromboplastin Time (Aptt) | $74.29 | $107.06 | $20.84–$8,339.97 | — | 31% |
| Progesterone blood test CPT 84144 Progesterone, S (Mayo) | $51.44 | $71.24 | $13.87–$64.12 | 39% below | 28% |
| Progesterone blood test CPT 84144 Progesterone | $51.44 | $71.24 | $13.87–$64.12 | 39% below | 28% |
| Progesterone blood test inpatient CPT 84144 Progesterone | $49.43 | $71.24 | $13.87–$5,549.60 | — | 31% |
| Progesterone blood test inpatient CPT 84144 Progesterone, S (Mayo) | $49.43 | $71.24 | $13.87–$5,549.60 | — | 31% |
| Prolactin blood test CPT 84146 Prolactin | $99.49 | $137.80 | $26.83–$124.02 | 33% above | 28% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $95.62 | $137.80 | $26.83–$10,734.62 | — | 31% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time for Prolonged Clot Time Profile (Mayo) | $42.48 | $58.83 | $11.45–$52.95 | 38% above | 28% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (Albld) (Mayo) | $42.48 | $58.83 | $11.45–$52.95 | 38% above | 28% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time for Lupus Anticoagulant Profile (Mayo) | $42.48 | $58.83 | $11.45–$52.95 | 38% above | 28% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time/Inr (Reflex Only) | $42.48 | $58.83 | $11.45–$52.95 | 38% above | 28% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time for Thrombophilia Profile (Mayo) | $42.48 | $58.83 | $11.45–$52.95 | 38% above | 28% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $42.60 | $59.00 | $11.49–$53.10 | 38% above | 28% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (Albld) (Mayo) | $40.82 | $58.83 | $11.45–$5,128.33 | — | 31% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time for Prolonged Clot Time Profile (Mayo) | $40.82 | $58.83 | $11.45–$5,128.33 | — | 31% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time for Lupus Anticoagulant Profile (Mayo) | $40.82 | $58.83 | $11.45–$5,128.33 | — | 31% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time/Inr (Reflex Only) | $40.82 | $58.83 | $11.45–$5,128.33 | — | 31% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time for Thrombophilia Profile (Mayo) | $40.82 | $58.83 | $11.45–$5,128.33 | — | 31% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $40.94 | $59.00 | $11.49–$5,128.33 | — | 31% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Group a Strep Screen Only | $54.34 | $75.26 | $14.65–$67.73 | 1% above | 28% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Group a Strep Screen Only | $52.22 | $75.26 | $14.65–$5,862.75 | — | 31% |
| Rheumatoid factor (RF) test CPT 86431 Ra(Rheumatoid Factor) | $43.24 | $59.89 | $11.66–$53.90 | 11% below | 28% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Ra(Rheumatoid Factor) | $41.56 | $59.89 | $11.66–$5,128.33 | — | 31% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab, Igg | $51.26 | $71.00 | $13.82–$63.90 | 8% above | 28% |
| Rubella antibody test (immunity check) CPT 86762 Rubella (Mayo) | $51.26 | $71.00 | $13.82–$63.90 | 8% above | 28% |
| Rubella antibody test (immunity check) CPT 86762 Rubella - Igm Antibody (Mayo) | $51.26 | $71.00 | $13.82–$63.90 | 8% above | 28% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella - Igm Antibody (Mayo) | $49.27 | $71.00 | $13.82–$5,530.90 | — | 31% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab, Igg | $49.27 | $71.00 | $13.82–$5,530.90 | — | 31% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella (Mayo) | $49.27 | $71.00 | $13.82–$5,530.90 | — | 31% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate, Automated | $41.07 | $56.89 | $11.08–$51.20 | 7% above | 28% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Erythrocyte Sedimentation Rate, Automated | $39.48 | $56.89 | $11.08–$5,128.33 | — | 31% |
| Stool ova and parasites exam CPT 87177 Concentration (Any Type), for Infectious Agents (Mayo) | $48.22 | $66.78 | $13.00–$60.10 | 14% above | 28% |
| Stool ova and parasites exam CPT 87177 Ova and Parasites | $48.22 | $66.78 | $13.00–$60.10 | 14% above | 28% |
| Stool ova and parasites exam inpatient CPT 87177 Concentration (Any Type), for Infectious Agents (Mayo) | $46.34 | $66.78 | $13.00–$5,202.16 | — | 31% |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasites | $46.34 | $66.78 | $13.00–$5,202.16 | — | 31% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fit | $80.84 | $111.96 | $21.80–$100.76 | 40% above | 28% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Fit | $77.69 | $111.96 | $21.80–$8,721.68 | — | 31% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test, Non-Treponemal Antibody; Qualitative (Mayo) | $48.99 | $67.85 | $13.21–$61.07 | 53% above | 28% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin | $54.87 | $76.00 | $14.80–$68.40 | 71% above | 28% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test, Non-Treponemal Antibody; Qualitative (Mayo) | $47.08 | $67.85 | $13.21–$5,285.52 | — | 31% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin | $52.74 | $76.00 | $14.80–$5,920.40 | — | 31% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-TB Gold in-Tube, B (Mayo) | $114.80 | $159.00 | $30.96–$143.10 | 5% below | 28% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon-TB Gold in-Tube, B (Mayo) | $110.33 | $159.00 | $30.96–$12,386.10 | — | 31% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total Tgrp (Mayo) | $45.71 | $63.31 | $12.33–$56.98 | 27% below | 28% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; Total, S (Mayo) | $84.19 | $116.60 | $22.70–$104.94 | 35% above | 28% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Bioavailable, and Free Serum (Mayo) | $84.19 | $116.60 | $22.70–$104.94 | 35% above | 28% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total Ffbtt (Mayo) | $84.19 | $116.60 | $22.70–$104.94 | 35% above | 28% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Mass Spectrometry, Serum (Mayo) | $84.19 | $116.60 | $22.70–$104.94 | 35% above | 28% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone | $84.19 | $116.60 | $22.70–$104.94 | 35% above | 28% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total Tgrp (Mayo) | $43.93 | $63.31 | $12.33–$5,128.33 | — | 31% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total Ffbtt (Mayo) | $80.91 | $116.60 | $22.70–$9,083.14 | — | 31% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone | $80.91 | $116.60 | $22.70–$9,083.14 | — | 31% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone; Total, S (Mayo) | $80.91 | $116.60 | $22.70–$9,083.14 | — | 31% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total, Mass Spectrometry, Serum (Mayo) | $80.91 | $116.60 | $22.70–$9,083.14 | — | 31% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total, Bioavailable, and Free Serum (Mayo) | $80.91 | $116.60 | $22.70–$9,083.14 | — | 31% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Igg Ab | $80.86 | $112.00 | $21.81–$100.80 | 53% above | 28% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies (Eg, Thyroid or Liver-Kidney), Each (Mayo) | $80.86 | $112.00 | $21.81–$100.80 | 53% above | 28% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab, S (Mayo) | $80.86 | $112.00 | $21.81–$100.80 | 53% above | 28% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/Kidney Microsome Type 1 Ab, S (Mayo) | $80.86 | $112.00 | $21.81–$100.80 | 53% above | 28% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibodies (Eg, Thyroid or Liver-Kidney), Each (Mayo) | $77.72 | $112.00 | $21.81–$8,724.80 | — | 31% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver/Kidney Microsome Type 1 Ab, S (Mayo) | $77.72 | $112.00 | $21.81–$8,724.80 | — | 31% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Ab, S (Mayo) | $77.72 | $112.00 | $21.81–$8,724.80 | — | 31% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Igg Ab | $77.72 | $112.00 | $21.81–$8,724.80 | — | 31% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (Mdh) | $122.26 | $169.34 | $67.74–$152.41 | 30% above | 28% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $122.26 | $169.34 | $67.74–$152.41 | 30% above | 28% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh, Sensitive, S (Mayo) | $122.26 | $169.34 | $67.74–$152.41 | 30% above | 28% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh, Sensitive, S (Mayo) | $117.51 | $169.34 | $32.97–$13,191.59 | — | 31% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone (Mdh) | $117.51 | $169.34 | $32.97–$13,191.59 | — | 31% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $117.51 | $169.34 | $32.97–$13,191.59 | — | 31% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis, Genital and Urine Sources | $60.79 | $84.19 | $16.39–$75.77 | 21% above | 28% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas (Quest) | $60.79 | $84.19 | $16.39–$75.77 | 21% above | 28% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis, Nucleic Acid Amplification, Varies (Mayo) | $80.27 | $111.18 | $21.65–$100.06 | 60% above | 28% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas (Quest) | $58.42 | $84.19 | $16.39–$6,558.40 | — | 31% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis, Genital and Urine Sources | $58.42 | $84.19 | $16.39–$6,558.40 | — | 31% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis, Nucleic Acid Amplification, Varies (Mayo) | $77.15 | $111.18 | $21.65–$8,660.92 | — | 31% |
| Uric acid blood test CPT 84550 Uric Acid | $54.34 | $75.26 | $14.65–$67.73 | 19% above | 28% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $52.22 | $75.26 | $14.65–$5,862.75 | — | 31% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Automated, With Microscopy | $409.77 | $567.55 | $206.59–$454.04 | 720% above | 28% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Automated, With Microscopy | $43.72 | $63.00 | $12.27–$5,128.33 | — | 31% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, Manual Read | $16.84 | $23.32 | $4.54–$20.99 | 56% below | 28% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis, Manual Read | $16.18 | $23.32 | $4.54–$5,128.33 | — | 31% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis With Macroscopic, Reflex to Microscopic (Manual Microscopic) | $25.99 | $36.00 | $7.01–$32.40 | at median | 28% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis, Macroscopic, Automated | $25.99 | $36.00 | $7.01–$32.40 | at median | 28% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis, Macroscopic, Automated | $24.98 | $36.00 | $7.01–$5,128.33 | — | 31% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis With Macroscopic, Reflex to Microscopic (Manual Microscopic) | $24.98 | $36.00 | $7.01–$5,128.33 | — | 31% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, Macroscopic, Manual | $10.83 | $15.00 | $2.92–$13.50 | 51% below | 28% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, Macroscopic, Manual | $10.41 | $15.00 | $2.92–$5,128.33 | — | 31% |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine | $71.75 | $99.38 | $19.35–$89.44 | 28% above | 28% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture, Urine | $68.96 | $99.38 | $19.35–$7,741.70 | — | 31% |
| Urine pregnancy test, read by color change CPT 81025 Hcg, Qualitative, Urine | $65.82 | $91.16 | $17.75–$82.04 | 64% above | 28% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hcg, Qualitative, Urine | $63.26 | $91.16 | $17.75–$7,101.36 | — | 31% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $64.10 | $88.78 | $17.29–$79.90 | 22% below | 28% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $61.60 | $88.78 | $17.29–$6,915.96 | — | 31% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy, Total | $84.38 | $116.87 | $22.75–$105.18 | 13% below | 28% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy, Total | $81.10 | $116.87 | $22.75–$9,104.17 | — | 31% |
| Zinc blood test CPT 84630 Zinc, S (Mayo) | $92.42 | $128.00 | $24.92–$115.20 | 207% above | 28% |
