Hospital New York-Newark-Jersey City, NY-NJ

University Hospital of Brooklyn

University Hospital of Brooklyn in Brooklyn, NY publishes cash prices for 355 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 New York median for 303 of 352 procedures and below it for 49. By typical cash price it ranks #93 of 114 New York hospitals and #56 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

445 Lenox Road, Brooklyn NY 11203 Collected Sep 22, 2026 Source price file (718) 270-1000

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 330350 · CMS hospital register

The price file shows no self-pay discount

For 710 of the 710 prices listed here, the cash price in University Hospital of Brooklyn's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named University Hospital of Brooklyn in Brooklyn, NY:

Mar 10, 2025 Corrective action plan requested
Apr 24, 2025 Case closed

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 73610 - X-RAY EXAM OF ANKLE	$10,927.00	$10,927.00	$9,657.00–$19,893.00	5391% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 73610 - X-RAY EXAM OF ANKLE	$10,927.00	$10,927.00	$9,657.00–$19,893.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 - UPR/L XTREMITY ART 2 LEVELS	$391.00	$391.00	$19.00–$424.00	31% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922 - UPR/L XTREMITY ART 2 LEVELS	$391.00	$391.00	$19.00–$424.00	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 74220 - X-RAY XM ESOPHAGUS 1CNTRST	$138.00	$138.00	$3.00–$76.00	59% below	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 74220 - X-RAY XM ESOPHAGUS 1CNTRST	$138.00	$138.00	$3.00–$76.00	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 78306 - BONE IMAGING WHOLE BODY	$810.00	$810.00	$81.00–$1,491.00	15% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 78306 - BONE IMAGING WHOLE BODY	$810.00	$810.00	$81.00–$1,491.00	—	—
Breast ultrasound, complete, one breast CPT 76641 76641 - ULTRASOUND BREAST COMPLETE	$527.00	$527.00	$15.00–$491.00	68% above	—
Breast ultrasound, complete, one breast inpatient CPT 76641 76641 - ULTRASOUND BREAST COMPLETE	$527.00	$527.00	$15.00–$491.00	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 76642 - ULTRASOUND BREAST LIMITED	$15,065.00	$15,065.00	$9,797.00–$20,182.00	6008% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 - ULTRASOUND BREAST LIMITED	$15,065.00	$15,065.00	$9,797.00–$20,182.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 - CT ANGIOGRAPHY CHEST	$3,000.00	$3,000.00	$146.00–$1,171.00	137% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 - CT ANGIOGRAPHY CHEST	$3,000.00	$3,000.00	$146.00–$1,171.00	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 75574 - CT ANGIO HRT W/3D IMAGE	$1,407.00	$1,407.00	$146.00–$1,171.00	37% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574 - CT ANGIO HRT W/3D IMAGE	$1,407.00	$1,407.00	$146.00–$1,171.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 - CT ABD & PELVIS W/O CONTRAST	$1,193.00	$1,193.00	$61.00–$1,171.00	11% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 74176 - CT ABD & PELVIS W/O CONTRAST	$1,193.00	$1,193.00	$61.00–$1,171.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 - CT ABD & PELV W/CONTRAST	$2,763.00	$2,763.00	$217.00–$1,171.00	77% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 - CT ABD & PELV W/CONTRAST	$2,763.00	$2,763.00	$217.00–$1,171.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 - CT ABD & PELV 1/> REGNS	$3,040.00	$3,040.00	$205.00–$1,171.00	72% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 - CT ABD & PELV 1/> REGNS	$3,040.00	$3,040.00	$205.00–$1,171.00	—	—
CT scan of the abdomen with contrast CPT 74160 74160 - CT ABDOMEN W/DYE	$2,142.00	$2,142.00	$125.00–$1,171.00	95% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 74160 - CT ABDOMEN W/DYE	$2,142.00	$2,142.00	$125.00–$1,171.00	—	—
CT scan of the abdomen without contrast CPT 74150 74150 - CT ABDOMEN W/O DYE	$1,224.00	$1,224.00	$95.00–$1,171.00	43% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 74150 - CT ABDOMEN W/O DYE	$1,224.00	$1,224.00	$95.00–$1,171.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 70486 - CT MAXILLOFACIAL W/O DYE	$1,675.00	$1,675.00	$44.00–$1,171.00	116% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 70486 - CT MAXILLOFACIAL W/O DYE	$1,675.00	$1,675.00	$44.00–$1,171.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 70450 - CT HEAD/BRAIN W/O DYE	$1,275.00	$1,275.00	$65.00–$1,171.00	61% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 - CT HEAD/BRAIN W/O DYE	$1,275.00	$1,275.00	$65.00–$1,171.00	—	—
CT scan of the head with contrast CPT 70460 70460 - CT HEAD/BRAIN W/DYE	$1,851.00	$1,851.00	$161.00–$1,171.00	100% above	—
CT scan of the head with contrast inpatient CPT 70460 70460 - CT HEAD/BRAIN W/DYE	$1,851.00	$1,851.00	$161.00–$1,171.00	—	—
CT scan of the head without and with contrast CPT 70470 70470 - CT HEAD/BRAIN W/O & W/DYE	$2,036.00	$2,036.00	$161.00–$1,171.00	96% above	—
CT scan of the head without and with contrast inpatient CPT 70470 70470 - CT HEAD/BRAIN W/O & W/DYE	$2,036.00	$2,036.00	$161.00–$1,171.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 - CT LUMBAR SPINE W/O DYE	$1,423.00	$1,423.00	$95.00–$1,171.00	70% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 72131 - CT LUMBAR SPINE W/O DYE	$1,423.00	$1,423.00	$95.00–$1,171.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 - CT NECK SPINE W/O DYE	$1,204.00	$1,204.00	$95.00–$1,171.00	36% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 72125 - CT NECK SPINE W/O DYE	$1,204.00	$1,204.00	$95.00–$1,171.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 72193 - CT PELVIS W/DYE	$1,881.00	$1,881.00	$161.00–$1,171.00	99% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 - CT PELVIS W/DYE	$1,881.00	$1,881.00	$161.00–$1,171.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 - EXTRACRANIAL BILAT STUDY	$675.00	$675.00	$56.00–$1,491.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 93880 - EXTRACRANIAL BILAT STUDY	$675.00	$675.00	$56.00–$1,491.00	—	—
Chest X-ray, 2 views CPT 71046 71046 - X-RAY EXAM CHEST 2 VIEWS	$142.00	$142.00	$3.00–$76.00	30% below	—
Chest X-ray, 2 views inpatient CPT 71046 71046 - X-RAY EXAM CHEST 2 VIEWS	$142.00	$142.00	$3.00–$76.00	—	—
Chest X-ray, single view CPT 71045 71045 - X-RAY EXAM CHEST 1 VIEW	$49.00	$49.00	$5.00–$66.00	74% below	—
Chest X-ray, single view inpatient CPT 71045 71045 - X-RAY EXAM CHEST 1 VIEW	$49.00	$49.00	$5.00–$66.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 - US EXAM ABDO BACK WALL COMP	$201.00	$201.00	$19.00–$76.00	50% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 76770 - US EXAM ABDO BACK WALL COMP	$201.00	$201.00	$19.00–$76.00	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 - DXA BONE DENSITY AXIAL	$310.00	$310.00	$6.00–$253.00	16% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 77080 - DXA BONE DENSITY AXIAL	$310.00	$310.00	$6.00–$253.00	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 77081 - DXA BONE DENSITY/PERIPHERAL	$32.00	$32.00	$6.00–$76.00	78% below	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 77081 - DXA BONE DENSITY/PERIPHERAL	$32.00	$32.00	$6.00–$76.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 - CT THORAX DX C-	$1,540.00	$1,540.00	$48.00–$1,171.00	85% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 - CT THORAX DX C-	$1,540.00	$1,540.00	$48.00–$1,171.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 - CT THORAX DX C+	$1,695.00	$1,695.00	$131.00–$1,171.00	49% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 - CT THORAX DX C+	$1,695.00	$1,695.00	$131.00–$1,171.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 77066 - DX MAMMO INCL CAD BI	$279.00	$279.00	$29.00–$135.00	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 - DX MAMMO INCL CAD BI	$279.00	$279.00	$29.00–$135.00	—	—
Diagnostic mammogram, one breast CPT 77065 77065 - DX MAMMO INCL CAD UNI	$687.00	$687.00	$79.00–$1,491.00	152% above	—
Diagnostic mammogram, one breast inpatient CPT 77065 77065 - DX MAMMO INCL CAD UNI	$687.00	$687.00	$79.00–$1,491.00	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 - LOWER EXTREMITY STUDY	$113.00	$113.00	$1.00–$123.00	77% below	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 93925 - LOWER EXTREMITY STUDY	$113.00	$113.00	$1.00–$123.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 - TTE W/DOPPLER COMPLETE	$1,154.00	$1,154.00	$88.00–$1,081.00	7% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 - TTE W/DOPPLER COMPLETE	$1,154.00	$1,154.00	$88.00–$1,081.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 78226 - HEPATOBILIARY SYSTEM IMAGING	$258.00	$258.00	$21.00–$76.00	74% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 78226 - HEPATOBILIARY SYSTEM IMAGING	$258.00	$258.00	$21.00–$76.00	—	—
Knee X-ray, 3 views CPT 73562 73562 - X-RAY EXAM OF KNEE 3	$13,314.00	$13,314.00	$9,744.00–$20,073.00	6499% above	—
Knee X-ray, 3 views inpatient CPT 73562 73562 - X-RAY EXAM OF KNEE 3	$13,314.00	$13,314.00	$9,744.00–$20,073.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 - ECHO EXAM OF ABDOMEN	$346.00	$346.00	$45.00–$336.00	5% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 - ECHO EXAM OF ABDOMEN	$346.00	$346.00	$45.00–$336.00	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 71271 - CT THORAX LUNG CANCER SCR C-	$12,277.00	$12,277.00	$10,889.00–$22,431.00	2722% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 71271 - CT THORAX LUNG CANCER SCR C-	$12,277.00	$12,277.00	$10,889.00–$22,431.00	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 73721 - MRI JNT OF LWR EXTRE W/O DYE	$509.00	$509.00	$34.00–$140.00	49% below	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 73721 - MRI JNT OF LWR EXTRE W/O DYE	$509.00	$509.00	$34.00–$140.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 73723 - MRI JOINT LWR EXTR W/O&W/DYE	$5,290.00	$5,290.00	$329.00–$2,143.00	189% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 73723 - MRI JOINT LWR EXTR W/O&W/DYE	$5,290.00	$5,290.00	$329.00–$2,143.00	—	—
MRI of the abdomen without contrast CPT 74181 74181 - MRI ABDOMEN W/O DYE	$5,549.00	$5,549.00	$208.00–$2,143.00	436% above	—
MRI of the abdomen without contrast inpatient CPT 74181 74181 - MRI ABDOMEN W/O DYE	$5,549.00	$5,549.00	$208.00–$2,143.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 74183 - MRI ABDOMEN W/O & W/DYE	$5,496.00	$5,496.00	$329.00–$2,143.00	233% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 74183 - MRI ABDOMEN W/O & W/DYE	$5,496.00	$5,496.00	$329.00–$2,143.00	—	—
MRI of the brain, no contrast dye CPT 70551 70551 - MRI BRAIN STEM W/O DYE	$2,004.00	$2,004.00	$99.00–$2,143.00	92% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 70551 - MRI BRAIN STEM W/O DYE	$2,004.00	$2,004.00	$99.00–$2,143.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 70553 - MRI BRAIN STEM W/O & W/DYE	$5,954.00	$5,954.00	$200.00–$2,143.00	261% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 70553 - MRI BRAIN STEM W/O & W/DYE	$5,954.00	$5,954.00	$200.00–$2,143.00	—	—
