Hospital Riverside-San Bernardino-Ontario, CA

Victor Valley Global Medical Center

Victor Valley Global Medical Center in Victorville, CA publishes cash prices for 303 common procedures listed here, from its own machine-readable price file updated May 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 194 of 298 procedures and above it for 103. By typical cash price it ranks #87 of 213 California hospitals and #13 of 24 hospitals in the Riverside, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

15248 11TH St, Victorville, CA 92395 Collected Sep 29, 2026 Source price file (760) 245-8691

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 050517 · CMS hospital register

The price file shows no self-pay discount

For 1314 of the 1314 prices listed here, the cash price in Victor Valley Global Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

CMS price transparency record

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

Feb 24, 2023 Warning notice
Jun 5, 2023 Corrective action plan requested
Sep 25, 2023 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W W/O CONTRAST	$3,589.00	$3,589.00	$129.25–$3,589.00	27% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W W/O CONTRAST	$3,589.00	$3,589.00	$1,884.22–$3,589.00	—	—
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VW	$773.00	$773.00	$30.06–$773.00	79% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VW	$773.00	$773.00	$405.83–$773.00	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE MIN 3 VWS LT	$551.00	$551.00	$29.67–$551.00	2% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ORDS-ANKLE COMPLETE MIN 3 VWS LT	$551.00	$551.00	$29.67–$551.00	2% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ORDS-ANKLE COMPLETE MIN 3 VWS RT	$551.00	$551.00	$29.67–$551.00	2% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE MIN 3 VWS RT	$551.00	$551.00	$29.67–$551.00	2% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE MIN 3 VWS LT	$551.00	$551.00	$289.28–$551.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ORDS-ANKLE COMPLETE MIN 3 VWS RT	$551.00	$551.00	$289.28–$551.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE MIN 3 VWS RT	$551.00	$551.00	$289.28–$551.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ORDS-ANKLE COMPLETE MIN 3 VWS LT	$551.00	$551.00	$289.28–$551.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INVAS UP/LW EXT ART 1LV BIL	$1,736.00	$1,736.00	$61.48–$1,736.00	211% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INVAS UP/LW EXT ART 1LV BIL	$1,736.00	$1,736.00	$911.40–$1,736.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O CONT	$2,779.00	$2,779.00	$79.50–$2,779.00	22% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O CONT	$2,779.00	$2,779.00	$1,458.98–$2,779.00	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$920.00	$920.00	$44.95–$920.00	53% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$920.00	$920.00	$483.00–$920.00	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$1,416.00	$1,416.00	$166.42–$1,451.00	33% below	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM INDIUM WBC SCAN WHOLE BODY	$1,977.00	$1,977.00	$166.42–$1,977.00	7% below	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE JOINT IMAGE WHOLE BODY	$2,028.00	$2,028.00	$166.42–$2,028.00	4% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY	$1,416.00	$1,416.00	$743.40–$1,416.00	—	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM INDIUM WBC SCAN WHOLE BODY	$1,977.00	$1,977.00	$1,037.92–$1,977.00	—	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE JOINT IMAGE WHOLE BODY	$2,028.00	$2,028.00	$1,064.70–$2,028.00	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST W/IMAGE COMPLETE UNILATERAL	$640.00	$640.00	$79.50–$640.00	11% below	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST W/IMAGE COMPLETE UNILATERAL	$640.00	$640.00	$336.00–$640.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST W/IMAGE LIMITED UNILATERAL	$450.00	$450.00	$56.61–$450.00	17% below	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST W/IMAGE LIMITED UNILATERAL	$450.00	$450.00	$236.25–$450.00	—	—
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD W/CONTRAST	$3,526.00	$3,526.00	$129.25–$3,526.00	14% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD W/CONTRAST	$3,526.00	$3,526.00	$1,851.15–$3,526.00	—	—
CT angiography (CTA) of the neck CPT 70498 ANGIO NECK W/CONT INCLUDES NON CONT MAT	$3,133.00	$3,133.00	$129.25–$3,133.00	6% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 ANGIO NECK W/CONT INCLUDES NON CONT MAT	$3,133.00	$3,133.00	$1,644.82–$3,133.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST	$3,755.00	$3,755.00	$129.25–$3,755.00	11% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST	$3,755.00	$3,755.00	$1,971.38–$3,755.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL AND THORAX W/O CONTRAST	$801.00	$801.00	$165.30–$1,572.00	74% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$2,026.00	$2,026.00	$165.30–$2,026.00	33% below	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL AND THORAX W/O CONTRAST	$801.00	$801.00	$420.52–$801.00	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$2,026.00	$2,026.00	$1,063.65–$2,026.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL AND THORAX W CONTRAST	$1,340.00	$1,340.00	$270.85–$1,572.00	67% below	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST	$3,039.00	$3,039.00	$270.85–$3,039.00	26% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL AND THORAX W CONTRAST	$1,340.00	$1,340.00	$703.50–$1,340.00	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST	$3,039.00	$3,039.00	$1,595.48–$3,039.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL AND THORAX W/WO CONTRAST	$1,340.00	$1,340.00	$270.85–$1,572.00	70% below	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS WO/W CONTRST	$3,328.00	$3,328.00	$270.85–$3,328.00	26% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL AND THORAX W/WO CONTRAST	$1,340.00	$1,340.00	$703.50–$1,340.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS WO/W CONTRST	$3,328.00	$3,328.00	$1,747.20–$3,328.00	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$3,446.00	$3,446.00	$129.25–$3,446.00	37% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$3,446.00	$3,446.00	$1,809.15–$3,446.00	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$3,158.00	$3,158.00	$79.50–$3,158.00	65% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$3,158.00	$3,158.00	$1,657.95–$3,158.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$2,228.00	$2,228.00	$79.50–$2,228.00	2% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$2,228.00	$2,228.00	$1,169.70–$2,228.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST MATERIAL	$2,348.00	$2,348.00	$79.50–$2,348.00	3% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST MATERIAL	$2,348.00	$2,348.00	$1,232.70–$2,348.00	—	—
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST MATERIAL	$3,886.00	$3,886.00	$129.25–$3,886.00	44% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST MATERIAL	$3,886.00	$3,886.00	$2,040.15–$3,886.00	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD W W/O CONTRAST	$4,052.00	$4,052.00	$129.25–$4,052.00	33% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W W/O CONTRAST	$4,052.00	$4,052.00	$2,127.30–$4,052.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$3,078.00	$3,078.00	$79.50–$3,078.00	8% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$3,078.00	$3,078.00	$1,615.95–$3,078.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$3,078.00	$3,078.00	$79.50–$3,078.00	6% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$3,078.00	$3,078.00	$1,615.95–$3,078.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$3,354.00	$3,354.00	$129.25–$3,354.00	32% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$3,354.00	$3,354.00	$1,760.85–$3,354.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTRA CRANIAL BILAT	$1,842.00	$1,842.00	$165.30–$1,842.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX EXTRA CRANIAL BILAT	$1,842.00	$1,842.00	$967.05–$1,842.00	—	—
Chest CT scan without and with contrast CPT 71270 US THORAX W W/O CONTRAST	$3,618.00	$3,618.00	$129.25–$3,618.00	17% above	—
Chest CT scan without and with contrast inpatient CPT 71270 US THORAX W W/O CONTRAST	$3,618.00	$3,618.00	$1,899.45–$3,618.00	—	—
Chest X-ray, 2 views CPT 71046 ODRS-CHEST TWO VIEWS	$328.00	$328.00	$27.47–$360.00	20% below	—
Chest X-ray, 2 views CPT 71046 CHEST TWO VIEWS	$328.00	$328.00	$27.47–$360.00	20% below	—
Chest X-ray, 2 views inpatient CPT 71046 ODRS-CHEST TWO VIEWS	$328.00	$328.00	$172.20–$328.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST TWO VIEWS	$328.00	$328.00	$172.20–$328.00	—	—
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$311.00	$311.00	$17.65–$360.00	15% below	—
Chest X-ray, single view CPT 71045 ODRS-CHEST SINGEL VIEW	$311.00	$311.00	$17.65–$360.00	15% below	—
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW	$311.00	$311.00	$163.28–$311.00	—	—
Chest X-ray, single view inpatient CPT 71045 ODRS-CHEST SINGEL VIEW	$311.00	$311.00	$163.28–$311.00	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE-LEFT	$357.00	$357.00	$24.52–$360.00	26% below	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE-RT	$357.00	$357.00	$24.52–$360.00	26% below	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE-LEFT	$357.00	$357.00	$187.42–$357.00	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE-RT	$357.00	$357.00	$187.42–$357.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETRO. RENAL AORTA NODES	$1,015.00	$1,015.00	$79.50–$1,015.00	19% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETRO. RENAL AORTA NODES	$1,015.00	$1,015.00	$532.88–$1,015.00	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 ORDS-DEXA AXIAL SCAN	$533.00	$533.00	$34.27–$533.00	6% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 ORDS-DEXA AXIAL SCAN	$533.00	$533.00	$279.82–$533.00	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 ORDS-DEXA(APPENDICULAR)WRIST	$292.00	$292.00	$25.10–$360.00	6% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 ORDS-DEXA(APPENDICULAR)WRIST	$292.00	$292.00	$153.30–$292.00	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED/COMP EVAL SGL FETUS	$781.00	$781.00	$158.68–$781.00	13% below	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED/COMP EVAL SGL FETUS	$781.00	$781.00	$410.02–$781.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$2,656.00	$2,656.00	$79.50–$2,656.00	32% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$2,656.00	$2,656.00	$1,394.40–$2,656.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST	$3,042.00	$3,042.00	$129.25–$3,042.00	5% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CONTRAST	$3,042.00	$3,042.00	$1,597.05–$3,042.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY BILATERAL	$298.00	$298.00	$71.52–$298.00	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAPHY BILATERAL	$298.00	$298.00	$156.45–$298.00	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILATERAL	$190.00	$190.00	$45.60–$190.00	49% below	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY UNILATERAL	$190.00	$190.00	$99.75–$190.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUP SCAN LX EXT ART/GRAF BI	$1,381.00	$1,381.00	$114.31–$1,381.00	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUP SCAN LX EXT ART/GRAF BI	$1,381.00	$1,381.00	$725.02–$1,381.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEIN BILATERAL	$1,466.00	$1,466.00	$165.30–$1,466.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEIN BILATERAL	$1,466.00	$1,466.00	$769.65–$1,466.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TRANSTHORACIC REALTIME 2D COMPLETE	$2,413.00	$2,413.00	$239.76–$2,413.00	10% below	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TRANSTHORACIC REALTIME 2D COMPLETE	$2,413.00	$2,413.00	$1,266.82–$2,413.00	—	—
Elbow X-ray, 2 views one side CPT 73070 ORDS ELBOW 2 VIEWS RT	$328.00	$328.00	$24.52–$360.00	17% below	—
Elbow X-ray, 2 views one side CPT 73070 ORDS ELBOW 2 VIEWS LT	$328.00	$328.00	$24.52–$360.00	17% below	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW LIMITED 2 VIEWS LEFT	$328.00	$328.00	$24.52–$360.00	17% below	—
Elbow X-ray, 2 views one side CPT 73070 ELBOW LIMITED 2 VIEWS RIGHT	$328.00	$328.00	$24.52–$360.00	17% below	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ORDS ELBOW 2 VIEWS RT	$328.00	$328.00	$172.20–$328.00	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ORDS ELBOW 2 VIEWS LT	$328.00	$328.00	$172.20–$328.00	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LIMITED 2 VIEWS LEFT	$328.00	$328.00	$172.20–$328.00	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LIMITED 2 VIEWS RIGHT	$328.00	$328.00	$172.20–$328.00	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ORDS ELBOW COMPL 3 V LT	$375.00	$375.00	$30.66–$375.00	22% below	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ORDS ELBOW COMPL 3 V RT	$375.00	$375.00	$30.66–$375.00	22% below	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPL 3 V LT	$375.00	$375.00	$30.66–$375.00	22% below	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPL 3 V RT	$375.00	$375.00	$30.66–$375.00	22% below	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMPL 3 V RT	$375.00	$375.00	$196.88–$375.00	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMPL 3 V LT	$375.00	$375.00	$196.88–$375.00	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ORDS ELBOW COMPL 3 V RT	$375.00	$375.00	$196.88–$375.00	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ORDS ELBOW COMPL 3 V LT	$375.00	$375.00	$196.88–$375.00	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB SELLA POST FOSSA W/OCON	$1,985.00	$1,985.00	$79.50–$1,985.00	13% below	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB SELLA POST FOSSA W/OCON	$1,985.00	$1,985.00	$1,042.12–$1,985.00	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3 VWS	$604.00	$604.00	$43.99–$604.00	22% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3 VWS	$604.00	$604.00	$317.10–$604.00	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEW RT	$331.00	$331.00	$24.52–$360.00	17% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEW LT	$331.00	$331.00	$24.52–$360.00	17% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 ORDS-FOREARM RT	$331.00	$331.00	$24.52–$360.00	17% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 ORDS-FOREARM LT	$331.00	$331.00	$24.52–$360.00	17% below	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEW LT	$331.00	$331.00	$173.78–$331.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEW RT	$331.00	$331.00	$173.78–$331.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 ORDS-FOREARM LT	$331.00	$331.00	$173.78–$331.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 ORDS-FOREARM RT	$331.00	$331.00	$173.78–$331.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY IMAGING	$1,154.00	$1,154.00	$261.12–$1,451.00	37% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM P HIDA BILIARY TRACT IMAGIN	$1,416.00	$1,416.00	$261.12–$1,451.00	23% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY IMAGING	$1,154.00	$1,154.00	$605.85–$1,154.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM P HIDA BILIARY TRACT IMAGIN	$1,416.00	$1,416.00	$743.40–$1,416.00	—	—
Hand X-ray, 2 views one side CPT 73120 ORDS-HAND LIMITED 2 VIEWS RT	$307.00	$307.00	$20.41–$360.00	25% below	—
Hand X-ray, 2 views one side CPT 73120 ORDS-HAND LIMITED 2 VIEWS LT	$307.00	$307.00	$20.41–$360.00	25% below	—
Hand X-ray, 2 views one side CPT 73120 HAND LIMITED 2 VWS LEFT	$307.00	$307.00	$20.41–$360.00	25% below	—
Hand X-ray, 2 views one side CPT 73120 HAND LIMITED 2 VWS RIGHT	$307.00	$307.00	$20.41–$360.00	25% below	—
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LIMITED 2 VWS LEFT	$307.00	$307.00	$161.18–$307.00	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LIMITED 2 VWS RIGHT	$307.00	$307.00	$161.18–$307.00	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 ORDS-HAND LIMITED 2 VIEWS LT	$307.00	$307.00	$161.18–$307.00	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 ORDS-HAND LIMITED 2 VIEWS RT	$307.00	$307.00	$161.18–$307.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCANEOUS (HEEL) 2 VIEWS RIGHT	$313.00	$313.00	$22.44–$360.00	11% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 ORDS-OS CALCIS HEEL RT	$313.00	$313.00	$22.44–$360.00	11% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCANEOUS (HEEL) 2 VIEWS LEFT	$313.00	$313.00	$22.44–$360.00	11% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 ORDS-CALCIS HEEL LEFT	$313.00	$313.00	$22.44–$360.00	11% below	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCANEOUS (HEEL) 2 VIEWS RIGHT	$313.00	$313.00	$164.32–$313.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCANEOUS (HEEL) 2 VIEWS LEFT	$313.00	$313.00	$164.32–$313.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 ORDS-OS CALCIS HEEL RT	$313.00	$313.00	$164.32–$313.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 ORDS-CALCIS HEEL LEFT	$313.00	$313.00	$164.32–$313.00	—	—