| Zinc blood test inpatient CPT 84630 Zinc, S (Mayo) | $88.82 | $128.00 | $24.92–$9,971.20 | — | 31% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-Hcg, Quantitative | $62.81 | $87.00 | $16.94–$78.30 | 25% below | 28% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-Hcg, Quantitative, S (Mayo) | $62.81 | $87.00 | $16.94–$78.30 | 25% below | 28% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-Hcg, Quantitative | $60.37 | $87.00 | $16.94–$6,777.30 | — | 31% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-Hcg, Quantitative, S (Mayo) | $60.37 | $87.00 | $16.94–$6,777.30 | — | 31% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy, primary; younger t | $10,468.49 | $14,499.30 | $158.50–$13,049.37 | 1313% above | 28% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Mammo Stereo Breast Biopsy | $3,024.46 | $4,189.00 | $815.60–$3,770.10 | 75% above | 28% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Mammo Stereo Breast Biopsy | $2,906.75 | $4,189.00 | $815.60–$326,323.10 | — | 31% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Correction,hallux valgus, w/sesamio | $20,210.79 | $27,992.79 | $362.57–$25,193.51 | 729% above | 28% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $2,313.29 | $3,204.00 | $623.82–$2,883.60 | 125% above | 28% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion | $2,223.26 | $3,204.00 | $623.82–$249,591.60 | — | 31% |
| Cataract surgery with lens implant CPT 66984 Extracapsular Cataract Reml W Inser | $7,523.04 | $10,419.72 | $398.63–$9,377.75 | 132% above | 28% |
| Complex cataract surgery with lens implant CPT 66982 Extracapsular Cataract Reml W Inser | $7,884.98 | $10,921.03 | $545.12–$9,828.93 | 349% above | 28% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection, Diag or Therapeutic Subst, W/O Neurolytic Sub, | $563.55 | $780.54 | $64.16–$702.49 | 52% below | 28% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Xr Epidural Cervical Thoracic Inj | $1,955.75 | $2,708.80 | $986.00–$2,167.04 | 66% above | 28% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection, Diag or Therapeutic Subst, W/O Neurolytic Sub, | $541.62 | $780.54 | $77.62–$60,804.07 | — | 31% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Xr Epidural Cervical Thoracic Inj | $1,415.47 | $2,039.88 | $397.16–$158,906.65 | — | 31% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Xr CT Facet Inj Lumb Sacr Sngl Lvl W Guidance | $4,398.30 | $6,091.83 | $2,217.43–$4,873.46 | 202% above | 28% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Xr CT Facet Inj Lumb Sacr Sngl Lvl W Guidance | $1,478.57 | $2,130.81 | $414.87–$165,990.10 | — | 31% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Sc Inj Uterus Tube Xray | $318.52 | $441.17 | $85.90–$397.05 | 5% above | 28% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Sc Inj Uterus Tube Xray | $306.13 | $441.17 | $85.90–$34,367.14 | — | 31% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision and Drainage of Abscess; Simple or Single | $236.82 | $328.00 | $63.86–$295.20 | 17% below | 28% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Sc Abscess Drain Subcutaneous | $281.94 | $390.50 | $76.03–$351.45 | 2% below | 28% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision and Drainage of Abscess; Simple or Single | $227.60 | $328.00 | $63.86–$25,551.20 | — | 31% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Sc Abscess Drain Subcutaneous | $270.97 | $390.50 | $76.03–$30,419.95 | — | 31% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Sc Inj Tendon Sheath or Ligament | $251.98 | $349.00 | $67.95–$314.10 | 32% below | 28% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Sc Inj Tendon Sheath or Ligament | $242.17 | $349.00 | $67.95–$27,187.10 | — | 31% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Sc Inj Aspirate Large Joint | $293.85 | $407.00 | $79.24–$366.30 | 19% below | 28% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, Aspiration and/or Injection, Major Joint or Bursa W/O US Guidance | $293.85 | $407.00 | $79.24–$366.30 | 19% below | 28% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Sc Inj Aspirate Large Joint | $282.42 | $407.00 | $79.24–$31,705.30 | — | 31% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis, Aspiration and/or Injection, Major Joint or Bursa W/O US Guidance | $282.42 | $407.00 | $79.24–$31,705.30 | — | 31% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Medium Joint W/O US Guidance | $265.70 | $368.00 | $71.65–$331.20 | 13% below | 28% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Sc Inj Aspirate Medium Joint | $265.70 | $368.00 | $71.65–$331.20 | 13% below | 28% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Sc Inj Aspirate Medium Joint | $255.36 | $368.00 | $71.65–$28,667.20 | — | 31% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Medium Joint W/O US Guidance | $255.36 | $368.00 | $71.65–$28,667.20 | — | 31% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Sc Inj Aspirate Small Joint | $180.50 | $250.00 | $48.68–$225.00 | 44% below | 28% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Sc Inj Aspirate Small Joint | $173.47 | $250.00 | $48.68–$19,475.00 | — | 31% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy, knee, surgical; with m | $18,184.25 | $25,185.94 | $500.04–$22,667.35 | 568% above | 28% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthroscopy, knee, surgical; debrid | $11,436.34 | $15,839.81 | $453.22–$14,255.83 | 549% above | 28% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy, Surgical, W/Total Hy | $20,617.71 | $28,556.39 | $10,394.53–$22,845.11 | 1051% above | 28% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission of secondary membranous | $1,645.59 | $2,279.21 | $829.63–$1,823.37 | 6% above | 28% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate Wound Repair Scalp/Ax/Trunk/Extrem 2.5 Cm or Less | $462.11 | $640.04 | $124.62–$576.04 | 2% above | 28% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate Wound Repair Scalp/Ax/Trunk/Extrem 2.5 Cm or Less | $444.12 | $640.04 | $124.62–$49,859.12 | — | 31% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Xr Epidural Lumbar or Sacral Inj | $1,898.76 | $2,629.86 | $957.27–$2,103.89 | 65% above | 28% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Xr Epidural Lumbar or Sacral Inj | $1,300.94 | $1,874.82 | $365.03–$146,048.48 | — | 31% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Xr CT Foramin Inj Lumb Sacr Sngl Lvl W Guid | $2,410.58 | $3,338.76 | $1,215.31–$2,671.01 | 86% above | 28% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Xr CT Foramin Inj Lumb Sacr Sngl Lvl W Guid | $2,178.15 | $3,139.00 | $611.16–$244,528.10 | — | 31% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of Missed Abortion, Com | $10,129.36 | $14,029.59 | $5,106.77–$11,223.67 | 1165% above | 28% |
