Hospital Morgantown, WV

Mon Health Medical Center

Mon Health Medical Center in Morgantown, WV publishes cash prices for 312 common procedures listed here, from its own machine-readable price file updated Apr 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the West Virginia median for 192 of 310 procedures and above it for 101. By typical cash price it ranks #2 of 31 West Virginia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1200 J D Anderson Dr Morgantown, WV 26505 Collected Sep 29, 2026 Source price file (304) 598-1200

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 510024 · CMS hospital register NPI 1659489631

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Mon Health Medical Center in Morgantown, WV:

Dec 1, 2021 Warning notice
Oct 5, 2022 Case closed
Jul 27, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
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	$37.11–$946.49	—	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	$37.11–$946.49	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 General Diagnostic Exam	$673.80	$1,347.60	$22.50–$1,307.17	84% above	50%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear Medicine Exam	$1,520.92	$3,041.83	$61.50–$2,950.58	80% above	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan Whole Body	$1,520.92	$3,041.83	$61.50–$2,950.58	80% above	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI REAL TIME WITH IMAGE LIMITED	$333.27	$666.53	$40.94–$646.53	22% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$673.80	$1,347.60	$144.19–$1,307.17	47% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Exam	$673.80	$1,347.60	$144.19–$1,307.17	47% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computerized Tomography Exam	$673.80	$1,347.60	$144.19–$1,307.17	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	$188.38–$2,622.35	36% above	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 75571PF CT Heart No Contrast Quant Eval Coronary Calcium	$28.62	$57.24	$22.90–$212.03	71% below	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CTA Cardiac calcium score only	$333.27	$666.53	$34.78–$646.53	237% above	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computerized Tomography Exam	$333.27	$666.53	$34.78–$646.53	237% above	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computerized Tomography Exam	$914.91	$1,829.81	$101.07–$1,774.92	31% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis UN	$914.91	$1,829.81	$101.07–$1,774.92	31% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT AbdPelvis w/o Contrast	$914.91	$1,829.81	$101.07–$1,774.92	31% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis ENH	$1,351.73	$2,703.45	$192.73–$2,622.35	12% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computerized Tomography Exam	$1,351.73	$2,703.45	$192.73–$2,622.35	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	$254.70–$2,622.35	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	$254.70–$2,622.35	20% below	50%
CT scan of the abdomen with contrast CPT 74160 Computerized Tomography Exam	$673.80	$1,347.60	$90.00–$1,307.17	36% below	50%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen ENH	$673.80	$1,347.60	$90.00–$1,307.17	36% below	50%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen UN	$402.50	$804.99	$77.50–$780.84	44% below	50%
CT scan of the abdomen without contrast CPT 74150 Computerized Tomography Exam	$402.50	$804.99	$77.50–$780.84	44% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 Computerized Tomography Exam	$402.50	$804.99	$77.50–$780.84	39% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head UN	$402.50	$804.99	$77.50–$780.84	42% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 Computerized Tomography Exam	$402.50	$804.99	$77.50–$780.84	42% below	50%
CT scan of the head with contrast CPT 70460 CT Head ENH	$673.80	$1,347.60	$80.00–$1,307.17	30% below	50%
CT scan of the head with contrast CPT 70460 Computerized Tomography Exam	$673.80	$1,347.60	$80.00–$1,307.17	30% below	50%
CT scan of the head without and with contrast CPT 70470 CT Head UN and ENH	$673.80	$1,347.60	$100.00–$1,307.17	42% below	50%
CT scan of the head without and with contrast CPT 70470 Computerized Tomography Exam	$673.80	$1,347.60	$100.00–$1,307.17	42% below	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computerized Tomography Exam	$402.50	$804.99	$85.94–$780.84	52% below	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computerized Tomography Exam	$402.50	$804.99	$83.10–$780.84	49% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis Routine ENH	$673.80	$1,347.60	$86.50–$1,307.17	29% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 Computerized Tomography Exam	$673.80	$1,347.60	$86.50–$1,307.17	29% below	50%
Chest X-ray, 2 views CPT 71046 DR Exam	$333.27	$666.53	$14.85–$646.53	77% above	50%
Chest X-ray, 2 views CPT 71046 General Diagnostic Exam	$333.27	$666.53	$14.85–$646.53	77% above	50%
Chest X-ray, single view CPT 71045 DR Post PICC Line Chest	$333.27	$666.53	$8.11–$646.53	141% above	50%
Chest X-ray, single view CPT 71045 DR Chest single view AP or PA	$333.27	$666.53	$8.11–$646.53	141% above	50%
Chest X-ray, single view CPT 71045 General Diagnostic Exam	$333.27	$666.53	$8.11–$646.53	141% above	50%
Chest X-ray, single view CPT 71045 DR Exam	$333.27	$666.53	$8.11–$646.53	141% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 WHFMT US Exam	$402.50	$804.99	$49.00–$780.84	8% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Exam	$402.50	$804.99	$49.00–$780.84	8% below	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HW GYN Dexa	$402.50	$804.99	$51.94–$780.84	24% above	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Mammography Exam	$402.50	$804.99	$51.94–$780.84	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	$17.68–$646.53	69% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computerized Tomography Exam	$402.50	$804.99	$83.10–$780.84	49% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Hi Resolution	$402.50	$804.99	$83.10–$780.84	49% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest UN	$402.50	$804.99	$83.10–$780.84	49% below	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Routine ENH	$673.80	$1,347.60	$87.50–$1,307.17	39% below	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computerized Tomography Exam	$673.80	$1,347.60	$87.50–$1,307.17	39% below	50%
Diagnostic mammogram, both breasts CPT 77066 Mammography Exam	$622.69	$1,245.37	$81.97–$1,208.01	99% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Exam	$914.91	$1,829.81	$114.20–$1,774.92	60% above	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear Medicine Exam	$1,520.92	$3,041.83	$214.47–$2,950.58	78% 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	$214.47–$2,950.58	78% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Exam	$402.50	$804.99	$37.50–$780.84	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	$37.50–$780.84	at median	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 WHFMT US Exam	$402.50	$804.99	$37.50–$780.84	at median	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computerized Tomography Exam	$402.50	$804.99	$85.94–$780.84	194% above	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Exam	$402.50	$804.99	$85.94–$780.84	194% above	50%
MRI of the abdomen without contrast CPT 74181 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$196.17–$1,774.92	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	$286.83–$2,622.35	29% below	50%
MRI of the brain, no contrast dye CPT 70551 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$196.17–$1,774.92	31% below	50%
MRI of the brain, with and without contrast dye CPT 70553 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$269.00–$2,622.35	30% below	50%
MRI of the lower back, no contrast dye CPT 72148 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$187.20–$1,774.92	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	$269.00–$2,622.35	28% below	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$187.20–$1,774.92	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	$269.00–$2,622.35	28% below	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$196.17–$1,774.92	35% below	50%
MRI of the pelvis without and with contrast CPT 72197 72197 - MRI Pelvis	$1,351.73	$2,703.45	$286.83–$2,622.35	29% below	50%
MRI of the pelvis without and with contrast CPT 72197 Magnetic Resonance Imaging Exam	$1,351.73	$2,703.45	$286.83–$2,622.35	29% below	50%
