Hospital Fairmont, WV

Marion Neighborhood Hospital

Marion Neighborhood Hospital in White Hall, WV publishes cash prices for 372 common procedures listed here, from its own machine-readable price file updated Apr 21, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the West Virginia median for 201 of 371 procedures and below it for 154. By typical cash price it ranks #24 of 31 West Virginia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

140 Middletown Loop, White Hall, WV 26554 Collected Sep 29, 2026 Source price file (304) 333-1150

Acute care hospital Emergency department CCN 510093 · CMS hospital register NPI 1508441304

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 General Diagnostic Exam	$333.27	$666.53	$23.84–$499.90	77% above	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 DR Ankle Rt Routine AP Lat and Oblique	$333.27	$666.53	$23.84–$499.90	77% above	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 DR Ankle Lt Routine AP Lat and Oblique	$333.27	$666.53	$23.84–$499.90	77% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 CL US Lower Extrem Art Limited BILAT	$487.88	$975.76	$52.85–$731.82	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 93922-CL US Lower Extrem Art Limited BILAT	$487.88	$975.76	$52.85–$731.82	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 Non-Invas Physiologic STD Extremity Art 2 Level	$487.88	$975.76	$52.85–$731.82	77% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI Limited	$487.88	$975.76	$52.85–$731.82	77% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 SCSN US Exam	$487.88	$975.76	$52.85–$731.82	77% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 CL US Lower Extrem Arterial Limited LT	$487.88	$975.76	$52.85–$731.82	77% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922-CL US Lower Extrem Arterial Limited LT	$487.88	$975.76	$52.85–$731.82	77% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922-CL US Lower Extrem Art Limited RT	$487.88	$975.76	$52.85–$731.82	77% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 CL US Lower Extrem Art Limited RT	$487.88	$975.76	$52.85–$731.82	77% above	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 General Diagnostic Exam	$673.80	$1,347.60	$65.87–$1,010.70	84% above	50%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear Medicine Exam	$1,520.92	$3,041.83	$180.66–$2,281.37	80% above	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan Whole Body	$1,520.92	$3,041.83	$180.66–$2,281.37	80% above	50%
Breast ultrasound, complete, one breast CPT 76641 76641- US breast complete	$402.50	$804.99	$68.33–$603.74	41% above	50%
Breast ultrasound, complete, one breast CPT 76641 Read	$402.50	$804.99	$68.33–$603.74	41% above	50%
Breast ultrasound, complete, one breast CPT 76641 US Exam	$402.50	$804.99	$68.33–$603.74	41% above	50%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Bilateral Limited	$333.27	$666.53	$56.29–$499.90	—	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Exam	$333.27	$666.53	$56.29–$499.90	22% above	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 SCSN US Exam	$333.27	$666.53	$56.29–$499.90	22% above	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 76642- US breast limited	$333.27	$666.53	$56.29–$499.90	22% above	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI REAL TIME WITH IMAGE LIMITED	$333.27	$666.53	$56.29–$499.90	22% above	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Rt Limited	$333.27	$666.53	$56.29–$499.90	22% above	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Lt Limited	$333.27	$666.53	$56.29–$499.90	22% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computerized Tomography Exam	$673.80	$1,347.60	$168.25–$1,010.70	47% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$673.80	$1,347.60	$168.25–$1,010.70	47% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Exam	$673.80	$1,347.60	$168.25–$1,010.70	47% below	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computerized Tomography Exam	$1,351.73	$2,703.45	$175.71–$2,027.59	36% above	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CTA Cardiac calcium score only	$333.27	$666.53	$66.86–$499.90	237% above	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computerized Tomography Exam	$333.27	$666.53	$66.86–$499.90	237% above	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT AbdPelvis w/o Contrast	$914.91	$1,829.81	$126.34–$1,372.36	31% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computerized Tomography Exam	$914.91	$1,829.81	$126.34–$1,372.36	31% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis UN	$914.91	$1,829.81	$126.34–$1,372.36	31% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis ENH	$1,351.73	$2,703.45	$210.40–$2,027.59	12% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computerized Tomography Exam	$1,351.73	$2,703.45	$210.40–$2,027.59	12% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computerized Tomography Exam	$1,351.73	$2,703.45	$235.23–$2,027.59	20% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis UN & ENH	$1,351.73	$2,703.45	$235.23–$2,027.59	20% below	50%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen ENH	$673.80	$1,347.60	$154.21–$1,010.70	36% below	50%
CT scan of the abdomen with contrast CPT 74160 Computerized Tomography Exam	$673.80	$1,347.60	$154.21–$1,010.70	36% below	50%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen UN	$402.50	$804.99	$94.63–$603.74	44% below	50%
CT scan of the abdomen without contrast CPT 74150 Computerized Tomography Exam	$402.50	$804.99	$94.63–$603.74	44% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 Computerized Tomography Exam	$402.50	$804.99	$87.01–$603.74	39% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 Computerized Tomography Exam	$402.50	$804.99	$72.27–$603.74	42% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head UN	$402.50	$804.99	$72.27–$603.74	42% below	50%
CT scan of the head with contrast CPT 70460 CT Head ENH	$673.80	$1,347.60	$101.52–$1,010.70	30% below	50%
CT scan of the head with contrast CPT 70460 Computerized Tomography Exam	$673.80	$1,347.60	$101.52–$1,010.70	30% below	50%
CT scan of the head without and with contrast CPT 70470 Computerized Tomography Exam	$673.80	$1,347.60	$119.21–$1,010.70	42% below	50%
CT scan of the head without and with contrast CPT 70470 CT Head UN and ENH	$673.80	$1,347.60	$119.21–$1,010.70	42% below	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computerized Tomography Exam	$402.50	$804.99	$88.49–$603.74	52% below	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computerized Tomography Exam	$402.50	$804.99	$88.98–$603.74	49% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis Routine ENH	$673.80	$1,347.60	$150.07–$1,010.70	29% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 Computerized Tomography Exam	$673.80	$1,347.60	$150.07–$1,010.70	29% below	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880-(TC)-Dup scan/extracran art/bilat/comp	$914.91	$1,829.81	$125.11–$1,372.36	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CL Carotid Duplex Complete BILAT	$914.91	$1,829.81	$125.11–$1,372.36	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 - Duplex scan of extracranial arteries; complete bilateral study	$914.91	$1,829.81	$125.11–$1,372.36	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 - (TC) Duplex scan of extracranial arteries; complete bilateral study	$914.91	$1,829.81	$125.11–$1,372.36	—	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Exam	$914.91	$1,829.81	$125.11–$1,372.36	70% above	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 SCSN US Exam	$914.91	$1,829.81	$125.11–$1,372.36	70% above	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 SCMP US Exam	$914.91	$1,829.81	$125.11–$1,372.36	70% above	50%
Carotid artery ultrasound (duplex), both sides of the neck one side CPT 93880 CL Carotid Duplex Complete LT	$914.91	$1,829.81	$125.11–$1,372.36	70% above	50%
Carotid artery ultrasound (duplex), both sides of the neck one side CPT 93880 CL Carotid Duplex Complete RT	$914.91	$1,829.81	$125.11–$1,372.36	70% above	50%
Chest X-ray, 2 views CPT 71046 General Diagnostic Exam	$333.27	$666.53	$21.88–$499.90	77% above	50%
Chest X-ray, 2 views CPT 71046 DR Exam	$333.27	$666.53	$21.88–$499.90	77% above	50%
Chest X-ray, 2 views CPT 71046 WW DR Exam	$333.27	$666.53	$21.88–$499.90	77% above	50%
Chest X-ray, single view CPT 71045 DR Portable Chest	$333.27	$666.53	$16.96–$499.90	141% above	50%
Chest X-ray, single view CPT 71045 DR Exam	$333.27	$666.53	$16.96–$499.90	141% above	50%
Chest X-ray, single view CPT 71045 DR Post PICC Line Chest	$333.27	$666.53	$16.96–$499.90	141% above	50%
Chest X-ray, single view CPT 71045 DR Chest single view AP or PA	$333.27	$666.53	$16.96–$499.90	141% above	50%
Chest X-ray, single view CPT 71045 General Diagnostic Exam	$333.27	$666.53	$16.96–$499.90	141% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 SCSN US Exam	$402.50	$804.99	$72.02–$603.74	8% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 WHFMT US Exam	$402.50	$804.99	$72.02–$603.74	8% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Exam	$402.50	$804.99	$72.02–$603.74	8% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 SCMP US Exam	$402.50	$804.99	$72.02–$603.74	8% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770- US abdomen back wall complete	$402.50	$804.99	$72.02–$603.74	8% below	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080(TC)- Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skelet	$402.50	$804.99	$24.09–$603.74	24% above	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Mammography Exam	$402.50	$804.99	$24.09–$603.74	24% above	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080- Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skelet	$402.50	$804.99	$24.09–$603.74	24% above	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HW GYN Dexa	$402.50	$804.99	$24.09–$603.74	24% above	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 77081 - Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular sk	$333.27	$666.53	$20.16–$499.90	69% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest UN	$402.50	$804.99	$90.95–$603.74	49% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computerized Tomography Exam	$402.50	$804.99	$90.95–$603.74	49% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Hi Resolution	$402.50	$804.99	$90.95–$603.74	49% below	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Routine ENH	$673.80	$1,347.60	$113.56–$1,010.70	39% below	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computerized Tomography Exam	$673.80	$1,347.60	$113.56–$1,010.70	39% below	50%
Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammo Bilat Diagnostic	$622.69	$1,245.37	$96.44–$934.03	—	50%
Diagnostic mammogram, both breasts CPT 77066 Mammography Exam	$622.69	$1,245.37	$96.44–$934.03	99% above	50%
Diagnostic mammogram, one breast CPT 77065 Mammography Exam	$493.55	$987.10	$75.07–$740.33	150% above	50%
Diagnostic mammogram, one breast one side CPT 77065 MA Mammo Rt Diagnostic	$493.55	$987.10	$75.07–$740.33	150% above	50%
Diagnostic mammogram, one breast one side CPT 77065 MA Mammo Lt Diagnostic	$493.55	$987.10	$75.07–$740.33	150% above	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925 (TC) Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral stu	$914.91	$1,829.81	$157.31–$1,372.36	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925- Dup scan/LE art/graft/bilat/comp	$914.91	$1,829.81	$157.31–$1,372.36	—	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US Exam	$914.91	$1,829.81	$157.31–$1,372.36	57% above	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US Duplex Complete Lower	$914.91	$1,829.81	$157.31–$1,372.36	57% above	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-CL US Venous Insuff Upper Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 Dup-Scan XTR Veins Complete Bilateral Study	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CL US Vein Map Mark Lower Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CL US Vein Map Mark Upper Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CL US Venous Insuff Lower Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CL US Venous Insuff Upper Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CL Periph Venous US Lower BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CL Periph Venous US Upper BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CL Upper Periph Arterial Duplex BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-CL Periph Venous US Lower BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-CL Periph Venous US Upper BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-CL Upper Periph Arterial Duplex BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-CL US Vein Map Mark Lower Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-CL US Vein Map Mark Upper Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-CL US Venous Insuff Lower Extrem BILAT	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970- Dup scan/extremity vein/bilat/comp	$914.91	$1,829.81	$122.65–$1,372.36	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 93970 (TC) Duplex scan of extremity veins including responses to compression and other maneuvers; co	$914.91	$1,829.81	$122.65–$1,372.36	60% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 SCSN US Exam	$914.91	$1,829.81	$122.65–$1,372.36	60% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Exam	$914.91	$1,829.81	$122.65–$1,372.36	60% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 SCMP US Exam	$914.91	$1,829.81	$122.65–$1,372.36	60% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 Read	$914.91	$1,829.81	$122.65–$1,372.36	60% above	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram	$2,075.30	$4,150.59	$130.52–$3,112.94	84% above	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 MCNH Echo Transthoracic Complete	$2,075.30	$4,150.59	$130.52–$3,112.94	84% above	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306- TTE/2D/M-mode/spec dop/color flow	$2,075.30	$4,150.59	$130.52–$3,112.94	84% above	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CL Adult Echocardiogram	$2,075.30	$4,150.59	$130.52–$3,112.94	84% above	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Pipida Non-Quantitative	$1,520.92	$3,041.83	$197.62–$2,281.37	78% above	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear Medicine Exam	$1,520.92	$3,041.83	$197.62–$2,281.37	78% above	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study - Home Study 95806	$592.20	$1,184.40	$60.71–$888.30	68% above	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study - In Lab Titration 95811	$3,850.79	$7,701.58	$406.55–$5,776.19	50% above	50%
Knee X-ray, 3 views CPT 73562 WW DR Exam	$333.27	$666.53	$26.55–$499.90	73% above	50%
Knee X-ray, 3 views CPT 73562 General Diagnostic Exam	$333.27	$666.53	$26.55–$499.90	73% above	50%
Knee X-ray, 3 views one side CPT 73562 DR Knee Rt 3 View	$333.27	$666.53	$26.55–$499.90	73% above	50%
Knee X-ray, 3 views one side CPT 73562 DR Knee Lt 3 View	$333.27	$666.53	$26.55–$499.90	73% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, qua	$402.50	$804.99	$58.25–$603.74	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Exam	$402.50	$804.99	$58.25–$603.74	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 URMC US Exam	$402.50	$804.99	$58.25–$603.74	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 WHFMT US Exam	$402.50	$804.99	$58.25–$603.74	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$402.50	$804.99	$58.25–$603.74	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 - (TC) Echo Exam of Abdomen -Limited	$402.50	$804.99	$58.25–$603.74	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SCSN US Exam	$402.50	$804.99	$58.25–$603.74	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL REAL TIME W/IMAGE LIMITED	$402.50	$804.99	$58.25–$603.74	at median	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Exam	$402.50	$804.99	$93.90–$603.74	194% above	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computerized Tomography Exam	$402.50	$804.99	$93.90–$603.74	194% above	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$139.12–$1,372.36	24% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$268.17–$2,027.59	30% below	50%