MRI of the lower back, no contrast dye CPT 72148 72148 - MRI LUMBAR SPINE W/O DYE	$3,545.00	$3,545.00	$131.00–$2,143.00	213% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 72148 - MRI LUMBAR SPINE W/O DYE	$3,545.00	$3,545.00	$131.00–$2,143.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 72158 - MRI LUMBAR SPINE W/O & W/DYE	$3,899.00	$3,899.00	$203.00–$2,143.00	135% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 72158 - MRI LUMBAR SPINE W/O & W/DYE	$3,899.00	$3,899.00	$203.00–$2,143.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 72146 - MRI CHEST SPINE W/O DYE	$3,545.00	$3,545.00	$96.00–$2,143.00	249% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 72146 - MRI CHEST SPINE W/O DYE	$3,545.00	$3,545.00	$96.00–$2,143.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 72156 - MRI NECK SPINE W/O & W/DYE	$3,899.00	$3,899.00	$329.00–$2,143.00	141% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 72156 - MRI NECK SPINE W/O & W/DYE	$3,899.00	$3,899.00	$329.00–$2,143.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 - MRI NECK SPINE W/O DYE	$3,545.00	$3,545.00	$93.00–$2,143.00	252% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 72141 - MRI NECK SPINE W/O DYE	$3,545.00	$3,545.00	$93.00–$2,143.00	—	—
MRI of the pelvis without and with contrast CPT 72197 72197 - MRI PELVIS W/O & W/DYE	$3,495.00	$3,495.00	$233.00–$2,143.00	126% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 72197 - MRI PELVIS W/O & W/DYE	$3,495.00	$3,495.00	$233.00–$2,143.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 72195 - MRI PELVIS W/O DYE	$2,996.00	$2,996.00	$143.00–$2,143.00	191% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 72195 - MRI PELVIS W/O DYE	$2,996.00	$2,996.00	$143.00–$2,143.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 73221 - MRI JOINT UPR EXTREM W/O DYE	$23,024.00	$23,024.00	$14,476.00–$29,819.00	1816% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 73221 - MRI JOINT UPR EXTREM W/O DYE	$23,024.00	$23,024.00	$14,476.00–$29,819.00	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 92134 - CPTR OPHTH DX IMG POST SEGMT	$13,577.00	$13,577.00	$11,436.00–$23,557.00	19216% above	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 92134 - CPTR OPHTH DX IMG POST SEGMT	$13,577.00	$13,577.00	$11,436.00–$23,557.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 - US EXAM PELVIC LIMITED	$222.00	$222.00	$14.00–$76.00	18% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 - US EXAM PELVIC LIMITED	$222.00	$222.00	$14.00–$76.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 - US EXAM PELVIC COMPLETE	$625.00	$625.00	$1.00–$2,715.00	56% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 - US EXAM PELVIC COMPLETE	$625.00	$625.00	$1.00–$2,715.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 - OB US >= 14 WKS SNGL FETUS	$400.00	$400.00	$54.00–$336.00	14% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 - OB US >= 14 WKS SNGL FETUS	$400.00	$400.00	$54.00–$336.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 - OB US < 14 WKS SINGLE FETUS	$633.00	$633.00	$1.00–$96.00	103% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 - OB US < 14 WKS SINGLE FETUS	$633.00	$633.00	$1.00–$96.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 - OB US LIMITED FETUS(S)	$217.00	$217.00	$19.00–$76.00	25% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 - OB US LIMITED FETUS(S)	$217.00	$217.00	$19.00–$76.00	—	—
Screening mammogram, both breasts both sides CPT 77067 77067 - SCR MAMMO BI INCL CAD	$1,069.00	$1,069.00	$61.00–$1,491.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 77067 - SCR MAMMO BI INCL CAD	$1,069.00	$1,069.00	$61.00–$1,491.00	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 73030 - X-RAY EXAM OF SHOULDER	$11,638.00	$11,638.00	$9,509.00–$19,589.00	5602% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 73030 - X-RAY EXAM OF SHOULDER	$11,638.00	$11,638.00	$9,509.00–$19,589.00	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 93351 - STRESS TTE COMPLETE	$22,506.00	$22,506.00	$15,838.00–$32,626.00	2091% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 93351 - STRESS TTE COMPLETE	$22,506.00	$22,506.00	$15,838.00–$32,626.00	—	—
Transvaginal pelvic ultrasound CPT 76830 76830 - TRANSVAGINAL US NON-OB	$349.00	$349.00	$23.00–$222.00	6% below	—
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 - TRANSVAGINAL US NON-OB	$349.00	$349.00	$23.00–$222.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 76817 - TRANSVAGINAL US OBSTETRIC	$292.00	$292.00	$22.00–$114.00	1% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 - TRANSVAGINAL US OBSTETRIC	$292.00	$292.00	$22.00–$114.00	—	—
Ultrasound of the abdomen, complete CPT 76700 76700 - US EXAM ABDOM COMPLETE	$440.00	$440.00	$33.00–$473.00	2% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 76700 - US EXAM ABDOM COMPLETE	$440.00	$440.00	$33.00–$473.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 76870 - US EXAM SCROTUM	$206.00	$206.00	$18.00–$114.00	42% below	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 - US EXAM SCROTUM	$206.00	$206.00	$18.00–$114.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 - US EXAM OF HEAD AND NECK	$126.00	$126.00	$51.00–$160.00	62% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 - US EXAM OF HEAD AND NECK	$126.00	$126.00	$51.00–$160.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 - X-RAY XM UPR GI TRC 1CNTRST	$1,012.00	$1,012.00	$68.00–$624.00	141% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 - X-RAY XM UPR GI TRC 1CNTRST	$1,012.00	$1,012.00	$68.00–$624.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 - EXTREMITY STUDY	$151.00	$151.00	$19.00–$168.00	59% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 - EXTREMITY STUDY	$151.00	$151.00	$19.00–$168.00	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 73110 - X-RAY EXAM OF WRIST	$12,371.00	$12,371.00	$9,700.00–$19,981.00	6032% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 73110 - X-RAY EXAM OF WRIST	$12,371.00	$12,371.00	$9,700.00–$19,981.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 73502 - X-RAY EXAM HIP UNI 2-3 VIEWS	$316.00	$316.00	$8.00–$162.00	56% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 73502 - X-RAY EXAM HIP UNI 2-3 VIEWS	$316.00	$316.00	$8.00–$162.00	—	—
X-ray of the abdomen, 1 view CPT 74018 74018 - X-RAY EXAM ABDOMEN 1 VIEW	$46.00	$46.00	$4.00–$115.00	77% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 74018 - X-RAY EXAM ABDOMEN 1 VIEW	$46.00	$46.00	$4.00–$115.00	—	—
X-ray of the ankle, 2 views CPT 73600 73600 - X-RAY EXAM OF ANKLE	$12,998.00	$12,998.00	$9,565.00–$19,703.00	6656% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 73600 - X-RAY EXAM OF ANKLE	$12,998.00	$12,998.00	$9,565.00–$19,703.00	—	—
X-ray of the finger(s), 2 or more views CPT 73140 73140 - X-RAY EXAM OF FINGER(S)	$12,204.00	$12,204.00	$9,465.00–$19,498.00	6902% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 73140 - X-RAY EXAM OF FINGER(S)	$12,204.00	$12,204.00	$9,465.00–$19,498.00	—	—
X-ray of the foot, 2 views CPT 73620 73620 - X-RAY EXAM OF FOOT	$23,938.00	$23,938.00	$9,198.00–$18,949.00	12905% above	—
X-ray of the foot, 2 views inpatient CPT 73620 73620 - X-RAY EXAM OF FOOT	$23,938.00	$23,938.00	$9,198.00–$18,949.00	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 73630 - X-RAY EXAM OF FOOT	$162,984.00	$162,984.00	$9,529.00–$19,629.00	84265% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 73630 - X-RAY EXAM OF FOOT	$162,984.00	$162,984.00	$9,529.00–$19,629.00	—	—
X-ray of the hand, 3 or more views CPT 73130 73130 - X-RAY EXAM OF HAND	$12,408.00	$12,408.00	$9,638.00–$19,854.00	6050% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 73130 - X-RAY EXAM OF HAND	$12,408.00	$12,408.00	$9,638.00–$19,854.00	—	—
X-ray of the knee, 1 or 2 views CPT 73560 73560 - X-RAY EXAM OF KNEE 1 OR 2	$14,913.00	$14,913.00	$9,658.00–$19,896.00	7292% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 - X-RAY EXAM OF KNEE 1 OR 2	$14,913.00	$14,913.00	$9,658.00–$19,896.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 - X-RAY EXAM L-S SPINE 2/3 VWS	$86.00	$86.00	$6.00–$83.00	69% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100 - X-RAY EXAM L-S SPINE 2/3 VWS	$86.00	$86.00	$6.00–$83.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 72110 - X-RAY EXAM L-2 SPINE 4/>VWS	$187.00	$187.00	$11.00–$76.00	38% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 - X-RAY EXAM L-2 SPINE 4/>VWS	$187.00	$187.00	$11.00–$76.00	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070 - X-RAY EXAM THORAC SPINE 2VWS	$348.00	$348.00	$22.00–$132.00	55% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 72070 - X-RAY EXAM THORAC SPINE 2VWS	$348.00	$348.00	$22.00–$132.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 70160 - X-RAY EXAM OF NASAL BONES	$75.00	$75.00	$4.00–$74.00	59% below	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 70160 - X-RAY EXAM OF NASAL BONES	$75.00	$75.00	$4.00–$74.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 - X-RAY EXAM NECK SPINE 2-3 VW	$70.00	$70.00	$6.00–$76.00	65% below	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040 - X-RAY EXAM NECK SPINE 2-3 VW	$70.00	$70.00	$6.00–$76.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 72170 - X-RAY EXAM OF PELVIS	$69.00	$69.00	$1.00–$17.00	69% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 - X-RAY EXAM OF PELVIS	$69.00	$69.00	$1.00–$17.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 - X-RAY EXAM SACRUM TAILBONE	$65.00	$65.00	$5.00–$92.00	65% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 72220 - X-RAY EXAM SACRUM TAILBONE	$65.00	$65.00	$5.00–$92.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 - ALANINE AMINO (ALT) (SGPT)	$50.00	$50.00	$3.00–$66.00	122% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 - ALANINE AMINO (ALT) (SGPT)	$50.00	$50.00	$3.00–$66.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 - TRANSFERASE (AST) (SGOT)	$23.00	$23.00	$3.00–$491.00	5% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 - TRANSFERASE (AST) (SGOT)	$23.00	$23.00	$3.00–$491.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 80074 - ACUTE HEPATITIS PANEL	$675.00	$675.00	$56.00–$1,491.00	292% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 80074 - ACUTE HEPATITIS PANEL	$675.00	$675.00	$56.00–$1,491.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - ALLG SPEC IGE CRUDE XTRC EA	$79.00	$79.00	$5.00–$66.00	447% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 - ALLG SPEC IGE CRUDE XTRC EA	$79.00	$79.00	$5.00–$66.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 - ANTINUCLEAR ANTIBODIES	$366.00	$366.00	$30.00–$162.00	728% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 - ANTINUCLEAR ANTIBODIES	$366.00	$366.00	$30.00–$162.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 - ASSAY OF NATRIURETIC PEPTIDE	$124.00	$124.00	$31.00–$1,121.00	1% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 83880 - ASSAY OF NATRIURETIC PEPTIDE	$124.00	$124.00	$31.00–$1,121.00	—	—