MRI of the pelvis, no contrast dye CPT 72195 Magnetic Resonance Imaging Exam	$914.91	$1,829.81	$196.17–$1,774.92	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	$196.17–$1,774.92	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	$278.34–$9,585.93	75% above	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452-NM Myocardial EF Rest Stress Spect Add-on	$5,019.72	$10,039.44	$278.34–$9,738.26	77% above	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PI Exam	$5,520.72	$11,041.44	$1,175.69–$10,710.20	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	$1,175.69–$10,710.20	64% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Exam	$402.50	$804.99	$19.00–$780.84	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Limited Non OB	$402.50	$804.99	$19.00–$780.84	30% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Exam	$402.50	$804.99	$46.50–$780.84	1% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856- US pelvic complete	$402.50	$804.99	$46.50–$780.84	1% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete Non OB	$402.50	$804.99	$46.50–$780.84	1% below	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Exam	$402.50	$804.99	$46.50–$780.84	2% below	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pelvic OB Comp >14 wks	$402.50	$804.99	$46.50–$780.84	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	$38.39–$780.84	at median	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Exam	$402.50	$804.99	$38.39–$780.84	at median	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pelvic OB Limited	$402.50	$804.99	$39.00–$780.84	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED 1/> FETUSES	$402.50	$804.99	$39.00–$780.84	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Exam	$402.50	$804.99	$39.00–$780.84	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBGYN Ultrasound	$402.50	$804.99	$39.00–$780.84	34% above	50%
Screening mammogram, both breasts both sides CPT 77067 MA Mammo Bilat Screening	$500.54	$1,001.08	$67.51–$971.05	—	50%
Screening mammogram, both breasts CPT 77067 Mammography Exam	$1,001.09	$2,002.18	$67.51–$1,942.11	239% above	50%
Screening mammogram, both breasts one side CPT 77067 MA Mammo Rt Screening	$500.54	$1,001.08	$67.51–$971.05	70% 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	$449.25–$4,026.07	115% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CL Dobutamine Stress Echocardiogram	$2,075.30	$4,150.59	$449.25–$4,026.07	115% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo, Complete	$2,075.30	$4,150.59	$449.25–$4,026.07	115% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Dobutamine Stress Echo	$2,075.30	$4,150.59	$449.25–$4,026.07	115% above	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 General Diagnostic Exam	$673.80	$1,347.60	$28.00–$1,307.17	78% above	50%
Transvaginal pelvic ultrasound CPT 76830 US Exam	$402.50	$804.99	$46.50–$780.84	at median	50%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal non ob	$402.50	$804.99	$46.50–$780.84	at median	50%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG	$402.50	$804.99	$53.03–$780.84	41% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 US Exam	$402.50	$804.99	$53.03–$780.84	41% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 US Transvaginal OB	$402.50	$804.99	$53.03–$780.84	41% above	50%
Ultrasound of the scrotum and testicles CPT 76870 US Exam	$402.50	$804.99	$44.00–$780.84	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	$50.98–$780.84	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	$50.98–$780.84	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	$50.98–$780.84	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	$39.00–$1,307.17	82% 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	$78.60–$780.84	14% above	50%
X-ray of the abdomen, 1 view CPT 74018 General Diagnostic Exam	$333.27	$666.53	$13.77–$646.53	83% above	50%
X-ray of the abdomen, 1 view CPT 74018 DR Abdomen AP	$333.27	$666.53	$13.77–$646.53	83% above	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 General Diagnostic Exam	$402.50	$804.99	$22.50–$780.84	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	$22.50–$780.84	87% above	50%
X-ray of the lower back, 4 or more views CPT 72110 General Diagnostic Exam	$402.50	$804.99	$22.50–$780.84	42% above	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 General Diagnostic Exam	$402.50	$804.99	$20.19–$780.84	83% above	50%
X-ray of the nasal bones, 3 or more views CPT 70160 General Diagnostic Exam	$333.27	$666.53	$11.50–$646.53	82% above	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 General Diagnostic Exam	$333.27	$666.53	$16.50–$646.53	71% above	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 General Diagnostic Exam	$402.50	$804.99	$10.00–$780.84	124% above	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 72170-PELVIS AP	$402.50	$804.99	$10.00–$780.84	124% above	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 General Diagnostic Exam	$333.27	$666.53	$16.50–$646.53	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 Alanine Aminotransferase	$15.73	$31.46	$4.50–$30.52	42% below	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$15.38	$30.75	$4.40–$29.83	48% below	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute	$141.37	$282.73	$40.48–$274.25	36% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens(7) LC	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Soybean	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Pork	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Beef	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Egg, Whole	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Acid Anhydride -Trimellitic anhydride, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Isocyanates Profile -MDI Specific IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Isocyanates Profile -HDI Specific IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Cat dander Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Alternaria alternata Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Dog dander Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Cladosporium herbarum Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Ambrosia elatior Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Cynodon dactylon Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 - D. pteronyssinus, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Aspergillis fumigatus Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -D. farinae Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Ulmus americana Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Quercus alba Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Pigweed common Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Blatella germanica Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Acer negundo Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Juniperus sabinoides Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Juglans spp Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Penicillium notatum Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Phleum pratense Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Salsola kali Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Populus deltoides Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Carya illinoinensis tree Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Rumex acetosella Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Morus alba Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Mouse urine proteins Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Fraxinus americana Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Betula verrucosa Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Area 5 -Platanus acerifolia Ab, IgE	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Basic LC	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Mini-Panel LC	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile LC	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile 2 LC	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Latex IgE Antibody (RAST)	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile (Mini RAST)	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Hair	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 D Farinae	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Epithelia	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Kentucky Bluegrass	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Ragweed Short	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Basic Food, SO	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Milk	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Wheat	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Corn	$15.49	$30.98	$4.43–$30.05	8% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-Specific IGE, Peanut	$15.49	$30.98	$4.43–$30.05	8% below	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANA 12 Plus Doall, CCP	$38.44	$76.87	$11.00–$74.56	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ILDdx Profile (RDL) LC	$38.44	$76.87	$11.00–$74.56	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Interstitial Lung Profile - CCP	$38.44	$76.87	$11.00–$74.56	at median	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Abs IgG/IgA	$38.44	$76.87	$11.00–$74.56	at median	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 .Positive ANCA Reflex LC	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Abs (ANA)	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA II - RDL	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA II, Antinuclear Abs	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies-IFA	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 zzzANA w/Reflex If Positive	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Interstitial Lung Profile - ANA	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive LC	$35.88	$71.76	$10.27–$69.61	42% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Profile 11 (RDL) LC	$35.88	$71.76	$10.27–$69.61	42% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide	$116.53	$233.05	$33.37–$226.06	3% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide POC	$116.53	$233.05	$33.37–$226.06	3% below	50%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$25.11	$50.22	$7.19–$48.71	36% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Billing Derm SO Surg Level IV	$135.28	$270.55	$9.00–$262.43	26% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305- Tissue exam by pathologist; Level IV	$135.28	$270.55	$9.00–$262.43	26% above	50%