MRI of the abdomen without contrast CPT 74181 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$135.68–$1,372.36	25% below	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$234.49–$2,027.59	29% below	50%
MRI of the brain, no contrast dye CPT 70551 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$135.19–$1,372.36	31% below	50%
MRI of the brain, with and without contrast dye CPT 70553 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$220.48–$2,027.59	30% below	50%
MRI of the lower back, no contrast dye CPT 72148 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$132.49–$1,372.36	32% below	50%
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$220.97–$2,027.59	28% below	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$132.24–$1,372.36	29% below	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$221.47–$2,027.59	28% below	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$132.24–$1,372.36	35% below	50%
MRI of the pelvis without and with contrast CPT 72197 72197 - MRI Pelvis	$1,351.73	$2,703.45	$234.25–$2,027.59	29% below	50%
MRI of the pelvis without and with contrast CPT 72197 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$234.25–$2,027.59	29% below	50%
MRI of the pelvis, no contrast dye CPT 72195 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$159.03–$1,372.36	32% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$139.37–$1,372.36	29% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial EF Rest Stress Spect	$4,941.20	$9,882.40	$290.04–$7,411.80	75% above	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452-NM Myocardial EF Rest Stress Spect Add-on	$4,941.20	$9,882.40	$290.04–$7,411.80	75% above	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PI Exam	$5,520.72	$11,041.44	$1,001.07–$8,281.08	64% above	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PI Skull to Thigh Subsequent	$5,520.72	$11,041.44	$1,001.07–$8,281.08	64% above	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PI Skull to Thigh Initial	$5,520.72	$11,041.44	$1,001.07–$8,281.08	64% above	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Exam	$5,520.72	$11,041.44	$1,001.07–$8,281.08	64% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Limited Non OB	$402.50	$804.99	$31.95–$603.74	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Exam	$402.50	$804.99	$31.95–$603.74	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 Us exam pelvic limited	$402.50	$804.99	$31.95–$603.74	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 URMC US Exam	$402.50	$804.99	$31.95–$603.74	30% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856- US pelvic complete	$402.50	$804.99	$70.05–$603.74	1% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete Non OB	$402.50	$804.99	$70.05–$603.74	1% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Exam	$402.50	$804.99	$70.05–$603.74	1% below	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pelvic OB Comp >14 wks	$402.50	$804.99	$89.23–$603.74	2% below	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Exam	$402.50	$804.99	$89.23–$603.74	2% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pelvic OB <14 wks comp	$402.50	$804.99	$78.16–$603.74	at median	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Exam	$402.50	$804.99	$78.16–$603.74	at median	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBGYN Ultrasound	$402.50	$804.99	$54.08–$603.74	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pelvic OB Limited	$402.50	$804.99	$54.08–$603.74	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED 1/> FETUSES	$402.50	$804.99	$54.08–$603.74	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 WHMP US Exam	$402.50	$804.99	$54.08–$603.74	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Exam	$402.50	$804.99	$54.08–$603.74	34% above	50%
Screening mammogram, both breasts both sides CPT 77067 77067 (TC) Screening mammography, bilateral (2-view study of each breast), including computer-aided	$301.08	$602.15	$79.42–$451.61	—	50%
Screening mammogram, both breasts both sides CPT 77067 MA Mammo Bilat Screening	$500.54	$1,001.08	$79.42–$750.81	—	50%
Screening mammogram, both breasts CPT 77067 Mammography Exam	$1,001.09	$2,002.18	$79.42–$1,501.64	239% above	50%
Screening mammogram, both breasts one side CPT 77067 MA Mammo Lt Screening	$500.54	$1,001.08	$79.42–$750.81	70% above	50%
Screening mammogram, both breasts one side CPT 77067 MA Mammo Rt Screening	$500.54	$1,001.08	$79.42–$750.81	70% above	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 General Diagnostic Exam	$333.27	$666.53	$22.37–$499.90	86% above	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 DR Shoulder Rt Routine min 2 views	$333.27	$666.53	$22.37–$499.90	86% above	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 DR Shoulder Lt Routine min 2 views	$333.27	$666.53	$22.37–$499.90	86% above	50%
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study - In Lab PSG 95810	$3,850.79	$7,701.58	$389.35–$5,776.19	60% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CL Dobutamine Stress Echocardiogram	$2,075.30	$4,150.59	$154.12–$3,112.94	115% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Dobutamine Stress Echo	$2,075.30	$4,150.59	$154.12–$3,112.94	115% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 93351- TTE/rest/stress/2D/M-mode/cont ECG	$2,075.30	$4,150.59	$154.12–$3,112.94	115% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo, Complete	$2,075.30	$4,150.59	$154.12–$3,112.94	115% above	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 General Diagnostic Exam	$673.80	$1,347.60	$84.56–$1,010.70	78% above	50%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal non ob	$402.50	$804.99	$78.90–$603.74	at median	50%
Transvaginal pelvic ultrasound CPT 76830 WHMP US Exam	$402.50	$804.99	$78.90–$603.74	at median	50%
Transvaginal pelvic ultrasound CPT 76830 US Exam	$402.50	$804.99	$78.90–$603.74	at median	50%
Transvaginal pelvic ultrasound CPT 76830 76830- US Transvaginal, non-ob	$402.50	$804.99	$78.90–$603.74	at median	50%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG	$402.50	$804.99	$61.94–$603.74	41% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 WHMP US Exam	$402.50	$804.99	$61.94–$603.74	41% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 76817(TC)- Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart	$402.50	$804.99	$61.94–$603.74	41% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 US Transvaginal OB	$402.50	$804.99	$61.94–$603.74	41% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 US Exam	$402.50	$804.99	$61.94–$603.74	41% above	50%
Ultrasound of the abdomen, complete CPT 76700 US Exam	$402.50	$804.99	$77.67–$603.74	9% below	50%
Ultrasound of the abdomen, complete CPT 76700 76700 (TC) Ultrasound, abdominal, real time with image documentation; complete	$402.50	$804.99	$77.67–$603.74	9% below	50%
Ultrasound of the abdomen, complete CPT 76700 76700- US abdommen complete	$402.50	$804.99	$77.67–$603.74	9% below	50%
Ultrasound of the abdomen, complete CPT 76700 SCSN US Exam	$402.50	$804.99	$77.67–$603.74	9% below	50%
Ultrasound of the scrotum and testicles CPT 76870 US Exam	$402.50	$804.99	$66.86–$603.74	5% above	50%
Ultrasound of the scrotum and testicles CPT 76870 76870- Us exam scrotum	$402.50	$804.99	$66.86–$603.74	5% above	50%
Ultrasound of the scrotum and testicles CPT 76870 URMC US Exam	$402.50	$804.99	$66.86–$603.74	5% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Exam	$402.50	$804.99	$73.48–$603.74	9% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536- US head and neck	$402.50	$804.99	$73.48–$603.74	9% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SCMP US Exam	$402.50	$804.99	$73.48–$603.74	9% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 WHFMT US Exam	$402.50	$804.99	$73.48–$603.74	9% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SCSN US Exam	$402.50	$804.99	$73.48–$603.74	9% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM	$402.50	$804.99	$73.48–$603.74	9% above	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 General Diagnostic Exam	$673.80	$1,347.60	$82.83–$1,010.70	82% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Exam	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 SCSN US Exam	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 - PB Tech Duplex scan of extremity veins including responses to compression and other maneuver	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 (TC) Duplex scan of extremity veins including responses to compression and other maneuvers; un	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Venous Insuff Upper Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Venous Insuff Upper Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Venous Insuff Lower Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Venous Insuff Lower Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Vein Map Mark Upper Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Vein Map Mark Upper Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Vein Map Mark Lower Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL US Vein Map Mark Lower Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 Dup-Scan XTR Veins Unilateral/Limited Study	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Extremity Vein Unilat Rt Upper for DVT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Extremity Vein Unilat Lt Upper for DVT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 -Duplex scan of extremity veins including responses to compression and other maneuvers; unilat	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971- Dup scan/extremity vein/unilat/ltd	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Venous Insuff Upper Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Venous Insuff Upper Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Venous Insuff Lower Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Venous Insuff Lower Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Vein Map Mark Upper Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Vein Map Mark Upper Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Vein Map Mark Lower Extrem RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL US Vein Map Mark Lower Extrem LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL Upper Periph Arterial Duplex RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL Upper Periph Arterial Duplex LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL Periph Venous US Upper RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL Periph Venous US Upper LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL Periph Venous US Lower RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971-CL Periph Venous US Lower LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Extremity Vein Unilat Lt Lower for DVT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL Upper Periph Arterial Duplex LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL Upper Periph Arterial Duplex RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL Periph Venous US Upper RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL Periph Venous US Upper LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL Periph Venous US Lower RT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CL Periph Venous US Lower LT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Extremity Vein Unilat Rt Lower for DVT	$402.50	$804.99	$77.67–$603.74	14% above	50%
Wrist X-ray, complete, 3 or more views CPT 73110 General Diagnostic Exam	$333.27	$666.53	$26.30–$499.90	89% above	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 DR Wrist Lt Routine AP Lat and Oblique	$333.27	$666.53	$26.30–$499.90	89% above	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 DR Wrist Rt Routine AP Lat and Oblique	$333.27	$666.53	$26.30–$499.90	89% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 DR Exam	$333.27	$666.53	$30.48–$499.90	75% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 General Diagnostic Exam	$333.27	$666.53	$30.48–$499.90	75% above	50%
X-ray of the abdomen, 1 view CPT 74018 General Diagnostic Exam	$333.27	$666.53	$19.66–$499.90	83% above	50%
X-ray of the abdomen, 1 view CPT 74018 DR Abdomen AP	$333.27	$666.53	$19.66–$499.90	83% above	50%
X-ray of the abdomen, 1 view CPT 74018 WW DR Exam	$333.27	$666.53	$19.66–$499.90	83% above	50%
X-ray of the ankle, 2 views CPT 73600 General Diagnostic Exam	$333.27	$666.53	$20.89–$499.90	93% above	50%
X-ray of the ankle, 2 views one side CPT 73600 DR Ankle Lt AP and Lat	$333.27	$666.53	$20.89–$499.90	93% above	50%
X-ray of the ankle, 2 views one side CPT 73600 DR Ankle Rt AP and Lat	$333.27	$666.53	$20.89–$499.90	93% above	50%
X-ray of the finger(s), 2 or more views CPT 73140 WW DR Exam	$333.27	$666.53	$24.09–$499.90	100% above	50%
X-ray of the finger(s), 2 or more views CPT 73140 General Diagnostic Exam	$333.27	$666.53	$24.09–$499.90	100% above	50%
X-ray of the foot, 2 views CPT 73620 General Diagnostic Exam	$333.27	$666.53	$18.44–$499.90	108% above	50%
X-ray of the foot, 2 views one side CPT 73620 DR Lt Foot AP and Lat	$333.27	$666.53	$18.44–$499.90	108% above	50%
X-ray of the foot, 2 views one side CPT 73620 DR Rt Foot AP and Lat	$333.27	$666.53	$18.44–$499.90	108% above	50%
X-ray of the foot, complete, 3 or more views CPT 73630 WW DR Exam	$333.27	$666.53	$22.37–$499.90	82% above	50%
X-ray of the foot, complete, 3 or more views CPT 73630 General Diagnostic Exam	$333.27	$666.53	$22.37–$499.90	82% above	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 DR Rt Foot AP Lat and Oblique	$333.27	$666.53	$22.37–$499.90	82% above	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 DR Lt Foot AP Lat and Oblique	$333.27	$666.53	$22.37–$499.90	82% above	50%
X-ray of the hand, 3 or more views CPT 73130 General Diagnostic Exam	$333.27	$666.53	$23.60–$499.90	85% above	50%
X-ray of the hand, 3 or more views one side CPT 73130 DR Hand Rt PA Lat and Oblique	$333.27	$666.53	$23.60–$499.90	85% above	50%
X-ray of the hand, 3 or more views one side CPT 73130 DR Hand Lt PA Lat and Oblique	$333.27	$666.53	$23.60–$499.90	85% above	50%
X-ray of the knee, 1 or 2 views CPT 73560 General Diagnostic Exam	$333.27	$666.53	$22.12–$499.90	93% above	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 DR Knee Rt AP and Lat	$333.27	$666.53	$22.12–$499.90	93% above	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 DR Knee Lt AP and Lat	$333.27	$666.53	$22.12–$499.90	93% above	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 General Diagnostic Exam	$402.50	$804.99	$26.05–$603.74	87% above	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 DR Lumbar Spine 2-3 Views	$402.50	$804.99	$26.05–$603.74	87% above	50%
X-ray of the lower back, 4 or more views CPT 72110 WW DR Exam	$402.50	$804.99	$33.18–$603.74	42% above	50%
X-ray of the lower back, 4 or more views CPT 72110 General Diagnostic Exam	$402.50	$804.99	$33.18–$603.74	42% above	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 General Diagnostic Exam	$402.50	$804.99	$21.38–$603.74	83% above	50%
