Hospital Chicago-Naperville-Elgin, IL-IN

Saint Joseph Medical Center - Joliet

Saint Joseph Medical Center - Joliet in Joliet, IL publishes cash prices for 386 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 321 of 384 procedures and above it for 34. By typical cash price it ranks #4 of 115 Illinois hospitals and #4 of 63 hospitals in the Chicago, IL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

333 Madison St., Joliet, Illinois 60435 Collected Sep 29, 2026 Source price file (815) 725-7133

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 140007 · CMS hospital register NPI 1760220198

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS	$111.00	$861.00	$26.32–$861.00	69% below	87%
Ankle X-ray, complete, 3 or more views CPT 73610 RADEX ANKLE COMPT MIN 3 VIEWS	$92.00	$440.00	$29.75–$898.00	73% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE LEFT, 3 VIEW	$92.00	$898.00	$29.75–$898.00	73% below	90%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE RIGHT, 3 VIEW	$92.00	$898.00	$29.75–$898.00	73% below	90%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER LOWER EXT ART LIM BIL	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL INDECES	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TCP02/ABI/SINGLE LEVEL	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER UPPER EXT ART LIM BIL	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER UPPER EXT ART LIM LT	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER LOWER EXT ART LIM LT	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER LOWER EXT ART LIM RT	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER UPPER EXT ART LIM RT	$141.00	$1,327.00	$73.91–$1,327.00	65% below	89%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM W/SCOUT AND CON	$187.00	$712.00	$48.70–$712.00	71% below	74%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$426.00	$2,987.00	$227.39–$2,987.00	73% below	86%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL COMP	$111.00	$1,937.00	$68.51–$1,937.00	—	94%
Breast ultrasound, complete, one breast CPT 76641 US SCREEN BREAST BIL	$111.00	$1,937.00	$68.51–$1,937.00	79% below	94%
Breast ultrasound, complete, one breast one side CPT 76641 US SCREEN BREAST RIGHT	$111.00	$1,290.00	$68.51–$1,937.00	79% below	91%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST LEFT	$111.00	$1,290.00	$68.51–$1,937.00	79% below	91%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMP	$111.00	$1,290.00	$68.51–$1,937.00	79% below	91%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST RIGHT	$111.00	$1,290.00	$68.51–$1,937.00	79% below	91%
Breast ultrasound, complete, one breast one side CPT 76641 US SCREEN BREAST LEFT	$111.00	$1,290.00	$68.51–$1,937.00	79% below	91%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMP	$111.00	$1,290.00	$68.51–$1,937.00	79% below	91%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED	$92.00	$1,670.00	$53.76–$1,670.00	—	94%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LIMITED	$92.00	$1,173.00	$53.76–$1,670.00	79% below	92%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LIMITED	$92.00	$1,173.00	$53.76–$1,670.00	79% below	92%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PEL W/WO CON	$372.00	$6,401.00	$286.05–$6,401.00	91% below	94%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W/WO CON	$187.00	$2,872.00	$177.69–$2,872.00	93% below	93%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO OF CHEST W/WO CON	$187.00	$3,960.00	$177.69–$3,960.00	94% below	95%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CCTA-CARDIAC ANGIO W	$372.00	$4,389.00	$221.90–$4,389.00	78% below	92%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HEART SMART EXAM	$92.00	$49.00	$8.77–$49.00	58% below	-88%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART SMART PROMO	$92.00	$49.00	$8.77–$49.00	58% below	-88%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN/PELVIS W/O CONTRAST	$254.00	$9,951.00	$106.49–$9,951.00	93% below	97%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN/PELVIS WITH CONTRAST	$372.00	$5,118.00	$222.78–$9,993.00	92% below	93%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY ABD/PEL W/CONT	$372.00	$9,993.00	$222.78–$9,993.00	92% below	96%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN/PELVIS W/WO CONTRAST	$372.00	$11,133.00	$252.53–$11,133.00	93% below	97%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN WITH CONTRAST	$187.00	$5,642.00	$176.81–$5,642.00	92% below	97%
CT scan of the head with contrast CPT 70460 HEAD W/CONTRAST	$187.00	$4,691.00	$99.29–$4,691.00	91% below	96%
CT scan of the head without and with contrast CPT 70470 HEAD W/WO CONTRAST	$187.00	$5,161.00	$118.16–$5,161.00	93% below	96%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W/CONTRAST - 72193 - 35000265	$187.00	$3,459.00	$177.50–$3,459.00	91% below	95%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX CAROTID BILATERAL	$254.00	$1,283.00	$146.03–$1,283.00	—	80%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUB BILATERAL	$92.00	$861.00	$23.92–$861.00	—	89%
Chest X-ray, 2 views CPT 71046 CHEST PA & LAT 2 VIEWS	$92.00	$861.00	$23.92–$861.00	70% below	89%
Chest X-ray, 2 views CPT 71046 CHEST FLUOROSCOPY W/2 VIEW	$92.00	$861.00	$23.92–$861.00	70% below	89%
Chest X-ray, single view CPT 71045 CHEST AP ONLY 1 VIEW	$92.00	$784.00	$17.74–$784.00	63% below	88%
Chest X-ray, single view CPT 71045 CHEST PORTABLE 1 VIEW	$92.00	$784.00	$17.74–$784.00	63% below	88%
Chest X-ray, single view CPT 71045 CHEST LORDOTIC VIEW	$92.00	$784.00	$17.74–$784.00	63% below	88%
Chest X-ray, single view CPT 71045 CHEST INSPIRATION/EXPIRATION	$92.00	$784.00	$17.74–$784.00	63% below	88%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$92.00	$763.00	$26.32–$763.00	70% below	88%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$92.00	$763.00	$26.32–$763.00	70% below	88%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM; COMPLETE	$111.00	$2,168.00	$74.34–$2,168.00	87% below	95%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY	$111.00	$1,277.00	$31.12–$1,277.00	78% below	91%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA APPENDICULAR SKELETON	$92.00	$261.00	$23.23–$261.00	61% below	65%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SINGL FETUS	$254.00	$742.00	$87.31–$742.00	74% below	66%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST WITH CONTRAST	$187.00	$3,537.00	$116.44–$3,537.00	92% below	95%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAG MAM BILAT	$114.00	$892.00	$41.41–$892.00	—	87%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BILAT	$114.00	$892.00	$41.41–$892.00	—	87%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAM BREAST BILAT	$114.00	$892.00	$41.41–$892.00	—	87%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$88.00	$769.00	$41.41–$769.00	72% below	89%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM UNILAT BREAST RT	$88.00	$769.00	$41.41–$769.00	72% below	89%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC LEFT	$88.00	$746.00	$41.41–$769.00	72% below	88%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM UNILAT BREAST LT	$88.00	$769.00	$41.41–$769.00	72% below	89%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC RIGHT	$88.00	$746.00	$41.41–$769.00	72% below	88%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP ARTERIAL MAP LOWER EXT COM	$254.00	$3,380.00	$146.03–$3,380.00	77% below	92%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP ARTERIAL MAP LOWER EXT BIL	$254.00	$3,380.00	$146.03–$3,380.00	77% below	92%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOWER EXT ART GRAFT BIL	$254.00	$3,380.00	$146.03–$3,380.00	77% below	92%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOW EXT ART NATIVE BIL	$254.00	$3,380.00	$146.03–$3,380.00	77% below	92%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX LOWER VEIN REFLUX BILAT	$254.00	$3,421.00	$146.03–$3,421.00	—	93%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX LOWER EXT PSANEURSYM BI	$254.00	$2,301.00	$146.03–$3,421.00	—	89%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX UPPER VEIN REFLUX BILAT	$254.00	$3,421.00	$146.03–$3,421.00	—	93%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX LOWER EXT VENOUS BILAT	$254.00	$3,421.00	$146.03–$3,421.00	—	93%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX UPPER EXT VENOUS BILAT	$254.00	$3,421.00	$146.03–$3,421.00	—	93%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX UPPER EXT VEIN MAP BIL	$254.00	$3,421.00	$146.03–$3,421.00	82% below	93%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX LOWER EXT VEIN MAP BIL	$254.00	$3,421.00	$146.03–$3,421.00	82% below	93%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$582.00	$4,553.00	$133.50–$4,553.00	73% below	87%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LEFT 2 VIEWS	$92.00	$707.00	$22.20–$707.00	68% below	87%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RIGHT 2 VIEWS	$92.00	$707.00	$22.20–$707.00	68% below	87%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE LEFT MIN 3V	$92.00	$806.00	$25.63–$806.00	73% below	89%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE RIGHT MIN 3V	$92.00	$806.00	$25.63–$806.00	73% below	89%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VIEWS	$111.00	$761.00	$35.58–$761.00	74% below	85%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY OF FOREARM, 2 VIEWS	$92.00	$532.00	$22.20–$805.00	71% below	83%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT	$92.00	$805.00	$22.20–$805.00	71% below	89%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT	$92.00	$805.00	$22.20–$805.00	71% below	89%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYS IMAGE W/GLBD	$426.00	$2,909.00	$259.20–$2,909.00	72% below	85%
Hand X-ray, 2 views one side CPT 73120 HAND LEFT 2 VIEWS	$111.00	$688.00	$24.26–$688.00	62% below	84%
Hand X-ray, 2 views one side CPT 73120 HAND RIGHT 2 VIEWS	$111.00	$688.00	$24.26–$688.00	62% below	84%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 RADEX CALCANEUS MINIMUM 2 VIEW	$92.00	$440.00	$21.52–$650.00	65% below	79%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL/OSCALSIS RIGHT	$92.00	$650.00	$21.52–$650.00	65% below	86%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL/OSCALSIS LEFT	$92.00	$650.00	$21.52–$650.00	65% below	86%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STDY UNATND W/RESP EFFRT	$230.00	$1,125.00	$60.53–$1,125.00	61% below	80%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP/BIPAP	$915.00	$11,701.00	$603.84–$11,701.00	81% below	92%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HALF NIGHT CPAP/BIPAP	$915.00	$11,701.00	$603.84–$11,701.00	81% below	92%