Basic metabolic panel (blood test) CPT 80048 80048 - METABOLIC PANEL TOTAL CA	$65.00	$65.00	$5.00–$66.00	7% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 80048 - METABOLIC PANEL TOTAL CA	$65.00	$65.00	$5.00–$66.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 - TISSUE EXAM BY PATHOLOGIST	$224.00	$224.00	$4.00–$1,121.00	54% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 - TISSUE EXAM BY PATHOLOGIST	$224.00	$224.00	$4.00–$1,121.00	—	—
Blood culture for bacteria CPT 87040 87040 - BLOOD CULTURE FOR BACTERIA	$25.00	$25.00	$1.00–$25.00	59% below	—
Blood culture for bacteria inpatient CPT 87040 87040 - BLOOD CULTURE FOR BACTERIA	$25.00	$25.00	$1.00–$25.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 - ROUTINE VENIPUNCTURE	$5.00	$5.00	$1.00–$5.00	66% below	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 - ROUTINE VENIPUNCTURE	$5.00	$5.00	$1.00–$5.00	—	—
Blood glucose (sugar) test CPT 82947 82947 - ASSAY GLUCOSE BLOOD QUANT	$239.00	$239.00	$2.00–$155.00	1228% above	—
Blood glucose (sugar) test inpatient CPT 82947 82947 - ASSAY GLUCOSE BLOOD QUANT	$239.00	$239.00	$2.00–$155.00	—	—
Blood lead test CPT 83655 83655 - ASSAY OF LEAD	$226.00	$226.00	$13.00–$798.00	425% above	—
Blood lead test inpatient CPT 83655 83655 - ASSAY OF LEAD	$226.00	$226.00	$13.00–$798.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 - CHORIONIC GONADOTROPIN ASSAY	$61.00	$61.00	$1.00–$76.00	88% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 84703 - CHORIONIC GONADOTROPIN ASSAY	$61.00	$61.00	$1.00–$76.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 - BLOOD TYPING SEROLOGIC ABO	$9.00	$9.00	$1.00–$7.00	94% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 - BLOOD TYPING SEROLOGIC ABO	$9.00	$9.00	$1.00–$7.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 - C-REACTIVE PROTEIN	$42.00	$42.00	$4.00–$77.00	59% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140 - C-REACTIVE PROTEIN	$42.00	$42.00	$4.00–$77.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 87493 - C DIFF AMPLIFIED PROBE	$160.00	$160.00	$1.00–$423.00	32% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 87493 - C DIFF AMPLIFIED PROBE	$160.00	$160.00	$1.00–$423.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 86301 - IMMUNOASSAY TUMOR CA 19-9	$141.00	$141.00	$10.00–$145.00	87% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 86301 - IMMUNOASSAY TUMOR CA 19-9	$141.00	$141.00	$10.00–$145.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 86304 - IMMUNOASSAY TUMOR CA 125	$71.00	$71.00	$52.00	8% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 86304 - IMMUNOASSAY TUMOR CA 125	$71.00	$71.00	$52.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635 - SARS-COV-2 COVID-19 AMP PRB	$13,632.00	$13,632.00	$7,683.00–$15,827.00	15047% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 87635 - SARS-COV-2 COVID-19 AMP PRB	$13,632.00	$13,632.00	$7,683.00–$15,827.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 - CHLMYD TRACH DNA AMP PROBE	$138.00	$138.00	$25.00–$135.00	65% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 - CHLMYD TRACH DNA AMP PROBE	$138.00	$138.00	$25.00–$135.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 - LIPID PANEL	$284.00	$284.00	$34.00–$162.00	324% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 - LIPID PANEL	$284.00	$284.00	$34.00–$162.00	—	—
Complete blood count (CBC) with differential CPT 85025 85025 - COMPLETE CBC W/AUTO DIFF WBC	$236.00	$236.00	$7.00–$94.00	517% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 85025 - COMPLETE CBC W/AUTO DIFF WBC	$236.00	$236.00	$7.00–$94.00	—	—
Complete blood count (CBC), no differential CPT 85027 85027 - COMPLETE CBC AUTOMATED	$36.00	$36.00	$3.00–$66.00	27% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 85027 - COMPLETE CBC AUTOMATED	$36.00	$36.00	$3.00–$66.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 80053 - COMPREHEN METABOLIC PANEL	$156.00	$156.00	$6.00–$83.00	91% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 - COMPREHEN METABOLIC PANEL	$156.00	$156.00	$6.00–$83.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 85379 - FIBRIN DEGRADATION QUANT	$113.00	$113.00	$6.00–$74.00	203% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 85379 - FIBRIN DEGRADATION QUANT	$113.00	$113.00	$6.00–$74.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 82627 - DEHYDROEPIANDROSTERONE	$34.00	$34.00	$16.00–$114.00	59% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 82627 - DEHYDROEPIANDROSTERONE	$34.00	$34.00	$16.00–$114.00	—	—
Estradiol blood test CPT 82670 82670 - ASSAY OF TOTAL ESTRADIOL	$276.00	$276.00	$19.00–$238.00	184% above	—
Estradiol blood test inpatient CPT 82670 82670 - ASSAY OF TOTAL ESTRADIOL	$276.00	$276.00	$19.00–$238.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 83001 - ASSAY OF GONADOTROPIN (FSH)	$48.00	$48.00	$7.00–$76.00	30% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 - ASSAY OF GONADOTROPIN (FSH)	$48.00	$48.00	$7.00–$76.00	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 83993 - ASSAY FOR CALPROTECTIN FECAL	$517.00	$517.00	$49.00–$381.00	470% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 83993 - ASSAY FOR CALPROTECTIN FECAL	$517.00	$517.00	$49.00–$381.00	—	—
Ferritin blood test (iron stores) CPT 82728 82728 - ASSAY OF FERRITIN	$157.00	$157.00	$13.00–$120.00	182% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 82728 - ASSAY OF FERRITIN	$157.00	$157.00	$13.00–$120.00	—	—
Folate (folic acid) blood test CPT 82746 82746 - ASSAY OF FOLIC ACID SERUM	$541.00	$541.00	$11.00–$600.00	897% above	—
Folate (folic acid) blood test inpatient CPT 82746 82746 - ASSAY OF FOLIC ACID SERUM	$541.00	$541.00	$11.00–$600.00	—	—
Free T3 thyroid hormone test CPT 84481 84481 - FREE ASSAY (FT-3)	$169.00	$169.00	$4.00–$76.00	124% above	—
Free T3 thyroid hormone test inpatient CPT 84481 84481 - FREE ASSAY (FT-3)	$169.00	$169.00	$4.00–$76.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 - ASSAY OF FREE THYROXINE	$113.00	$113.00	$5.00–$287.00	133% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 - ASSAY OF FREE THYROXINE	$113.00	$113.00	$5.00–$287.00	—	—
Free testosterone test CPT 84402 84402 - ASSAY OF FREE TESTOSTERONE	$359.00	$359.00	$6.00–$300.00	290% above	—
Free testosterone test inpatient CPT 84402 84402 - ASSAY OF FREE TESTOSTERONE	$359.00	$359.00	$6.00–$300.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 - GLUCOSE TEST	$30.00	$30.00	$3.00–$66.00	69% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 82950 - GLUCOSE TEST	$30.00	$30.00	$3.00–$66.00	—	—
Glucose tolerance test, 3 samples CPT 82951 82951 - GLUCOSE TOLERANCE TEST (GTT)	$122.00	$122.00	$8.00–$74.00	141% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 82951 - GLUCOSE TOLERANCE TEST (GTT)	$122.00	$122.00	$8.00–$74.00	—	—
H. pylori stool antigen test CPT 87338 87338 - HPYLORI STOOL AG IA	$340.00	$340.00	$8.00–$76.00	526% above	—
H. pylori stool antigen test inpatient CPT 87338 87338 - HPYLORI STOOL AG IA	$340.00	$340.00	$8.00–$76.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 - HIV-1 QUANT&REVRSE TRNSCRPJ	$312.00	$312.00	$75.00–$221.00	37% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 87536 - HIV-1 QUANT&REVRSE TRNSCRPJ	$312.00	$312.00	$75.00–$221.00	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 - HPV HIGH-RISK TYPES	$106.00	$106.00	$24.00–$147.00	37% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 - HPV HIGH-RISK TYPES	$106.00	$106.00	$24.00–$147.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 - HEMOGLOBIN GLYCOSYLATED A1C	$518.00	$518.00	$24.00–$372.00	1334% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 - HEMOGLOBIN GLYCOSYLATED A1C	$518.00	$518.00	$24.00–$372.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 - HEP B SURFACE ANTIBODY	$349.00	$349.00	$26.00–$162.00	789% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706 - HEP B SURFACE ANTIBODY	$349.00	$349.00	$26.00–$162.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 - HEPATITIS B SURFACE AG IA	$44.00	$44.00	$5.00–$145.00	18% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 - HEPATITIS B SURFACE AG IA	$44.00	$44.00	$5.00–$145.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 86803 - HEPATITIS C AB TEST	$121.00	$121.00	$11.00–$74.00	126% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803 - HEPATITIS C AB TEST	$121.00	$121.00	$11.00–$74.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 87522 - HEPATITIS C REVRS TRNSCRPJ	$105.00	$105.00	$95.00–$160.00	19% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 87522 - HEPATITIS C REVRS TRNSCRPJ	$105.00	$105.00	$95.00–$160.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 86695 - HERPES SIMPLEX TYPE 1 TEST	$118.00	$118.00	$14.00–$222.00	237% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 - HERPES SIMPLEX TYPE 1 TEST	$118.00	$118.00	$14.00–$222.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 86696 - HERPES SIMPLEX TYPE 2 TEST	$138.00	$138.00	$14.00–$97.00	149% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 - HERPES SIMPLEX TYPE 2 TEST	$138.00	$138.00	$14.00–$97.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 86141 - C-REACTIVE PROTEIN HS	$46.00	$46.00	$1.00–$123.00	2% below	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 86141 - C-REACTIVE PROTEIN HS	$46.00	$46.00	$1.00–$123.00	—	—
Homocysteine blood test CPT 83090 83090 - ASSAY OF HOMOCYSTEINE	$56.00	$56.00	$4.00–$76.00	16% below	—
Homocysteine blood test inpatient CPT 83090 83090 - ASSAY OF HOMOCYSTEINE	$56.00	$56.00	$4.00–$76.00	—	—
Insulin blood test CPT 83525 83525 - ASSAY OF INSULIN	$326.00	$326.00	$29.00–$162.00	673% above	—
Insulin blood test inpatient CPT 83525 83525 - ASSAY OF INSULIN	$326.00	$326.00	$29.00–$162.00	—	—
Iron blood test (serum iron) CPT 83540 83540 - ASSAY OF IRON	$80.00	$80.00	$6.00–$77.00	208% above	—
Iron blood test (serum iron) inpatient CPT 83540 83540 - ASSAY OF IRON	$80.00	$80.00	$6.00–$77.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 83550 - IRON BINDING TEST	$414.00	$414.00	$5.00–$162.00	991% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 - IRON BINDING TEST	$414.00	$414.00	$5.00–$162.00	—	—
Kidney function blood test panel CPT 80069 80069 - RENAL FUNCTION PANEL	$366.00	$366.00	$7.00–$162.00	442% above	—
Kidney function blood test panel inpatient CPT 80069 80069 - RENAL FUNCTION PANEL	$366.00	$366.00	$7.00–$162.00	—	—