Blood culture for bacteria CPT 87040 Culture Blood - Extended	$30.63	$61.26	$8.77–$59.42	58% below	50%
Blood culture for bacteria CPT 87040 Culture Blood Pediatric	$30.63	$61.26	$8.77–$59.42	58% below	50%
Blood culture for bacteria CPT 87040 Culture Blood	$30.63	$61.26	$8.77–$59.42	58% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 RI INF Venipuncture	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Regional Eye Autologous Serum	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Kit Collection-Venous Blood Draw	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Number of Straight Stick Attempts -> 1	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Number of Straight Stick Attempts -> 2	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Natera NIPT	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS DRAW (HIDDEN)	$30.22	$60.43	$3.33–$58.62	188% above	50%
Blood glucose (sugar) test CPT 82947 Glucose, 1-Hour Post Challenge	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 30 Minutesz	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 1 Hourz	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 2 Hourz	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 3 Hourz	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose Fastingz	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Level Serum	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 5 Hourz	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Level, Random	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 zGlucose 4 Hourz	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood glucose (sugar) test CPT 82947 Glucose, 2-Hour Post Challenge	$11.67	$23.33	$3.34–$22.63	49% below	50%
Blood lead test CPT 83655 Lead Level, Pediatric-Filter Paper, SO	$35.95	$71.89	$10.00–$69.73	164% above	50%
Blood lead test CPT 83655 Lead Level, Capillary Pediatric, SO	$35.95	$71.89	$10.00–$69.73	164% above	50%
Blood lead test CPT 83655 Lead Level, Venous Pediatric, SO	$35.95	$71.89	$10.00–$69.73	164% above	50%
Blood lead test CPT 83655 Lead Level, WB Adult, SO	$35.95	$71.89	$10.00–$69.73	164% above	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Qualitative Serum	$22.32	$44.64	$6.39–$43.30	43% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-STAT Serum Qualitative	$22.32	$44.64	$6.39–$43.30	43% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 zzzPAT ABO/Rh Type	$43.57	$87.13	$4.12–$593.35	15% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Prenatal ABO-RH Auto	$46.18	$92.36	$4.12–$593.35	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	$4.12–$593.35	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 PAT ABO Rh Auto	$46.18	$92.36	$4.12–$593.35	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Prenatal ABO-Rh	$46.18	$92.36	$4.12–$593.35	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Prenatal ABORh	$46.18	$92.36	$4.12–$593.35	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	$4.12–$593.35	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-Rh Auto	$46.18	$92.36	$4.12–$593.35	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	$4.12–$593.35	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *ABO/Rh Cord	$46.18	$92.36	$4.12–$593.35	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-Rh Pt	$46.18	$92.36	$4.12–$593.35	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	$4.12–$593.35	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	$4.12–$593.35	22% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$15.38	$30.75	$3.00–$29.83	44% below	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C. difficle-Epi by PCR	$110.62	$221.23	$31.67–$214.59	3% below	50%
C. difficile toxin gene test (stool PCR) CPT 87493 PCR, C diff Toxin B/Epi	$110.62	$221.23	$31.67–$214.59	3% below	50%
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9	$61.77	$123.53	$17.68–$119.82	21% below	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen - 125	$61.77	$123.53	$17.68–$119.82	35% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars CoV 2 by PCR	$135.97	$271.94	$43.61–$263.78	26% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR POC	$135.97	$271.94	$43.61–$263.78	26% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Gonorrhea by PCR	$104.15	$208.29	$23.19–$202.04	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia	$104.15	$208.29	$23.19–$202.04	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis	$104.15	$208.29	$23.19–$202.04	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	$23.19–$202.04	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pathology Billing Chlamydia Probe	$104.15	$208.29	$23.19–$202.04	87% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia by PCR	$104.15	$208.29	$23.19–$202.04	87% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR Lipoprofile	$39.74	$79.48	$11.38–$77.10	36% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Health Fair Lipid Profile	$39.74	$79.48	$11.38–$77.10	36% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$39.74	$79.48	$11.38–$77.10	36% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LipoProfile+Lipids LC	$39.74	$79.48	$11.38–$77.10	36% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Auto Diff	$23.06	$46.12	$6.00–$44.74	44% below	50%
Complete blood count (CBC) with differential CPT 85025 MC CBC + Diff	$23.06	$46.12	$6.00–$44.74	44% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC + Diff	$23.06	$46.12	$6.00–$44.74	44% below	50%
Complete blood count (CBC), no differential CPT 85027 zzZComplete Blood Count w/o Differential	$19.20	$38.40	$5.49–$37.25	44% below	50%
Complete blood count (CBC), no differential CPT 85027 MC CBC w/o Diff	$19.20	$38.40	$5.49–$37.25	44% below	50%
Complete blood count (CBC), no differential CPT 85027 ANC - CBC	$19.20	$38.40	$5.49–$37.25	44% below	50%
Complete blood count (CBC), no differential CPT 85027 Newborn CBC with Manual Diff	$19.20	$38.40	$5.49–$37.25	44% below	50%
Complete blood count (CBC), no differential CPT 85027 CBC w/o Differential	$19.20	$38.40	$5.49–$37.25	44% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 DAL CMP	$15.00	$30.00	$8.97–$52.19	69% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$31.35	$62.69	$8.97–$60.81	36% below	50%
D-dimer blood test (blood clot marker) CPT 85379 MC D-Dimer	$30.22	$60.43	$8.65–$58.62	51% below	50%
D-dimer blood test (blood clot marker) CPT 85379 DDimer	$30.22	$60.43	$8.65–$58.62	51% below	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate	$65.98	$131.96	$18.89–$128.00	29% below	50%
Estradiol blood test CPT 82670 Estradiol Level	$82.93	$165.85	$21.50–$160.87	at median	50%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level	$46.45	$92.90	$15.79–$91.82	43% below	50%
FSH (follicle-stimulating hormone) test CPT 83001 Cancer Antigen 15-3	$55.15	$110.29	$15.79–$106.98	32% below	50%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC	$58.27	$116.53	$16.68–$113.03	26% below	50%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$40.46	$80.91	$11.58–$78.48	41% below	50%
Folate (folic acid) blood test CPT 82746 Folate, Level	$43.63	$87.26	$12.00–$84.64	38% below	50%
Free T3 thyroid hormone test CPT 84481 .T3Free LC	$44.89	$89.78	$14.39–$87.09	48% below	50%
Free T3 thyroid hormone test CPT 84481 Free Triiodothyronine	$50.28	$100.55	$14.39–$97.53	42% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine T4 Free, Direct, S LC	$23.91	$47.81	$7.66–$46.38	54% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 zzThyroxine Free	$25.26	$50.51	$7.66–$48.99	52% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$26.77	$53.54	$7.66–$51.93	49% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine	$26.77	$53.54	$7.66–$51.93	49% below	50%
Free testosterone test CPT 84402 Testosterone Free	$75.60	$151.19	$21.64–$146.65	19% above	50%