X-ray of the nasal bones, 3 or more views CPT 70160 General Diagnostic Exam	$333.27	$666.53	$24.83–$499.90	82% above	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 General Diagnostic Exam	$333.27	$666.53	$25.81–$499.90	71% above	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 72170-PELVIS AP	$402.50	$804.99	$18.19–$603.74	124% above	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 General Diagnostic Exam	$402.50	$804.99	$18.19–$603.74	124% above	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 General Diagnostic Exam	$333.27	$666.53	$21.14–$499.90	87% above	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 add-on	$15.73	$31.46	$4.40–$23.89	42% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$15.73	$31.46	$4.40–$23.89	42% below	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 NASH Fibrosure Plus LC	$15.38	$30.75	$4.31–$23.35	48% below	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$15.38	$30.75	$4.31–$23.35	48% below	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute	$141.37	$282.73	$39.58–$214.72	36% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F085-IgE Celery LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F182-IgE Lima Bean LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F096-IgE Avocado LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F090-IgE Malt LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F087-IgE Melon LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Latex IgE Antibody (RAST)	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile (Mini RAST)	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Hair	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 D Farinae	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Epithelia	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Kentucky Bluegrass	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Ragweed Short	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Basic Food, SO	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Milk	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Wheat	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Corn	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Peanut	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Soybean	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Pork	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Beef	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Egg, Whole	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Acid Anhydride -Trimellitic anhydride, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Isocyanates Profile -MDI Specific IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Isocyanates Profile -HDI Specific IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Cat dander Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Alternaria alternata Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Dog dander Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Cladosporium herbarum Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Ambrosia elatior Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Cynodon dactylon Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 - D. pteronyssinus, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Aspergillis fumigatus Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -D. farinae Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Ulmus americana Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Quercus alba Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Pigweed common Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Blatella germanica Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Acer negundo Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Juniperus sabinoides Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Juglans spp Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Penicillium notatum Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Phleum pratense Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Salsola kali Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Populus deltoides Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Carya illinoinensis tree Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Rumex acetosella Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Morus alba Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Mouse urine proteins Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Fraxinus americana Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Betula verrucosa Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Platanus acerifolia Ab, IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Basic LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Mini-Panel LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens(7) LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile 2 LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Nut Prof. w/Component Rflx LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE Pistachio Nut LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Shellfish LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Food Prof w/Component Rflx LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 .Egg White Component 603851 LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F026-IgE Pork LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 add-on to Food Allergy Profile	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 add-on to Allergens(7)	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 add-on	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 add-on to Childhood Allergy Profile+IgE	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile 86003 Add-On	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens 86003 Add-On	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatus LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F044-IgE Strawberry LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IgE Egg, Whole LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Food w/Component Reflex II LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Fish LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F008-IgE Corn LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F025-IgE Tomato LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F033-IgE Orange LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F338-IgE Scallop LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F093-IgE Chocalate/Cacao LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F035-IgE Potato, White LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F083-IgE Chicken LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 G010-IgE Johnson Grass LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F027-IgE Beef LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - IgE Food Basic w/Component Rfx LC ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Hymenoptera Profile LC 86003	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - IgE Food w/Component Reflex II LC ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Alpha-Gal IgE Panel LC ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Allergens w/Total IgE Area 1 LC ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Allergens w/Comp Rflx Area 5 LC ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Allergy Profile, Food-Milk LC ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Allergy Profile, Food-Meat LC ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - Allergen Profile, Food-Fish ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - IgE 17 Nuts+CompRflx ADD-ON	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk w/ Component Reflex LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Peanut w/Component Reflex LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Food Basic w/Component Rfx LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (17) Nuts w/CompRflx LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Milk LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Meat LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F079-IgG Gluten LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F009-IgE Rice LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F340-IgE Carmine Red Dye LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F309-IgE Chick Pea LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F288-IgE Blueberry LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F287-IgE Kidney Bean LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F259-IgE Grape LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F244-IgE Cucumber LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F220-IgE Cinnamon LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F214-IgE Spinach LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F047-IgE Garlic LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F031-IgE Carrot LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F211-IgE Blackberry LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F210-IgE Pineapple LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 K084-IgE Sunflower Seed LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 W009-IgE Plantain, English LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 W010-IgE Lamb's Quarters LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F078-IgE Casein LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 M008-IgE Setomelanomma rostrat LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F343-IgE Rasberry LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F037-IgE Mussel LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F049-IgE Apple LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F084-IgE Kiwi Fruit LC	$15.49	$30.98	$4.34–$23.53	8% below	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ILDdx Profile (RDL) LC	$38.44	$76.87	$10.76–$58.37	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 - z.ANA 12 Plus Profile, Positive LC Add-On	$38.44	$76.87	$10.76–$58.37	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 add-on	$38.44	$76.87	$10.76–$58.37	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANA 12 Plus Doall, CCP	$38.44	$76.87	$10.76–$58.37	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Abs IgG/IgA	$38.44	$76.87	$10.76–$58.37	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Interstitial Lung Profile - CCP	$38.44	$76.87	$10.76–$58.37	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-CCP Ab, IgG + IgA (RDL) LC	$79.50	$159.00	$11.66–$119.25	107% above	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies-IFA	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Profile 11 (RDL) LC	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 add-on to ANA 12 Plus Profile, Do All RDL	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 add-on to ILDdx Profile (RDL)	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Abs (ANA)	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA II - RDL	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 zzzANA w/Reflex If Positive	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Interstitial Lung Profile - ANA	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA II, Antinuclear Abs	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Systemic Lupus Profile B LC	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Connective Tissue Disease-Casc LC	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive LC	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 .Positive ANCA Reflex LC	$35.88	$71.76	$10.05–$54.50	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 z.ANA 12 Plus, Positive Ro LC	$59.63	$119.25	$10.88–$89.44	4% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 12 Plus Profile (RDL) LC	$59.63	$119.25	$10.88–$89.44	4% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Profile 12 (RDL) LC	$109.98	$219.95	$10.88–$164.96	77% above	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 - Vasculitis Profile (RDL) LC ADD-ON	$199.11	$398.21	$10.88–$298.66	221% above	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide	$116.53	$233.05	$32.63–$176.98	3% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP POC MC	$116.53	$233.05	$32.63–$176.98	3% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide POC	$116.53	$233.05	$32.63–$176.98	3% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP LC	$175.18	$350.36	$35.33–$262.77	46% above	50%
Basic metabolic panel (blood test) CPT 80048 BMP MC	$25.11	$50.22	$7.03–$38.13	36% below	50%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$25.11	$50.22	$7.03–$38.13	36% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Billing Derm SO Surg Level IV	$135.28	$270.55	$37.88–$232.60	26% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Billing Surgical Pathology Level IV Complexity	$135.28	$270.55	$37.88–$232.60	26% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305- Tissue exam by pathologist; Level IV	$135.28	$270.55	$37.88–$232.60	26% above	50%
Blood culture for bacteria CPT 87040 Culture Blood Pediatric	$30.63	$61.26	$8.58–$46.52	58% below	50%
Blood culture for bacteria CPT 87040 Culture Blood - Extended	$30.63	$61.26	$8.58–$46.52	58% below	50%
Blood culture for bacteria CPT 87040 Culture Blood	$30.63	$61.26	$8.58–$46.52	58% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS DRAW (HIDDEN)	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Kit Collection-Venous Blood Draw	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 RI INF Venipuncture	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Number of Straight Stick Attempts -> 2	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Number of Straight Stick Attempts -> 1	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Natera NIPT	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Regional Eye Autologous Serum	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$30.22	$60.43	$3.00–$45.32	188% above	50%
Blood glucose (sugar) test CPT 82947 Glucose, 2-Hour Post Challenge	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 4 Hourz	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 5 Hourz	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Level Serum	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose Fastingz	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 3 Hourz	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 2 Hourz	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 1 Hourz	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 30 Minutesz	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose POC	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 82947 add-on	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 MC Glucose Capillary	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Level, Random	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose, POC	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose, 1-Hour Post Challenge	$11.67	$23.33	$3.27–$17.71	49% below	50%
Blood lead test CPT 83655 Lead Level, Capillary Pediatric, SO	$35.95	$71.89	$10.06–$54.59	164% above	50%
Blood lead test CPT 83655 Lead Level POC	$35.95	$71.89	$10.06–$54.59	164% above	50%
Blood lead test CPT 83655 83655 - zHeavy Metals Profile I, Blood LC Add-On	$35.95	$71.89	$10.06–$54.59	164% above	50%
Blood lead test CPT 83655 Lead Level, Pediatric-Filter Paper, SO	$35.95	$71.89	$10.06–$54.59	164% above	50%
Blood lead test CPT 83655 Lead Level, WB Adult, SO	$35.95	$71.89	$10.06–$54.59	164% above	50%
Blood lead test CPT 83655 83655 - Lead Random Urine ADD-ON	$35.95	$71.89	$10.06–$54.59	164% above	50%