Knee X-ray, 3 views CPT 73562 RAD EXAM KNEE 3 VIEWS	$92.00	$440.00	$34.21–$946.00	76% below	79%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT 3 VIEWS	$92.00	$946.00	$34.21–$946.00	76% below	90%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT 3 VIEWS	$92.00	$946.00	$34.21–$946.00	76% below	90%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$111.00	$532.00	$39.70–$1,076.00	76% below	79%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/PATELLA RIGHT	$111.00	$1,076.00	$39.70–$1,076.00	76% below	90%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LEFT MIN 4 VIEWS	$111.00	$1,076.00	$39.70–$1,076.00	76% below	90%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/PATELLA LEFT	$111.00	$1,076.00	$39.70–$1,076.00	76% below	90%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT MIN 4 VIEWS	$111.00	$1,076.00	$39.70–$1,076.00	76% below	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIVER	$111.00	$2,267.00	$60.62–$2,267.00	84% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS	$111.00	$2,267.00	$60.62–$2,267.00	84% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN	$111.00	$2,267.00	$60.62–$2,267.00	84% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN, R/O ASCITES	$111.00	$2,267.00	$60.62–$2,267.00	84% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 BILIARY TREE	$111.00	$2,267.00	$60.62–$2,267.00	84% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GALLBLADDER	$111.00	$2,267.00	$60.62–$2,267.00	84% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED	$111.00	$2,267.00	$60.62–$2,267.00	84% below	95%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT W/DOC LIMITED	$111.00	$303.00	$20.06–$303.00	73% below	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C	$111.00	$99.00	$17.72–$430.00	80% below	-12%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR INS	$111.00	$430.00	$17.72–$430.00	80% below	74%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 RAD EXM TIBI & FIBU 2 VIEWS	$92.00	$440.00	$24.60–$862.00	72% below	79%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG/TIB FIB RIGHT	$92.00	$862.00	$24.60–$862.00	72% below	89%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG/TIB FIB LEFT	$92.00	$862.00	$24.60–$862.00	72% below	89%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$254.00	$3,766.00	$164.71–$3,766.00	91% below	93%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANY JT LOW EXT WO CON MATR	$254.00	$890.00	$145.94–$4,261.00	91% below	71%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LOWER EXT JT RT W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RIGHT W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE LEFT W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 RIGHT HIP W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LEFT HIP W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RIGHT W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LOWER EXT JT LT W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LEFT W/O CONTRAST	$254.00	$4,261.00	$145.94–$4,261.00	91% below	94%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LOW EXT JT LEFT W/WO CONTRAST	$372.00	$6,478.00	$290.60–$6,478.00	90% below	94%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE LEFT W/WO CONTRAST	$372.00	$6,478.00	$290.60–$6,478.00	90% below	94%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE LEFT W/WO CONTRAST	$372.00	$6,478.00	$290.60–$6,478.00	90% below	94%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE RIGHT W/WO CONTRAST	$372.00	$6,478.00	$290.60–$6,478.00	90% below	94%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LOWER EXT JT RT W/WO CONTRAST	$372.00	$6,478.00	$290.60–$6,478.00	90% below	94%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE RIGHT W/WO CONTRAST	$372.00	$6,478.00	$290.60–$6,478.00	90% below	94%
MRI of the abdomen without contrast CPT 74181 ABDOMEN W/O CONTRAST	$254.00	$4,220.00	$131.19–$4,220.00	91% below	94%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W/WO CONTRAST - 74183 - 61000005	$372.00	$6,387.00	$241.55–$6,387.00	90% below	94%
MRI of the brain, no contrast dye CPT 70551 IAC W/O CONTRAST - 70551 - 61000210	$254.00	$7,247.00	$131.53–$7,247.00	91% below	96%
MRI of the brain, no contrast dye CPT 70551 BRAIN W/O CONTRAST	$254.00	$7,247.00	$131.53–$7,247.00	91% below	96%
MRI of the brain, no contrast dye CPT 70551 PITUITARY W/O CONTRAST - 70551 - 61000460	$254.00	$7,247.00	$131.53–$7,247.00	91% below	96%
MRI of the brain, no contrast dye CPT 70551 STROKE HEAD W/O CONTRAST	$254.00	$7,247.00	$131.53–$7,247.00	91% below	96%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W/WO CONTRAST	$372.00	$9,446.00	$218.23–$9,446.00	91% below	96%
MRI of the brain, with and without contrast dye CPT 70553 PITUITARY W/WO CONTRAST - 70553 - 61000450	$372.00	$9,446.00	$218.23–$9,446.00	91% below	96%
MRI of the brain, with and without contrast dye CPT 70553 LIMITED BRAIN FOR NAVIGATION	$372.00	$9,446.00	$218.23–$9,446.00	91% below	96%
MRI of the brain, with and without contrast dye CPT 70553 IAC W/WO CONTRAST - 70553 - 61000200	$372.00	$9,446.00	$218.23–$9,446.00	91% below	96%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE SURVEY WO CONTRAST	$254.00	$4,778.00	$127.07–$4,778.00	92% below	95%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE W/O CONTRAST - 72148 - 61000320	$254.00	$4,778.00	$127.07–$4,778.00	92% below	95%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE SURVEY W/WO CONTRA	$372.00	$5,768.00	$219.25–$5,768.00	91% below	94%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE W/WO CONTRAST - 72158 - 61000310	$372.00	$5,768.00	$219.25–$5,768.00	91% below	94%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE SURVEY WO CONTRAST	$254.00	$3,824.00	$126.05–$3,824.00	92% below	93%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE WITHOUTCONTRAST	$254.00	$3,824.00	$126.05–$3,824.00	92% below	93%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE SURVEY W/WO CONTRA	$372.00	$6,333.00	$218.91–$6,333.00	91% below	94%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE W/WO CONTRAST - 72156 - 61000125	$372.00	$6,333.00	$218.91–$6,333.00	91% below	94%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE W/O CONTRAST - 72141 - 61000135	$254.00	$4,773.00	$126.39–$4,773.00	92% below	95%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE SURVEY WO CONTRAST	$254.00	$4,773.00	$126.39–$4,773.00	92% below	95%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W/WO CONTRAST - 72197 - 61000435	$372.00	$8,198.00	$239.84–$9,697.00	90% below	95%
MRI of the pelvis without and with contrast CPT 72197 MR PROSTATE WWO AT IND WKST	$372.00	$9,697.00	$239.84–$9,697.00	90% below	96%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O CONTRAST - 72195 - 61000445	$254.00	$3,872.00	$165.49–$3,872.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ANY JT UPP EXT WO CON MATR	$254.00	$440.00	$78.76–$3,868.00	91% below	42%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UPPER EXT JT LT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RIGHT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LEFT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HAND RIGHT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HAND LEFT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER LT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UPPER EXT JT RT W/O CONTRAST	$254.00	$3,868.00	$78.76–$3,868.00	91% below	93%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 5 VIEWS	$111.00	$1,358.00	$43.47–$1,358.00	80% below	92%
Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK W/CONTRAST	$187.00	$5,174.00	$123.64–$5,174.00	92% below	96%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$92.00	$726.00	$23.23–$726.00	66% below	87%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF, SPECT, MULTI	$1,380.00	$9,157.00	$364.66–$9,157.00	63% below	85%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN RESTAGING ESOPHAGEAL	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 BREAST CA STAGING/RESTAGING	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SC-DIAGNOSIS COLORECTAL CA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN DIAGNOSIS LYMPHOMA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN STAGING ESOPHAGEAL	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN-STAGING LUNG CA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN-RESTAGING LUNG CA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET - DIAGNOSIS ESOPHAGEAL	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO MID THIGH	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SC-RESTAGING COLORECTAL CA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 BREAST CA DIAGNOSIS	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN - RESTAGING LYMPHOMA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN-DIAGNOSIS LUNG CA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN-SOLITARY PULMONARY	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN-STAGING COLORECTAL CA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN - STAGING LYMPHOMA	$1,524.00	$14,026.00	$1,156.43–$14,026.00	74% below	89%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED	$111.00	$1,299.00	$28.38–$1,299.00	80% below	91%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 APPENDIX - 76857 - 40200055	$111.00	$1,299.00	$28.38–$1,299.00	80% below	91%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 BLADDER	$111.00	$1,299.00	$28.38–$1,299.00	80% below	91%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 FOLICULAR FOLLOW UP	$111.00	$1,299.00	$28.38–$1,299.00	80% below	91%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC ULTRASOUND (NON OB)	$111.00	$2,221.00	$75.03–$2,221.00	86% below	95%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB PREG >1ST TRI SGL/1ST FETUS	$111.00	$1,857.00	$87.31–$1,857.00	85% below	94%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB PREG 1ST TRI SGL/1ST FETUS	$111.00	$1,862.00	$72.63–$1,862.00	84% below	94%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB PREGNANCY LIMITED	$111.00	$761.00	$52.39–$761.00	78% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND LIMITED	$111.00	$761.00	$52.39–$761.00	78% below	85%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RIGHT INCLUDING PA CXR	$111.00	$1,079.00	$30.09–$1,079.00	77% below	90%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LEFT INCLUDING PA CXR	$111.00	$1,079.00	$30.09–$1,079.00	77% below	90%
Screening mammogram, both breasts both sides CPT 77067 MCA SCREENING DIGITAL MAMM BI	$93.00	$736.00	$41.41–$736.00	—	87%
Screening mammogram, both breasts CPT 77067 DIGITAL SCREEN MAMM	$93.00	$736.00	$41.41–$736.00	66% below	87%
Screening mammogram, both breasts one side CPT 77067 DIGITAL SCREEN W/CAD RIGHT	$93.00	$736.00	$41.41–$736.00	66% below	87%
Screening mammogram, both breasts one side CPT 77067 DIGITAL SCREEN W/CAD LEFT	$93.00	$736.00	$41.41–$736.00	66% below	87%
Shoulder X-ray, complete, 2 or more views CPT 73030 RA SHOULDER CMPLT MINIM 2 VIEW	$92.00	$3,950.00	$27.69–$3,950.00	75% below	98%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT - 4 VIEWS	$92.00	$978.00	$27.69–$3,950.00	75% below	91%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT - 4 VIEWS	$92.00	$978.00	$27.69–$3,950.00	75% below	91%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT - 2 VIEWS	$92.00	$978.00	$27.69–$3,950.00	75% below	91%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT - 2 VIEWS	$92.00	$978.00	$27.69–$3,950.00	75% below	91%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMPLETE	$92.00	$764.00	$28.38–$764.00	78% below	88%
Skull X-ray, fewer than 4 views CPT 70250 SKULL ONE VIEW	$111.00	$510.00	$28.03–$510.00	65% below	78%
Skull X-ray, fewer than 4 views CPT 70250 SKULL MIN 2 VIEWS	$111.00	$510.00	$28.03–$510.00	65% below	78%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY FULL NIGHT	$915.00	$10,955.00	$572.81–$10,955.00	77% below	92%
Sleep study in a lab (polysomnography) CPT 95810 MODIFIED SLEEP STUDY	$915.00	$10,955.00	$572.81–$10,955.00	77% below	92%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 1/2 NIGHT	$915.00	$4,204.00	$572.81–$10,955.00	77% below	78%
Swallow study (modified barium swallow, video X-ray) CPT 74230 VID SWALLOW W/SCOUT AND CON	$187.00	$1,393.00	$98.35–$1,393.00	72% below	87%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR BIL 2 VIEWS	$92.00	$1,136.00	$28.03–$1,136.00	67% below	92%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LEFT MIN 2 VIEWS	$92.00	$759.00	$28.03–$1,136.00	67% below	88%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RIGHT MIN 2 VIEWS	$92.00	$759.00	$28.03–$1,136.00	67% below	88%
Toe X-ray, 2 or more views one side CPT 73660 LEFT TOE	$92.00	$735.00	$23.23–$735.00	62% below	87%