Free testosterone test CPT 84402 Testosterone Free/Total	$75.60	$151.19	$21.64–$146.65	19% above	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 4 Hour Lab	$38.20	$76.39	$10.93–$74.10	41% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 5 Hour Lab	$38.20	$76.39	$10.93–$74.10	41% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3 Hour Lab	$38.20	$76.39	$10.93–$74.10	41% below	50%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test	$38.20	$76.39	$10.93–$74.10	41% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae by PCR	$104.15	$208.29	$23.19–$202.04	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea by PCR	$104.15	$208.29	$23.19–$202.04	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Pathology Billing GC probe	$104.15	$208.29	$23.19–$202.04	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae	$104.15	$208.29	$23.19–$202.04	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea	$104.15	$208.29	$23.19–$202.04	71% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC by Nucleic Acid Amplification	$104.15	$208.29	$23.19–$202.04	71% above	50%
H. pylori antibody blood test CPT 86677 H pylori IgA	$50.01	$100.02	$14.32–$97.02	at median	50%
H. pylori antibody blood test CPT 86677 H pylori IgM	$50.01	$100.02	$14.32–$97.02	at median	50%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen Stool	$42.68	$85.36	$12.22–$82.80	18% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Graph) LC	$252.58	$505.15	$72.33–$490.00	1% below	50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Abs - Rapid	$40.70	$81.39	$11.65–$78.95	at median	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 **HIV 1/O/2	$71.47	$142.94	$20.46–$138.65	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	$20.46–$138.65	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	$29.82–$202.04	65% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Pathology HPV	$130.31	$260.61	$29.82–$252.79	107% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Direct Access Lab HgbA1C	$7.50	$15.00	$7.00–$47.98	85% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Health Fair Hemoglobin, A1C	$11.87	$23.74	$7.00–$47.98	76% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, A1C	$28.82	$57.64	$7.00–$55.91	42% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 EH Hepatitis Panel, HBsAB	$31.88	$63.75	$9.12–$61.84	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Qual, SO	$31.88	$63.75	$9.12–$61.84	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$31.88	$63.75	$9.12–$61.84	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep VIII, HBsAb	$31.88	$63.75	$9.12–$61.84	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface - Antibody	$31.88	$63.75	$9.12–$61.84	28% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody	$31.88	$63.75	$9.12–$61.84	28% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface - Antigen	$30.66	$61.32	$8.78–$59.48	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen	$30.66	$61.32	$8.78–$59.48	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 EH Hepatitis Panel, HBsAG	$30.66	$61.32	$8.78–$59.48	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep VIII, HBsAg	$30.66	$61.32	$8.78–$59.48	41% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$30.66	$61.32	$8.78–$59.48	41% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C - Antibody	$42.35	$84.70	$12.12–$82.16	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 zzzHCV Antibody reflex to NAA LC	$42.35	$84.70	$12.12–$82.16	23% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$42.35	$84.70	$12.12–$82.16	23% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 z.HCV Real-Time PCR Qn 550312 LC	$127.15	$254.29	$36.41–$246.66	27% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno LC	$127.15	$254.29	$36.41–$246.66	27% below	50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 550362 LC	$127.15	$254.29	$36.41–$246.66	27% below	50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Graph) LC	$127.15	$254.29	$36.41–$246.66	27% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV I/2 IgG LC	$57.43	$114.86	$16.44–$111.41	24% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2-Specific Ab, IgG LC	$57.43	$114.86	$16.44–$111.41	24% above	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac	$38.44	$76.87	$10.53–$74.56	31% below	50%
Homocysteine blood test CPT 83090 Homocystine, Plasma	$53.19	$106.37	$15.23–$103.18	38% below	50%
Iron blood test (serum iron) CPT 83540 Iron Level	$19.20	$38.40	$5.49–$37.25	53% below	50%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total	$25.94	$51.88	$5.00–$50.32	37% below	50%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total w/ Iron Level	$25.94	$51.88	$5.00–$50.32	37% below	50%
Kidney function blood test panel CPT 80069 Renal Function Panel	$25.77	$51.53	$7.37–$49.98	36% below	50%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$54.97	$109.93	$15.74–$106.63	35% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$20.45	$40.89	$5.00–$39.66	47% below	50%
Liver function blood test panel CPT 80076 MC Liver Function Panel	$24.25	$48.50	$6.94–$47.05	36% below	50%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$24.25	$48.50	$6.94–$47.05	36% below	50%
Lyme disease antibody test CPT 86618 zzLyme Antibody/Line Blot Reflex LC	$47.69	$95.37	$14.47–$92.51	56% above	50%
Magnesium blood test CPT 83735 Magnesium Level 24 Hour Urine	$19.89	$39.77	$5.69–$38.58	17% above	50%
Magnesium blood test CPT 83735 Magnesium, Urine-MUA	$19.89	$39.77	$5.69–$38.58	17% above	50%
Magnesium blood test CPT 83735 Magnesium-RBC	$19.89	$39.77	$5.69–$38.58	17% above	50%
Magnesium blood test CPT 83735 Magnesium Level	$19.89	$39.77	$5.69–$38.58	17% above	50%
Magnesium blood test CPT 83735 83735 - Kidney Stone, 24h Urine/Saturation LC - ADD-ON	$23.44	$46.87	$5.69–$45.46	38% above	50%
Measles (rubeola) antibody test CPT 86765 Rubeola Abs, EIA, Quant	$38.23	$76.46	$10.94–$74.17	at median	50%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies IgG	$38.23	$76.46	$10.94–$74.17	at median	50%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$15.38	$30.75	$4.40–$29.83	55% below	50%
Obstetric blood test panel CPT 80055 Prenatal Profile	$141.90	$283.80	$12.00–$275.29	36% below	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 .%PSA Reflex LC	$54.58	$109.16	$15.63–$105.89	at median	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex to Free) LC	$54.58	$109.16	$15.63–$105.89	11% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Diagnostic	$54.58	$109.16	$15.63–$105.89	11% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free LC	$54.58	$109.16	$15.63–$105.89	11% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (Diagnostic) SO	$54.58	$109.16	$15.63–$105.89	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	$22.61–$153.22	4% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Billing Gyn Cyto Diagnostic Thin Prep	$60.14	$120.27	$16.00–$116.66	20% above	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Billing Gyn Cytology Thin Prep	$60.14	$120.27	$16.00–$116.66	20% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone, Intact	$122.52	$245.04	$35.08–$237.69	13% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 MC APTT	$17.84	$35.68	$5.10–$34.61	54% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Thromboplastin Time	$17.84	$35.68	$5.10–$34.61	54% below	50%
Progesterone blood test CPT 84144 Progesterone Level	$61.92	$123.83	$17.00–$120.12	38% below	50%
Prolactin blood test CPT 84146 Prolactin Level	$57.52	$115.04	$16.47–$111.59	8% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time/INR	$12.73	$25.46	$3.64–$24.70	48% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 MC Prothrombin Time/INR (PT/INR)	$12.73	$25.46	$3.64–$24.70	48% below	50%
Rheumatoid factor (RF) test CPT 86431 ANA 12 Plus Doall, Rheum Factor, quant	$16.83	$33.66	$4.81–$32.65	52% below	50%
Rheumatoid factor (RF) test CPT 86431 Interstitial Lung Profile - RF by TURB	$16.83	$33.66	$4.81–$32.65	52% below	50%
Rubella antibody test (immunity check) CPT 86762 Rubella Abs, IGG Quant	$42.71	$85.41	$12.23–$82.85	12% below	50%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG	$42.71	$85.41	$12.23–$82.85	12% below	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate	$8.02	$16.03	$2.29–$15.55	46% below	50%
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam LC	$26.42	$52.83	$7.50–$51.25	43% below	50%
Stool ova and parasites exam CPT 87177 Ova + Parasites Stool	$26.42	$52.83	$7.50–$51.25	43% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood (Stool) Screening	$13.00	$26.00	$3.47–$25.22	11% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL Cerebrospinal Fluid	$12.67	$25.34	$3.62–$24.58	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	$3.62–$24.58	50% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus	$183.96	$367.92	$52.68–$356.88	at median	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC	$183.96	$367.92	$52.68–$356.88	at median	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Client Incubated QFT TB Gold LC	$183.96	$367.92	$52.68–$356.88	at median	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone,Total	$76.61	$153.21	$21.93–$148.61	at median	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$76.61	$153.21	$21.93–$148.61	at median	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies	$43.19	$86.37	$7.91–$83.78	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 .Thyroid Peroxidase (TPO) Ab LC	$43.19	$86.37	$7.91–$83.78	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANA 12 Plus Doall, Microsomal Abs	$43.19	$86.37	$7.91–$83.78	38% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Antimicrosomal Antibodies	$43.19	$86.37	$7.91–$83.78	38% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone, HS	$49.86	$99.72	$14.28–$96.73	10% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile	$49.86	$99.72	$14.28–$96.73	10% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile LC	$49.86	$99.72	$14.28–$96.73	10% below	50%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis	$104.15	$208.29	$29.82–$202.04	35% above	50%