Blood lead test CPT 83655 Lead Level, Venous Pediatric, SO	$35.95	$71.89	$10.06–$54.59	164% above	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-STAT Serum Qualitative	$22.32	$44.64	$6.25–$33.90	43% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Urine Pregnancy Test MGH	$22.32	$44.64	$6.25–$33.90	43% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Qualitative Serum	$22.32	$44.64	$6.25–$33.90	43% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 MC POC Urine Pregnancy Test	$22.32	$44.64	$6.25–$33.90	43% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Urine Pregnancy Test	$22.32	$44.64	$6.25–$33.90	43% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 DAL Blood Type	$10.00	$20.00	$2.69–$538.63	74% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 zzzPAT ABO/Rh Type	$43.57	$87.13	$2.69–$538.63	15% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 PAT ABO Rh Auto	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh (dU) Pt	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *ABO/Rh Unit Transfusion Rx	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *ABO/Rh Post Transfusion Reaction	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Prenatal ABORh	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *ABO Rh Pre Transfusion Reaction	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Prenatal ABO-Rh	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Prenatal ABO-RH Auto	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-Rh Pt	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *ABO/Rh Cord	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 PAT ABO-Rh Type	$46.18	$92.36	$2.69–$538.63	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-Rh Auto	$46.18	$92.36	$2.69–$538.63	22% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$15.38	$30.75	$4.31–$23.35	44% below	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C. difficle-Epi by PCR	$110.62	$221.23	$30.97–$168.01	3% below	50%
C. difficile toxin gene test (stool PCR) CPT 87493 PCR, C diff Toxin B/Epi	$110.62	$221.23	$30.97–$168.01	3% below	50%
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9	$61.77	$123.53	$17.29–$93.81	21% below	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen - 125	$61.77	$123.53	$17.29–$93.81	35% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR POC	$135.97	$271.94	$38.07–$231.31	26% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars CoV 2 by PCR	$135.97	$271.94	$38.07–$231.31	26% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT Ng TV HSV by NAA LC	$104.15	$208.29	$29.16–$158.18	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT, Ng, Trich vag by NAA LC	$104.15	$208.29	$29.16–$158.18	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis	$104.15	$208.29	$29.16–$158.18	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia	$104.15	$208.29	$29.16–$158.18	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia by PCR	$104.15	$208.29	$29.16–$158.18	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Gonorrhea by PCR	$104.15	$208.29	$29.16–$158.18	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pathology Billing Chlamydia Probe	$104.15	$208.29	$29.16–$158.18	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT/GC NAA, Rectal LC	$104.15	$208.29	$29.16–$158.18	87% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Health Fair Lipid Profile	$39.74	$79.48	$11.13–$60.36	36% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR Lipoprofile	$39.74	$79.48	$11.13–$60.36	36% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LipoProfile+Lipids LC	$39.74	$79.48	$11.13–$60.36	36% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$39.74	$79.48	$11.13–$60.36	36% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Auto Diff	$23.06	$46.12	$6.46–$35.02	44% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC + Diff	$23.06	$46.12	$6.46–$35.02	44% below	50%
Complete blood count (CBC) with differential CPT 85025 MC CBC + Diff	$23.06	$46.12	$6.46–$35.02	44% below	50%
Complete blood count (CBC) with differential CPT 85025 85025 - Complete Blood Count POC	$23.06	$46.12	$6.46–$35.02	44% below	50%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count POC	$23.06	$46.12	$6.46–$35.02	44% below	50%
Complete blood count (CBC), no differential CPT 85027 Newborn CBC with Manual Diff	$19.20	$38.40	$5.38–$29.16	44% below	50%
Complete blood count (CBC), no differential CPT 85027 CBC w/o Differential	$19.20	$38.40	$5.38–$29.16	44% below	50%
Complete blood count (CBC), no differential CPT 85027 zzZComplete Blood Count w/o Differential	$19.20	$38.40	$5.38–$29.16	44% below	50%
Complete blood count (CBC), no differential CPT 85027 MC CBC w/o Diff	$19.20	$38.40	$5.38–$29.16	44% below	50%
Complete blood count (CBC), no differential CPT 85027 ANC - CBC	$19.20	$38.40	$5.38–$29.16	44% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 DAL CMP	$15.00	$30.00	$4.20–$47.60	69% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$31.35	$62.69	$8.78–$47.60	36% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 CMP MC	$31.35	$62.69	$8.78–$47.60	36% below	50%
D-dimer blood test (blood clot marker) CPT 85379 DDimer	$30.22	$60.43	$8.46–$45.89	51% below	50%
D-dimer blood test (blood clot marker) CPT 85379 MC D-Dimer	$30.22	$60.43	$8.46–$45.89	51% below	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate	$65.98	$131.96	$18.47–$100.21	29% below	50%
Estradiol blood test CPT 82670 Estradiol Level	$82.93	$165.85	$23.22–$125.95	at median	50%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level	$46.45	$92.90	$13.01–$83.76	43% below	50%
FSH (follicle-stimulating hormone) test CPT 83001 Cancer Antigen 15-3	$55.15	$110.29	$15.44–$83.76	32% below	50%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC	$58.27	$116.53	$16.31–$88.49	26% below	50%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$40.46	$80.91	$11.33–$61.44	41% below	50%
Folate (folic acid) blood test CPT 82746 Folate, Level	$43.63	$87.26	$12.22–$66.26	38% below	50%
Free T3 thyroid hormone test CPT 84481 .T3Free LC	$44.89	$89.78	$12.57–$76.36	48% below	50%
Free T3 thyroid hormone test CPT 84481 Free Triiodothyronine	$50.28	$100.55	$14.08–$76.36	42% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine T4 Free, Direct, S LC	$23.91	$47.81	$6.69–$40.66	54% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 zzThyroxine Free	$25.26	$50.51	$7.07–$40.66	52% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$26.77	$53.54	$7.50–$40.66	49% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine	$26.77	$53.54	$7.50–$40.66	49% below	50%
Free testosterone test CPT 84402 Testosterone Free	$75.60	$151.19	$21.17–$114.82	19% above	50%
Free testosterone test CPT 84402 Testosterone Free/Total	$75.60	$151.19	$21.17–$114.82	19% above	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3 Hour Lab	$38.20	$76.39	$10.69–$58.01	41% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 4 Hour Lab	$38.20	$76.39	$10.69–$58.01	41% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 5 Hour Lab	$38.20	$76.39	$10.69–$58.01	41% below	50%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test	$38.20	$76.39	$10.69–$58.01	41% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Pathology Billing GC probe	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC by Nucleic Acid Amplification	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae by PCR	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea by PCR	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ct, Ng, Trich 87591 Add-On	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 - CT Ng TV HSV by NAA LC ADD-ON	$104.15	$208.29	$29.16–$158.18	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 - CT/GC NAA, Rectal LC ADD-ON	$104.15	$208.29	$29.16–$158.18	71% above	50%
H. pylori antibody blood test CPT 86677 H pylori IgA	$50.01	$100.02	$14.00–$75.96	at median	50%
H. pylori antibody blood test CPT 86677 H pylori IgM	$50.01	$100.02	$14.00–$75.96	at median	50%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen Stool	$42.68	$85.36	$11.95–$64.82	18% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Graph) LC	$252.58	$505.15	$70.72–$383.63	1% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Non-Graph) LC	$252.58	$505.15	$70.72–$383.63	1% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, PCR(Graph)rfx/GenoPRI LC	$524.89	$1,049.77	$76.59–$787.33	105% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RealTime Abbott LC	$564.02	$1,128.03	$76.59–$846.02	121% above	50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Abs - Rapid	$40.70	$81.39	$11.39–$61.80	at median	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 **HIV 1/O/2	$71.47	$142.94	$20.01–$108.55	31% above	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/O/2, SO	$71.47	$142.94	$20.01–$108.55	31% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Pathology Billing HPV high risk amp probe	$104.15	$208.29	$29.16–$158.18	65% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Pathology HPV	$130.31	$260.61	$31.58–$195.46	107% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Direct Access Lab HgbA1C	$7.50	$15.00	$2.10–$43.77	85% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Health Fair Hemoglobin, A1C	$11.87	$23.74	$3.32–$43.77	76% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, A1C	$28.82	$57.64	$8.07–$43.77	42% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Direct Access Lab Hep B Antibody Titer	$10.00	$20.00	$2.80–$48.41	77% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 add-on	$31.88	$63.75	$8.93–$48.41	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Qual, SO	$31.88	$63.75	$8.93–$48.41	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface - Antibody	$31.88	$63.75	$8.93–$48.41	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$31.88	$63.75	$8.93–$48.41	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep VIII, HBsAb	$31.88	$63.75	$8.93–$48.41	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody	$31.88	$63.75	$8.93–$48.41	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 EH Hepatitis Panel, HBsAB	$31.88	$63.75	$8.93–$48.41	28% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Direct Access Lab Hep B Surface Antigen	$10.00	$20.00	$2.80–$46.56	81% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 add-on	$30.66	$61.32	$8.58–$46.56	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen	$30.66	$61.32	$8.58–$46.56	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 EH Hepatitis Panel, HBsAG	$30.66	$61.32	$8.58–$46.56	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep VIII, HBsAg	$30.66	$61.32	$8.58–$46.56	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface - Antigen	$30.66	$61.32	$8.58–$46.56	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBcAb 87340 Add-On	$30.66	$61.32	$8.58–$46.56	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$30.66	$61.32	$8.58–$46.56	41% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C - Antibody	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 zzzHCV Antibody reflex to NAA LC	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR LC	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 86803 add-on	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hep VIII, Hep C Ab	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HBcAb 86803 Add-On	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 EH Hepatitis Panel, HCVAB	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus Ab	$42.35	$84.70	$11.86–$64.33	23% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno LC	$127.15	$254.29	$35.60–$193.12	27% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 z.HCV Real-Time PCR Qn 550312 LC	$127.15	$254.29	$35.60–$193.12	27% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RealTime Abbott LC	$384.25	$768.50	$38.56–$576.38	121% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA Diagnosis, NAA LC	$563.13	$1,126.25	$38.56–$844.69	224% above	50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 550362 LC	$127.15	$254.29	$35.60–$193.12	27% below	50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Graph) LC	$127.15	$254.29	$35.60–$193.12	27% below	50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC	$127.15	$254.29	$35.60–$193.12	27% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 86695 add-on	$39.15	$78.29	$10.96–$59.46	3% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2-Specific Ab, IgG LC	$57.43	$114.86	$16.08–$87.23	24% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV I/2 IgG LC	$57.43	$114.86	$16.08–$87.23	24% above	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac	$38.44	$76.87	$10.76–$58.37	31% below	50%
Homocysteine blood test CPT 83090 83090 - Thrombotic Risk Assessment LC ADD-ON	$29.60	$59.19	$8.29–$80.78	66% below	50%
Homocysteine blood test CPT 83090 Homocystine, Plasma	$53.19	$106.37	$14.89–$80.78	38% below	50%
Homocysteine blood test CPT 83090 83090 - Thrombotic Risk Profile I LC ADD-ON	$90.48	$180.96	$16.13–$135.72	5% above	50%
Insulin blood test CPT 83525 Free and Total Insulin LC	$19.88	$39.75	$5.57–$51.52	60% below	50%
Iron blood test (serum iron) CPT 83540 Iron Level	$19.20	$38.40	$5.38–$29.16	53% below	50%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total	$25.94	$51.88	$7.26–$39.40	37% below	50%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total w/ Iron Level	$25.94	$51.88	$7.26–$39.40	37% below	50%
Kidney function blood test panel CPT 80069 Renal Function Panel	$25.77	$51.53	$7.21–$39.13	36% below	50%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$54.97	$109.93	$15.39–$83.49	35% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$20.45	$40.89	$5.72–$31.06	47% below	50%
Liver function blood test panel CPT 80076 MC Liver Function Panel	$24.25	$48.50	$6.79–$36.83	36% below	50%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$24.25	$48.50	$6.79–$36.83	36% below	50%
Lyme disease antibody test CPT 86618 zzLyme Antibody/Line Blot Reflex LC	$47.69	$95.37	$13.35–$76.77	56% above	50%
Lyme disease antibody test CPT 86618 Lyme Disease Serology w/Reflex LC	$47.69	$95.37	$13.35–$76.77	56% above	50%
Lyme disease antibody test CPT 86618 Lyme Antibody 86618 Add-On	$50.55	$101.09	$14.15–$76.77	66% above	50%
Lyme disease antibody test CPT 86618 .Lyme IgG/IgM LC	$96.26	$192.52	$15.33–$144.39	216% above	50%
Lyme disease antibody test CPT 86618 86618 - .Lyme IgG/IgM LC Add-on	$96.26	$192.52	$15.33–$144.39	216% above	50%
Magnesium blood test CPT 83735 Magnesium, Urine-MUA	$19.89	$39.77	$5.57–$30.20	17% above	50%
Magnesium blood test CPT 83735 Magnesium Level	$19.89	$39.77	$5.57–$30.20	17% above	50%
Magnesium blood test CPT 83735 Magnesium Level 24 Hour Urine	$19.89	$39.77	$5.57–$30.20	17% above	50%
Magnesium blood test CPT 83735 Magnesium-RBC	$19.89	$39.77	$5.57–$30.20	17% above	50%
Magnesium blood test CPT 83735 83735 - Kidney Stone, 24h Urine/Saturation LC - ADD-ON	$23.44	$46.87	$6.03–$35.15	38% above	50%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies IgG	$38.23	$76.46	$10.70–$58.06	at median	50%
Measles (rubeola) antibody test CPT 86765 Rubeola Abs, EIA, Quant	$38.23	$76.46	$10.70–$58.06	at median	50%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen	$15.38	$30.75	$4.31–$23.35	55% below	50%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$15.38	$30.75	$4.31–$23.35	55% below	50%
Mono test (heterophile antibody, Monospot) CPT 86308 MC Monospot	$15.38	$30.75	$4.31–$23.35	55% below	50%
Obstetric blood test panel CPT 80055 Prenatal Profile	$141.90	$283.80	$39.73–$215.53	36% below	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Total 84154 Add-On	$54.58	$109.16	$15.28–$82.90	at median	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 .%PSA Reflex LC	$54.58	$109.16	$15.28–$82.90	at median	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free LC	$54.58	$109.16	$15.28–$82.90	11% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Diagnostic	$54.58	$109.16	$15.28–$82.90	11% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (Diagnostic) SO	$54.58	$109.16	$15.28–$82.90	11% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex to Free) LC	$54.58	$109.16	$15.28–$82.90	11% below	50%
Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Gyn Cyto Image Guided Thin Prep	$78.98	$157.96	$22.11–$119.96	4% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Billing Gyn Cytology Thin Prep	$60.14	$120.27	$16.84–$91.33	20% above	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Billing Gyn Cyto Diagnostic Thin Prep	$60.14	$120.27	$16.84–$91.33	20% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone, Intact	$122.52	$245.04	$34.31–$186.09	13% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 - DIC Profile LC ADD-ON	$10.12	$20.24	$2.83–$27.09	74% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 MC APTT	$17.84	$35.68	$5.00–$27.09	54% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Thromboplastin Time	$17.84	$35.68	$5.00–$27.09	54% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 - Antiphospholipid Syndrome LC ADD-ON	$102.64	$205.28	$5.41–$153.96	163% above	50%