LH (luteinizing hormone) test CPT 83002 83002 - ASSAY OF GONADOTROPIN (LH)	$226.00	$226.00	$20.00–$798.00	231% above	—
LH (luteinizing hormone) test inpatient CPT 83002 83002 - ASSAY OF GONADOTROPIN (LH)	$226.00	$226.00	$20.00–$798.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 83690 - ASSAY OF LIPASE	$98.00	$98.00	$17.00	249% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 83690 - ASSAY OF LIPASE	$98.00	$98.00	$17.00	—	—
Liver function blood test panel CPT 80076 80076 - HEPATIC FUNCTION PANEL	$625.00	$625.00	$20.00–$420.00	932% above	—
Liver function blood test panel inpatient CPT 80076 80076 - HEPATIC FUNCTION PANEL	$625.00	$625.00	$20.00–$420.00	—	—
Magnesium blood test CPT 83735 83735 - ASSAY OF MAGNESIUM	$383.00	$383.00	$17.00–$220.00	1449% above	—
Magnesium blood test inpatient CPT 83735 83735 - ASSAY OF MAGNESIUM	$383.00	$383.00	$17.00–$220.00	—	—
Measles (rubeola) antibody test CPT 86765 86765 - RUBEOLA ANTIBODY	$380.00	$380.00	$28.00–$162.00	751% above	—
Measles (rubeola) antibody test inpatient CPT 86765 86765 - RUBEOLA ANTIBODY	$380.00	$380.00	$28.00–$162.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 86308 - HETEROPHILE ANTIBODY SCREEN	$16.00	$16.00	$3.00–$77.00	52% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 86308 - HETEROPHILE ANTIBODY SCREEN	$16.00	$16.00	$3.00–$77.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 84154 - ASSAY OF PSA FREE	$125.00	$125.00	$1.00–$123.00	111% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 - ASSAY OF PSA FREE	$125.00	$125.00	$1.00–$123.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 - ASSAY OF PSA TOTAL	$431.00	$431.00	$46.00–$273.00	557% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 - ASSAY OF PSA TOTAL	$431.00	$431.00	$46.00–$273.00	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 - CYTOPATH C/V THIN LAYER	$483.00	$483.00	$11.00–$76.00	588% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 - CYTOPATH C/V THIN LAYER	$483.00	$483.00	$11.00–$76.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 83970 - ASSAY OF PARATHORMONE	$408.00	$408.00	$23.00–$140.00	216% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 - ASSAY OF PARATHORMONE	$408.00	$408.00	$23.00–$140.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 - THROMBOPLASTIN TIME PARTIAL	$312.00	$312.00	$13.00–$145.00	1271% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 - THROMBOPLASTIN TIME PARTIAL	$312.00	$312.00	$13.00–$145.00	—	—
Progesterone blood test CPT 84144 84144 - ASSAY OF PROGESTERONE	$148.00	$148.00	$15.00–$76.00	73% above	—
Progesterone blood test inpatient CPT 84144 84144 - ASSAY OF PROGESTERONE	$148.00	$148.00	$15.00–$76.00	—	—
Prolactin blood test CPT 84146 84146 - ASSAY OF PROLACTIN	$832.00	$832.00	$48.00–$819.00	1063% above	—
Prolactin blood test inpatient CPT 84146 84146 - ASSAY OF PROLACTIN	$832.00	$832.00	$48.00–$819.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 85610 - PROTHROMBIN TIME	$188.00	$188.00	$2.00–$176.00	1075% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 - PROTHROMBIN TIME	$188.00	$188.00	$2.00–$176.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 - STREP A ASSAY W/OPTIC	$14.00	$14.00	$1.00	65% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 87880 - STREP A ASSAY W/OPTIC	$14.00	$14.00	$1.00	—	—
Rubella antibody test (immunity check) CPT 86762 86762 - RUBELLA ANTIBODY	$108.00	$108.00	$1.00–$281.00	151% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 86762 - RUBELLA ANTIBODY	$108.00	$108.00	$1.00–$281.00	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 85652 - RBC SED RATE AUTOMATED	$38.00	$38.00	$2.00–$270.00	58% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 85652 - RBC SED RATE AUTOMATED	$38.00	$38.00	$2.00–$270.00	—	—
Stool ova and parasites exam CPT 87177 87177 - OVA AND PARASITES SMEARS	$99.00	$99.00	$2.00–$115.00	201% above	—
Stool ova and parasites exam inpatient CPT 87177 87177 - OVA AND PARASITES SMEARS	$99.00	$99.00	$2.00–$115.00	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 - OCCULT BLOOD FECES	$65.00	$65.00	$2.00–$76.00	396% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 - OCCULT BLOOD FECES	$65.00	$65.00	$2.00–$76.00	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 82274 - ASSAY TEST FOR BLOOD FECAL	$22,950.00	$22,950.00	$6,461.00–$13,310.00	50900% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 82274 - ASSAY TEST FOR BLOOD FECAL	$22,950.00	$22,950.00	$6,461.00–$13,310.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 - SYPHILIS TEST NON-TREP QUAL	$50.00	$50.00	$4.00–$76.00	217% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 - SYPHILIS TEST NON-TREP QUAL	$50.00	$50.00	$4.00–$76.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 - TB TEST CELL IMMUN MEASURE	$1,340.00	$1,340.00	$22.00–$4,134.00	793% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 86480 - TB TEST CELL IMMUN MEASURE	$1,340.00	$1,340.00	$22.00–$4,134.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 84403 - ASSAY OF TOTAL TESTOSTERONE	$286.00	$286.00	$45.00–$664.00	229% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 - ASSAY OF TOTAL TESTOSTERONE	$286.00	$286.00	$45.00–$664.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 - MICROSOMAL ANTIBODY EACH	$144.00	$144.00	$11.00–$76.00	174% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 - MICROSOMAL ANTIBODY EACH	$144.00	$144.00	$11.00–$76.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 - ASSAY THYROID STIM HORMONE	$349.00	$349.00	$10.00–$76.00	377% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 - ASSAY THYROID STIM HORMONE	$349.00	$349.00	$10.00–$76.00	—	—
Uric acid blood test CPT 84550 84550 - ASSAY OF BLOOD/URIC ACID	$24.00	$24.00	$3.00–$74.00	1% above	—
Uric acid blood test inpatient CPT 84550 84550 - ASSAY OF BLOOD/URIC ACID	$24.00	$24.00	$3.00–$74.00	—	—
Urinalysis with microscope exam, automated CPT 81001 81001 - URINALYSIS AUTO W/SCOPE	$38.00	$38.00	$1.00–$76.00	41% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 81001 - URINALYSIS AUTO W/SCOPE	$38.00	$38.00	$1.00–$76.00	—	—
Urinalysis with microscope exam, manual CPT 81000 81000 - URINALYSIS NONAUTO W/SCOPE	$25.00	$25.00	$3.00–$6.00	112% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 81000 - URINALYSIS NONAUTO W/SCOPE	$25.00	$25.00	$3.00–$6.00	—	—
Urinalysis without microscope exam, automated CPT 81003 81003 - URINALYSIS AUTO W/O SCOPE	$6.00	$6.00	$1.00–$4.00	52% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 81003 - URINALYSIS AUTO W/O SCOPE	$6.00	$6.00	$1.00–$4.00	—	—
Urinalysis without microscope exam, manual CPT 81002 81002 - URINALYSIS NONAUTO W/O SCOPE	$24.00	$24.00	$2.00–$66.00	131% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 81002 - URINALYSIS NONAUTO W/O SCOPE	$24.00	$24.00	$2.00–$66.00	—	—
Urine culture for bacteria, with colony count CPT 87086 87086 - URINE CULTURE/COLONY COUNT	$256.00	$256.00	$3.00–$155.00	571% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 87086 - URINE CULTURE/COLONY COUNT	$256.00	$256.00	$3.00–$155.00	—	—
Urine pregnancy test, read by color change CPT 81025 81025 - URINE PREGNANCY TEST	$29.00	$29.00	$4.00–$66.00	10% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 81025 - URINE PREGNANCY TEST	$29.00	$29.00	$4.00–$66.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 82607 - VITAMIN B-12	$113.00	$113.00	$11.00–$76.00	103% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 82607 - VITAMIN B-12	$113.00	$113.00	$11.00–$76.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 - VITAMIN D 25 HYDROXY	$567.00	$567.00	$74.00–$381.00	537% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306 - VITAMIN D 25 HYDROXY	$567.00	$567.00	$74.00–$381.00	—	—
Zinc blood test CPT 84630 84630 - ASSAY OF ZINC	$156.00	$156.00	$1.00–$1,661.00	359% above	—
Zinc blood test inpatient CPT 84630 84630 - ASSAY OF ZINC	$156.00	$156.00	$1.00–$1,661.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 - CHORIONIC GONADOTROPIN TEST	$149.00	$149.00	$11.00–$76.00	168% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 - CHORIONIC GONADOTROPIN TEST	$149.00	$149.00	$11.00–$76.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 42830 - REMOVAL OF ADENOIDS	$6,826.00	$6,826.00	$221.00–$4,308.00	78% above	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 42830 - REMOVAL OF ADENOIDS	$6,826.00	$6,826.00	$221.00–$4,308.00	—	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 - ARTHRD ANT NTRBDY CERVICAL	$248,576.00	$248,576.00	$41,526.00–$85,543.00	1533% above	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 22551 - ARTHRD ANT NTRBDY CERVICAL	$248,576.00	$248,576.00	$41,526.00–$85,543.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 - BX BREAST 1ST LESION STRTCTC	$46,921.00	$46,921.00	$18,880.00–$38,892.00	1518% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 19081 - BX BREAST 1ST LESION STRTCTC	$46,921.00	$46,921.00	$18,880.00–$38,892.00	—	—
Cardiac catheterization with coronary angiogram CPT 93458 93458 - L HRT ARTERY/VENTRICLE ANGIO	$6,283.00	$6,283.00	$928.00–$5,292.00	6% below	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 93458 - L HRT ARTERY/VENTRICLE ANGIO	$6,283.00	$6,283.00	$928.00–$5,292.00	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - CARDIOVERSION ELECTRIC EXT	$1,207.00	$1,207.00	$134.00–$1,121.00	50% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 - CARDIOVERSION ELECTRIC EXT	$1,207.00	$1,207.00	$134.00–$1,121.00	—	—
Cataract surgery with lens implant CPT 66984 66984 - XCAPSL CTRC RMVL W/O ECP	$7,690.00	$7,690.00	$384.00–$4,854.00	185% above	—
Cataract surgery with lens implant inpatient CPT 66984 66984 - XCAPSL CTRC RMVL W/O ECP	$7,690.00	$7,690.00	$384.00–$4,854.00	—	—
Catheter ablation for atrial fibrillation CPT 93656 93656 - COMPRE EP EVAL ABLTJ ATR FIB	$56,341.00	$56,341.00	$945.00–$35,558.00	94% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 93656 - COMPRE EP EVAL ABLTJ ATR FIB	$56,341.00	$56,341.00	$945.00–$35,558.00	—	—
Cervical biopsy CPT 57500 57500 - BIOPSY OF CERVIX	$3,412.00	$3,412.00	$65.00–$4,134.00	132% above	—
Cervical biopsy inpatient CPT 57500 57500 - BIOPSY OF CERVIX	$3,412.00	$3,412.00	$65.00–$4,134.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 - CIRCUM 28 DAYS OR OLDER	$4,451.00	$4,451.00	$225.00–$3,107.00	44% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 54161 - CIRCUM 28 DAYS OR OLDER	$4,451.00	$4,451.00	$225.00–$3,107.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 - TREAT FRACTURE RADIUS/ULNA	$19,408.00	$19,408.00	$12,934.00–$26,644.00	3398% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 - TREAT FRACTURE RADIUS/ULNA	$19,408.00	$19,408.00	$12,934.00–$26,644.00	—	—
Colonoscopy with endoscopic ultrasound CPT 45391 45391 - COLONOSCOPY W/ENDOSCOPE US	$2,598.00	$2,598.00	$306.00–$4,134.00	86% above	—