Trichomonas test (NAAT) CPT 87661 Trichomonas Only	$104.15	$208.29	$29.82–$202.04	35% above	50%
Uric acid blood test CPT 84550 Uric Acid	$13.42	$26.83	$3.84–$26.03	58% below	50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/ Reflexive Microscopic	$9.41	$18.82	$2.69–$18.26	67% below	50%
Urinalysis with microscope exam, automated CPT 81001 UA Microscopic?	$9.41	$18.82	$2.69–$18.26	67% below	50%
Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC YES	$9.41	$18.82	$2.69–$18.26	67% below	50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/ Microscopic	$9.41	$18.82	$2.69–$18.26	67% below	50%
Urinalysis with microscope exam, manual CPT 81000 81000 Urinalysis nonauto w/scope (also listed as AMB POC	$11.93	$23.86	$3.41–$23.14	20% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis OB Screen	$6.68	$13.36	$1.91–$12.96	50% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic	$6.68	$13.36	$1.91–$12.96	50% below	50%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine Cysto	$23.95	$47.90	$6.85–$46.46	58% below	50%
Urine pregnancy test, read by color change CPT 81025 HCG-STAT Urine Qualitative	$22.25	$44.50	$4.00–$43.17	6% above	50%
Urine pregnancy test, read by color change CPT 81025 81025 - Urine Pregnancy Test	$22.25	$44.50	$4.00–$43.17	6% above	50%
Vitamin B12 (cobalamin) blood test CPT 82607 zzVitamin B12 Level	$42.23	$84.45	$12.81–$81.92	48% below	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12, Level	$44.76	$89.52	$12.81–$86.83	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	$25.16–$170.44	3% above	50%
Zinc blood test CPT 84630 Zinc Level	$33.81	$67.61	$9.68–$65.58	at median	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Beta Subunit	$44.67	$89.34	$12.79–$86.66	37% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quant, Send Out	$44.67	$89.34	$12.79–$86.66	37% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quant MC	$44.67	$89.34	$12.79–$86.66	37% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quantitative	$44.67	$89.34	$12.79–$86.66	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	$310.65–$14,955.03	94% below	50%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 - PF Arthrd Ant Interbody Decompress Cervical Below C2	$1,869.65	$3,739.30	$1,389.62–$3,477.52	84% 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	$2,617.51–$61,133.21	84% below	50%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960 - PF Appendec Rptd Appendix Absc/ Pritonitis	$954.37	$1,908.73	$343.00–$1,774.12	34% below	50%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960- Appendectomy/ruptured w/abscess/peritonitis	$954.37	$1,908.73	$1,336.11–$1,908.73	34% below	50%
Appendectomy, open surgery CPT 44950 44950- Appendectomy	$698.72	$1,397.44	$978.21–$35,141.91	86% below	50%
Appendectomy, open surgery CPT 44950 44950 - PF Appendectomy	$698.72	$1,397.44	$301.50–$1,517.08	86% below	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786-PF CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$303.50	$606.99	$118.50–$697.28	at median	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	$118.50–$1,095.39	at median	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470-PF CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	$213.68	$427.36	$84.50–$481.21	10% below	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	$752.80–$15,035.03	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	$299.50–$15,035.03	at median	50%
Cardiac catheterization with coronary angiogram one side CPT 93458 93458-LEFT HEART CATH, LV, COR	$12,174.01	$24,348.01	$2,665.48–$23,617.57	67% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960-EXTERNAL ELECTIVE CARDIOVERSION	$2,476.81	$4,953.61	$87.00–$4,805.00	137% above	50%
Cataract surgery with lens implant CPT 66984 66984- Extracaps catarac rmv/w lens prost	$8,632.49	$17,264.98	$602.53–$16,747.03	63% above	50%
Catheter ablation for atrial fibrillation CPT 93656 93656 - AFIB ABLATION	$92,853.97	$185,707.94	$21,127.53–$180,136.70	585% above	50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161PF Circumcision Surg Exc Other Than Clamp/Device/Dorsal Slit Neonate Greater Than 28days	$207.66	$415.32	$128.00–$499.72	92% below	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150PF Circumcision w/Clamp/Other Device w/Regional Dorsal Penile/Ring Block	$102.29	$204.57	$77.90–$376.52	96% below	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	$79.00–$15,041.88	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	$79.00–$15,041.88	223% above	50%
Circumcision, surgical, older than a newborn CPT 54160 54160PF Circumcision Surg Exc Other Than Clamp/Device/Dorsal Slit Neonate Less Than 28days	$153.63	$307.25	$114.79–$422.28	81% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-PF CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MAN	$339.98	$679.95	$114.50–$729.50	4% below	50%
Colonoscopy with polyp removal CPT 45385 45385 - PF Colsc Flx w/ Rmvl Of Tumor Polup Lesion Snare Tq	$265.49	$530.98	$212.39–$1,042.44	81% below	50%
Colonoscopy with tissue sample CPT 45380 45380 - PF Colonoscopy w/ Bx Sngl/Mult	$209.54	$419.07	$167.63–$923.44	82% below	50%
Colonoscopy, diagnostic CPT 45378 45378 - PF Colonoscopy Flx Dx w/ Coll Spec When Pfrmd	$193.07	$386.13	$154.45–$775.20	83% below	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460- Colposcopy/cervix/LEEP	$12,034.42	$24,068.84	$149.80–$23,346.77	259% above	50%
Coronary stent placement, one artery CPT 92928 Coronary Angioplasty with coronary stent	$42,923.70	$85,847.39	$10,157.49–$83,271.97	169% above	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$2,140.00	$4,280.00	$75.00–$4,151.60	160% 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	$2,582.72–$23,346.77	221% above	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209-PF Remove Impacted Ear Wax Uni	$15.12	$30.23	$11.27–$29.98	81% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni	$224.83	$449.65	$48.50–$436.16	176% above	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209- Ear Irrigation	$224.83	$449.65	$48.50–$436.16	176% above	50%
Earwax removal with instruments, one ear CPT 69210 EAR REM IMPACT CERUMEN	$224.83	$449.65	$48.50–$436.16	231% above	50%
Earwax removal with instruments, one ear one side CPT 69210 69210-PF REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$34.60	$69.20	$27.40–$104.04	49% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100-PF ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$68.28	$136.56	$51.00–$220.32	66% below	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	$51.00–$1,477.15	278% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 General Diagnostic Exam	$3,369.72	$6,739.43	$727.20–$6,537.25	208% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Computerized Tomography Exam	$3,369.72	$6,739.43	$727.20–$6,537.25	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	$727.20–$6,537.25	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	$727.20–$6,537.25	208% above	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 - PF Rpr AA Hrna 1st 3-10 cm Reducible	$628.62	$1,257.23	$377.17–$1,131.51	92% below	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593- RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$628.62	$1,257.23	$377.17–$1,131.51	92% below	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593-PF Rpr AA Hrn 1st 3-10 RDC	$628.62	$1,257.23	$377.17–$1,131.51	92% below	50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595-PF Rpr AA Hrn 1st >10 cm RDC	$846.40	$1,692.80	$507.84–$1,523.52	95% below	50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595- RPR AA HERNIA 1ST > 10 CM REDUCIBLE	$846.40	$1,692.80	$507.84–$1,523.52	95% below	50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 - PF Rpr AA Hrna 1st > 10 cm Reducible	$846.40	$1,692.80	$507.84–$1,523.52	95% below	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591-PF Rpr AA Hrn 1st <3 cm RDC	$374.16	$748.32	$224.50–$673.49	93% below	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 - PF Rpr AA Hrna 1st < 3 cm Reducible	$374.16	$748.32	$224.50–$673.49	93% below	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591- RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$374.16	$748.32	$224.50–$673.49	93% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 - Diagnostic sigmoidoscopy	$3,450.80	$6,901.59	$53.15–$6,694.54	299% above	50%
Gallbladder removal, laparoscopic CPT 47562 47562 - PF Laparoscopy Surg Cholecystectomy	$717.26	$1,434.52	$531.59–$1,515.72	91% below	50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 - PF Laps urg Cholecystectomy w/ Cholagniography	$780.36	$1,560.71	$577.35–$1,530.68	90% 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	$1,092.50–$26,801.44	90% below	50%