Progesterone blood test CPT 84144 Progesterone Level	$61.92	$123.83	$17.34–$94.03	38% below	50%
Prolactin blood test CPT 84146 Prolactin Level	$57.52	$115.04	$16.11–$87.36	8% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 - DIC Profile LC ADD-ON	$12.73	$25.46	$3.56–$19.33	48% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 85610- Prothrombin time	$12.73	$25.46	$3.56–$19.33	48% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 MC Prothrombin Time/INR (PT/INR)	$12.73	$25.46	$3.56–$19.33	48% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time/INR	$12.73	$25.46	$3.56–$19.33	48% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 - Antiphospholipid Syndrome LC ADD-ON	$102.64	$205.28	$3.86–$153.96	319% above	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screening POC	$37.40	$74.79	$10.47–$56.80	7% above	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen MC	$37.40	$74.79	$10.47–$56.80	7% above	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 80305 - Drug test(s), presumptive, any number of drug classes, any number of devices or px; capable	$37.40	$74.79	$10.47–$56.80	7% above	50%
Rapid flu test (influenza antigen) CPT 87804 87804 - Influenze POC	$49.12	$98.24	$13.75–$74.60	6% above	50%
Rapid flu test (influenza antigen) CPT 87804 Influenza POC	$49.12	$98.24	$13.75–$74.60	6% above	50%
Rapid flu test (influenza antigen) CPT 87804 87804 - Infliximab Drug + Antibody LC ADD-ON	$271.43	$542.86	$14.90–$407.15	484% above	50%
Rapid flu test (influenza antigen) CPT 87804 Infliximab Drug + Antibody LC	$271.43	$542.86	$14.90–$407.15	484% above	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Test	$49.06	$98.12	$13.74–$74.51	21% above	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep POC	$49.06	$98.12	$13.74–$74.51	21% above	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 - Rapid Strep POC	$49.06	$98.12	$13.74–$74.51	21% above	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A Screen	$49.06	$98.12	$13.74–$74.51	21% above	50%
Rheumatoid factor (RF) test CPT 86431 86431 - z.ANA 12 Plus Profile, Positive LC Add-On	$16.83	$33.66	$4.71–$25.56	52% below	50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC	$16.83	$33.66	$4.71–$25.56	52% below	50%
Rheumatoid factor (RF) test CPT 86431 Interstitial Lung Profile - RF by TURB	$16.83	$33.66	$4.71–$25.56	52% below	50%
Rheumatoid factor (RF) test CPT 86431 ANA 12 Plus Doall, Rheum Factor, quant	$16.83	$33.66	$4.71–$25.56	52% below	50%
Rheumatoid factor (RF) test CPT 86431 86431 add-on to ANA 12Plus Profile, Do All RDL	$16.83	$33.66	$4.71–$25.56	52% below	50%
Rheumatoid factor (RF) test CPT 86431 86431 add-on to ILDdx Profile (RDL)	$16.83	$33.66	$4.71–$25.56	52% below	50%
Rheumatoid factor (RF) test CPT 86431 86431 - Vasculitis Profile (RDL) LC ADD-ON	$93.38	$186.75	$5.10–$140.06	166% above	50%
Rubella antibody test (immunity check) CPT 86762 Rubella Abs, IGG Quant	$42.71	$85.41	$11.96–$64.87	12% below	50%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG	$42.71	$85.41	$11.96–$64.87	12% below	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate	$8.02	$16.03	$2.24–$12.17	46% below	50%
Stool ova and parasites exam CPT 87177 Ova + Parasites Stool	$26.42	$52.83	$7.40–$40.12	43% below	50%
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam LC	$26.42	$52.83	$7.40–$40.12	43% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood (Stool) Screening	$13.00	$26.00	$3.64–$19.74	11% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 Occult blood feces	$13.00	$26.00	$3.64–$19.74	11% below	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Diagnostic (FIT test) X 3	$53.57	$107.14	$14.33–$80.36	47% above	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Diagnostic	$53.57	$107.14	$14.33–$80.36	47% above	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood MC	$53.57	$107.14	$14.33–$80.36	47% above	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Gastric MC	$53.57	$107.14	$14.33–$80.36	47% above	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FIT POC	$53.57	$107.14	$14.33–$80.36	47% above	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Diagnostic (FIT test)	$53.57	$107.14	$14.33–$80.36	47% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF LC	$12.67	$25.34	$3.55–$19.24	50% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Test	$12.67	$25.34	$3.55–$19.24	50% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL Cerebrospinal Fluid	$12.67	$25.34	$3.55–$19.24	50% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Client Incubated QFT TB Gold LC	$183.96	$367.92	$51.51–$279.41	at median	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC	$183.96	$367.92	$51.51–$279.41	at median	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus	$183.96	$367.92	$51.51–$279.41	at median	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone,Total	$76.61	$153.21	$21.45–$116.35	at median	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$76.61	$153.21	$21.45–$116.35	at median	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANA 12 Plus Doall, Microsomal Abs	$43.19	$86.37	$12.09–$65.59	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 add-on	$43.19	$86.37	$12.09–$65.59	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 z.Thyroid AutoAbs Test Group LC	$43.19	$86.37	$12.09–$65.59	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 - z.ANA 12 Plus Profile, Positive LC Add-On	$43.19	$86.37	$12.09–$65.59	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 .Thyroid Peroxidase (TPO) Ab LC	$43.19	$86.37	$12.09–$65.59	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies	$43.19	$86.37	$12.09–$65.59	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Antimicrosomal Antibodies	$43.19	$86.37	$12.09–$65.59	38% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile LC	$49.86	$99.72	$13.96–$75.73	10% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile	$49.86	$99.72	$13.96–$75.73	10% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NB SCR, TSH	$49.86	$99.72	$13.96–$75.73	10% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone, HS	$49.86	$99.72	$13.96–$75.73	10% below	50%
Trichomonas test (NAAT) CPT 87661 87661 - CT Ng TV HSV by NAA LC ADD-ON	$104.15	$208.29	$29.16–$158.18	35% above	50%
Trichomonas test (NAAT) CPT 87661 Ct, Ng, Trich 87661 Add-On	$104.15	$208.29	$29.16–$158.18	35% above	50%
Trichomonas test (NAAT) CPT 87661 Trichomonas Only	$104.15	$208.29	$29.16–$158.18	35% above	50%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis	$104.15	$208.29	$29.16–$158.18	35% above	50%
Uric acid blood test CPT 84550 Uric Acid	$13.42	$26.83	$3.76–$20.37	58% below	50%
Urinalysis with microscope exam, automated CPT 81001 UA Microscopic?	$9.41	$18.82	$2.63–$14.29	67% below	50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/ Microscopic	$9.41	$18.82	$2.63–$14.29	67% below	50%
Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC YES	$9.41	$18.82	$2.63–$14.29	67% below	50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/ Reflexive Microscopic	$9.41	$18.82	$2.63–$14.29	67% below	50%
Urinalysis with microscope exam, manual CPT 81000 81000 Urinalysis nonauto w/scope (also listed as AMB POC	$11.93	$23.86	$3.34–$18.12	20% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis OB Screen	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 81003 - Urine Dipstick 2GP POC	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick POC	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 UA w/o Micro MC	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick 2GP POC	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick MGH	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick 10 POC	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 OB Urine Dipstick 2 GP POC	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 81003- Urinalysis Dipstick POC	$6.68	$13.36	$1.87–$10.14	50% below	50%
Urinalysis without microscope exam, manual CPT 81002 81002 - Urinalysis Dipstick	$10.33	$20.66	$2.89–$15.68	15% below	50%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dipstick POC	$10.33	$20.66	$2.89–$15.68	15% below	50%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine	$23.95	$47.90	$6.71–$36.38	58% below	50%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine Cysto	$23.95	$47.90	$6.71–$36.38	58% below	50%
Urine pregnancy test, read by color change CPT 81025 CLINIC In-Office Urine Pregnancy Test	$22.25	$44.50	$6.23–$38.81	6% above	50%
Urine pregnancy test, read by color change CPT 81025 HCG-STAT Urine Qualitative	$22.25	$44.50	$6.23–$38.81	6% above	50%
Urine pregnancy test, read by color change CPT 81025 81025 - Urine Pregnancy Test	$22.25	$44.50	$6.23–$38.81	6% above	50%
Urine pregnancy test, read by color change CPT 81025 HCG, Urine POC	$25.56	$51.11	$7.16–$38.81	22% above	50%
Vitamin B12 (cobalamin) blood test CPT 82607 zzVitamin B12 Level	$42.23	$84.45	$11.82–$67.98	48% below	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12, Level	$44.76	$89.52	$12.53–$67.98	44% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy	$87.86	$175.71	$24.60–$133.43	3% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC	$119.99	$239.98	$26.64–$179.99	40% above	50%
Zinc blood test CPT 84630 Zinc Level	$33.81	$67.61	$9.47–$51.34	at median	50%
Zinc blood test CPT 84630 Zinc, RBC LC	$118.71	$237.42	$10.25–$178.07	251% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quant, Send Out	$44.67	$89.34	$12.51–$67.84	37% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quant MC	$44.67	$89.34	$12.51–$67.84	37% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quantitative	$44.67	$89.34	$12.51–$67.84	37% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Beta Subunit	$44.67	$89.34	$12.51–$67.84	37% below	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 42830- Adenoidectomy/primary/<12 yrs	$221.90	$443.79	$62.13–$13,198.18	94% below	50%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551- Arthrodesis/discect/decompres/cerv/below C2	$1,869.65	$3,739.30	$523.50–$60,530.47	84% below	50%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960- Appendectomy/ruptured w/abscess/peritonitis	$954.37	$1,908.73	$267.22–$1,908.73	34% below	50%
Appendectomy, open surgery CPT 44950 44950- Appendectomy	$698.72	$1,397.44	$195.64–$16,431.12	86% below	50%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 29888- Arthroscope/ant cruciate lig rpr	$1,034.32	$2,068.64	$289.61–$30,685.48	—	50%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827- Arthroscop/shoulder/rotat cuff rpr	$1,134.27	$2,268.54	$317.60–$30,685.48	47% below	50%
Botox injections for chronic migraine CPT 64615 64615- Chemodenerv/fac/trigem/cerv spine	$1,117.29	$2,234.57	$264.92–$1,675.93	217% above	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 MA Stereostatic Bilat Breast Biopsy	$6,132.56	$12,265.11	$470.26–$9,198.83	—	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081- Bx breast 1st lesion w/o US	$6,132.56	$12,265.11	$470.26–$9,198.83	139% above	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Stereostatic Lt Breast Biopsy	$6,132.56	$12,265.11	$470.26–$9,198.83	139% above	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Stereostatic Rt Breast Biopsy	$6,132.56	$12,265.11	$470.26–$9,198.83	139% above	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786- Clsd tx/dis fibular fx w/o manip	$303.50	$606.99	$82.48–$960.32	at median	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$907.94	$1,815.88	$82.48–$1,361.91	199% above	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470- Clsd tx/metatarsal fx w/o manip	$213.68	$427.36	$59.83–$960.32	10% below	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	$907.94	$1,815.88	$82.48–$1,361.91	281% above	50%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296- Cor hlx vlgs dstl mtar osteo	$537.72	$1,075.43	$150.56–$13,808.81	at median	50%
Bunion correction with removal of part of the big toe joint CPT 28292 28292-Cor hlx vlgs rsc prx phlx bs	$507.95	$1,015.89	$142.22–$13,808.81	at median	50%
Cardiac catheterization with coronary angiogram one side CPT 93458 93458-LEFT HEART CATH, LV, COR	$12,174.01	$24,348.01	$706.18–$18,261.01	67% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$2,476.81	$4,953.61	$74.97–$3,715.21	137% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardiovascular Procedures: -> Cardioversion	$2,476.81	$4,953.61	$74.97–$3,715.21	137% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$2,476.81	$4,953.61	$74.97–$3,715.21	137% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960-EXTERNAL ELECTIVE CARDIOVERSION	$2,476.81	$4,953.61	$74.97–$3,715.21	137% above	50%
Carpal tunnel release, open surgery CPT 64721 64721- Carpal tunnel surgery	$458.20	$916.39	$128.29–$8,338.75	84% below	50%
Cataract surgery with lens implant CPT 66984 66984- Extracaps catarac rmv/w lens prost	$8,632.49	$17,264.98	$821.66–$12,948.74	63% above	50%
Catheter ablation for atrial fibrillation CPT 93656 93656 - AFIB ABLATION	$92,853.97	$185,707.94	$800.32–$139,280.96	585% above	50%
Cervical biopsy CPT 57500 57500- Biopsy/cervix/single/multiple	$3,295.73	$6,591.45	$88.32–$4,943.59	211% above	50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161- Circumcise/surg/> 28 days of age	$7,753.55	$15,507.09	$631.07–$11,630.32	196% above	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Genitourinary Procedures: -> Circumcision	$7,753.55	$15,507.09	$631.07–$11,630.32	223% above	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$7,753.55	$15,507.09	$631.07–$11,630.32	223% above	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision procedure date/time	$7,753.55	$15,507.09	$631.07–$11,630.32	223% above	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150- Circumcision/clamp/other device	$7,753.55	$15,507.09	$631.07–$11,630.32	223% above	50%
Circumcision, surgical, older than a newborn CPT 54160 54160- Circumcise/surg/28 days or <	$2,526.36	$5,052.71	$230.23–$3,789.53	215% above	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	$907.94	$1,815.88	$82.48–$1,361.91	157% above	50%
Colonoscopy with polyp removal CPT 45385 45385- Colonoscopy/snare rmv/tumor/polyp	$265.49	$530.98	$74.34–$5,023.64	81% below	50%
Colonoscopy with tissue sample CPT 45380 45380 - Colonoscopy and biopsy	$4,462.78	$8,925.56	$414.96–$6,694.17	290% above	50%
Colonoscopy with tissue sample CPT 45380 Gastrointestinal Procedures: -> Colonoscopy w/biopsy (single or multiple)	$4,462.78	$8,925.56	$414.96–$6,694.17	290% above	50%
Colonoscopy, diagnostic CPT 45378 Gastrointestinal Procedures: -> Colonoscopy w/o biopsy	$3,450.80	$6,901.59	$317.57–$5,176.19	205% above	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460- Colposcopy/cervix/LEEP	$12,034.42	$24,068.84	$168.61–$18,051.63	259% above	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454- Colposcopy/cervix/biopsy/curettage	$1,151.35	$2,302.70	$62.89–$1,727.03	248% above	50%
Coronary stent placement, one artery CPT 92928 zz92928-Coronary Angioplasty with coronary stent- LAD	$42,923.70	$85,847.39	$423.76–$64,385.54	169% above	50%
Coronary stent placement, one artery CPT 92928 Coronary Angioplasty with coronary stent	$42,923.70	$85,847.39	$423.76–$64,385.54	169% above	50%