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 - COLONOSCOPY W/ENDOSCOPE US	$2,598.00	$2,598.00	$306.00–$4,134.00	—	—
Colonoscopy with polyp removal CPT 45385 45385 - COLONOSCOPY W/LESION REMOVAL	$2,598.00	$2,598.00	$304.00–$4,134.00	86% above	—
Colonoscopy with polyp removal inpatient CPT 45385 45385 - COLONOSCOPY W/LESION REMOVAL	$2,598.00	$2,598.00	$304.00–$4,134.00	—	—
Colonoscopy with tissue sample CPT 45380 45380 - COLONOSCOPY AND BIOPSY	$2,598.00	$2,598.00	$240.00–$3,578.00	86% above	—
Colonoscopy with tissue sample inpatient CPT 45380 45380 - COLONOSCOPY AND BIOPSY	$2,598.00	$2,598.00	$240.00–$3,578.00	—	—
Colonoscopy, diagnostic CPT 45378 45378 - DIAGNOSTIC COLONOSCOPY	$1,994.00	$1,994.00	$222.00–$4,134.00	25% above	—
Colonoscopy, diagnostic inpatient CPT 45378 45378 - DIAGNOSTIC COLONOSCOPY	$1,994.00	$1,994.00	$222.00–$4,134.00	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 - BX/CURETT OF CERVIX W/SCOPE	$1,272.00	$1,272.00	$143.00–$4,134.00	92% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 - BX/CURETT OF CERVIX W/SCOPE	$1,272.00	$1,272.00	$143.00–$4,134.00	—	—
Complex cataract surgery with lens implant CPT 66982 66982 - XCAPSL CTRC RMVL CPLX WO ECP	$7,690.00	$7,690.00	$372.00–$4,854.00	185% above	—
Complex cataract surgery with lens implant inpatient CPT 66982 66982 - XCAPSL CTRC RMVL CPLX WO ECP	$7,690.00	$7,690.00	$372.00–$4,854.00	—	—
Coronary stent placement, one artery CPT 92928 92928 - PRQ CARD STENT W/ANGIO 1 VSL	$25,470.00	$25,470.00	$567.00–$16,075.00	83% above	—
Coronary stent placement, one artery inpatient CPT 92928 92928 - PRQ CARD STENT W/ANGIO 1 VSL	$25,470.00	$25,470.00	$567.00–$16,075.00	—	—
Cystoscopy with ureteral stent placement CPT 52332 52332 - CYSTOSCOPY AND TREATMENT	$7,690.00	$7,690.00	$167.00–$4,854.00	88% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 52332 - CYSTOSCOPY AND TREATMENT	$7,690.00	$7,690.00	$167.00–$4,854.00	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 - CYSTOSCOPY	$1,499.00	$1,499.00	$119.00–$2,079.00	4% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 - CYSTOSCOPY	$1,499.00	$1,499.00	$119.00–$2,079.00	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 - DILATION AND CURETTAGE	$6,784.00	$6,784.00	$235.00–$4,282.00	80% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 - DILATION AND CURETTAGE	$6,784.00	$6,784.00	$235.00–$4,282.00	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 - DESTRUCT PREMALG LESION	$355.00	$355.00	$34.00–$1,880.00	36% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 - DESTRUCT PREMALG LESION	$355.00	$355.00	$34.00–$1,880.00	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 - CREATE EARDRUM OPENING	$3,331.00	$3,331.00	$149.00–$3,535.00	90% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436 - CREATE EARDRUM OPENING	$3,331.00	$3,331.00	$149.00–$3,535.00	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 - CREATE EARDRUM OPENING	$1,725.00	$1,725.00	$104.00–$4,134.00	60% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 69433 - CREATE EARDRUM OPENING	$1,725.00	$1,725.00	$104.00–$4,134.00	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 - REMOVE IMPACTED EAR WAX UNI	$136.00	$136.00	$12.00–$1,880.00	12% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 - REMOVE IMPACTED EAR WAX UNI	$136.00	$136.00	$12.00–$1,880.00	—	—
Earwax removal with instruments, one ear CPT 69210 69210 - REMOVE IMPACTED EAR WAX UNI	$177.00	$177.00	$30.00–$1,880.00	36% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 69210 - REMOVE IMPACTED EAR WAX UNI	$177.00	$177.00	$30.00–$1,880.00	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 - BIOPSY OF UTERUS LINING	$996.00	$996.00	$97.00–$4,134.00	116% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 - BIOPSY OF UTERUS LINING	$996.00	$996.00	$97.00–$4,134.00	—	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276 - NSL/SINS NDSC FRNT TISS RMVL	$14,845.00	$14,845.00	$534.00–$9,369.00	92% above	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 31276 - NSL/SINS NDSC FRNT TISS RMVL	$14,845.00	$14,845.00	$534.00–$9,369.00	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 31256 - EXPLORATION MAXILLARY SINUS	$7,999.00	$7,999.00	$209.00–$5,048.00	83% above	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 31256 - EXPLORATION MAXILLARY SINUS	$7,999.00	$7,999.00	$209.00–$5,048.00	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 31267 - ENDOSCOPY MAXILLARY SINUS	$14,845.00	$14,845.00	$336.00–$9,369.00	92% above	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 31267 - ENDOSCOPY MAXILLARY SINUS	$14,845.00	$14,845.00	$336.00–$9,369.00	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 - NJX INTERLAMINAR CRV/THRC	$1,546.00	$1,546.00	$127.00–$1,880.00	45% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 - NJX INTERLAMINAR CRV/THRC	$1,546.00	$1,546.00	$127.00–$1,880.00	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 67028 - INJECTION EYE DRUG	$1,274.00	$1,274.00	$119.00–$1,965.00	77% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 67028 - INJECTION EYE DRUG	$1,274.00	$1,274.00	$119.00–$1,965.00	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 - RPR AA HRN 1ST 3-10 RDC	$29,424.00	$29,424.00	$26,623.00–$54,842.00	298% above	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 49593 - RPR AA HRN 1ST 3-10 RDC	$29,424.00	$29,424.00	$26,623.00–$54,842.00	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 - RPR AA HRN 1ST > 10 RDC	$38,889.00	$38,889.00	$27,088.00–$55,800.00	427% above	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 49595 - RPR AA HRN 1ST > 10 RDC	$38,889.00	$38,889.00	$27,088.00–$55,800.00	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 - RPR AA HRN 1ST < 3 CM RDC	$30,062.00	$30,062.00	$26,517.00–$54,626.00	620% above	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 - RPR AA HRN 1ST < 3 CM RDC	$30,062.00	$30,062.00	$26,517.00–$54,626.00	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 - DIAGNOSTIC SIGMOIDOSCOPY	$1,994.00	$1,994.00	$64.00–$1,880.00	47% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 - DIAGNOSTIC SIGMOIDOSCOPY	$1,994.00	$1,994.00	$64.00–$1,880.00	—	—
Gallbladder removal, laparoscopic CPT 47562 47562 - LAPAROSCOPIC CHOLECYSTECTOMY	$12,506.00	$12,506.00	$719.00–$7,893.00	112% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 47562 - LAPAROSCOPIC CHOLECYSTECTOMY	$12,506.00	$12,506.00	$719.00–$7,893.00	—	—
Hammertoe correction surgery CPT 28285 28285 - REPAIR OF HAMMERTOE	$7,142.00	$7,142.00	$378.00–$4,508.00	86% above	—
Hammertoe correction surgery inpatient CPT 28285 28285 - REPAIR OF HAMMERTOE	$7,142.00	$7,142.00	$378.00–$4,508.00	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 46255 - REMOVE INT/EXT HEM 1 GROUP	$6,165.00	$6,165.00	$338.00–$3,891.00	90% above	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 46255 - REMOVE INT/EXT HEM 1 GROUP	$6,165.00	$6,165.00	$338.00–$3,891.00	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 - CATHETER FOR HYSTEROGRAPHY	$1,048.00	$1,048.00	$64.00–$4,134.00	242% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 - CATHETER FOR HYSTEROGRAPHY	$1,048.00	$1,048.00	$64.00–$4,134.00	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 - HYSTEROSCOPY BIOPSY	$6,784.00	$6,784.00	$329.00–$4,282.00	58% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 - HYSTEROSCOPY BIOPSY	$6,784.00	$6,784.00	$329.00–$4,282.00	—	—
IUD insertion (the device itself billed separately) CPT 58300 58300 - INSERT INTRAUTERINE DEVICE	$830.00	$830.00	$62.00–$1,880.00	201% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 - INSERT INTRAUTERINE DEVICE	$830.00	$830.00	$62.00–$1,880.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 - DRAINAGE OF SKIN ABSCESS	$593.00	$593.00	$80.00–$1,880.00	49% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 - DRAINAGE OF SKIN ABSCESS	$593.00	$593.00	$80.00–$1,880.00	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 - PRP I/HERN INIT REDUC >5 YR	$8,498.00	$8,498.00	$513.00–$5,364.00	103% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 - PRP I/HERN INIT REDUC >5 YR	$8,498.00	$8,498.00	$513.00–$5,364.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 - INJ TENDON SHEATH/LIGAMENT	$1,499.00	$1,499.00	$39.00–$1,880.00	208% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 - INJ TENDON SHEATH/LIGAMENT	$1,499.00	$1,499.00	$39.00–$1,880.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - DRAIN/INJ JOINT/BURSA W/O US	$2,324.00	$2,324.00	$44.00–$1,965.00	402% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - DRAIN/INJ JOINT/BURSA W/O US	$2,324.00	$2,324.00	$44.00–$1,965.00	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 - INSERTION DRUG DLVR IMPLANT	$332.00	$332.00	$72.00–$1,880.00	21% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 - INSERTION DRUG DLVR IMPLANT	$332.00	$332.00	$72.00–$1,880.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 - DRAIN/INJ JOINT/BURSA W/O US	$576.00	$576.00	$37.00–$1,965.00	43% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 - DRAIN/INJ JOINT/BURSA W/O US	$576.00	$576.00	$37.00–$1,965.00	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 - DRAIN/INJ JOINT/BURSA W/O US	$2,072.00	$2,072.00	$35.00–$1,965.00	394% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 - DRAIN/INJ JOINT/BURSA W/O US	$2,072.00	$2,072.00	$35.00–$1,965.00	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 - LAPAROSCOPY APPENDECTOMY	$12,506.00	$12,506.00	$577.00–$7,893.00	81% above	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 44970 - LAPAROSCOPY APPENDECTOMY	$12,506.00	$12,506.00	$577.00–$7,893.00	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571 - TLH W/T/O 250 G OR LESS	$21,804.00	$21,804.00	$1,079.00–$13,761.00	163% above	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 58571 - TLH W/T/O 250 G OR LESS	$21,804.00	$21,804.00	$1,079.00–$13,761.00	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 - LAP ING HERNIA REPAIR INIT	$12,506.00	$12,506.00	$425.00–$7,893.00	92% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650 - LAP ING HERNIA REPAIR INIT	$12,506.00	$12,506.00	$425.00–$7,893.00	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 - LAPAROSCOPY REMOVE ADNEXA	$12,506.00	$12,506.00	$729.00–$7,893.00	99% above	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 - LAPAROSCOPY REMOVE ADNEXA	$12,506.00	$12,506.00	$729.00–$7,893.00	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 - AFTER CATARACT LASER SURGERY	$1,342.00	$1,342.00	$251.00–$4,134.00	25% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 - AFTER CATARACT LASER SURGERY	$1,342.00	$1,342.00	$251.00–$4,134.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 - INTMD RPR S/A/T/EXT 2.5 CM/<	$493.00	$493.00	$126.00–$1,965.00	17% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 - INTMD RPR S/A/T/EXT 2.5 CM/<	$493.00	$493.00	$126.00–$1,965.00	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 62323 - NJX INTERLAMINAR LMBR/SAC	$1,546.00	$1,546.00	$115.00–$4,134.00	4% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 - NJX INTERLAMINAR LMBR/SAC	$1,546.00	$1,546.00	$115.00–$4,134.00	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 - NJX AA&/STRD TFRM EPI L/S 1	$2,045.00	$2,045.00	$110.00–$4,134.00	41% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 - NJX AA&/STRD TFRM EPI L/S 1	$2,045.00	$2,045.00	$110.00–$4,134.00	—	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 - LAM FACETEC & FORAMOT LUMBAR	$46,714.00	$46,714.00	$36,686.00–$75,573.00	453% above	—