Gallbladder removal, open surgery through a larger incision CPT 47600 47600- Cholecystectomy	$1,162.49	$2,324.98	$1,627.49–$2,324.98	33% below	50%
Gallbladder removal, open surgery through a larger incision CPT 47600 47600 - PF Cholecystectomy	$1,162.49	$2,324.98	$474.00–$2,195.04	33% below	50%
Hammertoe correction surgery CPT 28285 28285- Correction/hammertoe	$403.24	$806.48	$231.50–$15,035.03	84% below	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 46221-PF Hemorrhoidectomy	$198.29	$396.57	$46.00–$587.79	82% below	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	$2,491.28–$24,837.37	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	$1,524.70–$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	$52.00–$117.62	78% below	50%
Hysteroscopy with endometrial ablation CPT 58563 58563- Hysteroscopy/endometrial ablation	$18,684.31	$37,368.61	$315.90–$36,247.55	304% above	50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558- Hysteroscopy/endometrium bx	$12,034.42	$24,068.84	$2,582.72–$23,346.77	190% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060-PF I & D Abscess Simple/SinglE	$108.55	$217.09	$23.50–$259.73	53% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060- PF Incision and Drainage, Simple	$108.55	$217.09	$23.50–$259.73	53% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060-PF INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$108.55	$217.09	$23.50–$259.73	53% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060- Incision and Drainage, Simple	$752.08	$1,504.15	$23.50–$1,459.03	226% above	50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 - PF Rpr 1st Inguin Hrna Age 5 yrs/> Reducible	$566.39	$1,132.78	$317.50–$1,217.62	87% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550-PF INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$41.56	$83.11	$32.00–$123.33	87% below	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	$32.00–$2,167.53	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	$23.50–$2,344.14	—	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	$23.50–$2,344.14	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-PF ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$48.49	$96.98	$23.50–$159.12	86% below	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	$23.50–$2,167.53	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	$23.50–$2,167.53	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	$23.50–$2,167.53	222% above	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	$23.50–$2,167.53	222% above	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-PF ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$38.14	$76.28	$18.00–$113.68	89% below	50%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 43644 - PF Laps Gstr Rstcv Px w/ Byp Roux-En-Y Limb <150 cm	$1,896.68	$3,793.36	$1,000.00–$3,518.32	91% below	50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 - PF Laparoscopic Appendectomy	$652.90	$1,305.80	$444.14–$1,213.12	91% below	50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970-PF LAPAROSCOPY, APPENDECTOMY	$652.90	$1,305.80	$914.06–$26,801.44	91% below	50%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 43280 - PF Laps Surg Esopg/ Gstr Fundoplasty	$1,173.83	$2,347.66	$874.24–$2,199.80	93% below	50%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 58570PF Lap Surgical w/Total Hysterectomy Uterus 250g or Less	$863.09	$1,726.17	$654.54–$1,912.16	93% below	50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571PF Laparoscopic Total Hysterectomy Uterus 250g/< w/Removal Tubes Ovaries	$971.95	$1,943.89	$716.34–$2,125.68	94% below	50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 - PF Laparoscopy Surg Rpr Init Inguinal Hrna	$467.55	$935.10	$341.40–$860.88	94% below	50%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 - PF Laps Surg Rpr Recurrent Inguinal Hrna	$611.00	$1,221.99	$437.54–$1,122.68	96% below	50%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661PF Lap Surgical w/Removal Adnexal Structures	$700.99	$1,401.97	$560.79–$1,325.32	88% below	50%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 43775 - PF Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$1,218.35	$2,436.69	$969.41–$2,600.32	95% below	50%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821- Cataract/secondar/discission/laser	$2,076.44	$4,152.87	$216.51–$4,028.28	175% above	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-PF REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	$155.57	$311.13	$24.50–$495.72	61% below	50%
Left heart catheterization, diagnostic CPT 93452 93452-LHC, LV only	$12,174.01	$24,348.01	$2,665.48–$23,617.57	96% above	50%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE LUMBAR/SACRAL	$3,369.72	$6,739.43	$71.15–$6,537.25	191% above	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 General Diagnostic Exam	$3,369.72	$6,739.43	$95.04–$6,537.25	135% above	50%
Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 - PF Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$1,206.67	$2,413.34	$951.59–$2,231.76	85% below	50%
Lumbar spinal fusion (posterior), one level CPT 22612 22612 - PF Arthrodesis Posterior/Pstlat Tchnq Interspc Lumbar	$1,719.77	$3,439.54	$936.00–$3,245.64	87% below	50%
Lumbar spinal fusion (posterior), one level CPT 22612 22612- Arthrodesis/single level/lumbar	$1,719.77	$3,439.54	$2,407.68–$86,564.11	87% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-PF EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$85.91	$171.82	$37.50–$238.68	86% below	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	$37.50–$5,166.35	344% above	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440-PF EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$107.98	$215.96	$54.50–$262.48	84% below	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	$54.50–$5,166.35	303% above	50%
Nail removal (partial or complete), one nail CPT 11730 11730-PF AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	$56.57	$113.14	$25.75–$192.44	76% below	50%
Nail removal (partial or complete), one nail CPT 11730 11730-PF Nail avulsion; single	$56.57	$113.14	$25.75–$192.44	76% below	50%
Occipital nerve block (injection for headaches) CPT 64405 64405-PF INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$57.62	$115.23	$35.00–$239.36	84% below	50%
Pacemaker implant (dual chamber) CPT 33208 33208-INSERT PM W/LEADS DUAL CHAMBER	$39,610.94	$79,221.88	$463.07–$76,845.22	648% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208-HIS Bundle Pacemaker Insertion	$39,610.94	$79,221.88	$463.07–$76,845.22	648% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208-Pacemaker Insertion Dual	$39,610.94	$79,221.88	$463.07–$76,845.22	648% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208-Pacemaker Insertion Biv	$39,610.94	$79,221.88	$463.07–$76,845.22	648% above	50%
Paracentesis with imaging guidance CPT 49083 US Exam	$3,548.63	$7,097.26	$84.33–$6,884.34	152% above	50%
Paracentesis with imaging guidance CPT 49083 CT add Paracentesis	$3,548.63	$7,097.26	$84.33–$6,884.34	152% above	50%
Paracentesis with imaging guidance CPT 49083 Computerized Tomography Exam	$3,548.63	$7,097.26	$84.33–$6,884.34	152% above	50%
Paracentesis with imaging guidance CPT 49083 US add Paracentesis	$3,548.63	$7,097.26	$84.33–$6,884.34	152% above	50%
Partial knee replacement (one compartment) CPT 27446 27446- Arthroplast/knee/med or lat comp	$1,221.97	$2,443.94	$925.00–$61,133.21	86% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-PF EXCISION NAIL MATRIX PERMANENT REMOVAL	$105.36	$210.71	$84.28–$438.60	73% below	50%
Prostate removal (prostatectomy), laparoscopic CPT 55866 55866PF Laparoscopy Surgical Prostatectomy Retropubic Radical w/Nerve Sparing w/Robotic Assist	$1,264.70	$2,529.40	$1,000.00–$3,477.52	93% below	50%
Prostate removal (prostatectomy), laparoscopic CPT 55866 55866- Laparoscopy/surg/prostatect/robot	$1,778.54	$3,557.08	$2,489.96–$47,814.07	91% below	50%
Removal of a breast lump, open surgery CPT 19120 19120- Removal of breast lesion	$448.66	$897.32	$173.00–$17,705.43	90% below	50%
Removal of a foreign object under the skin, simple CPT 10120 10120-PF INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$107.95	$215.89	$30.50–$276.08	72% below	50%
Removal of a foreign object under the skin, simple CPT 10120 10120 - PF I&D Foreighn Body Subq Tiss Simple	$107.95	$215.89	$30.50–$276.08	72% below	50%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 60220- Total thyroid lobectomy/unilateral	$755.62	$1,511.23	$1,057.86–$26,801.44	90% below	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 - PF Colon Ca Scrn Not Hi Rsk Ind	$193.56	$387.11	$116.13–$650.03	84% below	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 - PF Colorectal Scrn; Hi Risk Ind	$193.07	$386.13	$115.84–$650.03	85% below	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 50590PF Lithotripsy Extracorporeal Shock Wave	$603.21	$1,206.41	$249.50–$1,817.14	92% below	50%