Coronary stent placement, one artery CPT 92928 zz92928-Coronary Angioplasty with coronary stent- RCA	$42,923.70	$85,847.39	$423.76–$64,385.54	169% above	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$2,140.00	$4,280.00	$230.23–$3,210.00	160% above	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Clinic Cystoscopy	$2,526.36	$5,052.71	$230.23–$3,789.53	207% above	50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 58120- D&C/diagnostic/therapeutic/non OB	$12,034.42	$24,068.84	$1,028.12–$18,051.63	221% above	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000- Destruct premalig lesion/1st les	$752.08	$1,504.15	$175.95–$1,128.11	263% above	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209- Ear Irrigation	$224.83	$449.65	$56.00–$337.24	176% above	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni	$224.83	$449.65	$56.00–$337.24	176% above	50%
Earwax removal with instruments, one ear CPT 69210 69210- Remove impacted ear wax-	$224.83	$449.65	$56.00–$337.24	231% above	50%
Earwax removal with instruments, one ear CPT 69210 EAR REM IMPACT CERUMEN	$224.83	$449.65	$56.00–$337.24	231% above	50%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$224.83	$449.65	$56.00–$337.24	231% above	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100- EMB w/o cervical dilation	$761.42	$1,522.84	$44.43–$1,142.13	278% above	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$761.42	$1,522.84	$44.43–$1,142.13	278% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Computerized Tomography Exam	$3,369.72	$6,739.43	$329.43–$5,054.57	208% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 General Diagnostic Exam	$3,369.72	$6,739.43	$329.43–$5,054.57	208% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 DR Anes Inject Thoracic or Lumbar Lev	$3,369.72	$6,739.43	$329.43–$5,054.57	208% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 DR Fluoro Guide Spine	$3,369.72	$6,739.43	$329.43–$5,054.57	208% above	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 - Diagnostic sigmoidoscopy	$3,450.80	$6,901.59	$126.32–$5,176.19	299% above	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD	$3,450.80	$6,901.59	$126.32–$5,176.19	299% above	50%
Gallbladder removal, laparoscopic CPT 47562 47562- Cholecystectomy/laparoscopy	$717.26	$1,434.52	$200.83–$24,179.33	91% below	50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563- Lapchol w/cholangiography	$780.36	$1,560.71	$218.50–$24,179.33	90% below	50%
Gallbladder removal, open surgery through a larger incision CPT 47600 47600- Cholecystectomy	$1,162.49	$2,324.98	$325.50–$2,324.98	33% below	50%
Hammertoe correction surgery CPT 28285 28285- Correction/hammertoe	$403.24	$806.48	$112.91–$13,808.81	84% below	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 46221 - PF Ligation of hemorroid(s)	$198.29	$396.57	$55.52–$3,855.21	82% below	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy	$3,450.80	$6,901.59	$158.17–$5,176.19	220% above	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 46221-Ligation of hemorrhoid(s)	$3,450.80	$6,901.59	$158.17–$5,176.19	220% above	50%
Hemorrhoidectomy (internal and external), one area CPT 46255 46255 - Hemorrhoidectomy, internal and external, single column/group;	$10,379.86	$20,759.72	$908.64–$15,569.79	99% above	50%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132- Prev hip surg/total arthroplasty	$1,779.49	$3,558.97	$498.26–$20,320.71	at median	50%
Hysterectomy through an abdominal incision (total) CPT 58150 58150- Tot abd hysterect w/w/o tubes/ovar	$1,089.07	$2,178.14	$304.94–$2,178.14	85% below	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340- Cath/saline/contrast/SIS/hysteosal	$60.63	$121.26	$16.98–$90.95	78% below	50%
Hysteroscopy with endometrial ablation CPT 58563 58563- Hysteroscopy/endometrial ablation	$18,684.31	$37,368.61	$1,476.16–$28,026.46	304% above	50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558- Hysteroscopy/endometrium bx	$12,034.42	$24,068.84	$1,028.12–$18,051.63	190% above	50%
IUD insertion (the device itself billed separately) CPT 58300 58300- Insertion/intrauterine device	$1,128.18	$2,256.35	$315.89–$1,692.26	586% above	50%
IUD insertion (the device itself billed separately) CPT 58300 AMB IUD Admin Charge -> Insert Intrauterine Device 58300	$1,128.18	$2,256.35	$315.89–$1,692.26	586% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Abscess Simple/Single	$752.08	$1,504.15	$62.89–$1,128.11	226% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060- Abscess/simple/single/I & D	$752.08	$1,504.15	$62.89–$1,128.11	226% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060- Incision and Drainage, Simple	$752.08	$1,504.15	$62.89–$1,128.11	226% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 Integumentary Procedures: -> Incision and drainage	$752.08	$1,504.15	$62.89–$1,128.11	226% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$752.08	$1,504.15	$62.89–$1,128.11	226% above	50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505- Repair initial inguinal hernia, age 5 years or older; reducible	$566.39	$1,132.78	$158.59–$16,431.12	87% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550- Inj/sng ten sheath/lig/aponeurosis	$1,117.29	$2,234.57	$22.75–$1,675.93	237% above	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$1,117.29	$2,234.57	$22.75–$1,675.93	237% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Hip Steroid Injection Bilateral Fluoro	$1,208.32	$2,416.64	$264.92–$1,812.48	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Shoulder Steroid Injection Bilateral Fluoro	$1,208.32	$2,416.64	$264.92–$1,812.48	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 General Diagnostic Exam	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DR add Rad Injection or Aspiration Joint	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT Rad Injection or Asp Large Joint	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT Exam	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Orthopedic Procedures: -> Arthrocentesis (shoulder/elbow/hip/knee)	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DR Exam	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610- Arthrocentesis/inject/major joint	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610- Arthrocentes/maj jnt/bursa/w/o US	$1,117.29	$2,234.57	$264.92–$1,675.93	222% above	50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981- Insert/drug delivery implant	$487.88	$975.76	$113.13–$731.82	195% above	50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 General/Misc Procedures: -> Nexplanon	$487.88	$975.76	$113.13–$731.82	195% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Orthopedic Procedures: -> Arthrocentesis (wrist/ankle)	$1,117.29	$2,234.57	$264.92–$1,675.93	219% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605- Arthrocentes/intm jnt/bursa/w/o US	$1,117.29	$2,234.57	$264.92–$1,675.93	219% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$1,117.29	$2,234.57	$264.92–$1,675.93	219% above	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$1,117.29	$2,234.57	$264.92–$1,675.93	219% above	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600- Arthrocentesis/sm jnt/bursa/w/o US	$1,117.29	$2,234.57	$264.92–$1,675.93	219% above	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Orthopedic Procedures: -> Arthrocentesis (finger/toe)	$1,117.29	$2,234.57	$264.92–$1,675.93	219% above	50%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882- Arthroscopy/knee w/meniscus repair	$730.16	$1,460.32	$204.44–$13,808.81	84% below	50%
Knee arthroscopy with meniscus trim CPT 29881 29881- Arthroscopy/knee/menisc/med or lat	$572.55	$1,145.09	$160.31–$13,808.81	92% below	50%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880- Arthroscopy/knee/meniscect/med/lat	$595.01	$1,190.01	$166.60–$13,808.81	88% below	50%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877- Arthroscopy/knee/chondroplasty	$657.71	$1,315.41	$184.16–$13,808.81	86% below	50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970-PF LAPAROSCOPY, APPENDECTOMY	$652.90	$1,305.80	$182.81–$24,179.33	91% below	50%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 43280-Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)	$1,173.83	$2,347.66	$328.67–$42,156.28	93% below	50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 - PF - Laparoscopy, surgical; repair initial inguinal hernia	$467.55	$935.10	$130.91–$24,179.33	94% below	50%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821- Cataract/secondar/discission/laser	$2,076.44	$4,152.87	$201.39–$3,114.65	175% above	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031- Int rp scalp/ax/trunk/ext 2.5 or <	$1,512.21	$3,024.41	$138.32–$2,268.31	276% above	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	$1,512.21	$3,024.41	$138.32–$2,268.31	276% above	50%
Left heart catheterization, diagnostic CPT 93452 93452-LHC, LV only	$12,174.01	$24,348.01	$613.03–$18,261.01	96% above	50%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE LUMBAR/SACRAL	$3,369.72	$6,739.43	$254.12–$5,054.57	191% above	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 General Diagnostic Exam	$3,369.72	$6,739.43	$329.43–$5,054.57	135% above	50%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030- Laminotomy/sng interspace/lumbar	$993.20	$1,986.40	$278.10–$30,685.48	82% below	50%
Lumbar laminectomy (spinal decompression), one level CPT 63047 63047- Laminectomy/lumbar	$1,206.67	$2,413.34	$337.87–$30,685.48	85% below	50%
Lumbar spinal fusion (posterior), one level CPT 22612 22612- Arthrodesis/single level/lumbar	$1,719.77	$3,439.54	$481.54–$101,583.83	87% below	50%
Lumpectomy (partial mastectomy) CPT 19301 19301 ? Partial Mastectomy	$714.52	$1,429.03	$200.06–$15,948.06	86% below	50%
Mastectomy (total removal of the breast) CPT 19303 19303- Mastectomy, simple, complete	$1,038.01	$2,076.02	$290.64–$27,570.47	74% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400- Exc Tr-Ext Benign+Marg 0.5 < Cm	$2,663.07	$5,326.13	$75.20–$3,994.60	344% above	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$2,663.07	$5,326.13	$75.20–$3,994.60	344% above	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440- Exc face-mm benign+marg 0.5 cm/<	$2,663.07	$5,326.13	$83.50–$3,994.60	303% above	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$2,663.07	$5,326.13	$83.50–$3,994.60	303% above	50%
Nail removal (partial or complete), one nail CPT 11730 11730- Avulsion/nail plate/simple/single	$752.08	$1,504.15	$175.95–$1,128.11	218% above	50%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	$752.08	$1,504.15	$175.95–$1,128.11	218% above	50%
Nail removal (partial or complete), one nail CPT 11730 11730 - Nail avulsion; single	$752.08	$1,504.15	$175.95–$1,128.11	218% above	50%
Occipital nerve block (injection for headaches) CPT 64405 64405- Inj/anest/greater occipital nerve	$57.62	$115.23	$16.13–$1,261.29	84% below	50%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$1,117.29	$2,234.57	$29.17–$1,675.93	206% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208-Pacemaker Insertion Dual	$39,610.94	$79,221.88	$6,236.17–$59,416.41	648% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208-INSERT PM W/LEADS DUAL CHAMBER	$39,610.94	$79,221.88	$6,236.17–$59,416.41	648% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208-Pacemaker Insertion Biv	$39,610.94	$79,221.88	$6,236.17–$59,416.41	648% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208-HIS Bundle Pacemaker Insertion	$39,610.94	$79,221.88	$6,236.17–$59,416.41	648% above	50%
Paracentesis with imaging guidance CPT 49083 US Exam	$3,548.63	$7,097.26	$323.80–$5,322.95	152% above	50%
Paracentesis with imaging guidance CPT 49083 US add Paracentesis	$3,548.63	$7,097.26	$323.80–$5,322.95	152% above	50%
Paracentesis with imaging guidance CPT 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	$3,548.63	$7,097.26	$323.80–$5,322.95	152% above	50%
Paracentesis with imaging guidance CPT 49083 Computerized Tomography Exam	$3,548.63	$7,097.26	$323.80–$5,322.95	152% above	50%
Paracentesis with imaging guidance CPT 49083 CT add Paracentesis	$3,548.63	$7,097.26	$323.80–$5,322.95	152% above	50%
Partial knee replacement (one compartment) CPT 27446 27446- Arthroplast/knee/med or lat comp	$1,221.97	$2,443.94	$342.15–$60,530.47	86% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL	$1,512.21	$3,024.41	$81.89–$2,268.31	281% above	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750- Excise/nail/matrix/perm removal	$1,512.21	$3,024.41	$81.89–$2,268.31	281% above	50%
Prostate removal (prostatectomy), laparoscopic CPT 55866 55866- Laparoscopy/surg/prostatect/robot	$1,778.54	$3,557.08	$497.99–$42,156.28	91% below	50%
Removal of a breast lump, open surgery CPT 19120 19120- Removal of breast lesion	$448.66	$897.32	$125.62–$15,948.06	90% below	50%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$1,512.21	$3,024.41	$83.50–$2,268.31	287% above	50%
Removal of a foreign object under the skin, simple CPT 10120 10120- Incision/rmv FB/SQ tis/simple	$1,512.21	$3,024.41	$83.50–$2,268.31	287% above	50%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 60220- Total thyroid lobectomy/unilateral	$755.62	$1,511.23	$211.57–$24,179.33	90% below	50%
Short arm cast (elbow to hand) CPT 29075 29075- Apply figure 8 cast/elbow/finger	$1,005.22	$2,010.43	$43.62–$1,507.82	256% above	50%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ELBOW FINGER SHORT ARM	$1,005.22	$2,010.43	$43.62–$1,507.82	256% above	50%
Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$487.88	$975.76	$113.13–$731.82	180% above	50%
Short arm splint (forearm and hand) CPT 29125 29125- App of short arm splint/static	$487.88	$975.76	$113.13–$731.82	180% above	50%
Short leg cast (below the knee) CPT 29405 29405- Apply short leg cast/below knee/to	$1,005.22	$2,010.43	$37.74–$1,507.82	216% above	50%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$1,005.22	$2,010.43	$37.74–$1,507.82	216% above	50%
Short leg cast (below the knee) CPT 29405 29405 Application Short Leg Cast Below Knee-Toe	$1,005.22	$2,010.43	$37.74–$1,507.82	216% above	50%
Short leg splint (calf to foot) CPT 29515 29515- Apply short leg splint/calf/foot	$597.23	$1,194.46	$33.18–$895.85	156% above	50%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT CALF FOOT	$597.23	$1,194.46	$33.18–$895.85	156% above	50%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824- Arthro/shoulder/dis claviculectomy	$715.90	$1,431.79	$200.45–$13,808.81	84% below	50%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826- Arthroscop/shoulder/decomp/subacro	$183.60	$367.19	$51.41–$275.39	82% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001- Rep Superfic Wound 2.5Cm Less	$752.08	$1,504.15	$175.95–$1,128.11	201% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$752.08	$1,504.15	$175.95–$1,128.11	201% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$752.08	$1,504.15	$175.95–$1,128.11	201% above	50%
Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy with Suture	$1,512.21	$3,024.41	$76.82–$2,268.31	299% above	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600- Exc/malig/trunk/arms/legs <0.5cm	$2,663.07	$5,326.13	$108.93–$3,994.60	227% above	50%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15	$752.08	$1,504.15	$175.95–$1,128.11	291% above	50%
Skin tag removal, up to 15 tags CPT 11200 11200- Remove skin tags </= 15	$752.08	$1,504.15	$175.95–$1,128.11	291% above	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Neurologic Procedures: -> Lumbar puncture	$2,621.17	$5,242.33	$254.12–$3,931.75	166% above	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DR add Spinal Puncture Diagnostic	$2,621.17	$5,242.33	$254.12–$3,931.75	166% above	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$2,621.17	$5,242.33	$254.12–$3,931.75	166% above	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Clinic Lumbar Puncture	$2,621.17	$5,242.33	$254.12–$3,931.75	166% above	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$752.08	$1,504.15	$175.95–$1,128.11	203% above	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002- Rep Superfic Wound 2.6-7.5Cm	$752.08	$1,504.15	$175.95–$1,128.11	203% above	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	$752.08	$1,504.15	$175.95–$1,128.11	198% above	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-EYE RPR SPR WND FACE <2.5CM	$752.08	$1,504.15	$175.95–$1,128.11	198% above	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011- Rep Superfic Wounds 2.5Cm Less	$752.08	$1,504.15	$175.95–$1,128.11	198% above	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Integumentary Procedures: -> Skin biopsy	$752.08	$1,504.15	$62.09–$1,128.11	137% above	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Shave Biopsy	$752.08	$1,504.15	$62.09–$1,128.11	137% above	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$2,340.10	$4,680.19	$216.31–$3,510.14	62% above	50%