Knee X-ray, 3 views one side CPT 73562 ORDS-KNEE COMPLETE 3 VIEWS LT	$463.00	$463.00	$27.59–$463.00	1% above	—
Knee X-ray, 3 views one side CPT 73562 ORDS-KNEE COMPLETE 3 VIEWS RT	$463.00	$463.00	$27.59–$463.00	1% above	—
Knee X-ray, 3 views one side CPT 73562 KNEE COMPLETE 3 VIEWS LEFT	$463.00	$463.00	$27.59–$463.00	1% above	—
Knee X-ray, 3 views one side CPT 73562 KNEE COMPLETE 3 VIEWS RIGHT	$463.00	$463.00	$27.59–$463.00	1% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 ORDS-KNEE COMPLETE 3 VIEWS LT	$463.00	$463.00	$243.08–$463.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 ORDS-KNEE COMPLETE 3 VIEWS RT	$463.00	$463.00	$243.08–$463.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE COMPLETE 3 VIEWS LEFT	$463.00	$463.00	$243.08–$463.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE COMPLETE 3 VIEWS RIGHT	$463.00	$463.00	$243.08–$463.00	—	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMP 4 VW MIN	$389.00	$389.00	$32.69–$389.00	34% below	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMP 4 VW MIN	$389.00	$389.00	$204.23–$389.00	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT W/O CONTRAST	$2,835.00	$2,835.00	$79.50–$2,835.00	33% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT W/O CONTRAST	$2,835.00	$2,835.00	$1,488.38–$2,835.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$802.00	$802.00	$71.67–$802.00	3% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED	$802.00	$802.00	$421.05–$802.00	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VAS REAL TIME LIMITED	$405.00	$405.00	$22.75–$405.00	20% below	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NON-VAS REAL TIME LIMITED	$405.00	$405.00	$212.62–$405.00	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 ORDS-TIBIA/FIBULA W/ONE JOINT RT	$511.00	$511.00	$24.52–$511.00	18% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA W/ONE JNT 2 VWS RT	$511.00	$511.00	$24.52–$511.00	18% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA W/ONE JNT 2 VWS LT	$511.00	$511.00	$24.52–$511.00	18% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 ORDS-TIBIA/FIBULA W/ONE JOINT LT	$511.00	$511.00	$24.52–$511.00	18% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA W/ONE JNT 2 VWS RT	$511.00	$511.00	$268.28–$511.00	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 ORDS-TIBIA/FIBULA W/ONE JOINT RT	$511.00	$511.00	$268.28–$511.00	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 ORDS-TIBIA/FIBULA W/ONE JOINT LT	$511.00	$511.00	$268.28–$511.00	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA W/ONE JNT 2 VWS LT	$511.00	$511.00	$268.28–$511.00	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD W/O CONTRAST	$4,107.00	$4,107.00	$165.30–$4,107.00	40% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD W/O CONTRAST	$4,107.00	$4,107.00	$2,156.18–$4,107.00	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI-ANY JNT LWR EXT W/O CONTR	$2,445.00	$2,445.00	$165.30–$2,445.00	25% below	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI-ANY JNT LWR EXT W/O CONTR	$2,445.00	$2,445.00	$1,283.62–$2,445.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI-JOINT LWR EXTR W/O W/DYE	$5,647.00	$5,647.00	$270.85–$5,647.00	21% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-JOINT LWR EXTR W/O W/DYE	$5,647.00	$5,647.00	$2,964.68–$5,647.00	—	—
MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN 3 W/O CONTRAST	$3,295.00	$3,295.00	$165.30–$3,295.00	19% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN 3 W/O CONTRAST	$3,295.00	$3,295.00	$1,729.88–$3,295.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-MRI ABDOMEN W/O W/DYE	$3,619.00	$3,619.00	$270.85–$3,619.00	17% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-MRI ABDOMEN W/O W/DYE	$3,619.00	$3,619.00	$1,899.98–$3,619.00	—	—
MRI of the brain, no contrast dye CPT 70551 MRI-MRI BRAIN W/O DYE	$3,471.00	$3,471.00	$165.30–$3,471.00	18% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-MRI BRAIN W/O DYE	$3,471.00	$3,471.00	$1,822.28–$3,471.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/O W/ DYE	$5,904.00	$5,904.00	$270.85–$5,904.00	35% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN W/O W/ DYE	$5,904.00	$5,904.00	$3,099.60–$5,904.00	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI-LUMBAR SPINE W/O DYE	$3,563.00	$3,563.00	$165.30–$3,563.00	15% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-LUMBAR SPINE W/O DYE	$3,563.00	$3,563.00	$1,870.58–$3,563.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LUMBAR SPINE W/O W/ DYE	$6,830.00	$6,830.00	$270.85–$6,830.00	50% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-LUMBAR SPINE W/O W/ DYE	$6,830.00	$6,830.00	$3,585.75–$6,830.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-CHEST SPINE W/O DYE	$3,481.00	$3,481.00	$165.30–$3,481.00	15% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-CHEST SPINE W/O DYE	$3,481.00	$3,481.00	$1,827.52–$3,481.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O W/DYE	$6,367.00	$6,367.00	$270.85–$6,367.00	44% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE W/O W/DYE	$6,367.00	$6,367.00	$3,342.68–$6,367.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-MRI NECK SPINE W/O DYE	$3,621.00	$3,621.00	$165.30–$3,621.00	18% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-MRI NECK SPINE W/O DYE	$3,621.00	$3,621.00	$1,901.02–$3,621.00	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W/ W/O DYE	$4,341.00	$4,341.00	$270.85–$4,341.00	2% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS W/ W/O DYE	$4,341.00	$4,341.00	$2,279.02–$4,341.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONTRAST	$3,827.00	$3,827.00	$165.30–$3,827.00	49% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS W/O CONTRAST	$3,827.00	$3,827.00	$2,009.18–$3,827.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI-ANY JNT UPPR EXTR WO CONTR	$2,687.00	$2,687.00	$165.30–$2,687.00	at median	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI-ANY JNT UPPR EXTR WO CONTR	$2,687.00	$2,687.00	$1,410.68–$2,687.00	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 OR 5 VIEWS	$584.00	$584.00	$47.20–$584.00	5% below	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4 OR 5 VIEWS	$584.00	$584.00	$306.60–$584.00	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONTRAST	$3,363.00	$3,363.00	$129.25–$3,363.00	30% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CONTRAST	$3,363.00	$3,363.00	$1,765.58–$3,363.00	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONT	$2,498.00	$2,498.00	$79.50–$2,498.00	22% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONT	$2,498.00	$2,498.00	$1,311.45–$2,498.00	—	—
Neck soft tissue X-ray CPT 70360 ORDS-NECK/SOFT TISSUE	$317.00	$317.00	$20.41–$360.00	1% below	—
Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUE	$317.00	$317.00	$20.41–$360.00	1% below	—
Neck soft tissue X-ray inpatient CPT 70360 ORDS-NECK/SOFT TISSUE	$317.00	$317.00	$166.42–$317.00	—	—
Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUE	$317.00	$317.00	$166.42–$317.00	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCARDIAL PERF SPECT MULT	$3,843.00	$3,843.00	$348.12–$3,843.00	5% below	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF SPECT MULT	$4,872.00	$4,872.00	$348.12–$4,872.00	21% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCARDIAL PERF SPECT MULT	$3,843.00	$3,843.00	$2,017.58–$3,843.00	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF SPECT MULT	$4,872.00	$4,872.00	$2,557.80–$4,872.00	—	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$2,730.00	$2,730.00	$79.50–$2,730.00	39% above	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$2,730.00	$2,730.00	$1,433.25–$2,730.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED NON-OB	$286.00	$286.00	$49.76–$398.00	50% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED NON-OB	$286.00	$286.00	$150.15–$286.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE NON-OB	$1,050.00	$1,050.00	$79.50–$1,050.00	12% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMPLETE NON-OB	$1,050.00	$1,050.00	$551.25–$1,050.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14 WEEKS SINGLE	$998.00	$998.00	$79.50–$998.00	11% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14 WEEKS SINGLE	$998.00	$998.00	$523.95–$998.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WEEKS SGL	$756.00	$756.00	$78.42–$756.00	8% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 WEEKS SGL	$756.00	$756.00	$396.90–$756.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED FETUS(S)	$357.00	$357.00	$74.28–$398.00	41% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED FETUS(S)	$357.00	$357.00	$187.42–$357.00	—	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2 VIEWS	$465.00	$465.00	$32.05–$465.00	at median	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2 VIEWS	$465.00	$465.00	$244.12–$465.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS PA CHEST 3 VWS UNI	$596.00	$596.00	$38.14–$596.00	3% below	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILAT W/CHEST MIN 3 VWS	$596.00	$596.00	$38.14–$596.00	3% below	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS PA CHEST 3 VWS UNI	$596.00	$596.00	$312.90–$596.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILAT W/CHEST MIN 3 VWS	$596.00	$596.00	$312.90–$596.00	—	—
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO BILATERAL	$171.00	$171.00	$41.04–$193.90	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMO BILATERAL	$171.00	$171.00	$89.78–$171.00	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 ORDS-SHOULDER COMP MIN 2 VWS LT	$472.00	$472.00	$30.51–$472.00	16% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMPLETE-LEFT	$472.00	$472.00	$30.51–$472.00	16% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMPLETE-RIGHT	$472.00	$472.00	$30.51–$472.00	16% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 ORDS-SHOULDER COMP MIN 2 VWS RT	$472.00	$472.00	$30.51–$472.00	16% below	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMPLETE-RIGHT	$472.00	$472.00	$247.80–$472.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMPLETE-LEFT	$472.00	$472.00	$247.80–$472.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 ORDS-SHOULDER COMP MIN 2 VWS RT	$472.00	$472.00	$247.80–$472.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 ORDS-SHOULDER COMP MIN 2 VWS LT	$472.00	$472.00	$247.80–$472.00	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 PARANASAL SINUSES COMP MIN 3 VWS	$668.00	$668.00	$39.35–$668.00	46% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 PARANASAL SINUSES COMP MIN 3 VWS	$668.00	$668.00	$350.70–$668.00	—	—
Skull X-ray, fewer than 4 views CPT 70250 SKULL LIMITED < 4 VWS	$426.00	$426.00	$30.66–$426.00	at median	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LIMITED < 4 VWS	$426.00	$426.00	$223.65–$426.00	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 DYSPHAGIA/SWALLOWING FUNCTION STUDY	$590.00	$590.00	$61.25–$590.00	11% below	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 DYSPHAGIA/SWALLOWING FUNCTION STUDY	$590.00	$590.00	$309.75–$590.00	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR (THIGH) 2 views	$385.00	$385.00	$29.15–$385.00	1% below	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VWS BIL	$463.00	$463.00	$29.15–$463.00	19% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 ORDS-FEMUR ONE JNT 2 VIEWS LT	$385.00	$385.00	$29.15–$385.00	1% below	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR THIGH W/ONE JNT LEFT MIN 2 VIEWS	$385.00	$385.00	$29.15–$385.00	1% below	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 ORDS-FEMUR ONE JNT 2 VIEWS RT	$385.00	$385.00	$29.15–$385.00	1% below	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR (THIGH) 2 views	$385.00	$385.00	$202.12–$385.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VWS BIL	$463.00	$463.00	$243.08–$463.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR THIGH W/ONE JNT LEFT MIN 2 VIEWS	$385.00	$385.00	$202.12–$385.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 ORDS-FEMUR ONE JNT 2 VIEWS LT	$385.00	$385.00	$202.12–$385.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 ORDS-FEMUR ONE JNT 2 VIEWS RT	$385.00	$385.00	$202.12–$385.00	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST	$2,737.00	$2,737.00	$79.50–$2,737.00	3% below	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST	$2,737.00	$2,737.00	$1,436.92–$2,737.00	—	—
Toe X-ray, 2 or more views one side CPT 73660 ORDS-TOES LEFT	$372.00	$372.00	$18.40–$372.00	13% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) 2 VIEWS RIGHT	$372.00	$372.00	$18.40–$372.00	13% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) 2 VIEWS LEFT	$372.00	$372.00	$18.40–$372.00	13% above	—
Toe X-ray, 2 or more views one side CPT 73660 ORDS-TOES RIGHT	$372.00	$372.00	$18.40–$372.00	13% above	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2 VIEWS LEFT	$372.00	$372.00	$195.30–$372.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 ORDS-TOES LEFT	$372.00	$372.00	$195.30–$372.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 ORDS-TOES RIGHT	$372.00	$372.00	$195.30–$372.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2 VIEWS RIGHT	$372.00	$372.00	$195.30–$372.00	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$632.00	$632.00	$79.50–$632.00	12% below	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB	$632.00	$632.00	$331.80–$632.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$509.00	$509.00	$79.50–$509.00	25% below	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$509.00	$509.00	$267.23–$509.00	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$1,225.00	$1,225.00	$79.50–$1,225.00	8% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$1,225.00	$1,225.00	$643.12–$1,225.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$1,027.00	$1,027.00	$70.54–$1,027.00	15% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$1,027.00	$1,027.00	$539.18–$1,027.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID SOFT TISSUE NECK	$1,072.00	$1,072.00	$70.49–$1,072.00	28% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID SOFT TISSUE NECK	$1,072.00	$1,072.00	$562.80–$1,072.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GASTRO TRACT LIMITED	$626.00	$626.00	$86.91–$626.00	2% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GASTRO TRACT LIMITED	$626.00	$626.00	$328.65–$626.00	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 ORDS HUMERUS 2 VIEWS LT	$504.00	$504.00	$24.52–$504.00	18% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS RT	$504.00	$504.00	$24.52–$504.00	18% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS LT	$504.00	$504.00	$24.52–$504.00	18% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 ORDS HUMERUS 2 VIEWS RT	$504.00	$504.00	$24.52–$504.00	18% above	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 ORDS HUMERUS 2 VIEWS RT	$504.00	$504.00	$264.60–$504.00	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS RT	$504.00	$504.00	$264.60–$504.00	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 ORDS HUMERUS 2 VIEWS LT	$504.00	$504.00	$264.60–$504.00	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS LT	$504.00	$504.00	$264.60–$504.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER UNILATERAL LIMITED	$842.00	$842.00	$79.50–$842.00	6% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER UNILATERAL LIMITED	$842.00	$842.00	$442.05–$842.00	—	—
Wrist X-ray, 2 views one side CPT 73100 ORDS-WRIST LIMITED 2 VIEWS LT	$455.00	$455.00	$20.41–$455.00	17% above	—
Wrist X-ray, 2 views one side CPT 73100 ORDS-WRIST LIMITED 2 VIEWS RT	$455.00	$455.00	$20.41–$455.00	17% above	—
Wrist X-ray, 2 views one side CPT 73100 WRIST LIMITED 2 VIEWS LEFT	$455.00	$455.00	$20.41–$455.00	17% above	—
Wrist X-ray, 2 views one side CPT 73100 WRIST LIMITED 2 VIEWS RIGHT	$455.00	$455.00	$20.41–$455.00	17% above	—