Toe X-ray, 2 or more views one side CPT 73660 RIGHT TOE	$92.00	$735.00	$23.23–$735.00	62% below	87%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB	$111.00	$1,578.00	$87.97–$1,578.00	83% below	93%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB	$111.00	$1,378.00	$59.25–$1,378.00	79% below	92%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN; COMPLETE	$111.00	$3,335.00	$79.39–$3,335.00	90% below	97%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR	$111.00	$1,736.00	$61.47–$1,736.00	85% below	94%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID	$111.00	$1,935.00	$84.63–$1,935.00	84% below	94%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD, NECK SOFT TISSUE	$111.00	$1,935.00	$84.63–$1,935.00	84% below	94%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/KUB	$187.00	$1,182.00	$86.69–$1,790.00	76% below	84%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI	$187.00	$1,166.00	$86.69–$1,790.00	76% below	84%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SMALL BOWEL	$187.00	$1,790.00	$86.69–$1,790.00	76% below	90%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT	$92.00	$427.00	$24.95–$427.00	71% below	78%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT	$92.00	$427.00	$24.95–$427.00	71% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX UPPER EXT VENOUS LTD	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX UPPER EXT VEIN MAP LTD	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX LOWER VEIN RFLX LTD	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX LOWER EXT VEIN MAP LTD	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX LOWER EXT VENOUS LTD	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX LOWER EXT VEIN RFLX RT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX UPPER EXT VENOUS RT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX UPPER EXT VEIN RFLX RT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX UPPER EXT VEIN MAP LT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX UPPER EXT VENOUS LT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX UPPER EXT VEIN RFLX LT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX UPPER EXT VEIN MAP RT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX LOWER EXT VEIN MAP LT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX LOWER EXT VENOUS RT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX LOWER EXT VEIN MAP RT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN EXTREMITIES UNILAT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX LOWER VEIN RFLX LT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX LOWER EXT VENOUS LT	$111.00	$2,260.00	$94.78–$2,260.00	85% below	95%
Wrist X-ray, 2 views one side CPT 73100 NAVICULAR SERIES RIGHT	$92.00	$663.00	$27.00–$663.00	67% below	86%
Wrist X-ray, 2 views one side CPT 73100 NAVICULAR SERIES LEFT	$92.00	$663.00	$27.00–$663.00	67% below	86%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2V LEFT, AP & LATERAL	$92.00	$663.00	$27.00–$663.00	67% below	86%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2V RIGHT, AP & LATERAL	$92.00	$663.00	$27.00–$663.00	67% below	86%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY OF WRIST, MIN OF 3 VIEWS	$92.00	$440.00	$35.24–$888.00	72% below	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT COMPLETE MIN 3 V	$92.00	$888.00	$35.24–$888.00	72% below	90%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT COMPLETE MIN 3V	$92.00	$888.00	$35.24–$888.00	72% below	90%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP PELVIS LEFT 2-3 VIEWS	$92.00	$773.00	$39.35–$773.00	70% below	88%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP PELVIS RIGHT 2-3 VIEWS	$92.00	$773.00	$39.35–$773.00	70% below	88%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN LAT DECUB, 1 VIEW	$92.00	$784.00	$21.86–$784.00	66% below	88%
X-ray of the abdomen, 1 view CPT 74018 BABYGRAM	$92.00	$784.00	$21.86–$784.00	66% below	88%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN PORTABLE 1 VIEW	$92.00	$784.00	$21.86–$784.00	66% below	88%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN KUB 1 VIEW	$92.00	$784.00	$21.86–$784.00	66% below	88%
X-ray of the ankle, 2 views CPT 73600 RADIOLOGIC EXA ANKLE 2 VIEW	$92.00	$890.00	$25.29–$890.00	67% below	90%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEW RIGHT	$92.00	$636.00	$25.29–$890.00	67% below	86%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEW LEFT	$92.00	$636.00	$25.29–$890.00	67% below	86%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT	$92.00	$577.00	$33.87–$577.00	65% below	84%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT	$92.00	$577.00	$33.87–$577.00	65% below	84%
X-ray of the foot, 2 views CPT 73620 FOOT WEIGHT BEARING	$92.00	$758.00	$21.86–$758.00	67% below	88%
X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT, MIN 2V	$92.00	$758.00	$21.86–$758.00	67% below	88%
X-ray of the foot, 2 views one side CPT 73620 FOOT, LEFT MIN 2V	$92.00	$758.00	$21.86–$758.00	67% below	88%
X-ray of the foot, complete, 3 or more views CPT 73630 RADEX FOOT COMPLE MIN 3 VIEW	$92.00	$440.00	$27.00–$908.00	73% below	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE LEFT, MIN 3V	$92.00	$908.00	$27.00–$908.00	73% below	90%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE RIGHT, MIN 3V	$92.00	$908.00	$27.00–$908.00	73% below	90%
X-ray of the hand, 3 or more views CPT 73130 RADEX HAND MINIMUM 3 VIEWS	$92.00	$440.00	$30.44–$834.00	74% below	79%
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMPLETE LEFT, MIN 3V	$92.00	$834.00	$30.44–$834.00	74% below	89%
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMPLETE RIGHT, MIN 3V	$92.00	$834.00	$30.44–$834.00	74% below	89%
X-ray of the knee, 1 or 2 views CPT 73560 RAD EXAM KNEE 1/2 VIEWS	$92.00	$440.00	$27.35–$780.00	69% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT 1-2 VIEWS	$92.00	$780.00	$27.35–$780.00	69% below	88%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT 1-2 VIEWS	$92.00	$780.00	$27.35–$780.00	69% below	88%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE MIN 2V, AP & LAT	$111.00	$940.00	$30.78–$940.00	75% below	88%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 5 VIEWS	$111.00	$1,370.00	$42.10–$1,370.00	81% below	92%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE AP & LAT	$111.00	$979.00	$24.26–$979.00	71% below	89%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$92.00	$869.00	$30.09–$869.00	70% below	89%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE ACUTE TRAUMA	$92.00	$1,058.00	$30.44–$1,058.00	75% below	91%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE FLEX & EXT	$92.00	$1,058.00	$30.44–$1,058.00	75% below	91%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP & LATERAL	$92.00	$1,058.00	$30.44–$1,058.00	75% below	91%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 3 VIEWS	$92.00	$1,058.00	$30.44–$1,058.00	75% below	91%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS PORTABLE	$111.00	$425.00	$20.49–$425.00	68% below	74%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP	$111.00	$425.00	$20.49–$425.00	68% below	74%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX	$92.00	$1,105.00	$24.60–$1,105.00	75% below	92%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPHIC HORMONE	$38.00	$901.00	$23.17–$901.00	81% below	96%
ACTH blood test CPT 82024 CORTICOTROPIN RELEASING HORMON	$38.00	$901.00	$23.17–$901.00	81% below	96%
ACTH blood test CPT 82024 ACTH LEVEL	$38.00	$901.00	$23.17–$901.00	81% below	96%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT, LIVER FIBROSIS	$5.00	$261.00	$3.18–$261.00	90% below	98%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$5.00	$261.00	$3.18–$261.00	90% below	98%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST, LIVER FIBROSIS	$5.00	$235.00	$3.11–$235.00	90% below	98%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$5.00	$235.00	$3.11–$235.00	90% below	98%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL (A,B,C)	$47.00	$616.00	$6.35–$616.00	82% below	92%
Albumin blood test CPT 82040 ALBUMIN SERUM	$4.00	$168.00	$2.97–$168.00	90% below	98%
Albumin blood test CPT 82040 ALBUMIN - 82040 - 30000520	$4.00	$168.00	$2.97–$168.00	90% below	98%
Aldosterone blood test CPT 82088 ALDOSTERONE	$40.00	$305.00	$24.45–$305.00	75% below	87%
Aldosterone blood test CPT 82088 ALDOSTERONE, 24 HOUR URINE	$40.00	$305.00	$24.45–$305.00	75% below	87%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS, BONE SPECIFIC	$5.00	$132.00	$3.11–$132.00	90% below	96%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$5.00	$132.00	$3.11–$132.00	90% below	96%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE QUEST	$5.00	$132.00	$3.11–$132.00	90% below	96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRASS PROFILE	$5.00	$289.00	$3.13–$1,293.00	81% below	98%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CATFISH	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PANEL #3	$5.00	$1,112.00	$3.13–$1,293.00	81% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WEED PROFILE	$5.00	$318.00	$3.13–$1,293.00	81% below	98%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DUST PROFILE	$5.00	$182.00	$3.13–$1,293.00	81% below	97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE 21	$5.00	$456.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE 51	$5.00	$1,293.00	$3.13–$1,293.00	81% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP - 86003 - 30010720	$5.00	$381.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PISTACHIO	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GLUTEN	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TREE PROFILE	$5.00	$289.00	$3.13–$1,293.00	81% below	98%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CEREAL PROFILE	$5.00	$158.00	$3.13–$1,293.00	81% below	97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE ,QNT	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PANEL #1	$5.00	$158.00	$3.13–$1,293.00	81% below	97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SEAFOOD PROFILE	$5.00	$182.00	$3.13–$1,293.00	81% below	97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD ALLERGY PROFILE	$5.00	$348.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NUT PROFILE	$5.00	$182.00	$3.13–$1,293.00	81% below	97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOLD PROFILE	$5.00	$158.00	$3.13–$1,293.00	81% below	97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INSECT VENOM PROFILE	$5.00	$118.00	$3.13–$1,293.00	81% below	96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP 28	$5.00	$894.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PANEL #2	$5.00	$491.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ANIMAL PROFILE	$5.00	$158.00	$3.13–$1,293.00	81% below	97%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ASP	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-DOG EPITHELIUM	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CORN	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-D PTERONYSSINUS	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-JUNE GRASS	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-MILK	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST- EGG WHITE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CAT EPITHELIUM	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-D FARINAE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-MAPLE TREE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT (f4) IgE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ALMOND	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-ELM	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT (f13) IgE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 MINI RAST PANEL	$5.00	$207.00	$3.13–$1,293.00	81% below	98%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGY IGE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PROFILE, CHILDHOOD	$5.00	$348.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HORMODENDRUM	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, TILAPIA	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FUNGI/MOLD IGE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HELMENTHOSPORIUM	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE; EACH	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,BOTRYTIS CINEREA	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP 30	$5.00	$1,002.00	$3.13–$1,293.00	81% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP 20	$5.00	$530.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD PORK IGE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP - 86003 - 30010700	$5.00	$847.00	$3.13–$1,293.00	81% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD BEEF IGE	$5.00	$74.00	$3.13–$1,293.00	81% below	93%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$16.00	$533.00	$8.41–$533.00	86% below	97%