Thoracentesis with imaging guidance CPT 32555 Computerized Tomography Exam	$2,340.10	$4,680.19	$216.31–$3,510.14	62% above	50%
Thoracentesis with imaging guidance CPT 32555 CT add Thoracentesis	$2,340.10	$4,680.19	$216.31–$3,510.14	62% above	50%
Thoracentesis with imaging guidance CPT 32555 US add Thoracentesis	$2,340.10	$4,680.19	$216.31–$3,510.14	62% above	50%
Thoracentesis with imaging guidance CPT 32555 US Exam	$2,340.10	$4,680.19	$216.31–$3,510.14	62% above	50%
Tonsil and adenoid removal, age 12 or older CPT 42821 42821- T & A/12 yrs or >	$320.12	$640.24	$89.63–$13,198.18	92% below	50%
Tonsil and adenoid removal, child under 12 CPT 42820 42820- T & A < 12 yrs	$306.94	$613.87	$85.94–$24,770.90	92% below	50%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826- Tonsillectomy/pri/sec/12 yrs or >	$267.92	$535.84	$75.02–$13,198.18	92% below	50%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825- Tonsillectomy/pri/sec/<12 yrs	$280.36	$560.71	$78.50–$24,770.90	88% below	50%
Total hip replacement CPT 27130 27130- Arthroplas/acetab/prox fem replac	$1,368.90	$2,737.80	$383.29–$60,530.47	81% below	50%
Total hip replacement CPT 27130 27130- Total Hip Arthroplasty	$1,368.90	$2,737.80	$383.29–$60,530.47	81% below	50%
Total knee replacement CPT 27447 27447- Total Knee Arthroplasty	$1,366.70	$2,733.40	$382.68–$60,530.47	87% below	50%
Total shoulder replacement CPT 23472 23472- Arthroplasty/total shoulder	$1,536.91	$3,073.81	$430.33–$60,530.47	82% below	50%
Total thyroid removal (thyroidectomy) CPT 60240 60240- Thyroidectomy, total or complete	$985.80	$1,971.60	$276.02–$24,179.33	89% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$1,117.29	$2,234.57	$22.48–$1,675.93	280% above	50%
Trigger point injections, 1 or 2 muscles CPT 20552 20552- Inj/sng/mult trigger pnts/1/2 musc	$1,117.29	$2,234.57	$22.48–$1,675.93	280% above	50%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 58670- Laparoscopy/oviduct fulguration	$22,082.87	$44,165.73	$1,825.97–$33,124.30	76% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 US Breast Biopsy Bilateral	$6,132.56	$12,265.11	$470.26–$9,198.83	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Vacuum Assist biopsy	$6,132.56	$12,265.11	$470.26–$9,198.83	155% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083- Biopsy/breast/1st lesion/US guide	$6,132.56	$12,265.11	$470.26–$9,198.83	155% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Exam	$6,132.56	$12,265.11	$470.26–$9,198.83	155% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 SCSN US Exam	$6,132.56	$12,265.11	$470.26–$9,198.83	155% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Read	$6,132.56	$12,265.11	$470.26–$9,198.83	155% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Rt	$6,132.56	$12,265.11	$470.26–$9,198.83	155% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Lt	$6,132.56	$12,265.11	$470.26–$9,198.83	155% above	50%
Upper endoscopy (EGD) with biopsy CPT 43239 43239- EGD w/biopsy/single/multiple	$3,548.63	$7,097.26	$323.80–$5,322.95	244% above	50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236- EGD/directed submucosal injection	$144.67	$289.33	$40.51–$3,829.56	90% below	50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251- EGD/remove tumor/polyp/w snare	$7,180.05	$14,360.09	$546.17–$10,770.07	496% above	50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248- EGD/dilator over guide wire	$173.49	$346.98	$48.58–$3,829.56	72% below	50%
Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,548.63	$7,097.26	$323.80–$5,322.95	229% above	50%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Clinic Vasectomy	$7,753.55	$15,507.09	$631.07–$11,630.32	223% above	50%
Vein ablation, radiofrequency, first vein CPT 36475 36475 - Radiofrequency ablation vein	$11,913.19	$23,826.37	$1,081.00–$17,869.78	316% above	50%
Vein ablation, radiofrequency, first vein CPT 36475 36475 Endovenous rf 1st vein ( add synonym)	$11,913.19	$23,826.37	$1,081.00–$17,869.78	316% above	50%
Vein ablation, radiofrequency, first vein CPT 36475 36475- Endo abl/incom vein/ext/rad fre/#1	$11,913.19	$23,826.37	$1,081.00–$17,869.78	316% above	50%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14	$752.08	$1,504.15	$175.95–$1,128.11	274% above	50%
Wart removal, up to 14 warts CPT 17110 17110- Destruct benign lesion 1-14	$752.08	$1,504.15	$175.95–$1,128.11	274% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-DEB SUBQ Tissue 20 SQ CM/<	$1,512.21	$3,024.41	$138.32–$2,268.31	365% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement Subcutaneous Tissue 20 Sq Cm/<	$1,512.21	$3,024.41	$138.32–$2,268.31	365% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<	$1,512.21	$3,024.41	$138.32–$2,268.31	365% above	50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607- Open tx/dis radial extra-artic fx	$783.06	$1,566.11	$219.26–$30,685.48	88% below	50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$27,038.79	$54,077.58	$3,329.51–$40,558.19	298% above	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 RI INF Blood Transfusion -> TRANSFUSION, > 4 HOURS	$1,654.71	$3,309.42	$29.71–$2,482.07	159% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 RI INF Blood Transfusion -> TRANSFUSION, <4 HOURS	$1,654.71	$3,309.42	$29.71–$2,482.07	159% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BB Administration Charge	$1,654.71	$3,309.42	$29.71–$2,482.07	159% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 - TRANSFUSION BLD/BLD COMPONENTS	$1,654.71	$3,309.42	$29.71–$2,482.07	159% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS	$1,654.71	$3,309.42	$29.71–$2,482.07	159% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640- Inhalation tx/AAO/therapeutic/diag	$769.83	$1,539.65	$6.88–$1,154.74	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB w/ Nebulized Medication	$769.83	$1,539.65	$6.88–$1,154.74	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy -> Subsequent	$769.83	$1,539.65	$6.88–$1,154.74	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhaler Treatment	$769.83	$1,539.65	$6.88–$1,154.74	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer	$769.83	$1,539.65	$6.88–$1,154.74	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AMB Admin INH Charge -> INH Treatment 94640	$769.83	$1,539.65	$6.88–$1,154.74	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy -> Initial	$769.83	$1,539.65	$6.88–$1,154.74	266% above	50%
Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Inf up to 1 Hour Single or Initial Drug 96413	$1,255.44	$2,510.88	$87.26–$1,883.16	107% above	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG	$1,255.44	$2,510.88	$87.26–$1,883.16	107% above	50%
Chemotherapy IV infusion, first hour CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG	$1,255.44	$2,510.88	$87.26–$1,883.16	107% above	50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 92004- Opthal serv/exam/eval/comp/new pt	$487.77	$975.54	$65.14–$731.66	187% above	50%
Critical care, first 30 to 74 minutes CPT 99291 Emer Room Critical Care	$3,189.26	$6,378.51	$748.06–$4,783.88	186% above	50%
Critical care, first 30 to 74 minutes CPT 99291 Emer Room Critical	$3,189.26	$6,378.51	$748.06–$4,783.88	186% above	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 95816- EEG w/recording/awake/drowsy	$1,178.64	$2,357.28	$207.12–$1,767.96	90% above	50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000- Electrocardiogram (ECG), Routine 12-Lead, Tracing and I&R (Global)	$224.83	$449.65	$9.59–$337.24	52% above	50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Clinic EKG	$224.83	$449.65	$9.59–$337.24	52% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram-Outpatient	$224.83	$449.65	$3.93–$337.24	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-ECG ROUTINE ECG W/LEAST 12 LDS TRACING ONLY	$224.83	$449.65	$3.93–$337.24	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram-Inpatient	$224.83	$449.65	$3.93–$337.24	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-Inpatient	$224.83	$449.65	$3.93–$337.24	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Pre/Post Unit	$224.83	$449.65	$3.93–$337.24	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PAT EKG	$224.83	$449.65	$3.93–$337.24	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005- Electrocardiogram tracing	$224.83	$449.65	$3.93–$337.24	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-EKG PRE/POST UNIT	$224.83	$449.65	$3.93–$337.24	85% above	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB Triage Level Assignment -> Level 1 (OB Triage)	$333.27	$666.53	$35.49–$499.90	128% above	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Brief W/Mod	$333.27	$666.53	$35.49–$499.90	128% above	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Brief	$333.27	$666.53	$35.49–$499.90	128% above	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emer Room Routine W/Mod	$599.39	$1,198.78	$80.23–$899.09	137% above	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emer Room Routine	$599.39	$1,198.78	$80.23–$899.09	137% above	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB Triage Level Assignment -> Level 2 (OB Triage)	$599.39	$1,198.78	$80.23–$899.09	137% above	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY	$599.39	$1,198.78	$80.23–$899.09	137% above	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emer Room Moderate	$1,048.02	$2,096.04	$149.37–$1,572.03	172% above	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB Triage Level Assignment -> Level 3 (OB Triage)	$1,048.02	$2,096.04	$149.37–$1,572.03	172% above	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY	$1,048.02	$2,096.04	$149.37–$1,572.03	172% above	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emer Room Moderate W/Mod	$1,048.02	$2,096.04	$149.37–$1,572.03	172% above	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY-MOD 25	$1,611.72	$3,223.43	$278.81–$2,417.57	165% above	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emer Room Intermediate	$1,611.72	$3,223.43	$278.81–$2,417.57	165% above	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB Triage Level Assignment -> Level 4 (OB Triage)	$1,611.72	$3,223.43	$278.81–$2,417.57	165% above	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emer Room Extended/Comple W/Mod	$2,320.57	$4,641.13	$534.07–$3,480.85	185% above	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emer Room Extended/Complex	$2,320.57	$4,641.13	$534.07–$3,480.85	185% above	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB Triage Level Assignment -> Level 5 (OB Triage)	$2,320.57	$4,641.13	$534.07–$3,480.85	185% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test	$1,178.64	$2,357.28	$22.12–$1,767.96	84% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Stress Test tech charge	$1,178.64	$2,357.28	$22.12–$1,767.96	84% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test w/ Nuclear-DO NOT USE	$1,178.64	$2,357.28	$22.12–$1,767.96	84% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM Cardiolite Stress Test	$1,178.64	$2,357.28	$22.12–$1,767.96	84% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CT RAD Hydration Initial	$797.46	$1,594.91	$21.88–$1,196.18	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion for Hydration Initial 31 to 60 Minutes 96360	$797.46	$1,594.91	$21.88–$1,196.18	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FBC Hydration Initial	$797.46	$1,594.91	$21.88–$1,196.18	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$797.46	$1,594.91	$21.88–$1,196.18	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CT RAD Hydration Initial Hour	$797.46	$1,594.91	$21.88–$1,196.18	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED Hydration Initial	$797.46	$1,594.91	$21.88–$1,196.18	236% above	50%
IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour	$797.46	$1,594.91	$43.26–$1,196.18	222% above	50%
IV infusion of a medicine, first hour CPT 96365 ED Drug Infusion Initial	$797.46	$1,594.91	$43.26–$1,196.18	222% above	50%
IV infusion of a medicine, first hour CPT 96365 FBC Drug Infusion Initial	$797.46	$1,594.91	$43.26–$1,196.18	222% above	50%
IV infusion of a medicine, first hour CPT 96365 Inf for Therapy, Prophylaxis, Dx Initial up to 1 Hour 96365	$797.46	$1,594.91	$43.26–$1,196.18	222% above	50%
IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR	$797.46	$1,594.91	$43.26–$1,196.18	222% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapy, Prophylactic, Diagnostic Injection SQ or IM 96372	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF/C Subcut or IM Non-Hormonal	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF/NC SQ/IM Injection	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FBC IM/SQ	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED IM/SQ	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - IM/SQ injectin	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMB Admin Injection Charge -> IM/SQ Admin Charge 96372	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED IM SQ	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection of drug/substance under skin or into muscle	$269.38	$538.75	$9.59–$404.06	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMB thyrogen Charge -> 0.9 mg Thyrogen Inj	$18,199.13	$36,398.25	$9.59–$27,298.69	26276% above	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910- Nerve conduction study/7-8 study	$1,178.64	$2,357.28	$119.95–$1,767.96	175% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 97112 Therapeutic Px 1/> Areas Each 15 Min Neuromusc ReEd	$148.56	$297.12	$23.11–$222.84	85% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuro Re-education	$148.56	$297.12	$23.11–$222.84	85% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuro-Muscular Re-Ed 15 min	$148.56	$297.12	$23.11–$222.84	85% above	50%
New patient office visit, about 30 minutes CPT 99203 99203- Office/OP New SF MDM 30 Minutes	$152.07	$304.13	$42.58–$228.10	114% above	50%
New patient office visit, about 30 minutes CPT 99203 99203- OCC Office/OP New SF 30 Minutes	$152.07	$304.13	$42.58–$228.10	114% above	50%
New patient office visit, about 30 minutes CPT 99203 99203- Office/OP New SF 30 Minutes	$152.07	$304.13	$42.58–$228.10	114% above	50%
New patient office visit, about 45 minutes CPT 99204 99204- OCC Office/OP New SF 45 Minutes	$152.07	$304.13	$42.58–$228.10	114% above	50%
New patient office visit, about 45 minutes CPT 99204 99204- Office/OP New SF MDM 45 Minutes	$152.07	$304.13	$42.58–$228.10	114% above	50%
New patient office visit, about 45 minutes CPT 99204 99204- Office/OP New SF 45 Minutes	$152.07	$304.13	$42.58–$228.10	114% above	50%
New patient office visit, about 60 minutes CPT 99205 99205- OCC Office/OP New SF 60 Minutes	$152.07	$304.13	$42.58–$228.10	24% above	50%
New patient office visit, about 60 minutes CPT 99205 99205- Office/OP New SF MDM 60 Minutes	$152.07	$304.13	$42.58–$228.10	24% above	50%
New patient office visit, about 60 minutes CPT 99205 99205-Office/OP New SF 60 Minutes	$152.07	$304.13	$42.58–$228.10	24% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202- Office/OP New SF MDM 15 Minutes	$152.07	$304.13	$34.17–$228.10	138% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202- Office/OP New SF 15 Minutes	$152.07	$304.13	$34.17–$228.10	138% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202- OCC Office/OP New SF 15 Minutes	$152.07	$304.13	$34.17–$228.10	138% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802- Med nutri tx/initial/ind pt/15 min	$49.91	$99.82	$13.97–$138.04	14% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 - Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$263.05	$526.10	$21.88–$394.58	499% above	50%