| Occipital nerve block (injection for headaches) CPT 64405 Xr Inj Greater Occipital Nerve | $725.02 | $1,004.18 | $195.51–$903.76 | 21% above | 28% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Xr Inj Greater Occipital Nerve | $696.80 | $1,004.18 | $195.51–$78,225.62 | — | 31% |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis W Imaging Guidance | $971.49 | $1,345.56 | $261.98–$1,211.00 | 4% above | 28% |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis, With Imaging Guidance | $1,175.15 | $1,627.63 | $316.90–$1,464.87 | 26% above | 28% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis W Imaging Guidance | $933.68 | $1,345.56 | $261.98–$104,819.12 | — | 31% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis, With Imaging Guidance | $1,129.41 | $1,627.63 | $316.90–$126,792.38 | — | 31% |
| Prostate biopsy CPT 55700 Sc Ndl Bx Prostate | $693.84 | $961.00 | $187.11–$864.90 | 59% below | 28% |
| Prostate biopsy inpatient CPT 55700 Sc Ndl Bx Prostate | $666.84 | $961.00 | $187.11–$74,861.90 | — | 31% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Xr CT Facet Destruct by Neurolytic Lumb Sacr Sngl Lvl W Guidance | $4,871.82 | $6,747.67 | $2,456.15–$5,398.14 | 132% above | 28% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Xr CT Facet Destruct by Neurolytic Lumb Sacr Sngl Lvl W Guidance | $2,137.46 | $3,080.36 | $599.75–$239,960.04 | — | 31% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION CYST, FIBROADENOMA, othe | $9,758.99 | $13,516.60 | $296.47–$12,164.94 | 564% above | 28% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy, extracorporeal shock | $11,899.30 | $16,481.02 | $414.16–$14,832.92 | 186% above | 28% |
| Short arm cast (elbow to hand) CPT 29075 Ot Apply Short Arm Cast | $345.22 | $478.14 | $93.09–$430.33 | 46% above | 28% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Ot Apply Short Arm Cast | $331.78 | $478.14 | $93.09–$37,247.11 | — | 31% |
| Short arm splint (forearm and hand) CPT 29125 Application of Short Arm Splint | $353.42 | $489.50 | $95.31–$440.55 | 78% above | 28% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application of Short Arm Splint | $339.66 | $489.50 | $95.31–$38,132.05 | — | 31% |
| Short leg cast (below the knee) CPT 29405 Pt Apply Short Leg Cast | $365.48 | $506.21 | $98.56–$455.59 | 31% above | 28% |
| Short leg cast (below the knee) inpatient CPT 29405 Pt Apply Short Leg Cast | $351.26 | $506.21 | $98.56–$39,433.76 | — | 31% |
| Short leg splint (calf to foot) CPT 29515 Application of Short Leg Splint | $162.09 | $224.50 | $43.71–$202.05 | 27% below | 28% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application of Short Leg Splint | $155.78 | $224.50 | $43.71–$17,488.55 | — | 31% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Wound Repair Scalp/Neck/Ax/Gen/Trunk/Ext 2.5 Cm or Less | $424.54 | $588.00 | $114.48–$529.20 | 53% above | 28% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Wound Repair Scalp/Neck/Ax/Gen/Trunk/Ext 2.5 Cm or Less | $408.01 | $588.00 | $114.48–$45,805.20 | — | 31% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Sc Lumbar Puncture | $173.67 | $240.54 | $46.83–$216.49 | 76% below | 28% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $590.70 | $818.14 | $104.41–$736.33 | 18% below | 28% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Pf Anes Spinal Puncture, Lumbar, Diagnostic | $1,100.33 | $1,524.00 | $43.31–$1,371.60 | 53% above | 28% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Sc Lumbar Puncture | $166.91 | $240.54 | $46.83–$18,738.07 | — | 31% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Pf Anes Spinal Puncture, Lumbar, Diagnostic | $301.35 | $434.29 | $43.31–$33,831.19 | — | 31% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $567.71 | $818.14 | $159.29–$63,733.11 | — | 31% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Wound Repair Scalp/Neck/Ax/Gen/Trunk/Ext 2.6 Cm-7.5 Cm | $441.86 | $612.00 | $119.16–$550.80 | 37% above | 28% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Wound Repair Scalp/Neck/Ax/Gen/Trunk/Ext 2.6 Cm-7.5 Cm | $424.67 | $612.00 | $119.16–$47,674.80 | — | 31% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Wound Repair Face/E/E/N/L/M 2.5 Cm or Less | $441.87 | $612.01 | $119.16–$550.81 | 58% above | 28% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Wound Repair Face/E/E/N/L/M 2.5 Cm or Less | $424.67 | $612.01 | $119.16–$47,675.58 | — | 31% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Imaging Guidance | $1,415.84 | $1,961.00 | $381.81–$1,764.90 | 52% above | 28% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W Imaging Guidance | $1,360.74 | $1,961.00 | $381.81–$152,761.90 | — | 31% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy and adenoidectomy; | $12,427.35 | $17,212.40 | $6,265.31–$13,769.92 | 1243% above | 28% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy, Primary or Seconda | $10,077.03 | $13,957.11 | $5,080.39–$11,165.69 | 1144% above | 28% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Xr Trigger Point 1 or 2 | $475.26 | $658.26 | $128.16–$592.43 | 49% above | 28% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Xr Trigger Point 1 or 2 | $456.77 | $658.26 | $128.16–$51,278.45 | — | 31% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Guide Breast Bx | $2,256.25 | $3,125.00 | $608.44–$2,812.50 | 28% above | 28% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Guide Breast Bx | $2,168.44 | $3,125.00 | $608.44–$243,437.50 | — | 31% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd, Flexible, Transoral; W Removal of Tumor(S), Polyp(S), or Other Lesion(S) by Snare Technique (Procah | $4,003.38 | $5,544.85 | $466.87–$4,990.37 | 127% above | 28% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd, Flexible, Transoral; W Removal of Tumor(S), Polyp(S), or Other Lesion(S) by Snare Technique (Procah | $1,015.27 | $1,463.13 | $138.47–$113,977.83 | — | 31% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystourethroscopy, w/ureteroscopy | $14,177.60 | $19,636.57 | $7,147.71–$15,709.26 | 490% above | 28% |
| Vasectomy, one or both sides, including follow-up semen testing one side CPT 55250 Vasectomy, Unilateral or Bilatera | $14,274.29 | $19,770.49 | $7,196.46–$15,816.39 | 831% above | 28% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subq Tissue; First 20 Sq Cm or Less | $336.51 | $466.08 | $90.75–$419.47 | 25% below | 28% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement, Subq Tissue; First 20 Sq Cm or Less | $323.41 | $466.08 | $90.75–$36,307.63 | — | 31% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood/Blood Product Administration | $1,284.02 | $1,778.42 | $346.26–$1,600.58 | 80% above | 28% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood/Blood Product Administration | $1,234.05 | $1,778.42 | $346.26–$138,538.92 | — | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment Initial | $169.67 | $235.00 | $45.75–$211.50 | 45% above | 28% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $169.67 | $235.00 | $45.75–$211.50 | 45% above | 28% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment Subsequent | $169.67 | $235.00 | $45.75–$211.50 | 45% above | 28% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment Initial | $163.07 | $235.00 | $45.75–$18,306.50 | — | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction | $163.07 | $235.00 | $45.75–$18,306.50 | — | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment Subsequent | $163.07 | $235.00 | $45.75–$18,306.50 | — | 31% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Admin IV Infusion Biological, Primary, Up to 1 Hour | $514.06 | $712.00 | $138.63–$640.80 | at median | 28% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Admin IV Infusion Primary Up to 1 Hour | $514.06 | $712.00 | $138.63–$640.80 | at median | 28% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotherapy Admin IV Infusion Primary Up to 1 Hour | $494.06 | $712.00 | $138.63–$55,464.80 | — | 31% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotherapy Admin IV Infusion Biological, Primary, Up to 1 Hour | $494.06 | $712.00 | $138.63–$55,464.80 | — | 31% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 30 - 74 Minutes | $2,050.47 | $2,839.98 | $552.94–$2,555.98 | 28% above | 28% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care 30 - 74 Minutes | $1,970.66 | $2,839.98 | $552.94–$221,234.44 | — | 31% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Routine (Awake & Drowsy) | $743.66 | $1,030.00 | $200.54–$927.00 | 41% above | 28% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Routine (Awake & Drowsy) | $714.72 | $1,030.00 | $200.54–$80,237.00 | — | 31% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing | $559.97 | $775.58 | $6.06–$698.02 | 224% above | 28% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Tracing | $157.59 | $227.11 | $44.22–$17,691.87 | — | 31% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Medical Screen | $200.13 | $277.19 | $53.97–$249.47 | at median | 28% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergent Level 1 | $214.43 | $297.00 | $57.83–$267.30 | 7% above | 28% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Medical Screen | $192.34 | $277.19 | $53.97–$21,593.10 | — | 31% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergent Level 1 | $206.09 | $297.00 | $57.83–$23,136.30 | — | 31% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergent Level 2 | $27,958.11 | $38,723.14 | $14,095.22–$30,978.51 | 10697% above | 28% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergent Level 2 | $306.01 | $441.00 | $85.86–$34,353.90 | — | 31% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergent Level 3 | $14,330.27 | $19,848.02 | $7,224.68–$15,878.42 | 3029% above | 28% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergent Level 3 | $519.43 | $748.57 | $145.75–$58,313.60 | — | 31% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergent Level 4 | $903.58 | $1,251.50 | $243.67–$1,126.35 | 23% above | 28% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergent Level 4 | $868.42 | $1,251.50 | $243.67–$97,491.85 | — | 31% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergent Level 5 | $1,268.38 | $1,756.76 | $342.04–$1,581.08 | 15% above | 28% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergent Level 5 | $1,219.02 | $1,756.76 | $342.04–$136,851.60 | — | 31% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test | $909.71 | $1,259.99 | $245.32–$1,133.99 | 25% above | 28% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test | $874.31 | $1,259.99 | $245.32–$98,153.22 | — | 31% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration Primary Up to 1 Hour | $354.50 | $491.00 | $95.60–$441.90 | 30% above | 28% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration Primary Up to 1 Hour | $340.70 | $491.00 | $95.60–$38,248.90 | — | 31% |