Alpha-fetoprotein (AFP) blood test CPT 82105 *ALPHA FETOPROTEIN MATERNAL	$16.00	$533.00	$8.41–$533.00	86% below	97%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN	$16.00	$533.00	$8.41–$533.00	86% below	97%
Ammonia blood test CPT 82140 AMMONIA	$14.00	$253.00	$8.41–$253.00	87% below	94%
Ammonia blood test CPT 82140 AMMONIUM 24 HOUR URINE	$14.00	$253.00	$8.41–$253.00	87% below	94%
Amylase blood test CPT 82150 AMYLASE, RANDOM URINE	$6.00	$158.00	$3.80–$158.00	93% below	96%
Amylase blood test CPT 82150 AMYLASE, BODY FLUID	$6.00	$158.00	$3.80–$158.00	93% below	96%
Amylase blood test CPT 82150 AMYLASE, 24 HR URINE	$6.00	$158.00	$3.80–$158.00	93% below	96%
Amylase blood test CPT 82150 AMYLASE	$6.00	$158.00	$3.80–$158.00	93% below	96%
Amylase blood test CPT 82150 IMMUNOASSAY, AMYLASE	$6.00	$158.00	$3.80–$158.00	93% below	96%
Amylase blood test CPT 82150 AMYLASE FOR ISOENZYMES	$6.00	$158.00	$3.80–$158.00	93% below	96%
Amylase blood test CPT 82150 AMYLASE, 2 HR URINE	$6.00	$158.00	$3.80–$158.00	93% below	96%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CYCLIC CITRULLINE PEP AB	$12.00	$144.00	$7.77–$144.00	86% below	92%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLINATED PEP, AB	$12.00	$144.00	$7.77–$144.00	86% below	92%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODY SCREEN	$12.00	$130.00	$7.25–$130.00	87% below	91%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATIURETIC PEPTIDE CHF	$39.00	$365.00	$19.80–$365.00	79% below	89%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBRAIN NATRIURETIC PEPTIDE	$39.00	$365.00	$19.80–$365.00	79% below	89%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL, BODY FLUID	$5.00	$88.00	$3.01–$88.00	92% below	94%
Bilirubin blood test, total CPT 82247 BILIRUBIN, NEONATAL TOTAL	$5.00	$88.00	$3.01–$88.00	92% below	94%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$5.00	$88.00	$3.01–$88.00	92% below	94%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$55.00	$987.00	$27.96–$987.00	77% below	94%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICROSCOPIC - LEVEL 4	$55.00	$987.00	$27.96–$987.00	77% below	94%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG G&M, LEVEL IV *HYTECH	$55.00	$987.00	$27.96–$987.00	77% below	94%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW FEE-ROUTINE	$9.00	$72.00	$2.37–$72.00	62% below	88%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW FEE	$9.00	$72.00	$2.37–$72.00	62% below	88%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW FEE - POLICE ALCOHOL	$9.00	$72.00	$2.37–$72.00	62% below	88%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW FEE BAND AND HOLD	$9.00	$72.00	$2.37–$72.00	62% below	88%
Blood lead test CPT 83655 LEAD SCREEN	$12.00	$143.00	$7.27–$143.00	79% below	92%
Blood lead test CPT 83655 LEAD, URINE	$12.00	$143.00	$7.27–$143.00	79% below	92%
Blood lead test CPT 83655 LEAD BLOOD	$12.00	$143.00	$7.27–$143.00	79% below	92%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 SECOND BLOOD TYPE	$141.00	—	$3.00–$78.00	67% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLOOD TYPE	$141.00	$78.00	$3.00–$78.00	67% above	-81%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE	$141.00	$78.00	$3.00–$78.00	67% above	-81%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE NEONATE	$141.00	$78.00	$3.00–$78.00	67% above	-81%
C-peptide blood test CPT 84681 C-PEPTIDE	$20.00	$478.00	$8.41–$478.00	81% below	96%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE PCR	$37.00	$234.00	$22.36–$234.00	80% below	84%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9	$20.00	$217.00	$8.10–$217.00	82% below	91%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$20.00	$499.00	$8.10–$499.00	88% below	96%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 HI SENSITIVITY/PRE-OP	$51.00	$216.00	$30.14–$216.00	56% below	76%
Calcium blood test, total CPT 82310 CALCIUM, (PTH INTACT)	$5.00	$106.00	$3.10–$106.00	89% below	95%
Calcium blood test, total CPT 82310 CALCIUM PTHC	$5.00	$106.00	$3.10–$106.00	89% below	95%
Calcium blood test, total CPT 82310 CALCIUM	$5.00	$106.00	$3.10–$106.00	89% below	95%
Calcium blood test, total CPT 82310 CALCIUM PTHN	$5.00	$106.00	$3.10–$106.00	89% below	95%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$18.00	$409.00	$8.41–$409.00	87% below	96%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID	$18.00	$409.00	$8.41–$409.00	87% below	96%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB, IGM	$12.00	$120.00	$7.73–$120.00	84% below	90%
Chickenpox (varicella) immunity blood test CPT 86787 VZV TOTAL IGM ACIF IFA CSF	$12.00	$120.00	$7.73–$120.00	84% below	90%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB, IGG	$12.00	$120.00	$7.73–$120.00	84% below	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.TRACHMATIS BY PCR	$35.00	$206.00	$21.05–$206.00	72% below	83%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY DNA PROBE	$35.00	$206.00	$21.05–$206.00	72% below	83%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$13.00	$596.00	$6.35–$596.00	90% below	98%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT	$7.00	$269.00	$4.17–$269.00	91% below	97%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF	$6.00	$137.00	$3.88–$137.00	91% below	96%
Cortisol blood test, total CPT 82533 CORTISOL #3, CORT STIM PANEL	$16.00	$333.00	$9.28–$478.00	85% below	95%
Cortisol blood test, total CPT 82533 CORTISOL PM	$16.00	$333.00	$9.28–$478.00	85% below	95%
Cortisol blood test, total CPT 82533 CORTISOL, RANDOM	$16.00	$333.00	$9.28–$478.00	85% below	95%
Cortisol blood test, total CPT 82533 CORTISOL AM	$16.00	$333.00	$9.28–$478.00	85% below	95%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION TEST	$16.00	$333.00	$9.28–$478.00	85% below	95%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPP MELANCHOLY	$16.00	$478.00	$9.28–$478.00	85% below	97%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPP ADRENAL	$16.00	$399.00	$9.28–$478.00	85% below	96%
Cortisol blood test, total CPT 82533 CORTISOL, TOTAL 24 HR URINE	$16.00	$333.00	$9.28–$478.00	85% below	95%
Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE TOTAL	$6.00	$147.00	$3.80–$147.00	90% below	96%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE PHOSPHOKINASE	$6.00	$147.00	$3.80–$147.00	90% below	96%
Creatinine blood test CPT 82565 CREATININE	$5.00	$197.00	$3.07–$197.00	90% below	97%
Creatinine blood test CPT 82565 CREATININE WHOLE BLOOD VENOUS	$5.00	$197.00	$3.07–$197.00	90% below	97%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV, IGG	$14.00	$411.00	$8.10–$411.00	84% below	97%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE CHARGE	$14.00	$411.00	$8.10–$411.00	84% below	97%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$22.00	$662.00	$9.28–$662.00	80% below	97%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS,CONFIRM,QUAL	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE, URINE, QUANT	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE, URINE, QUAL	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID QUANT	$62.00	$706.00	$24.17–$1,200.00	36% below	91%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT SCREEN	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE (COTININE) URINE	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE (COTININE)	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE, URINE, QUANT	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM ALCOHOL	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-HYDROXYBUT AC,UR	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 G-HYDROXYBUT AC	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & MET, URINE	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & MET, SERUM	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL, URINE	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTACY	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, MECONIUM 7	$62.00	$1,200.00	$24.17–$1,200.00	36% below	95%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN UMBILICAL CORD	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SER TOX	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MECONIUM 9 W/RFX	$62.00	$447.00	$24.17–$1,200.00	36% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 Panel, Serum	$62.00	$447.00	$24.17–$1,200.00	36% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL 9 UR W/CONFIRMATION	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 10 CHARGE	$62.00	$447.00	$24.17–$1,200.00	36% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS LIST A - 80307 - 30015085	$62.00	$447.00	$24.17–$1,200.00	36% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN UR, GEN	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 5 CHARGE	$62.00	$447.00	$24.17–$1,200.00	36% below	86%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL, CHAIN OF CUSTODY	$62.00	$135.00	$24.17–$1,200.00	36% below	54%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Pain Management Panel w/INTRP	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN ONE/MULT CLASS	$62.00	$232.00	$24.17–$1,200.00	36% below	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS LIST A - 80307 - 30102205	$62.00	$706.00	$24.17–$1,200.00	36% below	91%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE, URINE	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PANEL 8 W CONFRIM	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD BLOOD DRUG SCREEN	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE UM SCREEN	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE,CONFIRM,QUAL	$62.00	$358.00	$24.17–$1,200.00	36% below	83%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AG, IGG	$18.00	$516.00	$8.10–$516.00	83% below	97%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AG, IGM	$18.00	$516.00	$8.10–$516.00	83% below	97%
Estradiol blood test CPT 82670 ESTRADIOL BY TMS	$27.00	$692.00	$9.28–$692.00	75% below	96%
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE	$27.00	$658.00	$9.28–$692.00	75% below	96%
Estradiol blood test CPT 82670 ESTRADIOL	$27.00	$692.00	$9.28–$692.00	75% below	96%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$18.00	$570.00	$9.28–$570.00	85% below	97%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$19.00	$670.00	$8.41–$670.00	89% below	97%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$19.00	$670.00	$8.41–$670.00	89% below	97%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$13.00	$292.00	$8.18–$292.00	90% below	96%
Fibrinogen blood test CPT 85384 LUPUS FIBRINOGEN CHARGE	$9.00	$219.00	$3.11–$219.00	90% below	96%
Fibrinogen blood test CPT 85384 FIBRINOGEN, ACTIVITY	$9.00	$219.00	$3.11–$219.00	90% below	96%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE)	$14.00	$282.00	$8.41–$282.00	88% below	95%
Free T3 thyroid hormone test CPT 84481 T3(TRI-IODOTHYRONINE), FREE	$16.00	$589.00	$9.28–$589.00	87% below	97%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4F REFLEX CASCADE CHARGE	$9.00	$31.00	$5.41–$388.00	92% below	71%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE), FREE	$9.00	$388.00	$5.41–$388.00	92% below	98%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE, DIRECT DIALYSIS	$9.00	$90.00	$5.41–$388.00	92% below	90%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$25.00	$421.00	$9.28–$421.00	80% below	94%
Free testosterone test CPT 84402 TESTOST FREE (FEMALE OR CHILD)	$25.00	$421.00	$9.28–$421.00	80% below	94%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT, LIVER FIBROSIS	$7.00	$136.00	$3.80–$136.00	88% below	95%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE	$7.00	$136.00	$3.80–$136.00	88% below	95%
Glucose tolerance test, 3 samples CPT 82951 GESTATIONAL GTT 3 HOUR	$12.00	$803.00	$7.72–$803.00	91% below	99%
Glucose tolerance test, 3 samples CPT 82951 GESTATIONAL GTT 2 HOUR	$12.00	$612.00	$7.72–$803.00	91% below	98%