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LIMITED 2 VIEWS RIGHT	$455.00	$455.00	$238.88–$455.00	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 ORDS-WRIST LIMITED 2 VIEWS RT	$455.00	$455.00	$238.88–$455.00	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 ORDS-WRIST LIMITED 2 VIEWS LT	$455.00	$455.00	$238.88–$455.00	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LIMITED 2 VIEWS LEFT	$455.00	$455.00	$238.88–$455.00	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE MIN 3 VWS LT	$358.00	$358.00	$29.67–$360.00	29% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 ORDS-WRIST COMP MIN 3 VIEWS RT	$358.00	$358.00	$29.67–$360.00	29% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE MIN 3 VWS RT	$358.00	$358.00	$29.67–$360.00	29% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 ORDS-WRIST COMP MIN 3 VIEWS LT	$358.00	$358.00	$29.67–$360.00	29% below	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE MIN 3 VWS LT	$358.00	$358.00	$187.95–$358.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 ORDS-WRIST COMP MIN 3 VIEWS LT	$358.00	$358.00	$187.95–$358.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE MIN 3 VWS RT	$358.00	$358.00	$187.95–$358.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 ORDS-WRIST COMP MIN 3 VIEWS RT	$358.00	$358.00	$187.95–$358.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP PELVIS INFANT 2 VIEWS	$219.00	$219.00	$37.28–$360.00	48% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT 2-3 VIEWS RT	$331.00	$331.00	$37.28–$360.00	21% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT 2-3 VIEWS LT	$331.00	$331.00	$37.28–$360.00	21% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP W/PELVIS 3-4 VIEWS LT	$565.00	$565.00	$37.28–$565.00	34% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 ORDS-HIP W/PELVIS 2-3 VIEWS RT	$565.00	$565.00	$37.28–$565.00	34% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP W/PELVIS 2 VIEWS RT	$565.00	$565.00	$37.28–$565.00	34% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 ORDS-HIP W/PELVIS 2-3 VIEWS LT	$565.00	$565.00	$37.28–$565.00	34% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP PELVIS INFANT 2 VIEWS	$219.00	$219.00	$114.98–$219.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILAT 2-3 VIEWS LT	$331.00	$331.00	$173.78–$331.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILAT 2-3 VIEWS RT	$331.00	$331.00	$173.78–$331.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 ORDS-HIP W/PELVIS 2-3 VIEWS LT	$565.00	$565.00	$296.62–$565.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP W/PELVIS 3-4 VIEWS LT	$565.00	$565.00	$296.62–$565.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 ORDS-HIP W/PELVIS 2-3 VIEWS RT	$565.00	$565.00	$296.62–$565.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP W/PELVIS 2 VIEWS RT	$565.00	$565.00	$296.62–$565.00	—	—
X-ray of the abdomen, 1 view CPT 74018 ABD SINGLE VIEW (KUB)	$460.00	$460.00	$24.60–$460.00	53% above	—
X-ray of the abdomen, 1 view CPT 74018 ORDS-SINGLE VIEW KUB	$460.00	$460.00	$24.60–$460.00	53% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD SINGLE VIEW (KUB)	$460.00	$460.00	$241.50–$460.00	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ORDS-SINGLE VIEW KUB	$460.00	$460.00	$241.50–$460.00	—	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LIMITED 2 VWS LEFT	$321.00	$321.00	$22.44–$360.00	18% below	—
X-ray of the ankle, 2 views one side CPT 73600 ORDS-ANKLE LIMITED 2 VIEWS RT	$321.00	$321.00	$22.44–$360.00	18% below	—
X-ray of the ankle, 2 views one side CPT 73600 ORDS-ANKLE LIMITED 2 VIEWS LT	$321.00	$321.00	$22.44–$360.00	18% below	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LIMITED 2 VWS RIGHT	$321.00	$321.00	$22.44–$360.00	18% below	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LIMITED 2 VWS LEFT	$321.00	$321.00	$168.52–$321.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ORDS-ANKLE LIMITED 2 VIEWS LT	$321.00	$321.00	$168.52–$321.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ORDS-ANKLE LIMITED 2 VIEWS RT	$321.00	$321.00	$168.52–$321.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LIMITED 2 VWS RIGHT	$321.00	$321.00	$168.52–$321.00	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS LEFT	$226.00	$226.00	$18.40–$360.00	40% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS RIGHT	$226.00	$226.00	$18.40–$360.00	40% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 ORDS-FINGERS MIN 2 VIEWS LT	$226.00	$226.00	$18.40–$360.00	40% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 ORDS-FINGERS MIN 2 VIEWS RT	$226.00	$226.00	$18.40–$360.00	40% below	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 ORDS-FINGERS MIN 2 VIEWS RT	$226.00	$226.00	$118.65–$226.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2 VIEWS RIGHT	$226.00	$226.00	$118.65–$226.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 ORDS-FINGERS MIN 2 VIEWS LT	$226.00	$226.00	$118.65–$226.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2 VIEWS LEFT	$226.00	$226.00	$118.65–$226.00	—	—
X-ray of the foot, 2 views one side CPT 73620 ORDS-FOOT LIMITED 2 VIEWS RIGHT	$302.00	$302.00	$20.41–$360.00	25% below	—
X-ray of the foot, 2 views one side CPT 73620 ORDS-FOOT LIMITED 2 VIEWS LEFT	$302.00	$302.00	$20.41–$360.00	25% below	—
X-ray of the foot, 2 views one side CPT 73620 FOOT LIMITED 2 VIEWS LEFT	$302.00	$302.00	$20.41–$360.00	25% below	—
X-ray of the foot, 2 views one side CPT 73620 FOOT LIMITED 2 VIEWS RIGHT	$302.00	$302.00	$20.41–$360.00	25% below	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LIMITED 2 VIEWS RIGHT	$302.00	$302.00	$158.55–$302.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LIMITED 2 VIEWS LEFT	$302.00	$302.00	$158.55–$302.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 ORDS-FOOT LIMITED 2 VIEWS LEFT	$302.00	$302.00	$158.55–$302.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 ORDS-FOOT LIMITED 2 VIEWS RIGHT	$302.00	$302.00	$158.55–$302.00	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 ORDS - FOOT COMPLETE MIN 3 VIEWS LT	$362.00	$362.00	$28.58–$362.00	30% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE MIN 3 VWS RT	$362.00	$362.00	$28.58–$362.00	30% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE MIN 3 VWS LT	$362.00	$362.00	$28.58–$362.00	30% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 ORDS - FOOT COMPLETE MIN 3 VIEWS RT	$362.00	$362.00	$28.58–$362.00	30% below	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE MIN 3 VWS RT	$362.00	$362.00	$190.05–$362.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 ORDS - FOOT COMPLETE MIN 3 VIEWS LT	$362.00	$362.00	$190.05–$362.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 ORDS - FOOT COMPLETE MIN 3 VIEWS RT	$362.00	$362.00	$190.05–$362.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE MIN 3 VWS LT	$362.00	$362.00	$190.05–$362.00	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMPLETE MIN 3 VWS LT	$414.00	$414.00	$29.67–$414.00	19% below	—
X-ray of the hand, 3 or more views one side CPT 73130 ORDS-HAND COMP MIN 3 VIEWS LT	$414.00	$414.00	$29.67–$414.00	19% below	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMPLETE MIN 3 VWS RT	$414.00	$414.00	$29.67–$414.00	19% below	—
X-ray of the hand, 3 or more views one side CPT 73130 ORDS-HAND COMP MIN 3 VIEWS RT	$414.00	$414.00	$29.67–$414.00	19% below	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND COMPLETE MIN 3 VWS RT	$414.00	$414.00	$217.35–$414.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 ORDS-HAND COMP MIN 3 VIEWS LT	$414.00	$414.00	$217.35–$414.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 ORDS-HAND COMP MIN 3 VIEWS RT	$414.00	$414.00	$217.35–$414.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND COMPLETE MIN 3 VWS LT	$414.00	$414.00	$217.35–$414.00	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE LIMITED 1 OR 2 VIEWS BILATERAL	$649.00	$649.00	$22.44–$649.00	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LIMITED 1 OR 2 VWS LT	$433.00	$433.00	$22.44–$433.00	13% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 ORDS-KNEE LIMITED 1 OR 2 VIEWS LT	$433.00	$433.00	$22.44–$433.00	13% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LIMITED 1 OR 2 VWS RT	$433.00	$433.00	$22.44–$433.00	13% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 ORDS-KNEE LIMITED 1 OR 2 VIEWS RT	$433.00	$433.00	$22.44–$433.00	13% above	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE LIMITED 1 OR 2 VIEWS BILATERAL	$649.00	$649.00	$340.72–$649.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LIMITED 1 OR 2 VWS RT	$433.00	$433.00	$227.32–$433.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 ORDS-KNEE LIMITED 1 OR 2 VIEWS LT	$433.00	$433.00	$227.32–$433.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 ORDS-KNEE LIMITED 1 OR 2 VIEWS RT	$433.00	$433.00	$227.32–$433.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LIMITED 1 OR 2 VWS LT	$433.00	$433.00	$227.32–$433.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 OR 3 VWS	$619.00	$619.00	$35.74–$619.00	25% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 OR 3 VWS	$619.00	$619.00	$324.98–$619.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 ORDS-SPINE LUMBOSACRAL COMP MIN 4 VWS	$803.00	$803.00	$51.74–$803.00	19% above	—
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$803.00	$803.00	$51.74–$803.00	19% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 ORDS-SPINE LUMBOSACRAL COMP MIN 4 VWS	$803.00	$803.00	$421.58–$803.00	—	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$803.00	$803.00	$421.58–$803.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3V	$368.00	$368.00	$29.25–$368.00	19% below	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3V	$368.00	$368.00	$193.20–$368.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2 OR 3 VWS	$505.00	$505.00	$30.66–$505.00	11% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2 OR 3 VWS	$505.00	$505.00	$265.12–$505.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 ORDS-AP PELVIS 1 OR 2 VIEWS	$398.00	$398.00	$25.51–$398.00	1% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$398.00	$398.00	$25.51–$398.00	1% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 ORDS-AP PELVIS 1 OR 2 VIEWS	$398.00	$398.00	$208.95–$398.00	—	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$398.00	$398.00	$208.95–$398.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 ORDS-SACRUM COCCYX	$451.00	$451.00	$29.52–$451.00	7% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VWS	$451.00	$451.00	$29.52–$451.00	7% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 ORDS-SACRUM COCCYX	$451.00	$451.00	$236.78–$451.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX MIN 2 VWS	$451.00	$451.00	$236.78–$451.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$35.00	$35.00	$3.24–$49.00	19% below	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$35.00	$35.00	$18.38–$35.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$35.00	$35.00	$3.17–$49.00	23% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$35.00	$35.00	$18.38–$35.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W/RFLX - QST	$42.00	$42.00	$10.08–$97.08	85% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL IP	$61.00	$61.00	$14.64–$97.08	78% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$121.00	$121.00	$29.04–$121.00	56% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W/RFLX - QST	$42.00	$42.00	$22.05–$42.00	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL IP	$61.00	$61.00	$32.02–$61.00	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$121.00	$121.00	$63.53–$121.00	—	—
Albumin blood test CPT 82040 ALBUMIN CSF OP	$6.00	$6.00	$1.44–$49.00	76% below	—
Albumin blood test CPT 82040 C ALBUMIN SERUM PLASMA OR WHOLE BLD-LC	$10.00	$10.00	$2.40–$49.00	60% below	—
Albumin blood test CPT 82040 ALBUMIN SERUM OP	$101.00	$101.00	$3.03–$101.00	305% above	—
Albumin blood test CPT 82040 ALBUMIN SERUM	$101.00	$101.00	$3.03–$101.00	305% above	—
Albumin blood test CPT 82040 IGG INDEX AND SYNTHESIS RATE	$204.00	$204.00	$3.03–$204.00	717% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN CSF OP	$6.00	$6.00	$3.15–$6.00	—	—
Albumin blood test inpatient CPT 82040 C ALBUMIN SERUM PLASMA OR WHOLE BLD-LC	$10.00	$10.00	$5.25–$10.00	—	—
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$101.00	$101.00	$53.03–$101.00	—	—
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM OP	$101.00	$101.00	$53.03–$101.00	—	—
Albumin blood test inpatient CPT 82040 IGG INDEX AND SYNTHESIS RATE	$204.00	$204.00	$107.10–$204.00	—	—
Aldosterone blood test CPT 82088 ALDOSTERONE LC/MS/MS - QST	$17.00	$17.00	$4.08–$83.01	58% below	—
Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE	$69.00	$69.00	$16.56–$83.01	72% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE	$69.00	$69.00	$16.56–$83.01	72% above	—
Aldosterone blood test CPT 82088 C ALDOSTERONE - LC	$160.00	$160.00	$24.94–$160.00	300% above	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE LC/MS/MS - QST	$17.00	$17.00	$8.93–$17.00	—	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24HR URINE	$69.00	$69.00	$36.22–$69.00	—	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$69.00	$69.00	$36.22–$69.00	—	—
Aldosterone blood test inpatient CPT 82088 C ALDOSTERONE - LC	$160.00	$160.00	$84.00–$160.00	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 C PHOSPHATASE ALKALINE - QST	$16.00	$16.00	$3.17–$49.00	57% below	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$35.00	$35.00	$3.17–$49.00	5% below	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 C PHOSPHATASE ALKALINE - QST	$16.00	$16.00	$8.40–$16.00	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$35.00	$35.00	$18.38–$35.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 C ALLERGEN SPECIFIC IGE CRUDE EXT EA-LC	$5.00	$5.00	$1.20–$49.00	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 QD-ALLERGEN-OAK IGE	$10.00	$10.00	$2.40–$49.00	20% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL ZONE 19	$313.00	$313.00	$3.19–$313.00	3662% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C ALLERGEN SPECIFIC IGE CRUDE EXT EA-LC	$5.00	$5.00	$2.62–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QD-ALLERGEN-OAK IGE	$10.00	$10.00	$5.25–$10.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL ZONE 19	$313.00	$313.00	$164.32–$313.00	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETPROTEIN	$14.00	$14.00	$3.36–$49.00	85% below	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETPROTEIN	$14.00	$14.00	$7.35–$14.00	—	—
Ammonia blood test CPT 82140 AMMONIA BLOOD	$241.00	$241.00	$8.92–$241.00	33% above	—
Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD	$241.00	$241.00	$126.52–$241.00	—	—
Amylase blood test CPT 82150 AMYLASE BLOOD	$167.00	$167.00	$3.97–$167.00	151% above	—
Amylase blood test CPT 82150 AMYLASE FLUID	$167.00	$167.00	$3.97–$167.00	151% above	—
Amylase blood test inpatient CPT 82150 AMYLASE BLOOD	$167.00	$167.00	$87.68–$167.00	—	—
Amylase blood test inpatient CPT 82150 AMYLASE FLUID	$167.00	$167.00	$87.68–$167.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLC CITRULINTD PEPTIDE CCP ANTIBDY lgG	$11.00	$11.00	$2.64–$49.00	54% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG ANTIBODIES - LC	$14.00	$14.00	$3.36–$49.00	41% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITR PEPTIDE ANTI IGG/IGA EL	$79.00	$79.00	$7.10–$79.00	231% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLC CITRULINTD PEPTIDE CCP ANTIBDY lgG	$11.00	$11.00	$5.78–$11.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG ANTIBODIES - LC	$14.00	$14.00	$7.35–$14.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITR PEPTIDE ANTI IGG/IGA EL	$79.00	$79.00	$41.48–$79.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTIDE	$292.00	$292.00	$24.03–$292.00	40% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$292.00	$292.00	$24.03–$292.00	40% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NATRIURETIC PEPTIDE	$292.00	$292.00	$153.30–$292.00	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$292.00	$292.00	$153.30–$292.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BORDETELLA PERTUSIS CULTURE	$10.00	$10.00	$2.40–$49.00	92% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$11.00	$11.00	$2.64–$49.00	92% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VG-ID METHOD MOD	$33.00	$33.00	$5.28–$49.00	75% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ALL SOURCES RTE AEROBIC	$42.00	$42.00	$5.28–$49.00	68% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE	$49.00	$49.00	$5.28–$49.00	63% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE THROAT CULTURE AEROBIC	$52.00	$52.00	$5.28–$52.00	61% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANY SOURCE AEROBIC	$58.00	$58.00	$5.28–$58.00	56% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RECTAL SCREEN AEROBIC	$75.00	$75.00	$5.28–$75.00	44% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASAL SCREEN AEROBIC	$75.00	$75.00	$5.28–$75.00	44% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VG-GENITAL CULTURE	$274.00	$274.00	$5.28–$274.00	106% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VG-CSF CULTURE AEROBIC	$274.00	$274.00	$5.28–$274.00	106% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VG-THROAT CULTURE	$274.00	$274.00	$5.28–$274.00	106% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VG-FLUID CULTURE	$274.00	$274.00	$5.28–$274.00	106% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VG-CULTURE SOURCE MOD AEROBIC	$274.00	$274.00	$5.28–$274.00	106% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BORDETELLAPERTUSIS PARAPERTUSIS DNA PCR	$387.00	$387.00	$5.28–$387.00	191% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BORDETELLA PERTUSIS CULTURE	$10.00	$10.00	$5.25–$10.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND	$11.00	$11.00	$5.78–$11.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VG-ID METHOD MOD	$33.00	$33.00	$17.32–$33.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ALL SOURCES RTE AEROBIC	$42.00	$42.00	$22.05–$42.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA CULTURE	$49.00	$49.00	$25.72–$49.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOSE THROAT CULTURE AEROBIC	$52.00	$52.00	$27.30–$52.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ANY SOURCE AEROBIC	$58.00	$58.00	$30.45–$58.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 RECTAL SCREEN AEROBIC	$75.00	$75.00	$39.38–$75.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NASAL SCREEN AEROBIC	$75.00	$75.00	$39.38–$75.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VG-FLUID CULTURE	$274.00	$274.00	$143.85–$274.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VG-CSF CULTURE AEROBIC	$274.00	$274.00	$143.85–$274.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VG-GENITAL CULTURE	$274.00	$274.00	$143.85–$274.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VG-THROAT CULTURE	$274.00	$274.00	$143.85–$274.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VG-CULTURE SOURCE MOD AEROBIC	$274.00	$274.00	$143.85–$274.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BORDETELLAPERTUSIS PARAPERTUSIS DNA PCR	$387.00	$387.00	$203.18–$387.00	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$210.00	$210.00	$5.18–$210.00	9% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$210.00	$210.00	$110.25–$210.00	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL BLD NEONAT	$131.00	$131.00	$3.07–$131.00	190% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN BLD TOTAL	$131.00	$131.00	$3.07–$131.00	190% above	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BLD TOTAL	$131.00	$131.00	$68.78–$131.00	—	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL BLD NEONAT	$131.00	$131.00	$68.78–$131.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG LEVEL IV GROS MICRO	$222.00	$222.00	$35.09–$222.00	71% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG LEVEL IV GROS MICRO	$222.00	$222.00	$116.55–$222.00	—	—