| IV infusion of a medicine, first hour CPT 96365 Pf Anes Intravenous Infusion, for Therapy, Prophylaxis, or Diagnosis; Initial, Up to 1 Hour | $112.91 | $156.38 | $44.82–$140.74 | 65% below | 28% |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion Therapy Primary Up to 1 Hour | $1,425.88 | $1,974.90 | $718.86–$1,579.92 | 336% above | 28% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Pf Anes Intravenous Infusion, for Therapy, Prophylaxis, or Diagnosis; Initial, Up to 1 Hour | $108.51 | $156.38 | $30.45–$12,182.00 | — | 31% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Therapy Primary Up to 1 Hour | $413.56 | $596.00 | $116.04–$46,428.40 | — | 31% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic, Proph, Diag, Injection Subq or Im (Community Paramedic) | $79.41 | $109.98 | $21.41–$98.98 | 3% above | 28% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Sq Med Injection | $867.69 | $1,201.79 | $437.45–$961.43 | 1024% above | 28% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Sq Med Injection | $74.25 | $107.00 | $20.83–$8,335.30 | — | 31% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic, Proph, Diag, Injection Subq or Im (Community Paramedic) | $76.32 | $109.98 | $21.41–$8,567.44 | — | 31% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Nmr Neuro Musc Re-ED (Bal, Cor, POS) (15 Min) | $123.90 | $171.61 | $68.64–$180.19 | 70% above | 28% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Nmr Neuro Musc Re-ED (Bal, Cor, POS) (15 Min) | $123.90 | $171.61 | $68.64–$180.19 | 70% above | 28% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Nmr Neuro Musc Re-ED (Bal, Cor, POS) (15 Min) | $119.08 | $171.61 | $33.41–$13,368.42 | — | 31% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Nmr Neuro Musc Re-ED (Bal, Cor, POS) (15 Min) | $119.08 | $171.61 | $33.41–$13,368.42 | — | 31% |
| New patient office visit, about 30 minutes CPT 99203 New Pt Level 3 Office/Other Outpt Visit Eval and Mgmt, Low Level Mdm or 30 Min Met or Exceeded | $445.83 | $617.49 | $120.23–$555.74 | 282% above | 28% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Level 3 Office/Other Outpt Visit Eval and Mgmt, Low Level Mdm or 30 Min Met or Exceeded | $428.48 | $617.49 | $120.23–$48,102.47 | — | 31% |
| New patient office visit, about 45 minutes CPT 99204 New Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 45 Min Met or Exceeded | $634.67 | $879.04 | $171.15–$791.14 | 260% above | 28% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 45 Min Met or Exceeded | $609.97 | $879.04 | $171.15–$68,477.22 | — | 31% |
| New patient office visit, about 60 minutes CPT 99205 New Pt Level 5 Office/Other Outpt Visit Eval and Mgmt, High Level Mdm or 60 Min Met or Exceeded | $795.51 | $1,101.82 | $214.52–$991.64 | 228% above | 28% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Level 5 Office/Other Outpt Visit Eval and Mgmt, High Level Mdm or 60 Min Met or Exceeded | $764.55 | $1,101.82 | $214.52–$85,831.78 | — | 31% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level 2 Office/Other Outpt Visit Eval and Mgmt, Straightforward Mdm or 15 Min Met or Exceeded | $305.97 | $423.78 | $82.51–$381.40 | 302% above | 28% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Pt Level 2 Office/Other Outpt Visit Eval and Mgmt, Straightforward Mdm or 15 Min Met or Exceeded | $294.06 | $423.78 | $82.51–$33,012.46 | — | 31% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy (Mnt) Initial | $79.42 | $110.00 | $17.36–$99.00 | 27% above | 28% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Therapy (Mnt) Initial | $76.33 | $110.00 | $21.42–$8,569.00 | — | 31% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity | $175.64 | $243.27 | $47.36–$218.94 | 4% above | 28% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Lymphedema, Low Complexity | $175.64 | $243.27 | $47.36–$218.94 | 4% above | 28% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Lymphedema, Low Complexity | $168.81 | $243.27 | $47.36–$18,950.73 | — | 31% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity | $168.81 | $243.27 | $47.36–$18,950.73 | — | 31% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval Lymphedema, High Complexity | $239.70 | $332.00 | $64.64–$298.80 | 20% above | 28% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity | $239.70 | $332.00 | $64.64–$298.80 | 20% above | 28% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval Lymphedema, High Complexity | $230.37 | $332.00 | $64.64–$25,862.80 | — | 31% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity | $230.37 | $332.00 | $64.64–$25,862.80 | — | 31% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Lymphedema, Low Complexity | $175.07 | $242.48 | $96.99–$538.52 | 2% above | 28% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity | $175.07 | $242.48 | $96.99–$538.52 | 2% above | 28% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity | $168.26 | $242.48 | $47.21–$18,889.19 | — | 31% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Lymphedema, Low Complexity | $168.26 | $242.48 | $47.21–$18,889.19 | — | 31% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity | $207.60 | $287.53 | $55.98–$258.78 | 9% above | 28% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Lymphedema, Moderate Complexity | $207.60 | $287.53 | $55.98–$258.78 | 9% above | 28% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Lymphedema, Moderate Complexity | $199.52 | $287.53 | $55.98–$22,398.59 | — | 31% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Moderate Complexity | $199.52 | $287.53 | $55.98–$22,398.59 | — | 31% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy (15 Min) | $124.68 | $172.69 | $69.08–$155.42 | 47% above | 28% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Lymphedema (15 Min) | $124.68 | $172.69 | $69.08–$155.42 | 47% above | 28% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Lymphedema (15 Min) | $124.68 | $172.69 | $69.08–$155.42 | 47% above | 28% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy (15 Min) | $124.68 | $172.69 | $69.08–$155.42 | 47% above | 28% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot Manual Therapy Lymphedema (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Therapy (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot Manual Therapy (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Therapy Lymphedema (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Personal Training (1 Hr) | $101.98 | $141.25 | $52.69–$157.79 | 13% above | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Exercise (Rom, Strng, Flex) Lymphedema (15 Min) | $124.68 | $172.69 | $69.08–$157.79 | 38% above | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Exercise (Rom, Strength, Flex) (15 Min) | $124.68 | $172.69 | $69.08–$157.79 | 38% above | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Exercise (Rom, Strength, Flex) (15 Min) | $124.68 | $172.69 | $69.08–$157.79 | 38% above | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Exercise (Rom, Strng, Flex) Lymphedema (15 Min) | $124.68 | $172.69 | $69.08–$157.79 | 38% above | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Personal Training (1 Hr) | $98.01 | $141.25 | $27.50–$11,003.38 | — | 31% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Exercise (Rom, Strength, Flex) (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Exercise (Rom, Strng, Flex) Lymphedema (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Exercise (Rom, Strng, Flex) Lymphedema (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Exercise (Rom, Strength, Flex) (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis; First 60 Minutes | $422.37 | $585.00 | $113.90–$526.50 | 79% above | 28% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for Crisis; First 60 Minutes | $405.93 | $585.00 | $113.90–$45,571.50 | — | 31% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 Minutes With Patient | $173.28 | $240.00 | $46.73–$216.00 | 52% above | 28% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 Minutes With Patient | $166.54 | $240.00 | $28.75–$18,696.00 | — | 31% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Minutes With Patient | $237.54 | $329.00 | $64.06–$296.10 | 57% above | 28% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 Minutes With Patient | $228.29 | $329.00 | $35.41–$25,629.10 | — | 31% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 Minutes With Patient | $329.23 | $456.00 | $88.78–$410.40 | 77% above | 28% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy, 60 Minutes With Patient | $316.42 | $456.00 | $47.22–$35,522.40 | — | 31% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Level 5 Office/Other Outpt Visit Eval and Mgmt, High Level Mdm or 40 Min Met or Exceeded | $585.71 | $811.23 | $157.95–$730.11 | 203% above | 28% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Clinical Nursing Level 5 | $1,045.02 | $1,447.39 | $539.88–$1,302.65 | 440% above | 28% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Pt Level 5 Office/Other Outpt Visit Eval and Mgmt, High Level Mdm or 40 Min Met or Exceeded | $562.91 | $811.23 | $157.95–$63,194.82 | — | 31% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Clinical Nursing Level 5 | $1,004.34 | $1,447.39 | $835.14–$112,751.68 | — | 31% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level 3 Office/Other Outpt Visit Eval and Mgmt, Low Level Mdm or 20 Min Met or Exceeded | $293.72 | $406.82 | $79.21–$366.14 | 146% above | 28% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Clinical Nursing Level 3 | $561.08 | $777.12 | $289.87–$699.41 | 370% above | 28% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Pt Level 3 Office/Other Outpt Visit Eval and Mgmt, Low Level Mdm or 20 Min Met or Exceeded | $282.29 | $406.82 | $79.21–$31,691.28 | — | 31% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Clinical Nursing Level 3 | $539.24 | $777.12 | $448.40–$60,537.65 | — | 31% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 30 Min Met or Exceeded | $440.59 | $610.24 | $118.81–$549.22 | 211% above | 28% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Clinical Nursing Level 4 | $909.42 | $1,259.59 | $469.83–$1,133.63 | 543% above | 28% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 30 Min Met or Exceeded | $423.45 | $610.24 | $118.81–$47,537.70 | — | 31% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Clinical Nursing Level 4 | $874.03 | $1,259.59 | $726.78–$98,122.06 | — | 31% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level 2 Office/Other Outpt Visit Eval and Mgmt, Straightforward Mdm or 10 Min Met or Exceeded | $209.81 | $290.59 | $56.58–$261.53 | 128% above | 28% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Clinical Nursing Level 2 | $339.77 | $470.59 | $175.53–$423.53 | 269% above | 28% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Pt Level 2 Office/Other Outpt Visit Eval and Mgmt, Straightforward Mdm or 10 Min Met or Exceeded | $201.64 | $290.59 | $56.58–$22,636.96 | — | 31% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Clinical Nursing Level 2 | $326.54 | $470.59 | $271.53–$36,658.96 | — | 31% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or Outpt Consult, New or Est Pt, Low Mdm or 30-39 Mins | $485.50 | $672.44 | $130.92–$605.20 | 156% above | 28% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office or Outpt Consult, New or Est Pt, Low Mdm or 30-39 Mins | $466.61 | $672.44 | $130.92–$52,383.08 | — | 31% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or Outpt Consult, New or Est Pt, Moderate Mdm or 40-54 Mins | $692.95 | $959.77 | $186.87–$863.79 | 196% above | 28% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office or Outpt Consult, New or Est Pt, Moderate Mdm or 40-54 Mins | $665.98 | $959.77 | $186.87–$74,766.08 | — | 31% |
| Speech and language evaluation CPT 92523 Slp Eval of Speech Sound Production W/Eval Comp & Express | $483.16 | $669.19 | $130.29–$602.27 | 50% above | 28% |
| Speech and language evaluation inpatient CPT 92523 Slp Eval of Speech Sound Production W/Eval Comp & Express | $464.35 | $669.19 | $130.29–$52,129.90 | — | 31% |