Glucose tolerance test, 3 samples CPT 82951 GTT, SPECIMENS 1-3	$12.00	$612.00	$7.72–$803.00	91% below	98%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY DNA PROBE	$35.00	$208.00	$21.05–$208.00	72% below	83%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE BY PCR	$35.00	$208.00	$21.05–$208.00	72% below	83%
H. pylori antibody blood test CPT 86677 H PYLORI IGM AB QUEST	$16.00	$457.00	$8.10–$457.00	86% below	96%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG ANTIBODY QUANT	$16.00	$457.00	$8.10–$457.00	86% below	96%
H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN STOOL	$14.00	$181.00	$7.41–$181.00	88% below	92%
H. pylori stool antigen test CPT 87338 H. PYLORI AG STOOL	$14.00	$181.00	$7.41–$181.00	88% below	92%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD	$85.00	$1,021.00	$30.14–$1,021.00	75% below	92%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR ULTRASENSITIVE	$85.00	$1,021.00	$30.14–$1,021.00	75% below	92%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV PCR CSF	$85.00	$1,021.00	$30.14–$1,021.00	75% below	92%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1-RNA PCR	$85.00	$1,021.00	$30.14–$1,021.00	75% below	92%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2, RAPID TEST	$13.00	$205.00	$8.10–$205.00	89% below	94%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1 ANTIGEN W/HIV1&2 ANTI SGL	$24.00	$250.00	$7.41–$250.00	79% below	90%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB	$24.00	$250.00	$7.41–$250.00	79% below	90%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1/2 AG/AB 5TH GENERATION	$24.00	$250.00	$7.41–$250.00	79% below	90%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRUS	$35.00	$403.00	$21.05–$403.00	76% below	91%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK PCR	$35.00	$403.00	$21.05–$403.00	76% below	91%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV E6/E7 REC W/R GT16 18/45	$35.00	$403.00	$21.05–$403.00	76% below	91%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C CAPILLARY	$9.00	$359.00	$3.80–$359.00	90% below	97%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCOSYLATED)	$9.00	$359.00	$3.80–$359.00	90% below	97%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB, TOTAL	$12.00	$326.00	$7.23–$326.00	85% below	96%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB, QUAL	$10.00	$190.00	$6.44–$190.00	89% below	95%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$10.00	$210.00	$6.20–$210.00	89% below	95%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$14.00	$262.00	$8.10–$262.00	88% below	95%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C BRANCH DNA, QUANT	$42.00	$560.00	$25.70–$560.00	84% below	93%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA PCR, QNT PANEL	$42.00	$560.00	$25.70–$560.00	84% below	93%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QT BY PCR	$42.00	$560.00	$25.70–$560.00	84% below	93%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX, TYPE 1, IGG	$13.00	$104.00	$7.91–$104.00	80% below	88%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1, IGG CSF	$13.00	$104.00	$7.91–$104.00	80% below	88%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGG INHIBITION IA	$19.00	$124.00	$8.10–$124.00	76% below	85%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2, IGG	$19.00	$124.00	$8.10–$124.00	76% below	85%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2, IGG CSF	$19.00	$124.00	$8.10–$124.00	76% below	85%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIAC CRP HIGHLY SENSITIVE	$12.00	$376.00	$7.77–$376.00	87% below	97%
Homocysteine blood test CPT 83090 HOMOCYSTEINE, URINE QUEST	$17.00	$238.00	$9.28–$238.00	86% below	93%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL	$17.00	$238.00	$9.28–$238.00	86% below	93%
Homocysteine blood test CPT 83090 HOMOCYSTEINE LIPID CLINIC	$17.00	$238.00	$9.28–$238.00	86% below	93%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$17.00	$238.00	$9.28–$238.00	86% below	93%
Insulin blood test CPT 83525 INSULIN TOTAL	$11.00	$48.00	$6.86–$395.00	85% below	77%
Insulin blood test CPT 83525 INSULIN	$11.00	$395.00	$6.86–$395.00	85% below	97%
Iron blood test (serum iron) CPT 83540 IRON, LIVER	$6.00	$228.00	$3.80–$228.00	92% below	97%
Iron blood test (serum iron) CPT 83540 IRON, TISSUE	$6.00	$123.00	$3.80–$228.00	92% below	95%
Iron blood test (serum iron) CPT 83540 IRON (FE)	$6.00	$123.00	$3.80–$228.00	92% below	95%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$8.00	$190.00	$3.80–$190.00	89% below	96%
LH (luteinizing hormone) test CPT 83002 LUTENINIZING HORMONE	$18.00	$593.00	$9.28–$593.00	84% below	97%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$11.00	$200.00	$6.94–$200.00	88% below	95%
Lactate (lactic acid) blood test CPT 83605 LACTATE	$11.00	$200.00	$6.94–$200.00	88% below	95%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE - 83615 - 30005525	$6.00	$212.00	$3.62–$212.00	90% below	97%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE - 83615 - 30000620	$6.00	$212.00	$3.62–$212.00	90% below	97%
Lactate dehydrogenase (LDH) blood test CPT 83615 CSF,LD	$6.00	$212.00	$3.62–$212.00	90% below	97%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE,BODY FLD	$6.00	$212.00	$3.62–$212.00	90% below	97%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$17.00	$458.00	$8.10–$458.00	77% below	96%
Magnesium blood test CPT 83735 MAGNESIUM	$6.00	$262.00	$3.80–$262.00	91% below	98%
Magnesium blood test CPT 83735 MAGNESIUM, RANDOM URINE	$6.00	$262.00	$3.80–$262.00	91% below	98%
Magnesium blood test CPT 83735 MAGNESIUM, 24 HR URINE	$6.00	$262.00	$3.80–$262.00	91% below	98%
Magnesium blood test CPT 83735 MAGNESIUM UR-PER VOLUME	$6.00	$58.00	$3.80–$262.00	91% below	90%
Magnesium blood test CPT 83735 MAGNESIUM,RBC	$6.00	$262.00	$3.80–$262.00	91% below	98%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY (MEASLES),IGM	$12.00	$105.00	$7.73–$105.00	83% below	89%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY (MEASLES),IGG	$12.00	$105.00	$7.73–$105.00	83% below	89%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG IGM PANEL IFA CSF	$12.00	$105.00	$7.73–$105.00	83% below	89%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGM	$13.00	$105.00	$7.83–$105.00	82% below	88%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG	$13.00	$105.00	$7.83–$105.00	82% below	88%
Mumps immunity blood test CPT 86735 MUMPS IGG IGM PANEL IFA CSF	$13.00	$105.00	$7.83–$105.00	82% below	88%
Obstetric blood test panel CPT 80055 OB PRENATAL PANEL	$47.00	$232.00	$6.35–$232.00	78% below	80%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE - 84154 - 30006600	$18.00	$333.00	$8.41–$333.00	81% below	95%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE - 84154 - 30190055	$18.00	$333.00	$8.41–$333.00	81% below	95%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC AG, DIAG	$18.00	$472.00	$8.41–$472.00	84% below	96%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$18.00	$472.00	$8.41–$472.00	84% below	96%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG (PSA)	$18.00	$472.00	$8.41–$472.00	84% below	96%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP, THIN LAYER, DIAGNOSTIC	$26.00	$104.00	$14.39–$104.00	81% below	75%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE PANEL COMP	$41.00	$363.00	$24.60–$363.00	81% below	89%
Parathyroid hormone (PTH) blood test CPT 83970 *PARATHYROID INTACT PROFILE	$41.00	$363.00	$24.60–$363.00	81% below	89%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT INTERAOPERATIVE	$41.00	$363.00	$24.60–$363.00	81% below	89%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID N TERMINAL*	$41.00	$363.00	$24.60–$363.00	81% below	89%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID INTACT*	$41.00	$363.00	$24.60–$363.00	81% below	89%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID C/MID REGION*	$41.00	$363.00	$24.60–$363.00	81% below	89%
Parathyroid hormone (PTH) blood test CPT 83970 *PARATHYROID C TERMINAL	$41.00	$363.00	$24.60–$363.00	81% below	89%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LUPUS ANTICOAGULANT EVAL	$6.00	$106.00	$3.11–$106.00	91% below	94%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D)	$6.00	$106.00	$3.11–$106.00	91% below	94%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT INHIBITOR SCREEN, 1HR	$6.00	$106.00	$3.11–$106.00	91% below	94%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$6.00	$106.00	$3.11–$106.00	91% below	94%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT MIXING STUDIES	$6.00	$106.00	$3.11–$106.00	91% below	94%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO PLASTIN TIME	$6.00	$106.00	$3.11–$106.00	91% below	94%
Potassium blood test CPT 84132 POTASSIUM WHOLE BLOOD VENOUS	$4.00	$94.00	$2.86–$94.00	91% below	96%
Potassium blood test CPT 84132 POTASSIUM	$4.00	$94.00	$2.86–$94.00	91% below	96%
Potassium blood test CPT 84132 POTASSIUM WHOLE BLOOD ARTERIAL	$4.00	$94.00	$2.86–$94.00	91% below	96%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY - 81420 - 30015170	$759.00	$5,184.00	$156.27–$5,184.00	14% below	85%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY - 81420 - 31001745	$759.00	$1,037.00	$156.27–$5,184.00	14% below	27%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NIPT FETAL ANEUPLOIDY	$759.00	$873.00	$156.27–$5,184.00	14% below	13%
Progesterone blood test CPT 84144 PROGESTERONE	$20.00	$501.00	$9.28–$501.00	85% below	96%
Prolactin blood test CPT 84146 PROLACTIN	$19.00	$600.00	$9.28–$600.00	85% below	97%
Prothrombin time (PT/INR) clotting test CPT 85610 PT INHIBITOR SCREEN - 85610 - 30500220	$4.00	$112.00	$2.57–$112.00	90% below	96%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME CAN1	$4.00	$104.00	$2.57–$112.00	90% below	96%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 30120255	$4.00	$112.00	$2.57–$112.00	90% below	96%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 30000115	$4.00	$104.00	$2.57–$112.00	90% below	96%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS PROTHROMBIN TIME	$4.00	$112.00	$2.57–$112.00	90% below	96%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC 4 PANEL URINE DRUG SCREEN	$12.00	$38.00	$6.80–$38.00	85% below	68%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN	$16.00	$117.00	$7.41–$234.00	80% below	86%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN	$16.00	$117.00	$7.41–$234.00	80% below	86%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ANTIGEN	$16.00	$234.00	$7.41–$234.00	80% below	93%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A&B	$16.00	$117.00	$7.41–$234.00	80% below	86%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ANTIGEN	$16.00	$125.00	$7.41–$125.00	74% below	87%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN - GROUP A	$16.00	$125.00	$7.41–$125.00	74% below	87%
Renin blood test CPT 84244 DIRECT RENIN	$21.00	$115.00	$9.28–$187.00	81% below	82%
Renin blood test CPT 84244 RENIN ACTIVITY	$21.00	$187.00	$9.28–$187.00	81% below	89%
Rh blood typing CPT 86901 RH TYPE	$39.00	$75.00	$3.11–$75.00	43% below	48%
Rh blood typing CPT 86901 CORD BLOOD RH	$39.00	$75.00	$3.11–$75.00	43% below	48%
Rh blood typing CPT 86901 RH NEONATE	$39.00	$75.00	$3.11–$75.00	43% below	48%
Rh blood typing CPT 86901 SECOND RH	$39.00	—	$3.11–$75.00	43% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATIOD FACTOR, BODY FLUID	$5.00	$148.00	$3.40–$148.00	92% below	97%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$5.00	$148.00	$3.40–$148.00	92% below	97%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, BF	$5.00	$145.00	$3.40–$148.00	92% below	97%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY QUANTITATIVE	$14.00	$164.00	$8.10–$164.00	82% below	91%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGM	$14.00	$164.00	$8.10–$164.00	82% below	91%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGM	$14.00	$164.00	$8.10–$164.00	82% below	91%
Sodium blood test CPT 84295 SODIUM WHOLE BLOOD VENOUS	$4.00	$90.00	$2.89–$90.00	92% below	96%
Sodium blood test CPT 84295 SODIUM WHOLE BLOOD ARTERIAL	$4.00	$90.00	$2.89–$90.00	92% below	96%