Blood culture for bacteria CPT 87040 VG-BLOOD CULTURE	$322.00	$322.00	$6.32–$322.00	18% above	—
Blood culture for bacteria inpatient CPT 87040 VG-BLOOD CULTURE	$322.00	$322.00	$169.05–$322.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BB-PHLEBOTOMY FEE	$41.00	$41.00	$1.84–$49.00	105% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE BLOOD PATCH	$41.00	$41.00	$1.84–$49.00	105% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$41.00	$41.00	$1.84–$49.00	105% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE LAB	$41.00	$41.00	$1.84–$49.00	105% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE BLOOD PATCH	$41.00	$41.00	$21.52–$41.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$41.00	$41.00	$21.52–$41.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BB-PHLEBOTOMY FEE	$41.00	$41.00	$21.52–$41.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE LAB	$41.00	$41.00	$21.52–$41.00	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD QT	$94.00	$94.00	$2.41–$94.00	151% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD QT	$94.00	$94.00	$49.35–$94.00	—	—
Blood lead test CPT 83655 LEAD BLOODE PEDIATRIC - LC	$9.00	$9.00	$2.16–$49.00	25% below	—
Blood lead test CPT 83655 LEAD BLOOD ADULT - LC	$9.00	$9.00	$2.16–$49.00	25% below	—
Blood lead test CPT 83655 LEAD BLOOD	$16.00	$16.00	$3.84–$49.00	33% above	—
Blood lead test CPT 83655 C LEAD -LC	$20.00	$20.00	$4.80–$49.00	67% above	—
Blood lead test CPT 83655 QD-ASSAY of LEAD	$31.00	$31.00	$7.41–$49.00	158% above	—
Blood lead test CPT 83655 LEAD BLOOD OP	$64.00	$64.00	$7.41–$64.00	433% above	—
Blood lead test inpatient CPT 83655 LEAD BLOODE PEDIATRIC - LC	$9.00	$9.00	$4.73–$9.00	—	—
Blood lead test inpatient CPT 83655 LEAD BLOOD ADULT - LC	$9.00	$9.00	$4.73–$9.00	—	—
Blood lead test inpatient CPT 83655 LEAD BLOOD	$16.00	$16.00	$8.40–$16.00	—	—
Blood lead test inpatient CPT 83655 C LEAD -LC	$20.00	$20.00	$10.50–$20.00	—	—
Blood lead test inpatient CPT 83655 QD-ASSAY of LEAD	$31.00	$31.00	$16.28–$31.00	—	—
Blood lead test inpatient CPT 83655 LEAD BLOOD OP	$64.00	$64.00	$33.60–$64.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST NURSING GONADOTROPIN HCG QUAL	$153.00	$153.00	$4.60–$153.00	12% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$153.00	$153.00	$4.60–$153.00	12% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE	$153.00	$153.00	$80.32–$153.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST NURSING GONADOTROPIN HCG QUAL	$153.00	$153.00	$80.32–$153.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LS-ABO TYPING	$23.00	$23.00	$2.38–$164.28	78% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB-ABO TYPE	$59.00	$59.00	$2.38–$164.28	44% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LS-ABO TYPING	$23.00	$23.00	$12.08–$23.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB-ABO TYPE	$59.00	$59.00	$30.98–$59.00	—	—
Blood urea nitrogen (BUN) test CPT 84520 BUN QT	$35.00	$35.00	$2.42–$49.00	5% below	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN QT	$35.00	$35.00	$18.38–$35.00	—	—
C-peptide blood test CPT 84681 C-PEPTIDE	$38.00	$38.00	$9.12–$49.00	40% below	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$38.00	$38.00	$19.95–$38.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP ULTRAQUANT	$6.00	$6.00	$1.44–$49.00	91% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$73.00	$73.00	$3.17–$73.00	6% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP ULTRAQUANT	$6.00	$6.00	$3.15–$6.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$73.00	$73.00	$38.33–$73.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 DIFFICILE TOXIN GENE NAA - LC	$93.00	$93.00	$22.32–$93.00	39% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 MOLECULAR CDIFF	$139.00	$139.00	$22.81–$139.00	9% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 DIFFICILE TOXIN GENE NAA - LC	$93.00	$93.00	$48.82–$93.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 MOLECULAR CDIFF	$139.00	$139.00	$72.98–$139.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 - QST	$12.00	$12.00	$2.88–$49.00	79% below	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$14.00	$14.00	$3.36–$49.00	75% below	—
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE 19-9 RIA OP	$18.00	$18.00	$4.32–$49.00	68% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 - QST	$12.00	$12.00	$6.30–$12.00	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$14.00	$14.00	$7.35–$14.00	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE 19-9 RIA OP	$18.00	$18.00	$9.45–$18.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$14.00	$14.00	$3.36–$49.00	90% below	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 RIA OP	$87.00	$87.00	$12.74–$87.00	37% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$14.00	$14.00	$7.35–$14.00	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 RIA OP	$87.00	$87.00	$45.68–$87.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB - LC	$59.00	$59.00	$14.16–$89.79	36% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 LAB TEST NON-CDC - PLS	$81.00	$81.00	$19.44–$89.79	12% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019-nCoV DIAGNOSTIC PANEL	$125.00	$125.00	$30.00–$125.00	36% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 LAB TEST NON-CDC	$178.00	$178.00	$31.40–$178.00	93% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB - LC	$59.00	$59.00	$30.98–$59.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 LAB TEST NON-CDC - PLS	$81.00	$81.00	$42.52–$81.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019-nCoV DIAGNOSTIC PANEL	$125.00	$125.00	$65.62–$125.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 LAB TEST NON-CDC	$178.00	$178.00	$93.45–$178.00	—	—
Calcium blood test, total CPT 82310 CALCIUM BL CHEMICAL	$87.00	$87.00	$3.16–$87.00	41% above	—
Calcium blood test, total inpatient CPT 82310 CALCIUM BL CHEMICAL	$87.00	$87.00	$45.68–$87.00	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINEMBRYONIC ANTIGEN OP	$12.00	$12.00	$2.88–$49.00	89% below	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA - QST	$12.00	$12.00	$2.88–$49.00	89% below	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINEMBRYONIC ANTIGEN OP	$12.00	$12.00	$6.30–$12.00	—	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA - QST	$12.00	$12.00	$6.30–$12.00	—	—
Chickenpox (varicella) immunity blood test CPT 86787 VZV IGG ABS - QST	$6.00	$6.00	$1.44–$49.00	84% below	—
Chickenpox (varicella) immunity blood test CPT 86787 VZV IGG ANTIBODY	$6.00	$6.00	$1.44–$49.00	84% below	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER Ab IgM - QST	$12.00	$12.00	$2.88–$49.00	68% below	—
Chickenpox (varicella) immunity blood test CPT 86787 VZV - LC	$18.00	$18.00	$4.32–$49.00	53% below	—
Chickenpox (varicella) immunity blood test CPT 86787 0L-VARICELLA ZOSTER VIRUS DNA PCR	$466.00	$466.00	$7.88–$466.00	1130% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV IGG ANTIBODY	$6.00	$6.00	$3.15–$6.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV IGG ABS - QST	$6.00	$6.00	$3.15–$6.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER Ab IgM - QST	$12.00	$12.00	$6.30–$12.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV - LC	$18.00	$18.00	$9.45–$18.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 0L-VARICELLA ZOSTER VIRUS DNA PCR	$466.00	$466.00	$244.65–$466.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE OTOL BIOT	$12.00	$12.00	$2.88–$71.05	78% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE BRONCH/PNEU B	$12.00	$12.00	$2.88–$71.05	78% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAA - QST	$13.00	$13.00	$3.12–$71.05	76% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE GI PARA BIO	$13.00	$13.00	$3.12–$71.05	76% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C CHLAMYDIA TRACHOMATIS AMP PROBE - QST	$13.00	$13.00	$3.12–$71.05	76% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE UTI HR BIOT	$15.00	$15.00	$3.60–$71.05	73% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE GI BIOT	$15.00	$15.00	$3.60–$71.05	73% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C CHLAMYDIA TRACHOMATIS AMP PRO TECH	$35.00	$35.00	$8.40–$71.05	36% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.CHLAMYDIA AMPLIFIED RNA	$69.00	$69.00	$16.56–$71.05	26% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS IP	$87.00	$87.00	$20.88–$87.00	59% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS OP	$87.00	$87.00	$20.88–$87.00	59% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE BRONCH/PNEU B	$12.00	$12.00	$6.30–$12.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE OTOL BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE GI PARA BIO	$13.00	$13.00	$6.82–$13.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS NAA - QST	$13.00	$13.00	$6.82–$13.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C CHLAMYDIA TRACHOMATIS AMP PROBE - QST	$13.00	$13.00	$6.82–$13.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C CHLAMYDIA TRACHOMATIS AMP PRO TECH	$35.00	$35.00	$18.38–$35.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.CHLAMYDIA AMPLIFIED RNA	$69.00	$69.00	$36.22–$69.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS IP	$87.00	$87.00	$45.68–$87.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS OP	$87.00	$87.00	$45.68–$87.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$81.00	$81.00	$8.19–$81.00	29% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$81.00	$81.00	$42.52–$81.00	—	—
Complete blood count (CBC) with differential CPT 85025 COMP CBC AUTO W/AUTO DIFF WBC	$174.00	$174.00	$4.76–$174.00	57% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 COMP CBC AUTO W/AUTO DIFF WBC	$174.00	$174.00	$91.35–$174.00	—	—
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM NO DIFF	$84.00	$84.00	$3.96–$84.00	3% below	—
Complete blood count (CBC), no differential CPT 85027 CBC(MAN DIFF)	$174.00	$174.00	$3.96–$174.00	100% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM NO DIFF	$84.00	$84.00	$44.10–$84.00	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC(MAN DIFF)	$174.00	$174.00	$91.35–$174.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$73.00	$73.00	$6.46–$73.00	71% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$73.00	$73.00	$38.33–$73.00	—	—
Cortisol blood test, total CPT 82533 CORTISOL	$10.00	$10.00	$2.40–$49.00	90% below	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL - QST	$11.00	$11.00	$2.64–$49.00	89% below	—
Cortisol blood test, total CPT 82533 CORTISOL OP	$69.00	$69.00	$9.98–$69.00	30% below	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$10.00	$10.00	$5.25–$10.00	—	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL - QST	$11.00	$11.00	$5.78–$11.00	—	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL OP	$69.00	$69.00	$36.22–$69.00	—	—
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$6.00	$6.00	$1.44–$49.00	93% below	—
Creatine kinase (CK) blood test, total CPT 82550 C CREATININE KINASE TOTAL - QST	$6.00	$6.00	$1.44–$49.00	93% below	—
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$46.00	$46.00	$3.98–$49.00	47% below	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK)	$6.00	$6.00	$3.15–$6.00	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 C CREATININE KINASE TOTAL - QST	$6.00	$6.00	$3.15–$6.00	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$46.00	$46.00	$24.15–$46.00	—	—
Creatinine blood test CPT 82565 CREATININE BLD	$35.00	$35.00	$3.13–$49.00	27% below	—
Creatinine blood test inpatient CPT 82565 CREATININE BLD	$35.00	$35.00	$18.38–$35.00	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 LS-ANTI-CMV	$46.00	$46.00	$8.81–$49.00	47% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG OP	$110.00	$110.00	$8.81–$110.00	251% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG IP	$204.00	$204.00	$8.81–$204.00	551% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LS-ANTI-CMV	$46.00	$46.00	$24.15–$46.00	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG OP	$110.00	$110.00	$57.75–$110.00	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG IP	$204.00	$204.00	$107.10–$204.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 QD-DHEA SULFATE	$42.00	$42.00	$10.08–$49.00	58% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 QD-DHEA SULFATE	$42.00	$42.00	$22.05–$42.00	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PNL 5 MECONIUM - LC	$58.00	$58.00	$13.92–$126.62	19% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG ABUSE SCREEN	$64.00	$64.00	$15.36–$126.62	10% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SERUM - LC	$110.00	$110.00	$26.40–$126.62	54% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 QD-DRUG PANEL MECONIUM	$117.00	$117.00	$28.08–$126.62	64% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 QD-DRUG SCREEN I (FLUID)	$117.00	$117.00	$28.08–$126.62	64% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL MECONIUM	$117.00	$117.00	$28.08–$126.62	64% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL/NORFENTANYL CONFIRM URINE	$132.00	$132.00	$31.68–$132.00	85% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN SERUM	$166.00	$166.00	$38.03–$166.00	132% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE URIN	$209.00	$209.00	$38.03–$209.00	193% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG ABUSE SCREEN X7	$375.00	$375.00	$38.03–$375.00	425% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PNL 5 MECONIUM - LC	$58.00	$58.00	$30.45–$58.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG ABUSE SCREEN	$64.00	$64.00	$33.60–$64.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SERUM - LC	$110.00	$110.00	$57.75–$110.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 QD-DRUG SCREEN I (FLUID)	$117.00	$117.00	$61.42–$117.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 QD-DRUG PANEL MECONIUM	$117.00	$117.00	$61.42–$117.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PANEL MECONIUM	$117.00	$117.00	$61.42–$117.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL/NORFENTANYL CONFIRM URINE	$132.00	$132.00	$69.30–$132.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SCREEN SERUM	$166.00	$166.00	$87.15–$166.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN COMPREHENSIVE URIN	$209.00	$209.00	$109.72–$209.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG ABUSE SCREEN X7	$375.00	$375.00	$196.88–$375.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$40.00	$40.00	$4.29–$49.00	54% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$40.00	$40.00	$21.00–$40.00	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 C EPSTEIN-BARR AB VIRAL CAPSID - LC	$11.00	$11.00	$2.64–$49.00	60% below	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRUS VIRAL CAPSID OP	$145.00	$145.00	$11.10–$145.00	432% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 C EPSTEIN-BARR AB VIRAL CAPSID - LC	$11.00	$11.00	$5.78–$11.00	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRUS VIRAL CAPSID OP	$145.00	$145.00	$76.12–$145.00	—	—
Estradiol blood test CPT 82670 ESTRADIOL - LC	$12.00	$12.00	$2.88–$56.98	87% below	—
Estradiol blood test CPT 82670 C ESTRADIOL - LC	$25.00	$25.00	$6.00–$56.98	73% below	—