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 63047 - LAM FACETEC & FORAMOT LUMBAR	$46,714.00	$46,714.00	$36,686.00–$75,573.00	—	—
Lumpectomy (partial mastectomy) CPT 19301 19301 - PARTIAL MASTECTOMY	$8,249.00	$8,249.00	$392.00–$5,206.00	93% above	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 19301 - PARTIAL MASTECTOMY	$8,249.00	$8,249.00	$392.00–$5,206.00	—	—
Mastectomy (total removal of the breast) CPT 19303 19303 - MAST SIMPLE COMPLETE	$14,260.00	$14,260.00	$900.00–$9,000.00	110% above	—
Mastectomy (total removal of the breast) inpatient CPT 19303 19303 - MAST SIMPLE COMPLETE	$14,260.00	$14,260.00	$900.00–$9,000.00	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 59820 - CARE OF MISCARRIAGE	$6,784.00	$6,784.00	$318.00–$4,282.00	72% above	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 59820 - CARE OF MISCARRIAGE	$6,784.00	$6,784.00	$318.00–$4,282.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 - EXC TR-EXT B9+MARG 0.5 CM<	$2,406.00	$2,406.00	$69.00–$1,880.00	123% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 - EXC TR-EXT B9+MARG 0.5 CM<	$2,406.00	$2,406.00	$69.00–$1,880.00	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 - EXC FACE-MM B9+MARG 0.5 CM/<	$1,065.00	$1,065.00	$89.00–$1,965.00	6% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 - EXC FACE-MM B9+MARG 0.5 CM/<	$1,065.00	$1,065.00	$89.00–$1,965.00	—	—
Nail removal (partial or complete), one nail CPT 11730 11730 - REMOVAL OF NAIL PLATE	$811.00	$811.00	$41.00–$1,880.00	150% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 - REMOVAL OF NAIL PLATE	$811.00	$811.00	$41.00–$1,880.00	—	—
Pacemaker implant (dual chamber) CPT 33208 33208 - INSRT HEART PM ATRIAL & VENT	$24,783.00	$24,783.00	$595.00–$15,641.00	100% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 33208 - INSRT HEART PM ATRIAL & VENT	$24,783.00	$24,783.00	$595.00–$15,641.00	—	—
Paracentesis with imaging guidance CPT 49083 49083 - ABD PARACENTESIS W/IMAGING	$1,785.00	$1,785.00	$123.00–$4,134.00	26% above	—
Paracentesis with imaging guidance inpatient CPT 49083 49083 - ABD PARACENTESIS W/IMAGING	$1,785.00	$1,785.00	$123.00–$4,134.00	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 - REMOVAL OF NAIL BED	$936.00	$936.00	$115.00–$4,134.00	29% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 - REMOVAL OF NAIL BED	$936.00	$936.00	$115.00–$4,134.00	—	—
Prostate biopsy CPT 55700 55700 - BIOPSY OF PROSTATE	$2,485.00	$2,485.00	$99.00–$4,134.00	3% above	—
Prostate biopsy inpatient CPT 55700 55700 - BIOPSY OF PROSTATE	$2,485.00	$2,485.00	$99.00–$4,134.00	—	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 - LAPS SURG PRST8ECT RPBIC RAD	$21,804.00	$21,804.00	$1,655.00–$13,761.00	113% above	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 - LAPS SURG PRST8ECT RPBIC RAD	$21,804.00	$21,804.00	$1,655.00–$13,761.00	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 - DESTROY LUMB/SAC FACET JNT	$4,313.00	$4,313.00	$255.00–$2,722.00	30% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 - DESTROY LUMB/SAC FACET JNT	$4,313.00	$4,313.00	$255.00–$2,722.00	—	—
Removal of a breast lump, open surgery CPT 19120 19120 - REMOVAL OF BREAST LESION	$8,249.00	$8,249.00	$367.00–$5,206.00	92% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 19120 - REMOVAL OF BREAST LESION	$8,249.00	$8,249.00	$367.00–$5,206.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 10120 - REMOVE FOREIGN BODY	$1,909.00	$1,909.00	$69.00–$1,880.00	196% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 - REMOVE FOREIGN BODY	$1,909.00	$1,909.00	$69.00–$1,880.00	—	—
Septoplasty to straighten the nasal septum CPT 30520 30520 - REPAIR OF NASAL SEPTUM	$6,826.00	$6,826.00	$513.00–$5,400.00	78% above	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 30520 - REPAIR OF NASAL SEPTUM	$6,826.00	$6,826.00	$513.00–$5,400.00	—	—
Short arm splint (forearm and hand) CPT 29125 29125 - APPLY FOREARM SPLINT	$382.00	$382.00	$40.00–$1,880.00	86% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 29125 - APPLY FOREARM SPLINT	$382.00	$382.00	$40.00–$1,880.00	—	—
Short leg splint (calf to foot) CPT 29515 29515 - APPLICATION LOWER LEG SPLINT	$409.00	$409.00	$50.00–$1,880.00	71% above	—
Short leg splint (calf to foot) inpatient CPT 29515 29515 - APPLICATION LOWER LEG SPLINT	$409.00	$409.00	$50.00–$1,880.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - RPR S/N/AX/GEN/TRNK 2.5CM/<	$560.00	$560.00	$38.00–$1,965.00	48% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 - RPR S/N/AX/GEN/TRNK 2.5CM/<	$560.00	$560.00	$38.00–$1,965.00	—	—
Skin biopsy, punch, one lesion CPT 11104 11104 - PUNCH BX SKIN SINGLE LESION	$985.00	$985.00	$43.00–$1,880.00	43% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 - PUNCH BX SKIN SINGLE LESION	$985.00	$985.00	$43.00–$1,880.00	—	—
Skin tag removal, up to 15 tags CPT 11200 11200 - REMOVAL OF SKIN TAGS <W/15	$591.00	$591.00	$27.00–$1,880.00	71% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 - REMOVAL OF SKIN TAGS <W/15	$591.00	$591.00	$27.00–$1,880.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 - DX LMBR SPI PNXR	$1,565.00	$1,565.00	$70.00–$1,880.00	39% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 - DX LMBR SPI PNXR	$1,565.00	$1,565.00	$70.00–$1,880.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM	$797.00	$797.00	$50.00–$1,965.00	103% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM	$797.00	$797.00	$50.00–$1,965.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 - RPR F/E/E/N/L/M 2.5 CM/<	$382.00	$382.00	$47.00–$1,965.00	1% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 - RPR F/E/E/N/L/M 2.5 CM/<	$382.00	$382.00	$47.00–$1,965.00	—	—
TURP (transurethral resection of the prostate) CPT 52601 52601 - PROSTATECTOMY (TURP)	$11,282.00	$11,282.00	$755.00–$7,121.00	88% above	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 52601 - PROSTATECTOMY (TURP)	$11,282.00	$11,282.00	$755.00–$7,121.00	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 - TANGNTL BX SKIN SINGLE LES	$985.00	$985.00	$28.00–$1,880.00	113% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 - TANGNTL BX SKIN SINGLE LES	$985.00	$985.00	$28.00–$1,880.00	—	—
Thoracentesis with imaging guidance CPT 32555 32555 - ASPIRATE PLEURA W/ IMAGING	$1,610.00	$1,610.00	$116.00–$1,880.00	28% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 32555 - ASPIRATE PLEURA W/ IMAGING	$1,610.00	$1,610.00	$116.00–$1,880.00	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 42821 - REMOVE TONSILS AND ADENOIDS	$6,826.00	$6,826.00	$351.00–$4,308.00	78% above	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 42821 - REMOVE TONSILS AND ADENOIDS	$6,826.00	$6,826.00	$351.00–$4,308.00	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 42820 - REMOVE TONSILS AND ADENOIDS	$12,812.00	$12,812.00	$338.00–$8,086.00	83% above	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 - REMOVE TONSILS AND ADENOIDS	$12,812.00	$12,812.00	$338.00–$8,086.00	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 - REMOVAL OF TONSILS	$6,826.00	$6,826.00	$293.00–$4,308.00	78% above	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 42826 - REMOVAL OF TONSILS	$6,826.00	$6,826.00	$293.00–$4,308.00	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825 - REMOVAL OF TONSILS	$12,812.00	$12,812.00	$305.00–$8,086.00	83% above	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 42825 - REMOVAL OF TONSILS	$12,812.00	$12,812.00	$305.00–$8,086.00	—	—
Total thyroid removal (thyroidectomy) CPT 60240 60240 - REMOVAL OF THYROID	$52,529.00	$52,529.00	$31,901.00–$65,715.00	661% above	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 60240 - REMOVAL OF THYROID	$52,529.00	$52,529.00	$31,901.00–$65,715.00	—	—
Trigger finger release surgery CPT 26055 26055 - INCISE FINGER TENDON SHEATH	$3,442.00	$3,442.00	$290.00–$2,900.00	53% above	—
Trigger finger release surgery inpatient CPT 26055 26055 - INCISE FINGER TENDON SHEATH	$3,442.00	$3,442.00	$290.00–$2,900.00	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 20552 - INJ TRIGGER POINT 1/2 MUSCL	$240.00	$240.00	$38.00–$1,880.00	43% below	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 - INJ TRIGGER POINT 1/2 MUSCL	$240.00	$240.00	$38.00–$1,880.00	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 58670 - LAPAROSCOPY TUBAL CAUTERY	$12,506.00	$12,506.00	$413.00–$7,893.00	81% above	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 58670 - LAPAROSCOPY TUBAL CAUTERY	$12,506.00	$12,506.00	$413.00–$7,893.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 - BX BREAST 1ST LESION US IMAG	$37,131.00	$37,131.00	$18,836.00–$38,803.00	1180% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 - BX BREAST 1ST LESION US IMAG	$37,131.00	$37,131.00	$18,836.00–$38,803.00	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 - ESOPH EGD DILATION <30 MM	$4,179.00	$4,179.00	$177.00–$2,637.00	86% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249 - ESOPH EGD DILATION <30 MM	$4,179.00	$4,179.00	$177.00–$2,637.00	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 43239 - EGD BIOPSY SINGLE/MULTIPLE	$1,981.00	$1,981.00	$168.00–$4,134.00	29% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 - EGD BIOPSY SINGLE/MULTIPLE	$1,981.00	$1,981.00	$168.00–$4,134.00	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 - UPPR GI SCOPE W/SUBMUC INJ	$1,981.00	$1,981.00	$168.00–$1,965.00	79% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 43236 - UPPR GI SCOPE W/SUBMUC INJ	$1,981.00	$1,981.00	$168.00–$1,965.00	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 - EGD REMOVE LESION SNARE	$4,179.00	$4,179.00	$222.00–$4,134.00	86% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 - EGD REMOVE LESION SNARE	$4,179.00	$4,179.00	$222.00–$4,134.00	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 - EGD GUIDE WIRE INSERTION	$1,981.00	$1,981.00	$191.00–$1,965.00	79% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 43248 - EGD GUIDE WIRE INSERTION	$1,981.00	$1,981.00	$191.00–$1,965.00	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 43235 - EGD DIAGNOSTIC BRUSH WASH	$1,981.00	$1,981.00	$147.00–$4,134.00	78% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 - EGD DIAGNOSTIC BRUSH WASH	$1,981.00	$1,981.00	$147.00–$4,134.00	—	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 52353 - CYSTOURETERO W/LITHOTRIPSY	$11,282.00	$11,282.00	$467.00–$7,121.00	88% above	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 52353 - CYSTOURETERO W/LITHOTRIPSY	$11,282.00	$11,282.00	$467.00–$7,121.00	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 52356 - CYSTO/URETERO W/LITHOTRIPSY	$11,282.00	$11,282.00	$472.00–$7,121.00	88% above	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356 - CYSTO/URETERO W/LITHOTRIPSY	$11,282.00	$11,282.00	$472.00–$7,121.00	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 - REMOVAL OF SPERM DUCT(S)	$7,486.00	$7,486.00	$268.00–$3,383.00	88% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 - REMOVAL OF SPERM DUCT(S)	$7,486.00	$7,486.00	$268.00–$3,383.00	—	—