Sodium blood test CPT 84295 SODIUM	$4.00	$90.00	$2.89–$90.00	92% below	96%
Stool ova and parasites exam CPT 87177 PARASITE CONCENTRATED SMEAR	$8.00	$401.00	$5.34–$401.00	89% below	98%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$8.00	$401.00	$5.34–$401.00	89% below	98%
Stool ova and parasites exam CPT 87177 PARASITE DIRECT SMEAR	$8.00	$401.00	$5.34–$401.00	89% below	98%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD	$4.00	$51.00	$2.63–$51.00	86% below	92%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNOCHEM FECAL OCCULT BLOOD	$15.00	$164.00	$8.41–$164.00	79% below	91%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA (TREPONEMA) ANTIBODIES	$13.00	$166.00	$5.73–$281.00	81% below	92%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. PALLIDUM IGG (NEONATE)	$13.00	$102.00	$5.73–$281.00	81% below	87%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS AB (T Pallidum)	$13.00	$166.00	$5.73–$281.00	81% below	92%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. PALLIDUM IGM (NEONATE)	$13.00	$102.00	$5.73–$281.00	81% below	87%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA CSF	$13.00	$281.00	$5.73–$281.00	81% below	95%
Syphilis antibody test (Treponema pallidum) CPT 86780 DOXEPIN & METABOLITE	$13.00	$32.00	$5.73–$281.00	81% below	59%
Syphilis antibody test (Treponema pallidum) CPT 86780 CSF FTA-ABS	$13.00	$32.00	$5.73–$281.00	81% below	59%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF	$4.00	$208.00	$2.56–$208.00	92% below	98%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN	$4.00	$208.00	$2.56–$208.00	92% below	98%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$61.00	$546.00	$28.71–$546.00	72% below	89%
Testosterone blood test, total (not free testosterone) CPT 84403 *TESTOSTERONE TOTAL	$25.00	$493.00	$9.28–$493.00	80% below	95%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$25.00	$493.00	$9.28–$493.00	80% below	95%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL TITER	$14.00	$275.00	$8.10–$275.00	82% below	95%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL SCREEN	$14.00	$275.00	$8.10–$275.00	82% below	95%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPOA REFLEX CASCADE CHARGE	$14.00	$50.00	$8.10–$275.00	82% below	72%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDATE ANTIBODIES	$14.00	$275.00	$8.10–$275.00	82% below	95%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$16.00	$578.00	$9.28–$578.00	87% below	97%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (CASCADE)	$16.00	$59.00	$9.28–$578.00	87% below	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NEONATAL SCREEN	$16.00	$578.00	$9.28–$578.00	87% below	97%
Total IgE blood test CPT 82785 ALLERGEN TOTAL IgE	$16.00	$363.00	$8.41–$363.00	81% below	96%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E QUANTITATIVE	$16.00	$363.00	$8.41–$363.00	81% below	96%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$4.00	$101.00	$2.61–$101.00	91% below	96%
Total cholesterol blood test CPT 82465 CHOLESTEROL, BODY FLUID	$4.00	$101.00	$2.61–$101.00	91% below	96%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, T4 TOTAL	$6.00	$308.00	$4.12–$308.00	93% below	98%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRI-IODOTHRONINE), TOTAL	$14.00	$415.00	$8.51–$415.00	86% below	97%
Total triiodothyronine (T3) blood test CPT 84480 T3T REFLEX CASCADE CHARGE	$14.00	$49.00	$8.51–$415.00	86% below	71%
Transferrin blood test CPT 84466 TRANSFERRIN	$12.00	$210.00	$7.66–$210.00	88% below	94%
Trichomonas test (NAAT) CPT 87661 T.BAGINALIS BY PCR	$35.00	$132.00	$21.05–$132.00	72% below	73%
Triglycerides blood test CPT 84478 TRIGLYCERIDES, BODY FLUID	$5.00	$124.00	$3.44–$124.00	89% below	96%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$5.00	$124.00	$3.44–$124.00	89% below	96%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$5.00	$124.00	$3.44–$124.00	89% below	96%
Troponin test, quantitative CPT 84484 TROPONIN I	$12.00	$378.00	$7.48–$378.00	92% below	97%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$8.00	$183.00	$4.84–$183.00	91% below	96%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, RANDOM URINE - 82043 - 30001365	$5.00	$243.00	$2.12–$243.00	92% below	98%
Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN RAW	$5.00	$243.00	$2.12–$243.00	92% below	98%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, RANDOM URINE - 82043 - 30003960	$5.00	$243.00	$2.12–$243.00	92% below	98%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN	$5.00	$243.00	$2.12–$243.00	92% below	98%
Urine pregnancy test, read by color change CPT 81025 HCG, URINE	$8.00	$332.00	$2.12–$332.00	89% below	98%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$15.00	$281.00	$9.05–$281.00	88% below	95%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH (D2,D3) GROUP	$29.00	$733.00	$17.76–$733.00	84% below	96%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$29.00	$733.00	$17.76–$733.00	84% below	96%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1,25 DIHYDROXY	$38.00	$225.00	$19.80–$225.00	80% below	83%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1, 25-DIHYDROXY	$38.00	$225.00	$19.80–$225.00	80% below	83%
Zinc blood test CPT 84630 ZINC URINE	$11.00	$32.00	$5.73–$181.00	84% below	66%
Zinc blood test CPT 84630 ZINC, 24 HOUR URINE	$11.00	$181.00	$5.73–$181.00	84% below	94%
Zinc blood test CPT 84630 ZINC,NUTRITIONAL	$11.00	$181.00	$5.73–$181.00	84% below	94%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE	$15.00	$478.00	$9.03–$478.00	86% below	97%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG INTACT (TRIPLE)*	$15.00	$478.00	$9.03–$478.00	86% below	97%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$15.00	$478.00	$9.03–$478.00	86% below	97%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids - 42830 - OR36042830	$3,535.00	$4,096.00	$208.40–$4,096.00	20% below	14%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd ant ntrbdy cervical	$13,690.00	$30,011.00	$1,837.00–$30,011.00	29% above	54%
Appendectomy, open surgery CPT 44950 Appendectomy	$6,903.00	$10,024.00	$679.95–$10,024.00	75% above	31%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery - 29888 - OR36029888	$7,737.00	$29,740.00	$558.00–$29,740.00	9% below	74%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr	$7,737.00	$19,823.00	$785.00–$19,823.00	at median	61%
Botox injections for chronic migraine CPT 64615 CHEMODENERVTN CHRONIC MIGRAINE	$327.00	$773.00	$126.40–$773.00	13% below	58%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRE STEREO SPEC IN LES R	$1,761.00	$8,038.00	$148.58–$12,060.00	39% below	78%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRE STEREO SPEC IN LES BIL	$1,761.00	$12,060.00	$148.58–$12,060.00	39% below	85%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRE STEREO SPEC IN LES L	$1,761.00	$8,038.00	$148.58–$12,060.00	39% below	78%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo	$3,489.00	$11,669.00	$512.42–$11,669.00	3% below	70%
Bunion correction with removal of part of the big toe joint CPT 28292 Cor hlx vlgs rsc prx phlx bs	$3,489.00	$13,369.00	$486.91–$13,369.00	at median	74%
Cardiac catheterization with coronary angiogram CPT 93458 LHC/COR/LV W/INJ	$3,457.00	$26,762.00	$743.56–$26,762.00	66% below	87%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$704.00	$3,617.00	$99.85–$3,617.00	39% below	81%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION	$704.00	$3,617.00	$99.85–$3,617.00	39% below	81%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECT CARDIOVERSION, EXT	$704.00	$3,617.00	$99.85–$3,617.00	39% below	81%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$2,082.00	$7,586.00	$456.01–$7,586.00	13% below	73%
Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp	$2,460.00	$8,639.00	$483.74–$8,639.00	57% below	72%
Catheter ablation for atrial fibrillation CPT 93656 COMP EPS TRSEP W ABLAT AF PVI	$27,872.00	$68,330.00	$914.63–$68,330.00	1% above	59%
Cervical biopsy CPT 57500 Biopsy of cervix	$982.00	$6,125.00	$74.76–$6,125.00	7% above	84%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older	$2,229.00	$8,047.00	$194.21–$8,047.00	4% below	72%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$2,229.00	$8,198.00	$91.18–$8,198.00	33% above	73%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$2,229.00	$3,887.00	$91.18–$8,198.00	33% above	43%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal	$1,276.00	$9,114.00	$239.20–$9,114.00	50% below	86%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$1,276.00	$6,552.00	$190.62–$6,552.00	43% below	81%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$991.00	$4,464.67	$177.19–$4,464.67	54% below	78%
Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$2,460.00	$9,072.00	$660.62–$9,072.00	65% below	73%
Coronary stent placement, one artery CPT 92928 DE STENT/PTCA MAJ CA OR BRAN	$12,310.00	$33,132.00	$527.18–$33,132.00	12% below	63%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment - 52332 - OR36052332	$3,758.00	$10,003.00	$150.51–$10,003.00	at median	62%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy - 52000 - OR36052000	$743.00	$7,875.00	$77.05–$7,875.00	39% below	91%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY - 52000 - 36152000	$743.00	$3,337.00	$77.05–$7,875.00	39% below	78%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage	$3,451.00	$9,817.00	$229.26–$9,817.00	17% above	65%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening	$1,654.00	$7,568.00	$154.19–$7,568.00	at median	78%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI - 69209 - 45060460	$62.00	$207.00	$17.74–$207.00	46% below	70%
Earwax removal with instruments, one ear CPT 69210 IMPACTED CERUMEN	$62.00	$266.00	$29.13–$5,698.00	50% below	77%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni - 69210 - OR36069210	$62.00	$5,698.00	$29.13–$5,698.00	50% below	99%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASALSINUS ENDOSCOPY SURGICAL	$7,525.00	$5,188.46	$297.25–$5,188.46	at median	-45%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSLSINS NDSC FRNT TISS RMVL	$7,525.00	$3,446.16	$346.05–$3,446.16	at median	-118%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$3,975.00	$3,490.68	$165.44–$3,490.68	at median	-14%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$7,525.00	$3,885.00	$243.55–$3,885.00	at median	-94%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc - 62321 - OR36062321	$752.00	$3,680.00	$101.32–$3,680.00	57% below	80%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ INTERLAMNR CRV/THRC W/GUID - 62321 - 76100550	$752.00	$1,673.00	$101.32–$3,680.00	57% below	55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ INTERLAMNR CRV/THRC W/GUID - 62321 - 36101160	$752.00	$1,673.00	$101.32–$3,680.00	57% below	55%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 INJ FACET L/S 1ST LEVEL BILAT	$943.00	$5,161.00	$86.19–$5,431.00	—	82%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 INJ FACET L/S SINGLE LEVEL BI	$943.00	$5,161.00	$86.19–$5,431.00	—	82%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FACET L/S 1ST LEVEL	$943.00	$3,440.00	$86.19–$5,431.00	37% below	73%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev	$943.00	$5,431.00	$86.19–$5,431.00	37% below	83%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FACET L/S SINGLE LEVEL	$943.00	$3,440.00	$86.19–$5,431.00	37% below	73%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$6,903.00	$15,462.00	$597.51–$15,462.00	at median	55%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc	$6,903.00	$16,960.00	$800.71–$16,960.00	at median	59%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$3,818.00	$15,501.00	$357.36–$15,501.00	at median	75%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$6,446.00	$20,307.00	$708.63–$20,307.00	at median	68%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph	$6,446.00	$20,323.00	$768.55–$20,323.00	at median	68%