Occupational therapy evaluation, low complexity CPT 97165 97165 OT Eval Low Complex 30 Minutes	$211.79	$423.57	$59.30–$429.53	15% above	50%
Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Low Complexity	$211.79	$423.57	$59.30–$429.53	15% above	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163-PT EVAL HIGH COMPLEXITY	$265.75	$531.49	$68.33–$429.53	24% above	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Initial High Complexity	$265.75	$531.49	$68.33–$429.53	24% above	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Initial Low Complexity	$204.37	$408.73	$57.22–$429.53	10% above	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Initial Mod Complexity	$235.40	$470.79	$65.91–$429.53	11% above	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162-PT EVAL MOD COMPLEXITY	$235.40	$470.79	$65.91–$429.53	11% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Joint Mobilization	$168.32	$336.64	$18.44–$252.48	147% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 Manual Therapy TQS 1/> Regions Each 15 Minutes - OT	$168.32	$336.64	$18.44–$252.48	147% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy 15 min	$168.32	$336.64	$18.44–$252.48	147% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 Therapeutic Px 1/> Areas Each 15 Min Exercises	$200.51	$401.02	$19.91–$300.77	184% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Procedure	$200.51	$401.02	$19.91–$300.77	184% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Chest PDP	$200.51	$401.02	$19.91–$300.77	184% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Procedure 15 min	$200.51	$401.02	$19.91–$300.77	184% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Kinetic Leg Exerciser/CPM Application	$200.51	$401.02	$19.91–$300.77	184% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$112.75	$225.50	$8.36–$169.13	220% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406-BEHAV CHNG SMOKING 3-10 MIN	$112.75	$225.50	$8.36–$169.13	220% above	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215- Office/OP Est High MDM 40 Minutes	$152.07	$304.13	$42.58–$228.10	101% above	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215- OCC Office/OP Est High 40 Minutes	$152.07	$304.13	$42.58–$228.10	101% above	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 -Office/OP Est High 40 Minutes	$152.07	$304.13	$42.58–$228.10	101% above	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213- Office/OP Est SF MDM 20 Minutes	$152.07	$304.13	$42.58–$228.10	120% above	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213- OCC Office/OP Est SF 20 Minutes	$152.07	$304.13	$42.58–$228.10	120% above	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213- Office/OP Est SF 20 Minutes	$152.07	$304.13	$42.58–$228.10	120% above	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214-Office outpatient visit est Moderate or 30 39 minutes	$152.07	$304.13	$42.58–$228.10	82% above	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 -Office/OP Est Mod MDM 30 Minutes	$152.07	$304.13	$42.58–$228.10	82% above	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214-EST PATIENT LEVEL 4 Mod - 30 Minutes	$152.07	$304.13	$42.58–$228.10	82% above	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214- Office/OP Est Mod 30 Minutes	$152.07	$304.13	$42.58–$228.10	82% above	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214- OCC Office/OP Est Mod 30 Minutes	$152.07	$304.13	$42.58–$228.10	82% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient Visit, Estab. Level II	$152.07	$304.13	$42.58–$228.10	141% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212- OCC Office/OP Est SF 10 Minutes	$152.07	$304.13	$42.58–$228.10	141% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212- Office/OP Est SF 10 Minutes	$152.07	$304.13	$42.58–$228.10	141% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212- Office/OP Est SF MDM 10 Minutes	$152.07	$304.13	$42.58–$228.10	141% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient Visit, Estab. Level II W/Mod	$152.07	$304.13	$42.58–$228.10	141% above	50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244-Office Consult New/Est PT Mod MDM Level 4 (40 min)	$160.71	$321.42	$45.00–$241.07	61% above	50%
Speech therapy session, individual CPT 92507 92507- Tx speech/lang/voice/aud/ea indiv	$213.14	$426.28	$52.60–$329.81	38% above	50%
Spirometry (breathing test) CPT 94010 Spirometry POC	$592.20	$1,184.40	$17.21–$888.30	198% above	50%
Spirometry (breathing test) CPT 94010 Peak Flow POC	$592.20	$1,184.40	$17.21–$888.30	198% above	50%
Spirometry (breathing test) CPT 94010 Clinic Spirometry without	$592.20	$1,184.40	$17.21–$888.30	198% above	50%
Spirometry (breathing test) CPT 94010 94010- Spirometry/include graphic record	$592.20	$1,184.40	$17.21–$888.30	198% above	50%
Spirometry (breathing test) CPT 94010 Peak Expiratory Flow	$592.20	$1,184.40	$17.21–$888.30	198% above	50%
Spirometry (breathing test) CPT 94010 PFT for PAT	$592.20	$1,184.40	$17.21–$888.30	198% above	50%
Spirometry (breathing test) CPT 94010 PFT (Bedside)	$592.20	$1,184.40	$17.21–$888.30	198% above	50%
Spirometry before and after a bronchodilator CPT 94060 Clinic Spirometry w/wo w/bronchodilator	$1,178.64	$2,357.28	$25.07–$1,767.96	247% above	50%
Spirometry before and after a bronchodilator CPT 94060 PFT pre/post bronchodilator	$1,178.64	$2,357.28	$25.07–$1,767.96	247% above	50%
Spirometry before and after a bronchodilator CPT 94060 94060- Spirometry/pre/post bronchodilator	$1,178.64	$2,357.28	$25.07–$1,767.96	247% above	50%
Spirometry before and after a bronchodilator CPT 94060 Clinic Spirometry w/ Diffusion Capacity w/bronchodilator	$1,178.64	$2,357.28	$25.07–$1,767.96	247% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT for Transfer Training	$125.51	$251.02	$24.83–$188.27	65% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Functional Therapeutic Activity	$125.51	$251.02	$24.83–$188.27	65% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 97530 Therapeut Activity Direct Contact Each 15 Min	$125.51	$251.02	$24.83–$188.27	65% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activity 15 min	$125.51	$251.02	$24.83–$188.27	65% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Cardiac Rehab	$125.51	$251.02	$24.83–$188.27	65% above	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$487.88	$975.76	$63.91–$731.82	233% above	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 RI INF Ther Phlebotomy	$487.88	$975.76	$63.91–$731.82	233% above	50%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CL Cardiolite Stress Test	$1,069.07	$2,138.13	$47.19–$1,603.60	124% above	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 90653 - High Dose Flu	$66.56	$133.11	$18.64–$99.83	9% below	50%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 90653 - Flu - Fluad	$66.56	$133.11	$18.64–$99.83	9% below	50%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 90653 - Fluad - Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use	$74.68	$149.35	$20.91–$112.01	2% above	50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 AMB Covid-19 Charge -> 0.3 mL Covid-19 Inj (12+ years) CVX 309	$193.76	$387.52	$54.25–$290.64	29% above	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 - Varicella	$203.84	$407.68	$57.08–$305.76	3% above	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 AMB varicella virus Charge -> 0.5 mL Varivax Vaccine	$215.82	$431.64	$60.43–$323.73	9% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AMB Influenza Charge -> Flu Vaccine Trivalent	$61.10	$122.20	$17.11–$91.65	191% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine, Inactivated.	$88.23	$176.45	$23.22–$132.34	320% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine, Inactivated	$92.21	$184.41	$23.22–$138.31	339% above	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 - HPV (Gardasil)	$343.08	$686.16	$96.06–$514.62	8% above	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 AMB HPV Charge -> 0.5 mL Gardasil 9 Vaccine	$362.68	$725.36	$101.55–$544.02	14% above	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV (Gardasil 9) Vaccine	$1,384.25	$2,768.49	$387.59–$2,076.37	337% above	50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 AMB hepatitis A-hepatitis B Charge -> 1 mL Twinrix Vaccine	$157.33	$314.66	$44.05–$236.00	10% above	50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM	$163.70	$327.40	$45.84–$245.55	14% above	50%
Hepatitis A vaccine, adult dose CPT 90632 AMB hepatitis A Adult Charge -> 1 mL Havrix (HepA) Adult Vaccine	$103.34	$206.67	$28.93–$155.00	6% above	50%
Hepatitis A vaccine, adult dose CPT 90632 AMB hepatitis A Adult Charge -> 1 mL Vaqta (HepA) Adult Vaccine	$103.37	$206.73	$28.94–$155.05	6% above	50%
Hepatitis A vaccine, adult dose CPT 90632 90632 - Adult Hep A	$112.80	$225.60	$31.58–$169.20	16% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 AMB hepatitis B Adult Charge -> 1 mL Engerix-B (HepB) Adult Vaccine	$86.65	$173.30	$24.26–$129.98	30% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 - Adult Hep B	$87.37	$174.74	$24.46–$131.06	31% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 - Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular	$87.37	$174.74	$24.46–$131.06	31% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HepB (Engerix-B) 20mcg/mL Vaccine	$309.33	$618.66	$86.61–$464.00	365% above	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 AMB Influenza Charge -> Flu Vaccine Adjuvanted 65+	$258.33	$516.65	$72.33–$387.49	223% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 - MMR Vaccine	$117.92	$235.83	$33.02–$176.87	1% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$117.92	$235.83	$33.02–$176.87	1% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 AMB MMR Charge -> 0.5 mL MMR Vaccine	$120.82	$241.63	$33.83–$181.22	4% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE	$402.71	$805.42	$112.76–$604.07	246% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 AMB meningococcal conjugate Charge -> 0.5 mL Menactra Vaccine	$191.13	$382.25	$53.52–$286.69	22% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 - Menactra -Meningococcal conj vacc, A, C, W, Y, quad, dpthria tox carier, CRM197 carrier im	$193.18	$386.36	$54.09–$289.77	23% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 - Menactra (meningococcal)	$193.18	$386.36	$54.09–$289.77	23% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 AMB meningococcal group B Charge -> 0.5 mL Bexsero Vaccine	$271.58	$543.15	$76.04–$407.36	19% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 90620 - Meningococcal (Bexsero)	$271.58	$543.15	$76.04–$407.36	19% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B (Bexsero) Vaccine Ambulatory	$1,067.07	$2,134.13	$298.78–$1,600.60	366% above	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 - 0.5 mL Prevnar 20 Vaccine	$597.30	$1,194.60	$167.24–$895.95	64% above	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 AMB Prevnar 20 Charge -> 0.5 mL Prevnar 20 Vaccine	$597.30	$1,194.60	$167.24–$895.95	64% above	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 Vaccine	$1,047.83	$2,095.65	$293.39–$1,571.74	188% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 - Penumovax	$125.44	$250.88	$35.12–$188.16	15% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 - Pneumovax 23 -Pneum polysacaride vac, admin to ind 2 years or older, for subcu or im use	$125.44	$250.88	$35.12–$188.16	15% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+SUBQ/IM	$128.58	$257.15	$36.00–$192.86	17% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 AMB Pneumovax 23 Charge -> 0.5 mL Pneumovax Vaccine	$158.03	$316.06	$44.25–$237.05	44% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 INJ	$526.87	$1,053.73	$147.52–$790.30	381% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 zoster inactivated (Shingrix) Vaccine	$969.79	$1,939.57	$271.54–$1,454.68	785% above	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 AMB nirsevimab Charge -> 0.5 mL Beyfortus Vaccine	$1,559.25	$3,118.50	$436.59–$2,338.88	98% above	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 AMB RSV vac, preF A-preF B, rec charge -> 0.5 mL Abrysvo	$885.00	$1,770.00	$247.80–$1,327.50	227% above	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE INTRAMUSCULAR	$653.52	$1,307.04	$182.99–$1,736.25	34% above	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 unit INJ	$1,790.97	$3,581.93	$319.75–$2,686.45	266% above	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 AMB Shingrix Charge. -> 0.5 mL Shingrix Vaccine	$231.62	$463.23	$64.85–$347.42	9% above	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 - Shingrix	$434.13	$868.25	$121.56–$651.19	105% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 - Td Adult (Tenivac)	$31.83	$63.65	$8.91–$47.74	35% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 AMB Td Adult Charge -> 0.5 mL Tenivac Vaccine	$50.85	$101.70	$14.24–$76.28	4% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td (Tenivac) Vaccine	$188.98	$377.96	$52.91–$283.47	287% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 - Tetanus, diptheria toxoids & acellular prtussis vacc (Tdap), indiv 7 yrs or older, for im	$42.72	$85.44	$11.96–$64.08	17% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 - Tdap - Adult	$42.72	$85.44	$11.96–$64.08	17% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 AMB Tdap Adult Charge -> 0.5 mL Boostrix Vaccine	$59.98	$119.95	$16.79–$89.96	17% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 AMB Tdap Adult Charge -> 0.5 mL Adacel Vaccine	$150.50	$301.00	$42.14–$225.75	193% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (Adacel) Vaccine	$225.47	$450.94	$63.13–$338.21	339% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Admin Immunization Charge -> VFC First Vaccine 90471	$9.93	$19.85	$2.78–$312.99	78% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FBC Vaccination	$269.38	$538.75	$65.74–$404.06	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Admin Injection Charge -> ID Admin Charge 90471	$269.38	$538.75	$65.74–$404.06	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Admin Immunization Charge -> First Vaccine 90471	$269.38	$538.75	$65.74–$404.06	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 -Immunization admin	$269.38	$538.75	$65.74–$404.06	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$269.38	$538.75	$65.74–$404.06	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED Vaccine Administration	$269.38	$538.75	$65.74–$404.06	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RI INF Vaccine	$269.38	$538.75	$65.74–$404.06	499% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Admin Immunization Charge -> VFC Addl Vaccine 90472	$9.93	$19.85	$2.78–$14.89	59% below	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$45.74	$91.47	$12.81–$68.60	87% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 - Immunization admin each additional	$45.74	$91.47	$12.81–$68.60	87% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Admin Oral Immunization Charge -> Each additional 90472	$45.74	$91.47	$12.81–$68.60	87% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RI INF Addl Vaccine	$45.74	$91.47	$12.81–$68.60	87% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FBC Vaccination Add'l Injection	$45.74	$91.47	$12.81–$68.60	87% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Admin Immunization Charge -> Each additional 90472	$45.74	$91.47	$12.81–$68.60	87% above	50%

Source file: https://marionneighborhoodhospital.pg.quadax.revenuemasters.com/cdm-files/853994078_mon-health-marion-neighborhood-hospital_standardcharges.csv