Wart removal, up to 14 warts CPT 17110 17110 - DESTRUCT B9 LESION 1-14	$445.00	$445.00	$48.00–$1,880.00	37% above	—
Wart removal, up to 14 warts inpatient CPT 17110 17110 - DESTRUCT B9 LESION 1-14	$445.00	$445.00	$48.00–$1,880.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 - DEB SUBQ TISSUE 20 SQ CM/<	$2,025.00	$2,025.00	$53.00–$1,965.00	142% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 - DEB SUBQ TISSUE 20 SQ CM/<	$2,025.00	$2,025.00	$53.00–$1,965.00	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36430 - BLOOD TRANSFUSION SERVICE	$954.00	$954.00	$38.00–$1,880.00	27% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 - BLOOD TRANSFUSION SERVICE	$954.00	$954.00	$38.00–$1,880.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 - AIRWAY INHALATION TREATMENT	$93.00	$93.00	$10.00–$76.00	51% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 - AIRWAY INHALATION TREATMENT	$93.00	$93.00	$10.00–$76.00	—	—
Chemotherapy IV infusion, first hour CPT 96413 96413 - CHEMO IV INFUSION 1 HR	$776.00	$776.00	$135.00–$1,171.00	27% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 - CHEMO IV INFUSION 1 HR	$776.00	$776.00	$135.00–$1,171.00	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 92004 - EYE EXAM NEW PATIENT	$18,963.00	$18,963.00	$16,043.00–$33,048.00	10362% above	—
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 92004 - EYE EXAM NEW PATIENT	$18,963.00	$18,963.00	$16,043.00–$33,048.00	—	—
Comprehensive eye exam, returning patient CPT 92014 92014 - EYE EXAM&TX ESTAB PT 1/>VST	$803.00	$803.00	$23.00–$1,176.00	311% above	—
Comprehensive eye exam, returning patient inpatient CPT 92014 92014 - EYE EXAM&TX ESTAB PT 1/>VST	$803.00	$803.00	$23.00–$1,176.00	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 - COMPREHENSIVE HEARING TEST	$254.00	$254.00	$4.00–$76.00	31% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557 - COMPREHENSIVE HEARING TEST	$254.00	$254.00	$4.00–$76.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 99291 - CRITICAL CARE FIRST HOUR	$539.00	$539.00	$39.00–$388.00	67% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - CRITICAL CARE FIRST HOUR	$539.00	$539.00	$39.00–$388.00	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 - EEG AWAKE AND DROWSY	$6,086.00	$6,086.00	$109.00–$7,783.00	813% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816 - EEG AWAKE AND DROWSY	$6,086.00	$6,086.00	$109.00–$7,783.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 - ELECTROCARDIOGRAM TRACING	$14,583.00	$14,583.00	$10,739.00–$22,122.00	10474% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 - ELECTROCARDIOGRAM TRACING	$14,583.00	$14,583.00	$10,739.00–$22,122.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - EMR DPT VST MAYX REQ PHY/QHP	$436.00	$436.00	$32.00–$1,351.00	75% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - EMR DPT VST MAYX REQ PHY/QHP	$436.00	$436.00	$32.00–$1,351.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - EMERGENCY DEPT VISIT SF MDM	$436.00	$436.00	$38.00–$1,351.00	19% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - EMERGENCY DEPT VISIT SF MDM	$436.00	$436.00	$38.00–$1,351.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - EMERGENCY DEPT VISIT LOW MDM	$436.00	$436.00	$60.00–$1,351.00	18% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - EMERGENCY DEPT VISIT LOW MDM	$436.00	$436.00	$60.00–$1,351.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - EMERGENCY DEPT VISIT MOD MDM	$626.00	$626.00	$78.00–$1,661.00	25% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - EMERGENCY DEPT VISIT MOD MDM	$626.00	$626.00	$78.00–$1,661.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - EMERGENCY DEPT VISIT HI MDM	$1,410.00	$1,410.00	$250.00–$1,017.00	22% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - EMERGENCY DEPT VISIT HI MDM	$1,410.00	$1,410.00	$250.00–$1,017.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 - CARDIOVASCULAR STRESS TEST	$28,721.00	$28,721.00	$16,736.00–$34,476.00	5170% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 - CARDIOVASCULAR STRESS TEST	$28,721.00	$28,721.00	$16,736.00–$34,476.00	—	—
Eye exam, returning patient, intermediate CPT 92012 92012 - EYE EXAM ESTABLISH PATIENT	$23,560.00	$23,560.00	$13,545.00–$27,903.00	10143% above	—
Eye exam, returning patient, intermediate inpatient CPT 92012 92012 - EYE EXAM ESTABLISH PATIENT	$23,560.00	$23,560.00	$13,545.00–$27,903.00	—	—
Family therapy with the patient, 50 minutes CPT 90847 90847 - FAMILY PSYTX W/PT 50 MIN	$289.00	$289.00	$68.00–$336.00	7% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 - FAMILY PSYTX W/PT 50 MIN	$289.00	$289.00	$68.00–$336.00	—	—
Family therapy without the patient, 50 minutes CPT 90846 90846 - FAMILY PSYTX W/O PT 50 MIN	$1,329.00	$1,329.00	$45.00–$1,121.00	413% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 - FAMILY PSYTX W/O PT 50 MIN	$1,329.00	$1,329.00	$45.00–$1,121.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - HYDRATION IV INFUSION INIT	$501.00	$501.00	$51.00–$1,965.00	43% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - HYDRATION IV INFUSION INIT	$501.00	$501.00	$51.00–$1,965.00	—	—
IV infusion of a medicine, first hour CPT 96365 96365 - THER/PROPH/DIAG IV INF INIT	$18,708.00	$18,708.00	$15,456.00–$31,838.00	4281% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - THER/PROPH/DIAG IV INF INIT	$18,708.00	$18,708.00	$15,456.00–$31,838.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - THER/PROPH/DIAG INJ SC/IM	$164.00	$164.00	$12.00–$114.00	64% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - THER/PROPH/DIAG INJ SC/IM	$164.00	$164.00	$12.00–$114.00	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 - PSYCH DIAGNOSTIC EVALUATION	$317.00	$317.00	$1.00–$224.00	32% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 - PSYCH DIAGNOSTIC EVALUATION	$317.00	$317.00	$1.00–$224.00	—	—
Neuromuscular re-education, 15 minutes CPT 97112 97112 - NEUROMUSCULAR REEDUCATION	$12,221.00	$12,221.00	$2,142.00–$4,450.00	14820% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 - NEUROMUSCULAR REEDUCATION	$12,221.00	$12,221.00	$2,142.00–$4,450.00	—	—
New patient office visit, about 30 minutes CPT 99203 99203 - OFFICE O/P NEW LOW 30-44 MIN	$18,307.00	$18,307.00	$13,674.00–$28,168.00	8820% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 99203 - OFFICE O/P NEW LOW 30-44 MIN	$18,307.00	$18,307.00	$13,674.00–$28,168.00	—	—
New patient office visit, about 45 minutes CPT 99204 99204 - OFFICE O/P NEW MOD 45-59 MIN	$471.00	$471.00	$130.00–$841.00	58% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 99204 - OFFICE O/P NEW MOD 45-59 MIN	$471.00	$471.00	$130.00–$841.00	—	—
New patient office visit, about 60 minutes CPT 99205 99205 - OFFICE O/P NEW HI 60-74 MIN	$1,251.00	$1,251.00	$93.00–$315.00	284% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 99205 - OFFICE O/P NEW HI 60-74 MIN	$1,251.00	$1,251.00	$93.00–$315.00	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 - OFFICE O/P NEW SF 15-29 MIN	$14,746.00	$14,746.00	$6,988.00–$14,395.00	9059% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 - OFFICE O/P NEW SF 15-29 MIN	$14,746.00	$14,746.00	$6,988.00–$14,395.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 - MEDICAL NUTRITION INDIV IN	$209.00	$209.00	$1.00–$1,121.00	286% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 - MEDICAL NUTRITION INDIV IN	$209.00	$209.00	$1.00–$1,121.00	—	—
Occupational therapy evaluation, low complexity CPT 97165 97165 - OT EVAL LOW COMPLEX 30 MIN	$11,935.00	$11,935.00	$7,521.00–$15,493.00	6873% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 - OT EVAL LOW COMPLEX 30 MIN	$11,935.00	$11,935.00	$7,521.00–$15,493.00	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 - PT EVAL LOW COMPLEX 20 MIN	$12,263.00	$12,263.00	$7,608.00–$15,672.00	6713% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 97161 - PT EVAL LOW COMPLEX 20 MIN	$12,263.00	$12,263.00	$7,608.00–$15,672.00	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 - PT EVAL MOD COMPLEX 30 MIN	$14,746.00	$14,746.00	$7,610.00–$15,676.00	6047% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 97162 - PT EVAL MOD COMPLEX 30 MIN	$14,746.00	$14,746.00	$7,610.00–$15,676.00	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 99385 - PREV VISIT NEW AGE 18-39	$12,839.00	$12,839.00	$9,965.00–$20,528.00	6247% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 - PREV VISIT NEW AGE 18-39	$12,839.00	$12,839.00	$9,965.00–$20,528.00	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 99386 - PREV VISIT NEW AGE 40-64	$36,991.00	$36,991.00	$14,846.00–$30,583.00	15746% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 - PREV VISIT NEW AGE 40-64	$36,991.00	$36,991.00	$14,846.00–$30,583.00	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 99387 - INIT PM E/M NEW PAT 65+ YRS	$19,234.00	$19,234.00	$10,579.00–$21,792.00	7420% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 99387 - INIT PM E/M NEW PAT 65+ YRS	$19,234.00	$19,234.00	$10,579.00–$21,792.00	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 99395 - PREV VISIT EST AGE 18-39	$13,425.00	$13,425.00	$8,730.00–$17,984.00	6006% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 - PREV VISIT EST AGE 18-39	$13,425.00	$13,425.00	$8,730.00–$17,984.00	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 - PREV VISIT EST AGE 40-64	$18,482.00	$18,482.00	$9,078.00–$18,701.00	7256% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 99396 - PREV VISIT EST AGE 40-64	$18,482.00	$18,482.00	$9,078.00–$18,701.00	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 - PER PM REEVAL EST PAT 65+ YR	$15,052.00	$15,052.00	$9,948.00–$20,493.00	7111% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 - PER PM REEVAL EST PAT 65+ YR	$15,052.00	$15,052.00	$9,948.00–$20,493.00	—	—
Psychiatric evaluation with medical services CPT 90792 90792 - PSYCH DIAG EVAL W/MED SRVCS	$72.00	$72.00	$253.00	75% below	—