Hammertoe correction surgery CPT 28285 Repair of hammertoe - 28285 - OR36028285	$3,489.00	$15,301.00	$392.53–$15,301.00	at median	77%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)	$991.00	$7,634.00	$209.81–$7,634.00	8% above	87%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group	$2,959.00	$9,801.00	$379.59–$9,801.00	5% above	70%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$5,334.00	$12,022.00	$239.46–$12,022.00	5% below	56%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$3,451.00	$11,432.00	$225.13–$11,432.00	2% above	70%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE SIMPLE - 10060 - 45000495	$213.00	$596.00	$105.69–$8,777.00	47% below	64%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE SIMPLE - 10060 - 51000255	$213.00	$596.00	$105.69–$8,777.00	47% below	64%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single	$213.00	$8,777.00	$105.69–$8,777.00	47% below	98%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE SIMPLE - 10060 - 45099100	$213.00	$596.00	$105.69–$8,777.00	47% below	64%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$3,818.00	$11,823.00	$567.57–$11,823.00	at median	68%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TNDN SHTH/LIGMNT/GANG CYST	$327.00	$478.00	$36.05–$3,603.00	14% below	32%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament	$327.00	$3,603.00	$36.05–$3,603.00	14% below	91%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 ARTHROCENTESIS LG JNT BILAT	$327.00	$2,131.00	$43.54–$4,119.00	—	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT ASPIRATION, COMPLEX	$327.00	$1,420.00	$43.54–$4,119.00	27% below	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT LARGE JT	$327.00	$1,420.00	$43.54–$4,119.00	27% below	77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTCEN AS&/INJ MJ JT BU W/O US	$327.00	$1,571.00	$43.54–$4,119.00	27% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us - 20610 - OR36020610	$327.00	$4,119.00	$43.54–$4,119.00	27% below	92%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MJR JT/BURS	$327.00	$1,420.00	$43.54–$4,119.00	27% below	77%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion drug dlvr implant	$141.00	$4,130.00	$60.74–$4,130.00	55% below	97%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT ASPIRATION, INTERMEDIAT	$327.00	$1,007.00	$34.48–$3,603.00	16% below	68%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MED JNT	$327.00	$1,007.00	$34.48–$3,603.00	16% below	68%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTMED JOINT BIL	$327.00	$592.00	$34.48–$3,603.00	16% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us - 20605 - OR36020605	$327.00	$3,603.00	$34.48–$3,603.00	16% below	91%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JNT	$327.00	$960.00	$33.81–$960.00	9% above	66%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 JOINT ASPIRATION, SIMPLE - 20600 - 36100380	$327.00	$960.00	$33.81–$960.00	9% above	66%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ SMALL JOINT BIL	$327.00	$960.00	$33.81–$960.00	9% above	66%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery - 29882 - OR36029882	$3,489.00	$17,915.00	$558.00–$17,915.00	18% below	81%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881	$3,489.00	$16,469.00	$559.90–$16,469.00	13% below	79%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880	$3,489.00	$16,243.00	$579.23–$16,243.00	9% below	79%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery - 29877 - OR36029877	$3,489.00	$19,215.00	$638.60–$19,215.00	18% below	82%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$6,446.00	$11,574.00	$646.85–$11,574.00	12% above	44%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty	$11,335.00	$23,455.00	$785.00–$23,455.00	37% above	52%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh uterus 250 g or less	$11,335.00	$25,496.00	$799.78–$25,496.00	15% below	56%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less	$11,335.00	$28,912.00	$915.18–$28,912.00	at median	61%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$6,446.00	$23,852.00	$472.06–$23,852.00	at median	73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$6,446.00	$25,258.00	$613.01–$25,258.00	at median	74%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Lap rmvl gastr adj all parts	$4,111.00	$12,254.00	$1,023.01–$12,254.00	45% below	66%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$6,446.00	$17,344.00	$647.62–$17,344.00	36% above	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr satext 2.5 cm<	$433.00	$4,380.50	$141.29–$4,380.50	27% below	90%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH/LV	$3,457.00	$14,232.00	$663.63–$14,232.00	53% below	76%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMNR LUMB/SAC W/GUID - 62323 - 36101165	$752.00	$2,106.00	$94.64–$3,734.00	48% below	64%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMNR LUMB/SAC W/GUID - 62323 - 76100555	$752.00	$2,106.00	$94.64–$3,734.00	48% below	64%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac - 62323 - OR36062323	$752.00	$3,734.00	$94.64–$3,734.00	48% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTERLMNR LMBR/SAC WO GUID - 62322 - 36101150	$943.00	$1,337.00	$78.88–$5,698.00	35% below	29%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac - 62322 - OR36062322	$943.00	$5,698.00	$78.88–$5,698.00	35% below	83%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTERLMNR LMBR/SAC WO GUID - 62322 - 76100540	$943.00	$1,337.00	$78.88–$5,698.00	35% below	29%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 NRV BLK TRNF EPI LUMB COMP BI - 64483 - 761000115	$943.00	$4,873.00	$105.22–$5,380.00	—	81%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 NRV BLK TRNF EPI LUMB COMP BI - 64483 - 76199100	$943.00	$4,451.00	$105.22–$5,380.00	—	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NRV BLK TRNF EPI LUMB COMPLETE - 64483 - 36001425	$943.00	$3,248.00	$105.22–$5,380.00	33% below	71%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1	$943.00	$5,380.00	$105.22–$5,380.00	33% below	82%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NRV BLD TRANF EPI LUMB	$943.00	$3,248.00	$105.22–$5,380.00	33% below	71%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NRV BLK TRNF EPI LUMB COMPLETE - 64483 - 76164483	$943.00	$4,451.00	$105.22–$5,380.00	33% below	79%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery	$7,737.00	$21,352.00	$1,010.14–$21,352.00	at median	64%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrd pst tq 1ntrspc lum	$28,934.00	$31,564.00	$1,733.21–$31,564.00	190% above	8%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec & foramot lumbar	$7,737.00	$23,821.00	$1,205.68–$23,821.00	4% below	68%
Lumbar spinal fusion (posterior), one level CPT 22612 LUMBAR SPINE FUSION	$18,697.00	$8,371.33	$1,498.47–$8,371.33	104% above	-123%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy	$4,175.00	$10,484.00	$558.00–$10,484.00	18% above	60%
Mastectomy (total removal of the breast) CPT 19303 Mast simple complete	$7,080.00	$16,115.00	$690.00–$16,115.00	50% above	56%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$3,451.00	$8,995.00	$395.04–$8,995.00	at median	62%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$755.00	$11,139.00	$80.70–$11,139.00	9% above	93%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm<	$755.00	$5,012.00	$102.56–$5,012.00	18% above	85%
Nail removal (partial or complete), one nail CPT 11730 REM. OF NAIL (FINGER/TOE) INIT	$213.00	$468.00	$51.39–$468.00	24% below	54%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$213.00	$468.00	$51.39–$468.00	24% below	54%
Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv	$327.00	$5,132.00	$51.95–$5,132.00	34% below	94%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLK GR OCCIPTL NERV	$327.00	$1,683.00	$51.95–$5,132.00	34% below	81%
Occipital nerve block (injection for headaches) CPT 64405 NRV BLK OCCIPITAL BIL	$327.00	$1,768.00	$51.95–$5,132.00	34% below	82%
Occipital nerve block (injection for headaches) CPT 64405 NRV BLK OCCIPITAL BILT	$327.00	$1,768.00	$51.95–$5,132.00	34% below	82%
Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial & vent	$11,145.00	$13,136.00	$511.20–$13,432.00	3% below	15%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INSERT DUAL	$11,145.00	$13,432.00	$511.20–$13,432.00	3% below	17%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGING GUIDANC	$967.00	$1,878.00	$99.28–$1,878.00	33% below	49%
Partial knee replacement (one compartment) CPT 27446 Revision of knee joint	$13,690.00	$20,997.00	$1,152.42–$20,997.00	55% above	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL & NAIL MATRIX	$433.00	$636.00	$99.19–$4,787.00	31% below	32%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$433.00	$4,787.00	$99.19–$4,787.00	31% below	91%
Prostate biopsy CPT 55700 BX, PROSTATE	$2,138.00	$2,096.00	$375.18–$7,006.00	14% below	-2%
Prostate biopsy CPT 55700 Biopsy of prostate	$2,138.00	$7,006.00	$375.18–$7,006.00	14% below	69%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps surg prst8ect rpbic rad	$11,335.00	$44,526.00	$1,166.86–$44,526.00	87% below	75%
Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 DESTROY PARAVRT NRV L/S SNG BI	$2,082.00	$4,470.00	$182.74–$9,989.00	—	53%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY PARAVERT NERV L/S SING	$2,082.00	$2,981.00	$182.74–$9,989.00	9% below	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt	$2,082.00	$9,989.00	$182.74–$9,989.00	9% below	79%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$4,175.00	$8,604.00	$451.06–$8,604.00	75% above	51%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REMOVAL, SIMPLE - 10120 - 45010110	$433.00	$279.00	$49.94–$8,715.00	7% below	-55%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REMOVAL, INTERMED	$433.00	$674.00	$49.94–$8,715.00	7% below	36%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY - SIMPLE	$433.00	$1,378.00	$49.94–$8,715.00	7% below	69%
Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl fb subq tiss smpl	$433.00	$8,715.00	$49.94–$8,715.00	7% below	95%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid	$6,446.00	$15,497.00	$488.00–$15,497.00	at median	58%
Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum	$3,535.00	$11,697.00	$650.37–$11,697.00	32% below	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone	$3,758.00	$14,170.00	$559.36–$14,170.00	41% below	73%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$141.00	$645.00	$44.10–$645.00	42% below	78%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$173.00	$789.00	$53.62–$789.00	31% below	78%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SMP S/N/AX/GEN/TRN 2.5CM/<	$213.00	$994.00	$49.21–$994.00	41% below	79%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$433.00	$568.00	$40.80–$568.00	12% above	24%
Skin tag removal, up to 15 tags CPT 11200 Rmvl skin tags up to&inc 15	$213.00	$3,463.33	$72.46–$3,463.33	16% below	94%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - 62270 - 33010280	$752.00	$1,865.00	$66.79–$1,865.00	16% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - 62270 - 45010220	$752.00	$1,865.00	$66.79–$1,865.00	16% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMB DIAG	$752.00	$1,865.00	$66.79–$1,865.00	16% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOS	$752.00	$1,865.00	$66.79–$1,865.00	16% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SMP S/N/AX/GEN/TRNK2.6-7.5	$213.00	$994.00	$64.23–$994.00	48% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SMP F/E/E/N/L/M 2.5 CM/<	$213.00	$994.00	$60.94–$6,552.00	47% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$213.00	$6,552.00	$60.94–$6,552.00	47% below	97%
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp)	$5,717.00	$15,034.00	$565.11–$15,034.00	at median	62%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$433.00	$568.00	$31.94–$568.00	44% above	24%
Thoracentesis with imaging guidance CPT 32555 THORACENT PUNCT PLEURAL	$668.00	$1,512.00	$100.39–$1,512.00	44% below	56%