Estradiol blood test CPT 82670 ESTRADIOL SERUM	$45.00	$45.00	$10.80–$56.98	51% below	—
Estradiol blood test CPT 82670 ESTRADIOL SERUM OP	$93.00	$93.00	$17.10–$93.00	1% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL - LC	$12.00	$12.00	$6.30–$12.00	—	—
Estradiol blood test inpatient CPT 82670 C ESTRADIOL - LC	$25.00	$25.00	$13.12–$25.00	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM	$45.00	$45.00	$23.62–$45.00	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM OP	$93.00	$93.00	$48.82–$93.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$26.00	$26.00	$6.24–$49.00	75% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$26.00	$26.00	$13.65–$26.00	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY - QST	$8.00	$8.00	$1.92–$49.00	94% below	—
Fibrinogen blood test CPT 85384 QD-FIBRINOGEN	$29.00	$29.00	$5.95–$49.00	80% below	—
Fibrinogen blood test CPT 85384 FIBRINOGEN QUANTITY	$65.00	$65.00	$5.95–$65.00	55% below	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY - QST	$8.00	$8.00	$4.20–$8.00	—	—
Fibrinogen blood test inpatient CPT 85384 QD-FIBRINOGEN	$29.00	$29.00	$15.23–$29.00	—	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QUANTITY	$65.00	$65.00	$34.12–$65.00	—	—
Folate (folic acid) blood test CPT 82746 FOLATE IP	$58.00	$58.00	$9.00–$58.00	47% below	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE IP	$58.00	$58.00	$30.45–$58.00	—	—
Free T3 thyroid hormone test CPT 84481 FREE T3 OP	$87.00	$87.00	$10.37–$87.00	15% below	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 OP	$87.00	$87.00	$45.68–$87.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$9.00	$9.00	$2.16–$49.00	87% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE - QST	$48.00	$48.00	$5.52–$49.00	30% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$9.00	$9.00	$4.73–$9.00	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE - QST	$48.00	$48.00	$25.20–$48.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST BLUCOSE DOSE	$25.00	$25.00	$2.91–$49.00	49% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST BLUCOSE DOSE	$25.00	$25.00	$13.12–$25.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HRS	$73.00	$73.00	$7.88–$73.00	47% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3HRS	$73.00	$73.00	$38.33–$73.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB OPHTH BIOT	$11.00	$11.00	$2.64–$71.05	83% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C N-GONORRHOEAE AMP PROBE - LC	$11.00	$11.00	$2.64–$71.05	83% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB OTOL BIOT	$12.00	$12.00	$2.88–$71.05	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB BRONCH/PNEU BIOT	$12.00	$12.00	$2.88–$71.05	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GU INF BIOT	$12.00	$12.00	$2.88–$71.05	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GI PARA BIOT	$13.00	$13.00	$3.12–$71.05	80% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C N-GONORRHOEAE AMP PROBE - QST	$13.00	$13.00	$3.12–$71.05	80% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB UTI HR BIOT	$15.00	$15.00	$3.60–$71.05	77% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GI BIOT	$15.00	$15.00	$3.60–$71.05	77% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C N-GONORRHOEAE AMP PRO TECH	$35.00	$35.00	$8.40–$71.05	47% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C. GONORRHEA AMPLIFIED RNA	$66.00	$66.00	$15.84–$71.05	at median	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C.GONORRHEA AMPLIFIED RNA	$69.00	$69.00	$16.56–$71.05	5% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB OPHTH BIOT	$11.00	$11.00	$5.78–$11.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C N-GONORRHOEAE AMP PROBE - LC	$11.00	$11.00	$5.78–$11.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GU INF BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB BRONCH/PNEU BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB OTOL BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C N-GONORRHOEAE AMP PROBE - QST	$13.00	$13.00	$6.82–$13.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GI PARA BIOT	$13.00	$13.00	$6.82–$13.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C N-GONORRHOEAE AMP PRO TECH	$35.00	$35.00	$18.38–$35.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C. GONORRHEA AMPLIFIED RNA	$66.00	$66.00	$34.65–$66.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C.GONORRHEA AMPLIFIED RNA	$69.00	$69.00	$36.22–$69.00	—	—
H. pylori antibody blood test CPT 86677 H PYLORI IGG ABS	$121.00	$121.00	$10.31–$121.00	6% above	—
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG ABS	$121.00	$121.00	$63.53–$121.00	—	—
H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL - LC	$35.00	$35.00	$8.40–$49.00	58% below	—
H. pylori stool antigen test CPT 87338 H.PYLORI STOOL ANTIGEN	$118.00	$118.00	$8.80–$118.00	40% above	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG STOOL - LC	$35.00	$35.00	$18.38–$35.00	—	—
H. pylori stool antigen test inpatient CPT 87338 H.PYLORI STOOL ANTIGEN	$118.00	$118.00	$61.95–$118.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA	$104.00	$104.00	$24.96–$173.05	5% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 (HIV-1) QUANTI R-TIME PCR	$145.00	$145.00	$34.80–$173.05	32% above	—
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 QUANTITATION RT PCR - LC	$81.00	$81.00	$19.44–$173.05	26% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA	$104.00	$104.00	$54.60–$104.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 (HIV-1) QUANTI R-TIME PCR	$145.00	$145.00	$76.12–$145.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 QUANTITATION RT PCR - LC	$81.00	$81.00	$42.52–$81.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 ANTIGEN AND AN - QST	$12.00	$12.00	$2.88–$49.24	86% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RAPID HIV 1 2 AB/AG	$33.00	$33.00	$7.92–$49.24	62% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Confirmatory HIV Ag/Ab	$69.00	$69.00	$14.74–$69.00	21% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 ANTIGEN AND AN - QST	$12.00	$12.00	$6.30–$12.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RAPID HIV 1 2 AB/AG	$33.00	$33.00	$17.32–$33.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Confirmatory HIV Ag/Ab	$69.00	$69.00	$36.22–$69.00	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMPLIFIED RNA	$58.00	$58.00	$13.92–$71.05	57% below	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMAVIRUS (HPV)	$58.00	$58.00	$13.92–$71.05	57% below	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMPLIFIED RNA	$58.00	$58.00	$30.45–$58.00	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMAVIRUS (HPV)	$58.00	$58.00	$30.45–$58.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$44.00	$44.00	$5.94–$49.00	33% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$44.00	$44.00	$23.10–$44.00	—	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL - QST	$8.00	$8.00	$1.92–$49.00	79% below	—
Hepatitis B core antibody test (total) CPT 86704 DC-HEPATITIS B CORE AB TTL IP	$8.00	$8.00	$1.92–$49.00	79% below	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY (HBcAb)	$69.00	$69.00	$7.37–$69.00	83% above	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTI (HBcAB) TOTAL	$110.00	$110.00	$7.37–$110.00	192% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 DC-HEPATITIS B CORE AB TTL IP	$8.00	$8.00	$4.20–$8.00	—	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL - QST	$8.00	$8.00	$4.20–$8.00	—	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY (HBcAb)	$69.00	$69.00	$36.22–$69.00	—	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTI (HBcAB) TOTAL	$110.00	$110.00	$57.75–$110.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB - QST	$12.00	$12.00	$2.88–$49.00	72% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 DC-HEPATITIS B SURFACE AB QUANT	$18.00	$18.00	$4.32–$49.00	58% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBsAb)	$24.00	$24.00	$5.76–$49.00	44% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B CORE ANTI (HBcAB)	$77.00	$77.00	$6.57–$77.00	80% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB - QST	$12.00	$12.00	$6.30–$12.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 DC-HEPATITIS B SURFACE AB QUANT	$18.00	$18.00	$9.45–$18.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBsAb)	$24.00	$24.00	$12.60–$24.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B CORE ANTI (HBcAB)	$77.00	$77.00	$40.43–$77.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB SURF AG W/RFX NEUT - QST	$7.00	$7.00	$1.68–$49.00	90% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 DC-HEPATITIS B SURFACE AG	$21.00	$21.00	$5.04–$49.00	71% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB SURF AG W/RFX NEUT - QST	$7.00	$7.00	$3.68–$7.00	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 DC-HEPATITIS B SURFACE AG	$21.00	$21.00	$11.02–$21.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY - QST	$13.00	$13.00	$3.12–$49.00	78% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV ABS REFLEX RNA QUANT - QST	$13.00	$13.00	$3.12–$49.00	78% below	—
Hepatitis C antibody blood test (screening) CPT 86803 DC-HEPATITIS C ANTIBODY	$24.00	$24.00	$5.76–$49.00	59% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$79.00	$79.00	$8.73–$79.00	34% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY - QST	$13.00	$13.00	$6.82–$13.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ABS REFLEX RNA QUANT - QST	$13.00	$13.00	$6.82–$13.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 DC-HEPATITIS C ANTIBODY	$24.00	$24.00	$12.60–$24.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$79.00	$79.00	$41.48–$79.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUATITATIVE	$52.00	$52.00	$12.48–$87.23	41% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA OP	$73.00	$73.00	$17.52–$87.23	17% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 REFLEX HCV RNA QNT PCR - QST	$79.00	$79.00	$18.96–$87.23	10% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA	$87.00	$87.00	$20.88–$87.23	1% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL RNA QUAN - LC	$100.00	$100.00	$24.00–$100.00	14% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 QD-HEPATITIS C GENOTYPE	$335.00	$335.00	$26.22–$335.00	281% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUATITATIVE	$52.00	$52.00	$27.30–$52.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA OP	$73.00	$73.00	$38.33–$73.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REFLEX HCV RNA QNT PCR - QST	$79.00	$79.00	$41.48–$79.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA	$87.00	$87.00	$45.68–$87.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL RNA QUAN - LC	$100.00	$100.00	$52.50–$100.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 QD-HEPATITIS C GENOTYPE	$335.00	$335.00	$175.88–$335.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 AB - QST	$11.00	$11.00	$2.64–$49.00	43% below	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 AB - LC	$14.00	$14.00	$3.36–$49.00	28% below	—
Herpes blood test, HSV-1 antibody CPT 86695 AB HSV1	$15.00	$15.00	$3.60–$49.00	23% below	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 IGM AB - LC	$17.00	$17.00	$4.08–$49.00	12% below	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 IGG AB - LC	$17.00	$17.00	$4.08–$49.00	12% below	—
Herpes blood test, HSV-1 antibody CPT 86695 DC-HERPES SIMPLEX VIRUS	$27.00	$27.00	$6.48–$49.00	39% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 AB - QST	$11.00	$11.00	$5.78–$11.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 AB - LC	$14.00	$14.00	$7.35–$14.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB HSV1	$15.00	$15.00	$7.88–$15.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 IGG AB - LC	$17.00	$17.00	$8.93–$17.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 IGM AB - LC	$17.00	$17.00	$8.93–$17.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 DC-HERPES SIMPLEX VIRUS	$27.00	$27.00	$14.18–$27.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 AB - QST	$11.00	$11.00	$2.64–$49.00	54% below	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 AB - LC	$21.00	$21.00	$5.04–$49.00	12% below	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 IGG AB - LC	$24.00	$24.00	$5.76–$49.00	at median	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 IGM AB - LC	$24.00	$24.00	$5.76–$49.00	at median	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$72.00	$72.00	$11.84–$72.00	200% above	—
Herpes blood test, HSV-2 antibody CPT 86696 AB HSV2	$124.00	$124.00	$11.84–$124.00	417% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IgG INHIBITION IA REFLEX	$158.00	$158.00	$11.84–$158.00	558% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 AB - QST	$11.00	$11.00	$5.78–$11.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 AB - LC	$21.00	$21.00	$11.02–$21.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 IGM AB - LC	$24.00	$24.00	$12.60–$24.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 IGG AB - LC	$24.00	$24.00	$12.60–$24.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$72.00	$72.00	$37.80–$72.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB HSV2	$124.00	$124.00	$65.10–$124.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IgG INHIBITION IA REFLEX	$158.00	$158.00	$82.95–$158.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP ULTRAQUANT HGH SENS OP	$8.00	$8.00	$1.92–$49.00	88% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 RCRP C-REACTIVE PROTEIN HSCRP	$45.00	$45.00	$7.93–$49.00	34% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVE	$45.00	$45.00	$7.93–$49.00	34% below	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP ULTRAQUANT HGH SENS OP	$8.00	$8.00	$4.20–$8.00	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVE	$45.00	$45.00	$23.62–$45.00	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RCRP C-REACTIVE PROTEIN HSCRP	$45.00	$45.00	$23.62–$45.00	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE - QST	$13.00	$13.00	$3.12–$49.00	82% below	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$24.00	$24.00	$5.76–$49.00	66% below	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE-HPLC OP	$87.00	$87.00	$10.97–$87.00	22% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE - QST	$13.00	$13.00	$6.82–$13.00	—	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$24.00	$24.00	$12.60–$24.00	—	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE-HPLC OP	$87.00	$87.00	$45.68–$87.00	—	—
Insulin blood test CPT 83525 INSULIN TOTAL - LC	$6.00	$6.00	$1.44–$49.00	87% below	—
Insulin blood test CPT 83525 INSULIN	$17.00	$17.00	$4.08–$49.00	62% below	—
Insulin blood test CPT 83525 INSULIN LEVEL OP	$347.00	$347.00	$7.00–$347.00	671% above	—
Insulin blood test inpatient CPT 83525 INSULIN TOTAL - LC	$6.00	$6.00	$3.15–$6.00	—	—
Insulin blood test inpatient CPT 83525 INSULIN	$17.00	$17.00	$8.93–$17.00	—	—
Insulin blood test inpatient CPT 83525 INSULIN LEVEL OP	$347.00	$347.00	$182.18–$347.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY IP	$35.00	$35.00	$5.35–$49.00	53% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY IP	$35.00	$35.00	$18.38–$35.00	—	—
Kidney function blood test panel CPT 80069 RENAL PANEL	$65.00	$65.00	$5.31–$65.00	54% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$65.00	$65.00	$34.12–$65.00	—	—
LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZINE HORMONE) IP	$81.00	$81.00	$11.33–$81.00	25% below	—
LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORMONE)	$260.00	$260.00	$11.33–$260.00	140% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZINE HORMONE) IP	$81.00	$81.00	$42.52–$81.00	—	—
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZING HORMONE)	$260.00	$260.00	$136.50–$260.00	—	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID OP	$15.00	$15.00	$3.60–$49.00	89% below	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$116.00	$116.00	$7.08–$116.00	18% below	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID OP	$15.00	$15.00	$7.88–$15.00	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$116.00	$116.00	$60.90–$116.00	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 QD-LACTATE DEHYDROGENASE (LD) (LDH)	$30.00	$30.00	$3.70–$49.00	11% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$35.00	$35.00	$3.70–$49.00	4% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 QD-LACTATE DEHYDROGENASE (LD) (LDH)	$30.00	$30.00	$15.75–$30.00	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$35.00	$35.00	$18.38–$35.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BF	$12.00	$12.00	$2.88–$49.00	89% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BLOOD	$47.00	$47.00	$4.22–$49.00	57% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID	$52.00	$52.00	$4.22–$52.00	53% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BF	$12.00	$12.00	$6.30–$12.00	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BLOOD	$47.00	$47.00	$24.68–$47.00	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID	$52.00	$52.00	$27.30–$52.00	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$149.00	$149.00	$5.00–$149.00	1% below	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$149.00	$149.00	$78.23–$149.00	—	—