Psychiatric evaluation with medical services inpatient CPT 90792 90792 - PSYCH DIAG EVAL W/MED SRVCS	$72.00	$72.00	$253.00	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 96130 - PSYCL TST EVAL PHYS/QHP 1ST	$13,598.00	$13,598.00	$16,405.00–$33,794.00	3842% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 96130 - PSYCL TST EVAL PHYS/QHP 1ST	$13,598.00	$13,598.00	$16,405.00–$33,794.00	—	—
Psychotherapy session, 30 minutes CPT 90832 90832 - PSYTX W PT 30 MINUTES	$630.00	$630.00	$79.00–$775.00	228% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 - PSYTX W PT 30 MINUTES	$630.00	$630.00	$79.00–$775.00	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 - BEHAV CHNG SMOKING 3-10 MIN	$69.00	$69.00	$5.00–$76.00	57% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 - BEHAV CHNG SMOKING 3-10 MIN	$69.00	$69.00	$5.00–$76.00	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 - OFFICE O/P EST HI 40-54 MIN	$11,652.00	$11,652.00	$8,311.00–$17,120.00	4601% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 - OFFICE O/P EST HI 40-54 MIN	$11,652.00	$11,652.00	$8,311.00–$17,120.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 - OFFICE O/P EST LOW 20-29 MIN	$13,683.00	$13,683.00	$7,264.00–$14,963.00	7377% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 - OFFICE O/P EST LOW 20-29 MIN	$13,683.00	$13,683.00	$7,264.00–$14,963.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 - OFFICE O/P EST MOD 30-39 MIN	$12,393.00	$12,393.00	$7,854.00–$16,179.00	6036% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 - OFFICE O/P EST MOD 30-39 MIN	$12,393.00	$12,393.00	$7,854.00–$16,179.00	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 - OFF/OP CNSLTJ NEW/EST LOW 30	$229.00	$229.00	$1.00–$180.00	23% below	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 - OFF/OP CNSLTJ NEW/EST LOW 30	$229.00	$229.00	$1.00–$180.00	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 - OFF/OP CNSLTJ NEW/EST MOD 40	$36,807.00	$36,807.00	$13,695.00–$28,212.00	12214% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 - OFF/OP CNSLTJ NEW/EST MOD 40	$36,807.00	$36,807.00	$13,695.00–$28,212.00	—	—
Spirometry (breathing test) CPT 94010 94010 - BREATHING CAPACITY TEST	$53.00	$53.00	$4.00–$77.00	76% below	—
Spirometry (breathing test) inpatient CPT 94010 94010 - BREATHING CAPACITY TEST	$53.00	$53.00	$4.00–$77.00	—	—
Spirometry before and after a bronchodilator CPT 94060 94060 - EVALUATION OF WHEEZING	$484.00	$484.00	$25.00–$162.00	28% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 94060 - EVALUATION OF WHEEZING	$484.00	$484.00	$25.00–$162.00	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 97530 - THERAPEUTIC ACTIVITIES	$7,323.00	$7,323.00	$4,660.00–$9,600.00	8415% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 - THERAPEUTIC ACTIVITIES	$7,323.00	$7,323.00	$4,660.00–$9,600.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 - PHLEBOTOMY	$212.00	$212.00	$23.00–$1,880.00	at median	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 - PHLEBOTOMY	$212.00	$212.00	$23.00–$1,880.00	—	—
Visual field test, extended CPT 92083 92083 - VISUAL FIELD EXAMINATION(S)	$85.00	$85.00	$53.00–$2,715.00	75% below	—
Visual field test, extended inpatient CPT 92083 92083 - VISUAL FIELD EXAMINATION(S)	$85.00	$85.00	$53.00–$2,715.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 - VAR VACCINE LIVE SUBQ	$2,381.00	$2,381.00	$106.00–$1,537.00	798% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 90716 - VAR VACCINE LIVE SUBQ	$2,381.00	$2,381.00	$106.00–$1,537.00	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 90696 - DTAP-IPV VACCINE 4-6 YRS IM	$424.00	$424.00	$27.00–$491.00	356% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 90696 - DTAP-IPV VACCINE 4-6 YRS IM	$424.00	$424.00	$27.00–$491.00	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 90700 - DTAP VACCINE < 7 YRS IM	$183.00	$183.00	$13.00–$76.00	257% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 90700 - DTAP VACCINE < 7 YRS IM	$183.00	$183.00	$13.00–$76.00	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 90723 - DTAP-HEP B-IPV VACCINE IM	$158.00	$158.00	$14.00–$227.00	15% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 90723 - DTAP-HEP B-IPV VACCINE IM	$158.00	$158.00	$14.00–$227.00	—	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 90697 - DTAP-IPV-HIB-HEPB VACCINE IM	$13,904.00	$13,904.00	$10,361.00–$21,344.00	5945% above	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 90697 - DTAP-IPV-HIB-HEPB VACCINE IM	$13,904.00	$13,904.00	$10,361.00–$21,344.00	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 - 9VHPV VACCINE 2/3 DOSE IM	$483.00	$483.00	$70.00–$348.00	5% below	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 90651 - 9VHPV VACCINE 2/3 DOSE IM	$483.00	$483.00	$70.00–$348.00	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 90636 - HEP A/HEP B VACC ADULT IM	$679.00	$679.00	$80.00–$843.00	199% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 90636 - HEP A/HEP B VACC ADULT IM	$679.00	$679.00	$80.00–$843.00	—	—
Hepatitis A vaccine, adult dose CPT 90632 90632 - HEPA VACCINE ADULT IM	$252.00	$252.00	$66.00–$336.00	145% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 90632 - HEPA VACCINE ADULT IM	$252.00	$252.00	$66.00–$336.00	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 90633 - HEPA VACC PED/ADOL 2 DOSE IM	$301.00	$301.00	$6.00–$151.00	402% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 90633 - HEPA VACC PED/ADOL 2 DOSE IM	$301.00	$301.00	$6.00–$151.00	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 - HEPB VACCINE 3 DOSE ADULT IM	$429.00	$429.00	$30.00–$147.00	380% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 90746 - HEPB VACCINE 3 DOSE ADULT IM	$429.00	$429.00	$30.00–$147.00	—	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 90739 - HEPB VACC 2/4 DOSE ADULT IM	$21,202.00	$21,202.00	$10,477.00–$21,582.00	8671% above	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 90739 - HEPB VACC 2/4 DOSE ADULT IM	$21,202.00	$21,202.00	$10,477.00–$21,582.00	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 90744 - HEPB VACC 3 DOSE PED/ADOL IM	$144.00	$144.00	$13.00–$76.00	217% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 90744 - HEPB VACC 3 DOSE PED/ADOL IM	$144.00	$144.00	$13.00–$76.00	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 90648 - HIB PRP-T VACCINE 4 DOSE IM	$110.00	$110.00	$6.00–$118.00	243% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 90648 - HIB PRP-T VACCINE 4 DOSE IM	$110.00	$110.00	$6.00–$118.00	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 - MMR VACCINE SC	$497.00	$497.00	$58.00–$236.00	269% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 90707 - MMR VACCINE SC	$497.00	$497.00	$58.00–$236.00	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 90710 - MMRV VACCINE SC	$921.00	$921.00	$35.00–$363.00	110% above	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 90710 - MMRV VACCINE SC	$921.00	$921.00	$35.00–$363.00	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 - MENACWYD/MENACWYCRM VACC IM	$1,473.00	$1,473.00	$56.00–$1,007.00	622% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 90734 - MENACWYD/MENACWYCRM VACC IM	$1,473.00	$1,473.00	$56.00–$1,007.00	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 90620 - MENB-4C VACC 2 DOSE IM	$393.00	$393.00	$1.00–$267.00	16% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 90620 - MENB-4C VACC 2 DOSE IM	$393.00	$393.00	$1.00–$267.00	—	—
Meningococcal B vaccine (Trumenba) CPT 90621 90621 - MENB-FHBP VACC 2/3 DOSE IM	$406.00	$406.00	$100.00–$239.00	17% above	—
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 90621 - MENB-FHBP VACC 2/3 DOSE IM	$406.00	$406.00	$100.00–$239.00	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 90670 - PCV13 VACCINE IM	$386.00	$386.00	$1.00–$316.00	18% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 90670 - PCV13 VACCINE IM	$386.00	$386.00	$1.00–$316.00	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 - PCV20 VACCINE IM	$23,308.00	$23,308.00	$12,470.00–$25,688.00	5345% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 90677 - PCV20 VACCINE IM	$23,308.00	$23,308.00	$12,470.00–$25,688.00	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 - PPSV23 VACC 2 YRS+ SUBQ/IM	$424.00	$424.00	$2.00–$491.00	178% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 - PPSV23 VACC 2 YRS+ SUBQ/IM	$424.00	$424.00	$2.00–$491.00	—	—
Polio vaccine, inactivated (IPV) CPT 90713 90713 - POLIOVIRUS IPV SC/IM	$59.00	$59.00	$30.00–$325.00	32% below	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 90713 - POLIOVIRUS IPV SC/IM	$59.00	$59.00	$30.00–$325.00	—	—
Rabies vaccine, one dose CPT 90675 90675 - RABIES VACCINE IM	$2,784.00	$2,784.00	$156.00–$1,163.00	491% above	—
Rabies vaccine, one dose inpatient CPT 90675 90675 - RABIES VACCINE IM	$2,784.00	$2,784.00	$156.00–$1,163.00	—	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 90681 - RV1 VACC 2 DOSE LIVE ORAL	$683.00	$683.00	$29.00–$215.00	218% above	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 90681 - RV1 VACC 2 DOSE LIVE ORAL	$683.00	$683.00	$29.00–$215.00	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 90680 - RV5 VACC 3 DOSE LIVE ORAL	$215.00	$215.00	$45.00–$170.00	57% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 90680 - RV5 VACC 3 DOSE LIVE ORAL	$215.00	$215.00	$45.00–$170.00	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 - HZV VACC RECOMBINANT IM	$564.00	$564.00	$1.00–$245.00	43% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 90750 - HZV VACC RECOMBINANT IM	$564.00	$564.00	$1.00–$245.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 - TD VACC NO PRESV 7 YRS+ IM	$87.00	$87.00	$6.00–$151.00	64% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 - TD VACC NO PRESV 7 YRS+ IM	$87.00	$87.00	$6.00–$151.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 - TDAP VACCINE 7 YRS/> IM	$271.00	$271.00	$22.00–$114.00	388% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 - TDAP VACCINE 7 YRS/> IM	$271.00	$271.00	$22.00–$114.00	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 90691 - TYPHOID VACCINE IM	$560.00	$560.00	$72.00–$270.00	140% above	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 90691 - TYPHOID VACCINE IM	$560.00	$560.00	$72.00–$270.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 - IMMUNIZATION ADMIN	$164.00	$164.00	$12.00–$92.00	95% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 - IMMUNIZATION ADMIN	$164.00	$164.00	$12.00–$92.00	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 - IMMUNIZATION ADMIN EACH ADD	$680.00	$680.00	$1.00–$126.00	1411% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 - IMMUNIZATION ADMIN EACH ADD	$680.00	$680.00	$1.00–$126.00	—	—

Source file: https://www.downstate.edu/patient-care/_documents/charges/364983111_suny-university-hospital-at-downstate_standardcharges.csv