| Speech therapy session, individual CPT 92507 Slp Treatment of Slp/Lang/Comm (Session for 43000026) | $308.60 | $427.42 | $170.97–$606.73 | 44% above | 28% |
| Speech therapy session, individual inpatient CPT 92507 Slp Treatment of Slp/Lang/Comm (Session for 43000026) | $296.59 | $427.42 | $83.22–$33,296.02 | — | 31% |
| Spirometry (breathing test) CPT 94010 Spirometry Pft | $232.48 | $322.00 | $62.69–$289.80 | 36% above | 28% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry Pft | $223.44 | $322.00 | $62.69–$25,083.80 | — | 31% |
| Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Eval-Pft | $317.86 | $440.25 | $85.72–$396.23 | at median | 28% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Eval-Pft | $305.49 | $440.25 | $85.72–$34,295.48 | — | 31% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activities (Func/Dynam) (15 Min) | $124.68 | $172.69 | $69.08–$196.47 | 61% above | 28% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Dynamic Therapeutic Activities (15 Min) | $124.68 | $172.69 | $69.08–$196.47 | 61% above | 28% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Therapeutic Activities (Func/Dynam) (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Dynamic Therapeutic Activities (15 Min) | $119.83 | $172.69 | $33.62–$13,452.55 | — | 31% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $203.96 | $282.49 | $55.00–$254.24 | 1% below | 28% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $196.02 | $282.49 | $55.00–$22,005.97 | — | 31% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sars-Cov-2, Covid-19 Vaccine, Mrna-Lnp, Spike Protein, 30 Mcg/0.3 Ml Dosage, Tris-Sucr, Im (Pfizer 12+ Yrs) (Pbb) | $165.87 | $229.74 | $91.90–$317.41 | 4% below | 28% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sars-Cov-2, Covid-19 Vaccine, Mrna-Lnp, Spike Protein, 30 Mcg/0.3 Ml Dosage, Tris-Sucr, Im (Pfizer 12+ Yrs) (Pbb) | $159.42 | $229.74 | $44.73–$17,896.75 | — | 31% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine, Trivalent, Sv, Pf, 0.5ml for Im Use (Pbb) | $20.94 | $29.00 | $11.60–$34.13 | 6% below | 28% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vaccine, Trivalent, Sv, Pf, 0.5ml for Im Use (Pbb) | $20.12 | $29.00 | $5.65–$5,128.33 | — | 31% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Sup Hepatitis a and B Vaccine, Adult Dosage, for Im Use | $138.62 | $192.00 | $76.80–$274.49 | 5% below | 28% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Sup Hepatitis a and B Vaccine, Adult Dosage, for Im Use | $133.23 | $192.00 | $37.38–$14,956.80 | — | 31% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG | $180.24 | $249.64 | $84.99–$224.68 | 131% above | 28% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG | $173.23 | $249.64 | $48.60–$19,446.96 | — | 31% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR | $339.79 | $470.62 | $188.25–$423.56 | 139% above | 28% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR | $326.56 | $470.62 | $91.63–$36,661.30 | — | 31% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $459.04 | $635.79 | $254.32–$606.81 | 14% above | 28% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $441.17 | $635.79 | $123.79–$49,528.04 | — | 31% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG | $229.52 | $317.90 | $127.16–$286.11 | 53% above | 28% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG | $220.59 | $317.90 | $61.90–$24,764.41 | — | 31% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML IM SYRG | $850.35 | $1,177.77 | $471.11–$1,079.39 | 58% above | 28% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML IM SYRG | $817.25 | $1,177.77 | $229.31–$91,748.28 | — | 31% |
| Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNIT IM SOLR | $680.79 | $942.92 | $333.68–$848.63 | 20% above | 28% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR | $681.89 | $944.45 | $333.68–$850.01 | 20% above | 28% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNIT IM SOLR | $654.29 | $942.92 | $183.59–$73,453.47 | — | 31% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR | $655.35 | $944.45 | $183.88–$73,572.66 | — | 31% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG | $139.35 | $193.01 | $34.08–$173.71 | 123% above | 28% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG | $133.93 | $193.01 | $37.58–$15,035.48 | — | 31% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM SYRG | $117.00 | $162.05 | $39.33–$145.85 | 47% above | 28% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM SYRG | $112.45 | $162.05 | $31.55–$12,623.70 | — | 31% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Pneumococcal Vaccine | $50.54 | $70.00 | $13.63–$63.00 | 23% above | 28% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Administration (Pbb) | $50.54 | $70.00 | $13.63–$63.00 | 23% above | 28% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Influenza Vaccine | $50.54 | $70.00 | $13.63–$63.00 | 23% above | 28% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Vaccine | $50.54 | $70.00 | $13.63–$63.00 | 23% above | 28% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Influenza Vaccine | $48.57 | $70.00 | $13.63–$5,453.00 | — | 31% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Administration (Pbb) | $48.57 | $70.00 | $13.63–$5,453.00 | — | 31% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Vaccine | $48.57 | $70.00 | $13.63–$5,453.00 | — | 31% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Pneumococcal Vaccine | $48.57 | $70.00 | $13.63–$5,453.00 | — | 31% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration Vaccine - Ea Additional Vaccine | $28.88 | $40.00 | $7.79–$36.00 | 5% above | 28% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration Vaccine - Ea Additional Vaccine | $27.76 | $40.00 | $7.79–$5,128.33 | — | 31% |
Source file: https://asterahealth.org/wp-content/uploads/2026/02/410713913_astera-health_standardcharges.csv