Lyme disease antibody test CPT 86618 LYME AB W/RFX BLT(IGG/IGM - LC	$17.00	$17.00	$4.08–$49.00	27% below	—
Lyme disease antibody test CPT 86618 ANTIBODY BORRELIA BURG IP	$35.00	$35.00	$8.40–$49.00	51% above	—
Lyme disease antibody test CPT 86618 ANTIBDY BORRELIA BURG IG OP	$35.00	$35.00	$8.40–$49.00	51% above	—
Lyme disease antibody test CPT 86618 ANTIBDY BORRELIA BRG IGM IP	$35.00	$35.00	$8.40–$49.00	51% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES	$72.00	$72.00	$10.42–$72.00	210% above	—
Lyme disease antibody test inpatient CPT 86618 LYME AB W/RFX BLT(IGG/IGM - LC	$17.00	$17.00	$8.93–$17.00	—	—
Lyme disease antibody test inpatient CPT 86618 ANTIBODY BORRELIA BURG IP	$35.00	$35.00	$18.38–$35.00	—	—
Lyme disease antibody test inpatient CPT 86618 ANTIBDY BORRELIA BURG IG OP	$35.00	$35.00	$18.38–$35.00	—	—
Lyme disease antibody test inpatient CPT 86618 ANTIBDY BORRELIA BRG IGM IP	$35.00	$35.00	$18.38–$35.00	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODIES	$72.00	$72.00	$37.80–$72.00	—	—
Magnesium blood test CPT 83735 MAGNESIUM-24 HR URINE	$18.00	$18.00	$4.10–$49.00	77% below	—
Magnesium blood test CPT 83735 MAGNESIUM BLOOD CHEM	$56.00	$56.00	$4.10–$56.00	29% below	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM-24 HR URINE	$18.00	$18.00	$9.45–$18.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM BLOOD CHEM	$56.00	$56.00	$29.40–$56.00	—	—
Measles (rubeola) antibody test CPT 86765 C RUBELLA AB - QST	$7.00	$7.00	$1.68–$49.00	79% below	—
Measles (rubeola) antibody test CPT 86765 QD-MEASLES IGM	$44.00	$44.00	$7.88–$49.00	32% above	—
Measles (rubeola) antibody test inpatient CPT 86765 C RUBELLA AB - QST	$7.00	$7.00	$3.68–$7.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 QD-MEASLES IGM	$44.00	$44.00	$23.10–$44.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$59.00	$59.00	$3.17–$59.00	44% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY MONO	$66.00	$66.00	$3.17–$66.00	37% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$59.00	$59.00	$30.98–$59.00	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY MONO	$66.00	$66.00	$34.65–$66.00	—	—
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$7.00	$7.00	$1.68–$49.00	64% below	—
Mumps immunity blood test CPT 86735 C MUMPS AB - QST	$7.00	$7.00	$1.68–$49.00	64% below	—
Mumps immunity blood test CPT 86735 QD-MUMPS IGM	$17.00	$17.00	$4.08–$49.00	13% below	—
Mumps immunity blood test inpatient CPT 86735 C MUMPS AB - QST	$7.00	$7.00	$3.68–$7.00	—	—
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$7.00	$7.00	$3.68–$7.00	—	—
Mumps immunity blood test inpatient CPT 86735 QD-MUMPS IGM	$17.00	$17.00	$8.93–$17.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 C PROSTATE SPECIFIC ANTIGEN TOTAL - QST	$17.00	$17.00	$4.08–$49.00	70% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 C PROSTATE SPECIFIC ANTIGEN TOTAL - QST	$17.00	$17.00	$8.93–$17.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$12.00	$12.00	$2.88–$49.00	80% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 C PROSTATE SPECIFIC ANTIGEN TOTAL - QST	$17.00	$17.00	$4.08–$49.00	71% below	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA	$12.00	$12.00	$6.30–$12.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 C PROSTATE SPECIFIC ANTIGEN TOTAL - QST	$17.00	$17.00	$8.93–$17.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$110.00	$110.00	$25.26–$110.00	at median	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT OP	$116.00	$116.00	$25.26–$116.00	5% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$110.00	$110.00	$57.75–$110.00	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT OP	$116.00	$116.00	$60.90–$116.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT	$52.00	$52.00	$3.68–$52.00	22% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$124.00	$124.00	$3.68–$124.00	86% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT	$52.00	$52.00	$27.30–$52.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$124.00	$124.00	$65.10–$124.00	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD	$35.00	$35.00	$2.90–$49.00	54% below	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD	$35.00	$35.00	$18.38–$35.00	—	—
Potassium blood test CPT 84132 POTASSIUM BLOOD	$32.00	$32.00	$2.91–$49.00	56% below	—
Potassium blood test inpatient CPT 84132 POTASSIUM BLOOD	$32.00	$32.00	$16.80–$32.00	—	—
Progesterone blood test CPT 84144 PROGESTERONE SERUM	$26.00	$26.00	$6.24–$49.00	70% below	—
Progesterone blood test CPT 84144 17 OH PROGRSTERONE ACTH	$52.00	$52.00	$12.48–$52.00	39% below	—
Progesterone blood test CPT 84144 PROGESTERONE SERUM FIA OP	$74.00	$74.00	$12.77–$74.00	14% below	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM	$26.00	$26.00	$13.65–$26.00	—	—
Progesterone blood test inpatient CPT 84144 17 OH PROGRSTERONE ACTH	$52.00	$52.00	$27.30–$52.00	—	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM FIA OP	$74.00	$74.00	$38.85–$74.00	—	—
Prolactin blood test CPT 84146 PROLACTIN	$11.00	$11.00	$2.64–$49.00	90% below	—
Prolactin blood test CPT 84146 PROLACTIN 1A IP	$78.00	$78.00	$11.86–$78.00	27% below	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$11.00	$11.00	$5.78–$11.00	—	—
Prolactin blood test inpatient CPT 84146 PROLACTIN 1A IP	$78.00	$78.00	$40.95–$78.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$29.00	$29.00	$2.63–$49.00	56% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 MIXING STUDY	$43.00	$43.00	$2.63–$49.00	35% below	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$29.00	$29.00	$15.23–$29.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MIXING STUDY	$43.00	$43.00	$22.58–$43.00	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A IA DIR	$41.00	$41.00	$8.85–$49.00	46% below	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B IA DIR	$41.00	$41.00	$8.85–$49.00	46% below	—
Rapid flu test (influenza antigen) CPT 87804 VG-INFLUENZA A/B IA W/DIR OPT OBSV	$98.00	$98.00	$8.85–$98.00	30% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A IA DIR	$41.00	$41.00	$21.52–$41.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B IA DIR	$41.00	$41.00	$21.52–$41.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 VG-INFLUENZA A/B IA W/DIR OPT OBSV	$98.00	$98.00	$51.45–$98.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 VG-STREP A IA W/DIR OPT OBSV	$139.00	$139.00	$6.99–$139.00	26% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 VG-STREP A IA W/DIR OPT OBSV	$139.00	$139.00	$72.98–$139.00	—	—
Renin blood test CPT 84244 PLASMA RENIN ACTIVITY - QST	$15.00	$15.00	$3.60–$49.00	39% below	—
Renin blood test CPT 84244 RENIN ACTIVITY PLASMA	$33.00	$33.00	$7.92–$49.00	33% above	—
Renin blood test inpatient CPT 84244 PLASMA RENIN ACTIVITY - QST	$15.00	$15.00	$7.88–$15.00	—	—
Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA	$33.00	$33.00	$17.32–$33.00	—	—
Rh blood typing CPT 86901 LS-RH (D) Typing	$21.00	$21.00	$2.46–$49.00	70% below	—
Rh blood typing CPT 86901 LS-RH Typing	$21.00	$21.00	$2.46–$49.00	70% below	—
Rh blood typing CPT 86901 BB-RH (D)	$66.00	$66.00	$2.46–$66.00	7% below	—
Rh blood typing inpatient CPT 86901 LS-RH Typing	$21.00	$21.00	$11.02–$21.00	—	—
Rh blood typing inpatient CPT 86901 LS-RH (D) Typing	$21.00	$21.00	$11.02–$21.00	—	—
Rh blood typing inpatient CPT 86901 BB-RH (D)	$66.00	$66.00	$34.65–$66.00	—	—
Rheumatoid factor (RF) test CPT 86431 C RHEUMATOID FACTOR QUANTITATIVE - QST	$5.00	$5.00	$1.20–$49.00	62% below	—
Rheumatoid factor (RF) test inpatient CPT 86431 C RHEUMATOID FACTOR QUANTITATIVE - QST	$5.00	$5.00	$2.62–$5.00	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$7.00	$7.00	$1.68–$49.00	88% below	—
Rubella antibody test (immunity check) CPT 86762 C RUBELLA AB - QST	$7.00	$7.00	$1.68–$49.00	88% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS - QST	$8.00	$8.00	$1.92–$49.00	86% below	—
Rubella antibody test (immunity check) CPT 86762 QD-RUBELLA IGM	$16.00	$16.00	$3.84–$49.00	72% below	—
Rubella antibody test (immunity check) CPT 86762 IMMUNE STATUS PANEL MMR MEASLES	$46.00	$46.00	$8.81–$49.00	18% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 C RUBELLA AB - QST	$7.00	$7.00	$3.68–$7.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$7.00	$7.00	$3.68–$7.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNE STATUS - QST	$8.00	$8.00	$4.20–$8.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 QD-RUBELLA IGM	$16.00	$16.00	$8.40–$16.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 IMMUNE STATUS PANEL MMR MEASLES	$46.00	$46.00	$24.15–$46.00	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERYTHRO SEDIMENTATION RATE	$51.00	$51.00	$1.65–$51.00	9% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ERYTHRO SEDIMENTATION RATE	$51.00	$51.00	$26.78–$51.00	—	—
Sodium blood test CPT 84295 SODIUM BLOOD	$32.00	$32.00	$2.94–$49.00	51% below	—
Sodium blood test inpatient CPT 84295 SODIUM BLOOD	$32.00	$32.00	$16.80–$32.00	—	—
Stool ova and parasites exam CPT 87177 C OVA PARASITES DIRECT CONCENTR ID-LC	$7.00	$7.00	$1.68–$49.00	66% below	—
Stool ova and parasites exam CPT 87177 C OVA PARASITES DIRECT CONCENTR ID-QST	$10.00	$10.00	$2.40–$49.00	52% below	—
Stool ova and parasites exam CPT 87177 O P DIRECT CONC ID	$19.00	$19.00	$4.56–$49.00	9% below	—
Stool ova and parasites exam inpatient CPT 87177 C OVA PARASITES DIRECT CONCENTR ID-LC	$7.00	$7.00	$3.68–$7.00	—	—
Stool ova and parasites exam inpatient CPT 87177 C OVA PARASITES DIRECT CONCENTR ID-QST	$10.00	$10.00	$5.25–$10.00	—	—
Stool ova and parasites exam inpatient CPT 87177 O P DIRECT CONC ID	$19.00	$19.00	$9.98–$19.00	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN FECES NEOPLASM	$22.00	$22.00	$2.68–$49.00	44% below	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN FECES NEOPLASM	$22.00	$22.00	$11.55–$22.00	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL GLOBIN BY IMMUNOCHEMISTRY	$60.00	$60.00	$9.74–$60.00	53% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL GLOBIN BY IMMUNOCHEMISTRY	$60.00	$60.00	$31.50–$60.00	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM TOT ABS FTA - LC	$9.00	$9.00	$2.16–$49.00	60% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM(FTA-ABS)	$20.00	$20.00	$4.80–$49.00	11% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$23.00	$23.00	$5.52–$49.00	2% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$87.00	$87.00	$8.10–$87.00	286% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 AB TREPONEMA PALLIDUM - LC	$92.00	$92.00	$8.10–$92.00	308% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T PALLIDUM TOT ABS FTA - LC	$9.00	$9.00	$4.73–$9.00	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM(FTA-ABS)	$20.00	$20.00	$10.50–$20.00	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$23.00	$23.00	$12.08–$23.00	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$87.00	$87.00	$45.68–$87.00	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 AB TREPONEMA PALLIDUM - LC	$92.00	$92.00	$48.30–$92.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUAL CSF - LC	$5.00	$5.00	$1.20–$49.00	76% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL - QST	$6.00	$6.00	$1.44–$49.00	71% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM - LC	$7.00	$7.00	$1.68–$49.00	67% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 DC-RPR	$9.00	$9.00	$2.16–$49.00	57% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$34.00	$34.00	$2.61–$49.00	62% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$34.00	$34.00	$2.61–$49.00	62% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL QUAL CSF - LC	$5.00	$5.00	$2.62–$5.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL - QST	$6.00	$6.00	$3.15–$6.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM - LC	$7.00	$7.00	$3.68–$7.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 DC-RPR	$9.00	$9.00	$4.73–$9.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$34.00	$34.00	$17.85–$34.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$34.00	$34.00	$17.85–$34.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS (CI) - QST	$43.00	$43.00	$10.32–$125.92	56% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$153.00	$153.00	$36.72–$153.00	58% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS (CI) - QST	$43.00	$43.00	$22.58–$43.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD	$153.00	$153.00	$80.32–$153.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 C MICROSOMAL ANTIBODIES EACH - LC	$7.00	$7.00	$1.68–$49.00	69% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AUTOAB - QST	$13.00	$13.00	$3.12–$49.00	43% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 AB IGG - LC	$14.00	$14.00	$3.36–$49.00	39% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS	$24.00	$24.00	$5.76–$49.00	5% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES	$47.00	$47.00	$8.90–$49.00	105% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL AB	$69.00	$69.00	$8.90–$69.00	202% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 C MICROSOMAL ANTIBODIES EACH - LC	$7.00	$7.00	$3.68–$7.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AUTOAB - QST	$13.00	$13.00	$6.82–$13.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 AB IGG - LC	$14.00	$14.00	$7.35–$14.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS	$24.00	$24.00	$12.60–$24.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES	$47.00	$47.00	$24.68–$47.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL AB	$69.00	$69.00	$36.22–$69.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (PKU)	$56.00	$56.00	$10.28–$56.00	48% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 3RD GEN	$166.00	$166.00	$10.28–$166.00	53% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (PKU)	$56.00	$56.00	$29.40–$56.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 3RD GEN	$166.00	$166.00	$87.15–$166.00	—	—
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE - LC	$9.00	$9.00	$2.16–$49.00	86% below	—
Total IgE blood test CPT 82785 IGE	$12.00	$12.00	$2.88–$49.00	81% below	—
Total IgE blood test CPT 82785 IGE OP	$69.00	$69.00	$10.07–$69.00	8% above	—
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE - LC	$9.00	$9.00	$4.73–$9.00	—	—
Total IgE blood test inpatient CPT 82785 IGE	$12.00	$12.00	$6.30–$12.00	—	—
Total IgE blood test inpatient CPT 82785 IGE OP	$69.00	$69.00	$36.22–$69.00	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL BLOOD	$32.00	$32.00	$2.66–$49.00	27% below	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL BLOOD	$32.00	$32.00	$16.80–$32.00	—	—
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$50.00	$50.00	$4.20–$50.00	28% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$50.00	$50.00	$26.25–$50.00	—	—
Transferrin blood test CPT 84466 TRANSFERRIN - QST	$19.00	$19.00	$4.56–$49.00	70% below	—
Transferrin blood test CPT 84466 TRANSFERRIN	$21.00	$21.00	$5.04–$49.00	67% below	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN - QST	$19.00	$19.00	$9.98–$19.00	—	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$21.00	$21.00	$11.02–$21.00	—	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GU INF BIOT	$12.00	$12.00	$2.88–$71.05	88% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GI PARA BIOT	$13.00	$13.00	$3.12–$71.05	87% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GI BIOT	$15.00	$15.00	$3.60–$71.05	85% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE UTI HR BIOT	$15.00	$15.00	$3.60–$71.05	85% below	—
Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA - LC	$35.00	$35.00	$8.40–$71.05	65% below	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GU INF BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GI PARA BIOT	$13.00	$13.00	$6.82–$13.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA - LC	$35.00	$35.00	$18.38–$35.00	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES BLD	$36.00	$36.00	$3.51–$49.00	13% below	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BLD	$36.00	$36.00	$18.90–$36.00	—	—
Troponin test, quantitative CPT 84484 HIGH SENSITIVITY TROPONIN	$52.00	$52.00	$7.63–$52.00	71% below	—
Troponin test, quantitative CPT 84484 TROPONIN 1 QT	$200.00	$200.00	$7.63–$200.00	10% above	—
Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVITY TROPONIN	$52.00	$52.00	$27.30–$52.00	—	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN 1 QT	$200.00	$200.00	$105.00–$200.00	—	—
Uric acid blood test CPT 84550 URIC ACID BLOOD CHEM	$36.00	$36.00	$2.77–$49.00	45% below	—
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD CHEM	$36.00	$36.00	$18.90–$36.00	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICRO	$14.00	$14.00	$1.94–$49.00	83% below	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICROSCOPY	$135.00	$135.00	$1.94–$135.00	63% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICRO	$14.00	$14.00	$7.35–$14.00	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPY	$135.00	$135.00	$70.88–$135.00	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO	$65.00	$65.00	$1.38–$65.00	16% above	—