Short arm cast (elbow to hand) CPT 29075 29075-PF APPLICATION CAST ELBOW FINGER SHORT ARM	$65.23	$130.46	$45.50–$187.01	77% below	50%
Short arm cast (elbow to hand) CPT 29075 29075- Apply figure 8 cast/elbow/finger	$1,005.22	$2,010.43	$45.50–$1,950.12	256% above	50%
Short arm splint (forearm and hand) CPT 29125 29125-PF APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$42.00	$84.00	$26.00–$138.92	76% below	50%
Short arm splint (forearm and hand) CPT 29125 29125- App of short arm splint/static	$487.88	$975.76	$26.00–$946.49	180% above	50%
Short leg cast (below the knee) CPT 29405 29405-PF App. Short Leg Cast Below Knee-Toe	$61.31	$122.61	$49.04–$175.44	81% below	50%
Short leg cast (below the knee) CPT 29405 29405-PF APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$61.31	$122.61	$49.04–$175.44	81% below	50%
Short leg cast (below the knee) CPT 29405 29405- Apply short leg cast/below knee/to	$1,005.22	$2,010.43	$50.50–$1,950.12	216% above	50%
Short leg splint (calf to foot) CPT 29515 29515-PF APPLICATION SHORT LEG SPLINT CALF FOOT	$52.21	$104.42	$35.00–$155.89	78% below	50%
Short leg splint (calf to foot) CPT 29515 29515- Apply short leg splint/calf/foot	$597.23	$1,194.46	$35.00–$1,158.63	156% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - PF Smpl Rpr Scalp/ Neck/ Ax/ Genit/ Trunk 2.5 cm/ <	$48.63	$97.26	$24.50–$169.32	81% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-PF SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$48.63	$97.26	$24.50–$169.32	81% 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	$24.50–$1,459.03	201% above	50%
Skin tag removal, up to 15 tags CPT 11200 11200-PF REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15	$77.54	$155.07	$31.00–$172.04	60% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DR add Spinal Puncture Diagnostic	$2,621.17	$5,242.33	$42.00–$5,085.06	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 12002-PF SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$64.22	$128.44	$35.50–$206.72	74% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-PF SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	$60.59	$121.17	$31.50–$212.16	76% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011- PF Smpl Rpr F/ E/ E/ N/ L/ M 2.5 cm/ <	$60.59	$121.17	$31.50–$212.16	76% below	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	$31.50–$1,459.03	198% above	50%
TURP (transurethral resection of the prostate) CPT 52601 52601PF Transurethral Electrosurgical Resection Prostate w/Control Postop Bleed Complete	$769.50	$1,538.99	$523.46–$1,865.00	84% below	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Integumentary Procedures: -> Skin biopsy	$752.08	$1,504.15	$32.23–$1,459.03	137% above	50%
Thoracentesis with imaging guidance CPT 32555 CT add Thoracentesis	$2,340.10	$4,680.19	$515.75–$4,539.78	62% above	50%
Thoracentesis with imaging guidance CPT 32555 US Exam	$2,340.10	$4,680.19	$515.75–$4,539.78	62% above	50%
Thoracentesis with imaging guidance CPT 32555 US add Thoracentesis	$2,340.10	$4,680.19	$515.75–$4,539.78	62% above	50%
Tonsil and adenoid removal, age 12 or older CPT 42821 42821- T & A/12 yrs or >	$320.12	$640.24	$448.17–$14,955.03	92% below	50%
Tonsil and adenoid removal, child under 12 CPT 42820 42820- T & A < 12 yrs	$306.94	$613.87	$429.71–$27,201.79	92% below	50%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826- Tonsillectomy/pri/sec/12 yrs or >	$267.92	$535.84	$375.09–$14,955.03	92% below	50%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825- Tonsillectomy/pri/sec/<12 yrs	$280.36	$560.71	$392.50–$27,201.79	88% below	50%
Total hip replacement CPT 27130 27130- Total Hip Arthroplasty	$1,368.90	$2,737.80	$1,916.46–$61,133.21	81% below	50%
Total hip replacement CPT 27130 27130- Arthroplas/acetab/prox fem replac	$1,368.90	$2,737.80	$1,916.46–$61,133.21	81% below	50%
Total knee replacement CPT 27447 27447- Total Knee Arthroplasty	$1,366.70	$2,733.40	$1,000.00–$61,133.21	87% below	50%
Total shoulder replacement CPT 23472 23472- Arthroplasty/total shoulder	$1,536.91	$3,073.81	$2,151.67–$86,564.11	82% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 20552-PF INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLE	$38.90	$77.79	$31.06–$108.12	87% below	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	$31.06–$2,167.53	280% above	50%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 58670- Laparoscopy/oviduct fulguration	$22,082.87	$44,165.73	$4,970.58–$42,840.76	76% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Vacuum Assist biopsy	$6,132.56	$12,265.11	$138.89–$11,897.16	155% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Exam	$6,132.56	$12,265.11	$138.89–$11,897.16	155% above	50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236- EGD/directed submucosal injection	$144.67	$289.33	$151.55–$4,210.59	90% below	50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 - PF EGD Remove Lesion Snare	$204.39	$408.78	$159.28–$446.76	83% below	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	$242.89–$4,210.59	72% below	50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248-PF EGD Guid Wire Insertion	$173.49	$346.98	$135.82–$384.88	72% below	50%
Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,548.63	$7,097.26	$125.22–$6,884.34	229% above	50%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 52353PF Cystourethroscopy w/Ureteroscopy/Pyeloscopy w/Lithotripsy	$412.30	$824.60	$314.31–$847.28	94% below	50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 55250PF Vasectomy Unilateral/Bilateral Separate Procedure w/Postoperative Semen Examinations	$239.35	$478.70	$148.50–$862.01	—	50%
Wart removal, up to 14 warts CPT 17110 17110-PF DESTRUCTION BENIGN LESIONS UP TO 14	$69.13	$138.25	$49.00–$216.24	66% below	50%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14	$752.08	$1,504.15	$49.00–$1,459.03	274% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-PF Dbrdmt Subcutaneous Tissue 20 Sq Cm/<	$63.59	$127.18	$33.00–$205.36	80% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-PF DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<	$63.59	$127.18	$33.00–$205.36	80% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 - PF Deb Subq Tiss 20 sq cm/ <	$63.59	$127.18	$33.00–$205.36	80% below	50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607-PF OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$783.06	$1,566.11	$626.44–$1,481.72	88% below	50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607- Open tx/dis radial extra-artic fx	$783.06	$1,566.11	$1,096.28–$33,230.47	88% below	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 36430 - TRANSFUSION BLD/BLD COMPONENTS	$1,654.71	$3,309.42	$27.84–$3,210.14	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	$27.84–$3,210.14	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	$27.84–$3,210.14	159% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BB Administration Charge	$1,654.71	$3,309.42	$27.84–$3,210.14	159% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy -> Subsequent	$769.83	$1,539.65	$180.04–$1,493.46	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy -> Initial	$769.83	$1,539.65	$180.04–$1,493.46	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhaler Treatment	$769.83	$1,539.65	$180.04–$1,493.46	266% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB w/ Nebulized Medication	$769.83	$1,539.65	$180.04–$1,493.46	266% above	50%
Chemotherapy IV infusion, first hour CPT 96413 96413-PF CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG	$123.39	$246.77	$98.71–$236.70	80% below	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	$124.80–$2,435.55	107% 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	$124.80–$2,435.55	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	$58.77–$946.27	187% above	50%
Critical care, first 30 to 74 minutes CPT 99291 99291-PF Emer Room Critical Care	$226.02	$452.03	$151.63–$408.77	80% below	50%