Thoracentesis with imaging guidance CPT 32555 THORACENT W/INSERTION TUBE	$668.00	$1,512.00	$100.39–$1,512.00	44% below	56%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids - 42821 - OR36042821	$3,535.00	$10,203.00	$291.91–$10,203.00	11% below	65%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids - 42820 - OR36042820	$6,312.00	$9,749.00	$279.84–$9,749.00	at median	35%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils - 42826 - OR36042826	$3,535.00	$8,974.00	$247.42–$8,974.00	at median	61%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils - 42825 - OR36042825	$6,312.00	$10,024.00	$259.73–$10,024.00	63% above	37%
Total hip replacement CPT 27130 Total hip arthroplasty	$13,690.00	$24,264.00	$1,281.40–$24,264.00	22% above	44%
Total knee replacement CPT 27447 Total knee arthroplasty	$13,690.00	$25,399.00	$1,277.91–$25,399.00	79% above	46%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$18,697.00	$24,266.00	$1,429.48–$24,266.00	104% above	23%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid - 60240 - OR36060240	$6,446.00	$18,401.00	$917.68–$18,401.00	at median	65%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$1,714.00	$6,837.00	$307.75–$6,837.00	at median	75%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl	$327.00	$5,698.00	$38.02–$5,698.00	34% below	94%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNT 1-2 GROUPS	$327.00	$1,024.00	$38.02–$5,698.00	34% below	68%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BRE SPEC IN LES R	$1,761.00	$5,979.00	$140.57–$8,967.00	27% below	71%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BRE SPEC IN LES BIL	$1,761.00	$8,967.00	$140.57–$8,967.00	27% below	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BRE SPEC IN LES L	$1,761.00	$5,979.00	$140.57–$8,967.00	27% below	71%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy singlemultiple	$967.00	$8,323.42	$132.08–$8,323.42	55% below	88%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash	$967.00	$4,390.44	$118.15–$4,390.44	35% below	78%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy	$5,717.00	$12,790.00	$371.23–$12,790.00	at median	55%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$5,717.00	$14,527.00	$395.10–$14,527.00	at median	61%
Vein ablation, radiofrequency, first vein CPT 36475 RF ABLATION EXTR VEIN INITIAL	$3,367.00	$11,398.00	$278.32–$11,398.00	31% below	70%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14	$213.00	$7,406.00	$65.43–$7,406.00	8% below	97%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN TISS=<20SQ CM	$433.00	$2,955.00	$59.87–$7,994.00	35% below	85%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/<	$433.00	$7,994.00	$59.87–$7,994.00	35% below	95%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep	$7,737.00	$21,880.00	$756.80–$21,880.00	5% above	65%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 4 UNITS	$470.00	$2,361.00	$49.46–$2,361.00	50% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 3 UNITS	$470.00	$1,922.00	$49.46–$2,361.00	50% below	76%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMIN	$470.00	$1,587.00	$49.46–$2,361.00	50% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 2 UNITS	$470.00	$1,747.00	$49.46–$2,361.00	50% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 1 UNIT	$470.00	$1,587.00	$49.46–$2,361.00	50% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS NEBULIZER INITIAL	$233.00	$395.00	$9.17–$395.00	24% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE SUBSEQUENT	$233.00	$395.00	$9.17–$395.00	24% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL	$233.00	$395.00	$9.17–$395.00	24% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TX SUBSEQUENT SAME DAY	$233.00	$395.00	$9.17–$395.00	24% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED/NON PRESSURIZED	$233.00	$395.00	$9.17–$395.00	24% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE TREATMENT INITIAL	$233.00	$395.00	$9.17–$395.00	24% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL	$233.00	$395.00	$9.17–$395.00	24% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT	$233.00	$395.00	$9.17–$395.00	24% above	41%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HOUR	$352.00	$2,014.00	$138.42–$2,014.00	44% below	83%
Critical care, first 30 to 74 minutes CPT 99291 OB ED LEVEL 6	$880.00	$6,617.00	$212.88–$6,617.00	54% below	87%
Critical care, first 30 to 74 minutes CPT 99291 ED LEVEL 6	$880.00	$6,617.00	$212.88–$6,617.00	54% below	87%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY	$230.00	$1,538.00	$218.74–$1,538.00	72% below	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM EXP	$62.00	$603.00	$7.45–$603.00	73% below	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG EMERGENCY DEPT	$62.00	$603.00	$7.45–$603.00	73% below	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ED LEVEL 1	$89.00	$629.00	$11.90–$629.00	57% below	86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1	$89.00	$629.00	$11.90–$629.00	57% below	86%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MCD/MGMC ED LEVEL 2	$163.00	$1,021.00	$43.62–$1,021.00	58% below	84%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2	$163.00	$1,021.00	$43.62–$1,021.00	58% below	84%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ED LEVEL 2	$163.00	$1,021.00	$43.62–$1,021.00	58% below	84%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ED LEVEL 3	$291.00	$1,834.00	$75.26–$1,834.00	58% below	84%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3	$291.00	$1,834.00	$75.26–$1,834.00	58% below	84%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MCD/MGMC ED LEVEL 3	$291.00	$1,834.00	$75.26–$1,834.00	58% below	84%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ED LEVEL 4	$444.00	$3,475.00	$128.31–$3,475.00	61% below	87%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4	$444.00	$3,475.00	$128.31–$3,475.00	61% below	87%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5	$635.00	$5,129.00	$185.25–$5,129.00	62% below	88%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ED LEVEL 5	$635.00	$5,129.00	$185.25–$5,129.00	62% below	88%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$230.00	$2,918.00	$40.63–$2,918.00	76% below	92%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS MYOVIEW	$230.00	$2,918.00	$40.63–$2,918.00	76% below	92%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST W/PHARMACOLOGY	$230.00	$2,918.00	$40.63–$2,918.00	76% below	92%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PT EA 50 MIN	$189.00	$365.00	$65.34–$365.00	5% above	48%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PT EA 50MIN	$189.00	$315.00	$56.39–$315.00	at median	40%
Group psychotherapy session CPT 90853 PHP LESS INTENSIVE	$108.00	$448.00	$24.84–$900.00	12% below	76%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$108.00	$212.00	$24.84–$900.00	12% below	49%
Group psychotherapy session CPT 90853 GROUP THERAPY 20-30 MINUTES	$108.00	$212.00	$24.84–$900.00	12% below	49%
Group psychotherapy session CPT 90853 WHOLE DAY ADOL PHP	$108.00	$900.00	$24.84–$900.00	12% below	88%
Group psychotherapy session CPT 90853 RECREATION THERAPY GROUP	$108.00	$212.00	$24.84–$900.00	12% below	49%
Group psychotherapy session CPT 90853 GROUP THERAPY 45-50 MINUTES	$108.00	$212.00	$24.84–$900.00	12% below	49%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INITIAL 1HR	$226.00	$1,053.00	$34.44–$1,439.00	35% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HOUR	$226.00	$1,439.00	$34.44–$1,439.00	35% below	84%
IV infusion of a medicine, first hour CPT 96365 INF IV THER/PROP/DIAG INITIAL	$226.00	$1,507.00	$69.80–$1,507.00	46% below	85%
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPEUTIC INITIAL 1HR	$226.00	$1,053.00	$69.80–$1,507.00	46% below	79%
IV push of a medicine, first drug CPT 96374 IV PUSH INITL SUBSTANCE<15 MIN	$226.00	$630.00	$39.14–$1,053.00	5% above	64%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL SUBS <15 MINS	$226.00	$1,053.00	$39.14–$1,053.00	5% above	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM/SQ	$76.00	$336.00	$15.91–$336.00	30% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM	$76.00	$336.00	$15.91–$336.00	30% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SUBC OR IM	$76.00	$336.00	$15.91–$336.00	30% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUB Q/IM	$76.00	$336.00	$15.91–$336.00	30% below	77%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$189.00	$381.00	$68.20–$381.00	25% below	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8	$397.00	$3,132.00	$80.86–$3,132.00	45% below	87%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE ED/EA 15 - 97112 - 42000235	$33.00	$318.00	$31.26–$318.00	73% below	90%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE ED/EA 15 - 97112 - 43000235	$33.00	$318.00	$31.26–$318.00	73% below	90%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THER; IND INITIAL15M	$26.00	$189.00	$25.64–$189.00	52% below	86%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$102.00	$718.00	$97.35–$718.00	60% below	86%
Occupational therapy evaluation, low complexity CPT 97165 IFSP LOW COMPLEXITY - OT	$102.00	$718.00	$97.35–$718.00	60% below	86%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IFSP HIGH COMPLEXITY - PT	$99.00	$802.00	$94.76–$802.00	71% below	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY	$99.00	$802.00	$94.76–$802.00	71% below	88%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY	$99.00	$661.00	$94.74–$661.00	56% below	85%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IFSP LOW COMPLEXITY - PT	$99.00	$661.00	$94.74–$661.00	56% below	85%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY	$99.00	$728.00	$94.75–$728.00	68% below	86%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IFSP MODERATE COMPLEXITY - PT	$99.00	$728.00	$94.75–$728.00	68% below	86%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/EA 15 - 97140 - 43000180	$28.00	$306.00	$27.01–$306.00	80% below	91%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/EA 15 - 97140 - 42000180	$28.00	$306.00	$27.01–$306.00	80% below	91%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/EA 15 - 97110 - 42000330	$29.00	$305.00	$28.30–$305.00	76% below	90%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/EA 15 - 97110 - 43000330	$29.00	$305.00	$28.30–$305.00	76% below	90%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PHASE 1 ROM EACH 15 MINUTES	$29.00	—	$28.30–$305.00	76% below	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$189.00	$766.00	$131.45–$766.00	21% below	75%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS INTERMED >3M<10M	$39.00	$110.00	$11.31–$110.00	15% above	65%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$230.00	$531.00	$95.05–$531.00	41% below	57%
Speech therapy session, individual CPT 92507 LANGUAGE THERAPY	$77.00	$789.00	$73.71–$789.00	59% below	90%
Speech therapy session, individual CPT 92507 SPEECH LANGUAGE TREATMENT I	$77.00	$789.00	$73.71–$789.00	59% below	90%
Speech therapy session, individual CPT 92507 VOICE COMMUNICATION THERAPY	$77.00	$789.00	$73.71–$789.00	59% below	90%
Spirometry (breathing test) CPT 94010 SPIROMETRY, SCREENING	$230.00	$325.00	$22.20–$325.00	25% below	29%
Spirometry (breathing test) CPT 94010 PEAK FLOW	$230.00	$325.00	$22.20–$325.00	25% below	29%
Spirometry (breathing test) CPT 94010 BEDSIDE PULMONARY PARAMETERS	$230.00	$325.00	$22.20–$325.00	25% below	29%
Spirometry before and after a bronchodilator CPT 94060 PRE/POST SPIROMETRY	$397.00	$1,282.00	$34.21–$1,282.00	24% below	69%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES / 15 MI	$35.00	$311.00	$34.17–$311.00	73% below	89%
Therapeutic activities (functional training), 15 minutes CPT 97530 PHASE 1 DYNAMIC EACH 15 MIN	$35.00	—	$34.17–$311.00	73% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/EA 15	$35.00	$311.00	$34.17–$311.00	73% below	89%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$141.00	$485.00	$65.14–$485.00	32% below	71%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$76.00	$86.00	$15.39–$86.00	32% above	12%

Source file: https://saintjosephmedicalcenter.com/wp-content/uploads/2026/09/0006497_SaintJosephMedicalCenter_standardcharges.json