Urinalysis without microscope exam, automated CPT 81003 UA DIP/TAB REAG AUTO W/O MICRO	$65.00	$65.00	$1.38–$65.00	16% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIP/TAB REAG AUTO W/O MICRO	$65.00	$65.00	$34.12–$65.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO	$65.00	$65.00	$34.12–$65.00	—	—
Urine culture for bacteria, with colony count CPT 87086 VG-CULTURE URINE QTY COLON MOD	$133.00	$133.00	$4.94–$133.00	5% below	—
Urine culture for bacteria, with colony count CPT 87086 VG-CULTURE URINE QTY COLON	$133.00	$133.00	$4.94–$133.00	5% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 VG-CULTURE URINE QTY COLON	$133.00	$133.00	$69.82–$133.00	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 VG-CULTURE URINE QTY COLON MOD	$133.00	$133.00	$69.82–$133.00	—	—
Urine microalbumin (albumin) test CPT 82043 C ALBUMIN URINE QUANTITATIVE - QST	$5.00	$5.00	$1.20–$49.00	86% below	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUAN OP	$11.00	$11.00	$2.64–$49.00	69% below	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QN	$25.00	$25.00	$3.54–$49.00	30% below	—
Urine microalbumin (albumin) test inpatient CPT 82043 C ALBUMIN URINE QUANTITATIVE - QST	$5.00	$5.00	$2.62–$5.00	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUAN OP	$11.00	$11.00	$5.78–$11.00	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QN	$25.00	$25.00	$13.12–$25.00	—	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST VISUAL	$44.00	$44.00	$2.80–$49.00	50% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST VISUAL	$44.00	$44.00	$23.10–$44.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VITAMIN D	$21.00	$21.00	$5.04–$60.50	68% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(125OHD)LCMSMS - LC	$22.00	$22.00	$5.28–$60.50	66% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 PROTEIN S	$29.00	$29.00	$6.96–$60.50	56% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-OH VITAMIN D	$21.00	$21.00	$11.02–$21.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D(125OHD)LCMSMS - LC	$22.00	$22.00	$11.55–$22.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 PROTEIN S	$29.00	$29.00	$15.23–$29.00	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125-OH - LC	$28.00	$28.00	$6.72–$78.08	59% below	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125-OH - LC	$28.00	$28.00	$14.70–$28.00	—	—
Zinc blood test CPT 84630 ZINC - QST	$17.00	$17.00	$4.08–$49.00	22% above	—
Zinc blood test CPT 84630 ZINC	$18.00	$18.00	$4.32–$49.00	29% above	—
Zinc blood test inpatient CPT 84630 ZINC - QST	$17.00	$17.00	$8.93–$17.00	—	—
Zinc blood test inpatient CPT 84630 ZINC	$18.00	$18.00	$9.45–$18.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$73.00	$73.00	$9.21–$73.00	59% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$73.00	$73.00	$38.33–$73.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST BX LOCAL STEREOTACT 1ST LES	$5,007.00	$5,007.00	$632.17–$5,007.00	15% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BREAST BX LOCAL STEREOTACT 1ST LES	$5,007.00	$5,007.00	$2,628.68–$5,007.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 ED-CLD TX TIBIAL DISTAL(L.M)FX WO MAN RT	$483.00	$483.00	$115.92–$1,075.00	10% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 ED-CLD TX TIBIAL DISTAL(L.M)FX WO MAN LT	$483.00	$483.00	$115.92–$1,075.00	10% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 ED-CLD TX TIBIAL DISTAL(L.M)FX WO MAN RT	$483.00	$483.00	$253.58–$483.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 ED-CLD TX TIBIAL DISTAL(L.M)FX WO MAN LT	$483.00	$483.00	$253.58–$483.00	—	—
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 ED-CLSD TX METATARSAL FX W/0 MANIP LT	$483.00	$483.00	$115.92–$1,075.00	10% below	—
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 ED-CLSD TX METATARSAL FX W/0 MANIP RT	$483.00	$483.00	$115.92–$1,075.00	10% below	—
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 ED-CLSD TX METATARSAL FX W/0 MANIP LT	$483.00	$483.00	$253.58–$483.00	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 ED-CLSD TX METATARSAL FX W/0 MANIP RT	$483.00	$483.00	$253.58–$483.00	—	—
Cardiac catheterization with coronary angiogram CPT 93458 CORONARY ANGIO LHC	$18,576.00	$18,576.00	$950.01–$18,576.00	44% above	—
Cardiac catheterization with coronary angiogram one side CPT 93458 CORO ANGIO W/LT HEART CATH	$12,119.00	$12,119.00	$950.01–$12,119.00	6% below	—
Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART CATH CORONARY	$14,326.00	$14,326.00	$950.01–$14,326.00	11% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CORONARY ANGIO LHC	$18,576.00	$18,576.00	$9,752.40–$18,576.00	—	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CORO ANGIO W/LT HEART CATH	$12,119.00	$12,119.00	$6,362.48–$12,119.00	—	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART CATH CORONARY	$14,326.00	$14,326.00	$7,521.15–$14,326.00	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT/ARRHYTH	$1,244.00	$1,244.00	$144.50–$2,103.00	34% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$1,244.00	$1,244.00	$144.50–$2,103.00	34% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED-CARDIOVERT ELECT ELECT CONV OF ARRH	$1,369.00	$1,369.00	$144.50–$1,369.00	27% below	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT/ARRHYTH	$1,244.00	$1,244.00	$653.10–$1,244.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$1,244.00	$1,244.00	$653.10–$1,244.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED-CARDIOVERT ELECT ELECT CONV OF ARRH	$1,369.00	$1,369.00	$718.72–$1,369.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 ED-RADIAL DISTAL FX W/O MANIPULAT LT	$483.00	$483.00	$115.92–$1,075.00	18% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 ED-RADIL DISTAL FX WO MANIPULAT RT	$483.00	$483.00	$115.92–$1,075.00	18% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 ED-RADIAL DISTAL FX W/O MANIPULAT LT	$483.00	$483.00	$253.58–$483.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 ED-RADIL DISTAL FX WO MANIPULAT RT	$483.00	$483.00	$253.58–$483.00	—	—
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY W-URETERAL STENT BIL	$15,725.00	$15,725.00	$649.74–$15,725.00	168% above	—
Cystoscopy with ureteral stent placement one side CPT 52332 CYSTOURETHROSCOPY W-URETERAL STENT LT	$10,483.00	$10,483.00	$649.74–$10,483.00	79% above	—
Cystoscopy with ureteral stent placement one side CPT 52332 CYSTOURETHROSCOPY W-URETERAL STENT RT	$10,483.00	$10,483.00	$649.74–$10,483.00	79% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETHROSCOPY W-URETERAL STENT BIL	$15,725.00	$15,725.00	$8,255.62–$15,725.00	—	—
Cystoscopy with ureteral stent placement inpatient one side CPT 52332 CYSTOURETHROSCOPY W-URETERAL STENT RT	$10,483.00	$10,483.00	$5,503.58–$10,483.00	—	—
Cystoscopy with ureteral stent placement inpatient one side CPT 52332 CYSTOURETHROSCOPY W-URETERAL STENT LT	$10,483.00	$10,483.00	$5,503.58–$10,483.00	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$194.00	$194.00	$11.54–$1,075.00	9% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$194.00	$194.00	$101.85–$194.00	—	—
Earwax removal with instruments, one ear CPT 69210 ED-EAR IRRIGATION-PHYSICIAN	$483.00	$483.00	$36.03–$1,075.00	175% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 ED-EAR IRRIGATION-PHYSICIAN	$483.00	$483.00	$253.58–$483.00	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L/S FACET INJ IMAG LVL 1	$2,820.00	$2,820.00	$144.45–$2,820.00	37% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ IMAG LVL 1 BIL	$4,999.00	$4,999.00	$144.45–$4,999.00	143% above	—
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 FACET INJ IMAG LVL 1 LT	$2,856.00	$2,856.00	$144.45–$2,856.00	39% above	—
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 FACET INJ IMAG LVL 1 RT	$2,856.00	$2,856.00	$144.45–$2,856.00	39% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L/S FACET INJ IMAG LVL 1	$2,820.00	$2,820.00	$1,480.50–$2,820.00	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET INJ IMAG LVL 1 BIL	$4,999.00	$4,999.00	$2,624.48–$4,999.00	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 FACET INJ IMAG LVL 1 RT	$2,856.00	$2,856.00	$1,499.40–$2,856.00	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 FACET INJ IMAG LVL 1 LT	$2,856.00	$2,856.00	$1,499.40–$2,856.00	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJECT HSG	$711.00	$711.00	$156.42–$8,806.00	10% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJECT HSG	$711.00	$711.00	$373.28–$711.00	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BX ENDOMETRM POLPC W/WO	$14,540.00	$14,540.00	$206.88–$14,540.00	105% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BX ENDOMETRM POLPC W/WO	$14,540.00	$14,540.00	$7,633.50–$14,540.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 ED-INCISION DRAINAGE OF ABSCESS	$483.00	$483.00	$50.08–$1,075.00	3% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED-INCISION DRAINAGE OF ABSCESS	$483.00	$483.00	$253.58–$483.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ED-BLOCK for PAIN-TENDON	$483.00	$483.00	$54.03–$1,075.00	27% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ED-BLOCK for PAIN-TENDON	$483.00	$483.00	$253.58–$483.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED-INJ/ASPIRATE JNT W/O US GUIDE MAJOR	$909.00	$909.00	$54.03–$1,075.00	4% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OBP-ARTHROCENTESIS/ASPIRATION/INJ-MAJOR	$909.00	$909.00	$54.03–$1,267.00	4% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OBP-ARTHROCENTESIS/ASPIRATION/INJ-MAJOR	$909.00	$909.00	$477.22–$909.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED-INJ/ASPIRATE JNT W/O US GUIDE MAJOR	$909.00	$909.00	$477.22–$909.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED-INJECT/ASPIRATE JOINT W/O US GUIDE ME	$483.00	$483.00	$44.80–$1,075.00	21% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 OBP-ARTHROCENTESIS/ASPIRATION/INJ-MAJOR	$695.00	$695.00	$44.80–$1,267.00	14% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED-INJECT/ASPIRATE JOINT W/O US GUIDE ME	$483.00	$483.00	$253.58–$483.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 OBP-ARTHROCENTESIS/ASPIRATION/INJ-MAJOR	$695.00	$695.00	$364.88–$695.00	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 OBP-ARTHROCENTESIS/ASPIRATION/INJ-INTERM	$909.00	$909.00	$38.22–$1,267.00	25% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRCNTSS ASPRTN INJEC SML JNT/BURSA	$909.00	$909.00	$38.22–$1,267.00	25% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED-INJECT/ASPIRATE JOINT W/O US GUIDE SM	$909.00	$909.00	$38.22–$1,075.00	25% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRCNTSS ASPRTN INJEC SML JNT/BURSA	$909.00	$909.00	$477.22–$909.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED-INJECT/ASPIRATE JOINT W/O US GUIDE SM	$909.00	$909.00	$477.22–$909.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 OBP-ARTHROCENTESIS/ASPIRATION/INJ-INTERM	$909.00	$909.00	$477.22–$909.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED-LAYER CLOSURE OF WOUND 2.5 or LESS	$483.00	$483.00	$99.72–$1,075.00	44% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED-LAYER CLOSURE OF WOUND 2.5 or LESS	$483.00	$483.00	$253.58–$483.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER-EXC TR-EXT B9 MARG 0.5 CM<	$2,195.00	$2,195.00	$68.53–$2,195.00	66% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ER-EXC TR-EXT B9 MARG 0.5 CM<	$2,195.00	$2,195.00	$1,152.38–$2,195.00	—	—
Nail removal (partial or complete), one nail CPT 11730 ED-REMOVAL OF NAIL PLATE	$483.00	$483.00	$37.78–$1,075.00	at median	—
Nail removal (partial or complete), one nail inpatient CPT 11730 ED-REMOVAL OF NAIL PLATE	$483.00	$483.00	$253.58–$483.00	—	—
Pacemaker implant (dual chamber) CPT 33208 INSERT OR REPLACE A/V DUAL PPM	$20,660.00	$20,660.00	$878.63–$20,660.00	26% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT OR REPLACE A/V DUAL PPM	$20,660.00	$20,660.00	$10,846.50–$20,660.00	—	—
Paracentesis with imaging guidance CPT 49083 US OBP-ABD PARACENTESIS W IMAGE GUIDANCE	$1,621.00	$1,621.00	$89.72–$2,418.00	12% below	—
Paracentesis with imaging guidance CPT 49083 ED-ABDOM PARACENTESIS W/IMAGE GUIDANCE	$3,012.00	$3,012.00	$89.72–$3,012.00	64% above	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$4,251.00	$4,251.00	$89.72–$9,743.00	132% above	—
Paracentesis with imaging guidance inpatient CPT 49083 US OBP-ABD PARACENTESIS W IMAGE GUIDANCE	$1,621.00	$1,621.00	$851.03–$1,621.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ED-ABDOM PARACENTESIS W/IMAGE GUIDANCE	$3,012.00	$3,012.00	$1,581.30–$3,012.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$4,251.00	$4,251.00	$2,231.78–$4,251.00	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED-EXCISION of NAIL/MATRIX PARTIAL/COMPL	$967.00	$967.00	$99.72–$1,075.00	25% below	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED-EXCISION of NAIL/MATRIX PARTIAL/COMPL	$967.00	$967.00	$507.68–$967.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 ED-REMOVAL FOREIGN BDY SKIN SIMPLE INCIS	$967.00	$967.00	$61.06–$1,075.00	1% below	—
Removal of a foreign object under the skin, simple CPT 10120 ED-REM FOREIGN BODY SIMPLE BIL	$967.00	$967.00	$61.06–$1,075.00	1% below	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 ED-REMOVAL FOREIGN BDY SKIN SIMPLE INCIS	$967.00	$967.00	$507.68–$967.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 ED-REM FOREIGN BODY SIMPLE BIL	$967.00	$967.00	$507.68–$967.00	—	—
Short arm cast (elbow to hand) one side CPT 29075 ED-CAST ELBOW TO FINGER RT	$483.00	$483.00	$97.53–$1,075.00	3% below	—
Short arm cast (elbow to hand) one side CPT 29075 ED-CAST ELBOW TO FINGER LT	$483.00	$483.00	$97.53–$1,075.00	3% below	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 ED-CAST ELBOW TO FINGER RT	$483.00	$483.00	$253.58–$483.00	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 ED-CAST ELBOW TO FINGER LT	$483.00	$483.00	$253.58–$483.00	—	—
Short arm splint (forearm and hand) one side CPT 29125 ED-SPLINT SHORT FOREARM TO HAND RT	$483.00	$483.00	$62.39–$1,075.00	19% above	—
Short arm splint (forearm and hand) one side CPT 29125 ED-SPLINT SHORT FOREARM TO HAND LT	$483.00	$483.00	$62.39–$1,075.00	19% above	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 ED-SPLINT SHORT FOREARM TO HAND LT	$483.00	$483.00	$253.58–$483.00	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 ED-SPLINT SHORT FOREARM TO HAND RT	$483.00	$483.00	$253.58–$483.00	—	—
Short leg cast (below the knee) one side CPT 29405 ED-CAST SHORT LEG LT	$483.00	$483.00	$100.61–$1,075.00	3% below	—
Short leg cast (below the knee) one side CPT 29405 ED-CAST SHORT LEG RT	$483.00	$483.00	$100.61–$1,075.00	3% below	—
Short leg cast (below the knee) inpatient one side CPT 29405 ED-CAST SHORT LEG LT	$483.00	$483.00	$253.58–$483.00	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 ED-CAST SHORT LEG RT	$483.00	$483.00	$253.58–$483.00	—	—
Short leg splint (calf to foot) one side CPT 29515 ED-SPLINT SHORT LEG RT	$483.00	$483.00	$66.78–$1,075.00	2% below	—
Short leg splint (calf to foot) one side CPT 29515 ED-SPLINT SHORT LEG LT	$483.00	$483.00	$66.78–$1,075.00	2% below	—
Short leg splint (calf to foot) inpatient one side CPT 29515 ED-SPLINT SHORT LEG RT	$483.00	$483.00	$253.58–$483.00	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 ED-SPLINT SHORT LEG LT	$483.00	$483.00	$253.58–$483.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED-SMPL REPAIR WOUNDS <2.6CM	$483.00	$483.00	$82.59–$1,075.00	12% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED-SMPL REPAIR WOUNDS <2.6CM	$483.00	$483.00	$253.58–$483.00	—	—
Skin tag removal, up to 15 tags CPT 11200 ED-REMOVAL SKIN TAGS UP TO 15 LESIONS	$483.00	$483.00	$37.35–$1,075.00	22% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 ED-REMOVAL SKIN TAGS UP TO 15 LESIONS	$483.00	$483.00	$253.58–$483.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED-LUMBAR PUNCTURE	$967.00	$967.00	$96.65–$1,075.00	27% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 CLB-SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,176.00	$1,176.00	$96.65–$1,989.00	11% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 OBP-LUMBAR PUNCTURE	$1,265.00	$1,265.00	$96.65–$1,989.00	4% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 NM-SPINAL PUNCTURE LUMB DIAG	$1,265.00	$1,265.00	$96.65–$1,989.00	4% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$1,265.00	$1,265.00	$96.65–$1,989.00	4% below	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED-LUMBAR PUNCTURE	$967.00	$967.00	$507.68–$967.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CLB-SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,176.00	$1,176.00	$617.40–$1,176.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$1,265.00	$1,265.00	$664.12–$1,265.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 OBP-LUMBAR PUNCTURE	$1,265.00	$1,265.00	$664.12–$1,265.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 NM-SPINAL PUNCTURE LUMB DIAG	$1,265.00	$1,265.00	$664.12–$1,265.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED-SIMPLE REPAIR WOUND 2.6-7.5CM	$483.00	$483.00	$87.86–$1,075.00	35% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED-SIMPLE REPAIR WOUND 2.6-7.5CM	$483.00	$483.00	$253.58–$483.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED-SMPL REPAIR SF WOUND 2.6-5.0CM	$483.00	$483.00	$86.10–$1,075.00	27% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED-SMPL REPAIR SF WOUND 2.6-5.0CM	$483.00	$483.00	$253.58–$483.00	—	—