Critical care, first 30 to 74 minutes CPT 99291 Emer Room Critical Care	$3,189.26	$6,378.51	$151.63–$6,187.15	186% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-Inpatient	$224.83	$449.65	$10.46–$436.16	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram-Inpatient	$224.83	$449.65	$10.46–$436.16	85% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-EKG PRE/POST UNIT	$224.83	$449.65	$10.46–$436.16	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	$10.46–$436.16	85% 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	$16.19–$646.53	128% 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	$16.19–$646.53	128% above	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282-PF Emer Room Routine	$44.94	$89.88	$26.85–$82.50	82% below	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	$26.85–$1,162.82	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	$26.85–$1,162.82	137% above	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emer Room Routine	$599.39	$1,198.78	$26.85–$1,162.82	137% above	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283-PF Emer Room Moderate	$76.56	$153.12	$35.00–$142.24	80% below	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	$35.00–$2,033.16	172% above	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emer Room Moderate	$1,048.02	$2,096.04	$35.00–$2,033.16	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	$35.00–$2,033.16	172% above	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284-PF Emer Room Intermediate	$130.35	$260.70	$50.00–$242.60	79% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emer Room Intermediate	$1,611.72	$3,223.43	$50.00–$3,126.73	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	$50.00–$3,126.73	165% above	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285-PF Emer Room Extended/Complex	$188.98	$377.95	$50.00–$350.82	77% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emer Room Extended/Complex	$2,320.57	$4,641.13	$50.00–$4,501.90	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	$50.00–$4,501.90	185% 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	$46.50–$2,286.56	84% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Stress Test tech charge	$1,214.17	$2,428.33	$46.50–$2,355.48	90% 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	$31.63–$1,547.06	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	$31.63–$1,547.06	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CT RAD Hydration Initial	$797.46	$1,594.91	$31.63–$1,547.06	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FBC Hydration Initial	$797.46	$1,594.91	$31.63–$1,547.06	236% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED Hydration Initial	$797.46	$1,594.91	$31.63–$1,547.06	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	$31.63–$1,547.06	236% above	50%
IV infusion of a medicine, first hour CPT 96365 ED Drug Infusion Initial	$797.46	$1,594.91	$39.30–$1,547.06	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	$39.30–$1,547.06	222% above	50%
IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour	$797.46	$1,594.91	$39.30–$1,547.06	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	$39.30–$1,547.06	222% above	50%
IV infusion of a medicine, first hour CPT 96365 FBC Drug Infusion Initial	$797.46	$1,594.91	$39.30–$1,547.06	222% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-PF Injection of drug/substance under skin or into muscle	$14.41	$28.82	$11.53–$38.77	79% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FBC IM/SQ	$269.38	$538.75	$12.70–$522.59	290% 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	$12.70–$522.59	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	$12.70–$522.59	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	$12.70–$522.59	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	$12.70–$522.59	290% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED IM/SQ	$269.38	$538.75	$12.70–$522.59	290% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuro Re-education	$148.56	$297.12	$26.20–$288.21	85% above	50%
New patient office visit, about 30 minutes CPT 99203 99203-PF Office/OP New SF MDM 30 Minutes	$86.66	$173.32	$54.25–$156.50	22% above	50%
New patient office visit, about 45 minutes CPT 99204 99204-PF Office/OP New SF MDM 45 Minutes	$140.64	$281.28	$90.37–$253.15	98% above	50%
New patient office visit, about 60 minutes CPT 99205 99205-PF Office/OP New SF MDM 60 Minutes	$191.18	$382.35	$117.54–$344.12	56% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202-PF Office/OP New SF MDM 15 Minutes	$49.89	$99.78	$35.33–$108.23	22% below	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802- PF Medical Nurtition Assmt&Intrvnt Indv F2F ea 15min	$32.39	$64.77	$25.43–$58.29	26% below	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	$21.62–$147.28	14% above	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163-PT EVAL HIGH COMPLEXITY	$265.75	$531.49	$78.17–$515.55	24% above	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162-PT EVAL MOD COMPLEXITY	$235.40	$470.79	$78.17–$463.98	11% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110-PF Therapeutic Px 1/> Areas Each 15 Min Exercises	$29.81	$59.61	$8.38–$85.00	58% below	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Kinetic Leg Exerciser/CPM Application	$200.51	$401.02	$23.29–$388.99	184% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Chest PDP	$200.51	$401.02	$23.29–$388.99	184% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406-PF TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$12.44	$24.87	$9.95–$22.38	65% below	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406-BEHAV CHNG SMOKING 3-10 MIN	$112.75	$225.50	$28.24–$218.74	220% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$112.75	$225.50	$28.24–$218.74	220% above	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215-PF Office/OP Est High MDM 40 Minutes	$151.26	$302.52	$78.05–$272.27	100% above	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213-PF Office/OP Est SF MDM 20 Minutes	$69.20	$138.40	$35.00–$124.56	at median	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214-PF Office/OP Est Mod MDM 30 Minutes	$101.93	$203.85	$54.42–$183.47	22% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212-PF Office/OP Est SF MDM 10 Minutes	$37.20	$74.39	$26.00–$66.95	41% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212-PF Outpatient Visit, Estab. Level II	$37.20	$74.39	$26.00–$66.95	41% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient Visit, Estab. Level II	$152.07	$304.13	$212.89–$295.01	141% above	50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244-PF Office Consult New/Est PT Mod MDM Level 4 (40 min)	$301.84	$603.67	$120.56–$543.30	202% above	50%
Spirometry (breathing test) CPT 94010 PFT for PAT	$592.20	$1,184.40	$9.00–$1,148.87	198% above	50%
Spirometry (breathing test) CPT 94010 Peak Expiratory Flow	$592.20	$1,184.40	$9.00–$1,148.87	198% above	50%
Spirometry (breathing test) CPT 94010 94010- Spirometry/include graphic record	$592.20	$1,184.40	$9.00–$1,148.87	198% above	50%
Spirometry (breathing test) CPT 94010 Peak Flow POC	$592.20	$1,184.40	$9.00–$1,148.87	198% above	50%
Spirometry (breathing test) CPT 94010 Spirometry POC	$592.20	$1,184.40	$9.00–$1,148.87	198% above	50%
Spirometry (breathing test) CPT 94010 PFT (Bedside)	$592.20	$1,184.40	$9.00–$1,148.87	198% above	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195-PF PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$90.37	$180.74	$10.00–$172.54	38% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 RI INF Ther Phlebotomy	$487.88	$975.76	$10.00–$946.49	233% above	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$487.88	$975.76	$10.00–$946.49	233% above	50%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CL Stress Test	$71.67	$143.33	$57.33–$180.98	85% below	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine, Inactivated.	$88.23	$176.45	$10.00–$171.16	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	$10.00–$178.88	339% above	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV (Gardasil 9) Vaccine	$1,384.25	$2,768.49	$10.00–$2,685.44	337% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HepB (Engerix-B) 20mcg/mL Vaccine	$309.33	$618.66	$10.00–$600.10	365% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE	$402.71	$805.42	$10.00–$781.26	246% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B (Bexsero) Vaccine Ambulatory	$1,067.07	$2,134.13	$10.00–$2,070.11	366% above	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 Vaccine	$1,047.83	$2,095.65	$1,466.96–$2,032.78	188% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+SUBQ/IM	$128.58	$257.15	$10.00–$249.44	17% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 INJ	$526.87	$1,053.73	$10.00–$1,022.12	381% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 zoster inactivated (Shingrix) Vaccine	$969.79	$1,939.57	$10.00–$1,881.38	785% above	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 unit INJ	$1,790.97	$3,581.93	$10.00–$3,474.47	266% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td (Tenivac) Vaccine	$188.98	$377.96	$10.00–$366.62	287% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (Adacel) Vaccine	$225.47	$450.94	$10.00–$437.41	339% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-PF IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$20.32	$40.64	$12.19–$40.16	55% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FBC Vaccination	$269.38	$538.75	$59.19–$522.59	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED Vaccine Administration	$269.38	$538.75	$59.19–$522.59	499% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RI INF Vaccine	$269.38	$538.75	$59.19–$522.59	499% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-PF IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$14.62	$29.23	$8.77–$29.54	40% below	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FBC Vaccination Add'l Injection	$45.74	$91.47	$64.03–$88.73	87% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RI INF Addl Vaccine	$45.74	$91.47	$58.41–$88.73	87% above	50%

Source file: https://monhealthmedicalcenter.pg.quadax.revenuemasters.com/cdm-files/237441353_mon-health-medical-center_standardcharges.csv