Thoracentesis with imaging guidance CPT 32555 OBP-THORACENTESIS W IMAGE GUIDANCE	$1,621.00	$1,621.00	$92.33–$1,621.00	20% below	—
Thoracentesis with imaging guidance CPT 32555 ED-THORACENTESISNEEDLE/CATH W/ GUIDANCE	$1,655.00	$1,655.00	$92.33–$1,655.00	19% below	—
Thoracentesis with imaging guidance CPT 32555 US THORACENTSIS W/US GUIDANCE	$2,153.00	$2,153.00	$92.33–$2,153.00	6% above	—
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMAGING	$2,946.00	$2,946.00	$92.33–$9,743.00	45% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 OBP-THORACENTESIS W IMAGE GUIDANCE	$1,621.00	$1,621.00	$851.03–$1,621.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 ED-THORACENTESISNEEDLE/CATH W/ GUIDANCE	$1,655.00	$1,655.00	$868.88–$1,655.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTSIS W/US GUIDANCE	$2,153.00	$2,153.00	$1,130.32–$2,153.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/IMAGING	$2,946.00	$2,946.00	$1,546.65–$2,946.00	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 ED-BLOCK for PAIN-MUSCLE	$483.00	$483.00	$52.49–$1,075.00	23% below	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED-BLOCK for PAIN-MUSCLE	$483.00	$483.00	$253.58–$483.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BIOPSY 1ST LESION	$2,334.00	$2,334.00	$360.00–$2,334.00	27% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BIOPSY 1ST LESION	$2,334.00	$2,334.00	$1,225.35–$2,334.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED-DEBRIDEMENT SCSKIN TISSUE	$967.00	$967.00	$103.87–$1,075.00	42% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED-DEBRIDEMENT SCSKIN TISSUE	$967.00	$967.00	$507.68–$967.00	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 0-4 HOURS	$695.00	$695.00	$166.80–$695.00	20% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSIONS < 4 HOURS	$695.00	$695.00	$166.80–$695.00	20% below	—
Blood transfusion (giving blood or blood components) CPT 36430 LD-BLOOD TRANSFUSION < 4 HRS	$695.00	$695.00	$166.80–$695.00	20% below	—
Blood transfusion (giving blood or blood components) CPT 36430 OBP-BLOOD TRANSFUSION	$1,008.00	$1,008.00	$241.92–$1,008.00	15% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 4- 6 HOURS	$1,042.00	$1,042.00	$250.08–$1,042.00	19% above	—
Blood transfusion (giving blood or blood components) CPT 36430 LD-BLOOD TRANSFUSION < 6 HRS	$1,042.00	$1,042.00	$250.08–$1,042.00	19% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION < 6 HOURS	$1,042.00	$1,042.00	$250.08–$1,042.00	19% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ED-BLOOD TRANSFUSION PROCESS	$1,381.00	$1,381.00	$275.24–$1,381.00	58% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION < 8 HOURS	$1,389.00	$1,389.00	$275.24–$1,389.00	59% above	—
Blood transfusion (giving blood or blood components) CPT 36430 LD-BLOOD TRANSFUSION < 8 HRS	$1,389.00	$1,389.00	$275.24–$1,389.00	59% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 0-4 HOURS	$695.00	$695.00	$364.88–$695.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 LD-BLOOD TRANSFUSION < 4 HRS	$695.00	$695.00	$364.88–$695.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSIONS < 4 HOURS	$695.00	$695.00	$364.88–$695.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBP-BLOOD TRANSFUSION	$1,008.00	$1,008.00	$529.20–$1,008.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 LD-BLOOD TRANSFUSION < 6 HRS	$1,042.00	$1,042.00	$547.05–$1,042.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 4- 6 HOURS	$1,042.00	$1,042.00	$547.05–$1,042.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION < 6 HOURS	$1,042.00	$1,042.00	$547.05–$1,042.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED-BLOOD TRANSFUSION PROCESS	$1,381.00	$1,381.00	$725.02–$1,381.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION < 8 HOURS	$1,389.00	$1,389.00	$729.22–$1,389.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 LD-BLOOD TRANSFUSION < 8 HRS	$1,389.00	$1,389.00	$729.22–$1,389.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MED NEB SUSEQUENT TREATMENT	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MDI TX SUBSEQUENT	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-METERED DOSE INHALER INITIAL TX	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MED NEB INIITIAL TREATMENT	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-IPPB TREATMENT SUSEQUENT	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-IPPB INITIAL TREATMENT	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-AEROSOL INITIAL DAY	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MED NEB ER (1 MAX P/DAY)	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-SPUTUM INDUCTION	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-EZPAP	$222.00	$222.00	$13.81–$388.00	31% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-IPPB TREATMENT SUSEQUENT	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-IPPB INITIAL TREATMENT	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MDI TX SUBSEQUENT	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-AEROSOL INITIAL DAY	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-EZPAP	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MED NEB ER (1 MAX P/DAY)	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MED NEB INIITIAL TREATMENT	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-METERED DOSE INHALER INITIAL TX	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MED NEB SUSEQUENT TREATMENT	$222.00	$222.00	$116.55–$222.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-SPUTUM INDUCTION	$222.00	$222.00	$116.55–$222.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 ED-CRITICAL CARE With Procedure	$3,129.00	$3,129.00	$143.49–$4,285.00	32% below	—
Critical care, first 30 to 74 minutes CPT 99291 ED-LEVEL 6 CRITICAL CARE	$3,129.00	$3,129.00	$143.49–$4,285.00	32% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED-LEVEL 6 CRITICAL CARE	$3,129.00	$3,129.00	$1,642.72–$3,129.00	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED-CRITICAL CARE With Procedure	$3,129.00	$3,129.00	$1,642.72–$3,129.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG-EKG 12 LEAD	$405.00	$405.00	$19.35–$405.00	20% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG-EKG 12 LEAD	$405.00	$405.00	$212.62–$405.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-LEVEL 1 With Procedure	$313.00	$313.00	$17.91–$1,102.00	26% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-CLASS 1	$313.00	$313.00	$17.91–$1,102.00	26% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-CLASS 1	$313.00	$313.00	$164.32–$313.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-LEVEL 1 With Procedure	$313.00	$313.00	$164.32–$313.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-CLASS 2 With Procedure	$522.00	$522.00	$28.77–$1,590.00	40% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-CLASS 2	$522.00	$522.00	$28.77–$1,590.00	40% below	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED-CLASS 2	$522.00	$522.00	$274.05–$522.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED-CLASS 2 With Procedure	$522.00	$522.00	$274.05–$522.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-CLASS 3	$1,332.00	$1,332.00	$52.63–$2,311.00	13% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-CLASS 3 With Procedure	$1,332.00	$1,332.00	$52.63–$2,311.00	13% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED-CLASS 3 With Procedure	$1,332.00	$1,332.00	$699.30–$1,332.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED-CLASS 3	$1,332.00	$1,332.00	$699.30–$1,332.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-CLASS 4	$2,177.00	$2,177.00	$80.65–$2,418.00	20% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-CLASS 4 With Procedure	$2,177.00	$2,177.00	$80.65–$2,418.00	20% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED-CLASS 4	$2,177.00	$2,177.00	$1,142.92–$2,177.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED-CLASS 4 With Procedure	$2,177.00	$2,177.00	$1,142.92–$2,177.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-CLASS 5	$2,614.00	$2,614.00	$127.53–$3,624.00	26% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-CLASS 5 With Procedure	$2,614.00	$2,614.00	$127.53–$3,624.00	26% below	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED-CLASS 5	$2,614.00	$2,614.00	$1,372.35–$2,614.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED-CLASS 5 With Procedure	$2,614.00	$2,614.00	$1,372.35–$2,614.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 ECG-TREADMILL STRESS TEST	$996.00	$996.00	$57.96–$996.00	26% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG-TREADMILL STRESS TEST	$996.00	$996.00	$522.90–$996.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 LD-IV HYDRATION THERAPY 1ST HR	$342.00	$342.00	$51.30–$342.00	31% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ADMINISTRATION-HYDRATION - Initial	$342.00	$342.00	$51.30–$342.00	31% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION THERAPY 1ST HR	$342.00	$342.00	$51.30–$1,075.00	31% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBS-IV ADMIN-HYDRATION Initial	$589.00	$589.00	$51.30–$589.00	19% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-IV HYDRATION THERAPY 1ST HR	$342.00	$342.00	$179.55–$342.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ADMINISTRATION-HYDRATION - Initial	$342.00	$342.00	$179.55–$342.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 LD-IV HYDRATION THERAPY 1ST HR	$342.00	$342.00	$179.55–$342.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OBS-IV ADMIN-HYDRATION Initial	$589.00	$589.00	$309.23–$589.00	—	—
IV infusion of a medicine, first hour CPT 96365 OBP-IV DX/TX THERAPY INITIAL 1ST HOUR	$589.00	$589.00	$62.60–$589.00	at median	—
IV infusion of a medicine, first hour CPT 96365 ED-IV DX/TX THERAPY 1ST HOUR	$589.00	$589.00	$62.60–$1,075.00	at median	—
IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY 1ST HOUR	$589.00	$589.00	$62.60–$1,075.00	at median	—
IV infusion of a medicine, first hour inpatient CPT 96365 OBP-IV DX/TX THERAPY INITIAL 1ST HOUR	$589.00	$589.00	$309.23–$589.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 ED-IV THERAPY 1ST HOUR	$589.00	$589.00	$309.23–$589.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 ED-IV DX/TX THERAPY 1ST HOUR	$589.00	$589.00	$309.23–$589.00	—	—
IV push of a medicine, first drug CPT 96374 LD-THER/PROPH/DIAG INJ IV PUSH	$314.00	$314.00	$49.82–$314.00	11% below	—
IV push of a medicine, first drug CPT 96374 ED-INJ IVHP SINGLE/INITIAL	$314.00	$314.00	$49.82–$1,075.00	11% below	—
IV push of a medicine, first drug CPT 96374 OBP-IVP INITIAL DRUG	$314.00	$314.00	$49.82–$314.00	11% below	—
IV push of a medicine, first drug CPT 96374 ED-IV THER/PRO/DIAG/INJ PUSH SINGLE INIT	$314.00	$314.00	$49.82–$1,075.00	11% below	—
IV push of a medicine, first drug CPT 96374 IV PUSH-INITIAL	$367.00	$367.00	$49.82–$367.00	4% above	—
IV push of a medicine, first drug inpatient CPT 96374 ED-INJ IVHP SINGLE/INITIAL	$314.00	$314.00	$164.85–$314.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 OBP-IVP INITIAL DRUG	$314.00	$314.00	$164.85–$314.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 ED-IV THER/PRO/DIAG/INJ PUSH SINGLE INIT	$314.00	$314.00	$164.85–$314.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 LD-THER/PROPH/DIAG INJ IV PUSH	$314.00	$314.00	$164.85–$314.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH-INITIAL	$367.00	$367.00	$192.68–$367.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBP-IM/SQ INJECTION ADMIN	$352.00	$352.00	$18.75–$352.00	96% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LD-THER/PROPH/DIAG INJEC/SQ/IM	$352.00	$352.00	$18.75–$352.00	96% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC or DIAG INJECTI	$352.00	$352.00	$18.75–$352.00	96% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-SQ/IM INJEC EXCLUDES IMMUNIZATION	$352.00	$352.00	$18.75–$1,075.00	96% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-IM/SQ/INJECTION	$352.00	$352.00	$18.75–$1,075.00	96% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED-IM/SQ/INJECTION	$352.00	$352.00	$184.80–$352.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED-SQ/IM INJEC EXCLUDES IMMUNIZATION	$352.00	$352.00	$184.80–$352.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OBP-IM/SQ INJECTION ADMIN	$352.00	$352.00	$184.80–$352.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LD-THER/PROPH/DIAG INJEC/SQ/IM	$352.00	$352.00	$184.80–$352.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC or DIAG INJECTI	$352.00	$352.00	$184.80–$352.00	—	—
Neuromuscular re-education, 15 minutes CPT 97112 PT-NEURO MUSCULAR REED BALANCE 15 MIN	$107.00	$107.00	$14.42–$315.00	16% below	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEURO MUSCULAR REED BALANCE 15 MIN	$107.00	$107.00	$56.18–$107.00	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT-PHYSICAL THERAPY EVAL 20 MIN	$243.00	$243.00	$51.77–$315.00	3% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT-PHYSICAL THERAPY EVAL 20 MIN	$243.00	$243.00	$127.58–$243.00	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT-EVALUATION 30 MIN	$243.00	$243.00	$51.77–$315.00	32% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT-EVALUATION 30 MIN	$243.00	$243.00	$127.58–$243.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXERCISE-EA 15M	$107.00	$107.00	$12.93–$315.00	17% below	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EXERCISE-EA 15M	$107.00	$107.00	$56.18–$107.00	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 ED-SMOKING CESSATION ADVISED 3MIN	$87.00	$87.00	$10.41–$251.00	19% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PF-SMOKING TABACCO CESSATION 3-10MIN	$111.00	$111.00	$10.41–$251.00	51% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ED-SMOKING CESSATION ADVISED 3MIN	$87.00	$87.00	$45.68–$87.00	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PF-SMOKING TABACCO CESSATION 3-10MIN	$111.00	$111.00	$58.28–$111.00	—	—
Speech and language evaluation CPT 92523 ST-SPEECH EVAL PROD/LANG COMP-EXPRESS	$550.00	$550.00	$112.00–$550.00	20% above	—
Speech and language evaluation inpatient CPT 92523 ST-SPEECH EVAL PROD/LANG COMP-EXPRESS	$550.00	$550.00	$288.75–$550.00	—	—
Spirometry (breathing test) CPT 94010 BEDSIDE SPIROMETRY	$515.00	$515.00	$29.03–$515.00	45% above	—
Spirometry (breathing test) inpatient CPT 94010 BEDSIDE SPIROMETRY	$515.00	$515.00	$270.38–$515.00	—	—
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION SPIROMETRY PRE POST	$780.00	$780.00	$53.14–$780.00	3% below	—
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION SPIROMETRY PRE POST	$780.00	$780.00	$409.50–$780.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 OBP-PHLEBOTOMY THERAPUETIC	$267.00	$267.00	$19.35–$1,088.00	18% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 OBP-PHLEBOTOMY THERAPUETIC	$267.00	$267.00	$140.18–$267.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX B PEDIATRIC	$29.00	$29.00	$2.71–$35.23	50% below	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX B PEDIATRIC	$29.00	$29.00	$9.22–$29.00	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 IMMUNE STATUS PANEL MMR MUMPS	$50.00	$50.00	$11.00–$94.70	61% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 IMMUNE STATUS PANEL MMR RUBELA	$50.00	$50.00	$11.00–$94.70	61% below	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 IMMUNE STATUS PANEL MMR MUMPS	$50.00	$50.00	$26.25–$50.00	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 IMMUNE STATUS PANEL MMR RUBELA	$50.00	$50.00	$26.25–$50.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5ML	$29.00	$29.00	$6.38–$42.77	75% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5ML	$29.00	$29.00	$9.22–$29.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VACC ADMIN	$324.00	$324.00	$4.46–$324.00	212% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED-INJEC IMMUN ADMIN SQ/IM 1 VAC TETANUS	$352.00	$352.00	$4.46–$352.00	238% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B VACC ADMIN	$324.00	$324.00	$170.10–$324.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED-INJEC IMMUN ADMIN SQ/IM 1 VAC TETANUS	$352.00	$352.00	$184.80–$352.00	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED-IMMUNIZATION ADMIN EA ADDTL VACCINE	$251.00	$251.00	$4.46–$251.00	225% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED-IMMUNIZATION ADMIN EA ADDTL VACCINE	$251.00	$251.00	$131.78–$251.00	—	—

Source file: https://victorvalleyglobalmedicalcenter.com/csv/v2/273777887_victor-valley-global-medical-center_standardcharges.csv