Erie County Medical Center
Listed in its price file as “Erie County Medical Center Corporation”.
Erie County Medical Center in Buffalo, NY publishes cash prices for 501 common procedures listed here, from its own machine-readable price file updated Aug 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 299 of 497 procedures and above it for 189. By typical cash price it ranks #42 of 115 New York hospitals and #3 of 9 hospitals in the Buffalo, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.
462 Grider St, Buffalo, NY 14215 Collected Sep 22, 2026 Source price file Check a bill from this hospital (716) 898-3936
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 330219 · CMS hospital register NPI 1437197985
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Erie County Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & W/DYE | $613.97 | — | $94.48–$1,012.76 | 53% below | — |
| Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $64.42 | — | $36.60–$326.25 | 75% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $74.50 | — | $36.49–$271.58 | 63% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $226.22 | — | $68.41–$419.18 | 29% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE | $371.63 | — | $56.44–$847.41 | 50% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $206.21 | — | $43.89–$547.38 | 40% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $627.06 | — | $213.27–$1,247.58 | 36% below | — |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $212.27 | — | $56.44–$419.18 | 34% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $162.59 | — | $46.73–$419.18 | 36% below | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE | $1,147.14 | — | $189.54–$1,088.73 | 34% below | — |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $858.43 | — | $94.48–$1,074.55 | 30% below | — |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $858.43 | — | $94.48–$1,074.55 | 31% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $821.55 | — | $94.48–$1,074.55 | 37% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $652.98 | — | $189.54–$1,088.73 | 50% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $63.95 | — | $46.73–$847.41 | 70% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $382.16 | — | $128.29–$1,012.76 | 67% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST | $689.85 | — | $189.54–$1,088.73 | 56% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS | $819.46 | — | $189.54–$1,088.73 | 61% below | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE | $522.30 | — | $94.48–$1,012.76 | 55% below | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE | $279.96 | — | $56.44–$847.41 | 66% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $371.63 | — | $56.44–$847.41 | 53% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $241.00 | — | $56.44–$1,012.76 | 71% below | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $333.70 | — | $94.48–$1,012.76 | 66% below | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $412.73 | — | $94.48–$1,012.76 | 61% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $371.63 | — | $56.44–$847.41 | 58% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $371.63 | — | $56.44–$847.41 | 60% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $524.42 | — | $94.48–$1,012.76 | 49% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $474.90 | — | $128.29–$1,818.26 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+ | $651.91 | — | $94.48–$1,012.76 | 50% below | — |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $58.04 | — | $33.61–$271.58 | 71% below | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $31.48 | — | $25.61–$271.58 | 84% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE | $61.86 | — | $32.51–$271.58 | 69% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $285.24 | — | $56.44–$1,818.26 | 32% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $114.53 | — | $38.81–$467.92 | 58% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY/PERIPHERAL | $49.22 | — | $31.59–$467.92 | 66% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $266.26 | — | $128.29–$744.60 | 53% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $371.63 | — | $56.44–$847.41 | 57% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $524.42 | — | $94.48–$1,012.76 | 60% below | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $359.17 | — | $46.06–$385.04 | — | — |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $280.71 | — | $36.14–$348.24 | at median | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $560.68 | — | $128.29–$1,818.26 | 9% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $449.61 | — | $128.29–$1,818.26 | 41% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $484.39 | — | $219.48–$1,705.20 | 56% below | — |
| Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW | $60.79 | — | $29.21–$271.58 | 70% below | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW | $74.50 | — | $32.85–$271.58 | 63% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $371.63 | — | $56.44–$847.41 | 50% below | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES | $89.23 | — | $43.89–$326.25 | 67% below | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM | $58.70 | — | $29.21–$271.58 | 71% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $885.19 | — | $213.27–$1,247.58 | 14% below | — |
| Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND | $57.63 | — | $31.52–$326.25 | 72% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL | $60.79 | — | $28.54–$271.58 | 68% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $324.64 | — | $83.04–$1,372.98 | 17% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $1,533.85 | — | $539.97–$2,679.88 | 28% below | — |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $81.87 | — | $40.80–$271.58 | 60% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $94.52 | — | $43.89–$326.25 | 66% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $371.63 | — | $56.44–$847.41 | 50% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $235.72 | — | $56.44–$419.18 | 38% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $32.35 | — | $43.49–$419.18 | 88% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $298.88 | — | $56.44–$847.41 | 31% below | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG | $56.58 | — | $31.52–$271.58 | 72% below | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE | $866.86 | — | $128.29–$1,588.14 | 31% below | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $863.13 | — | $98.34–$1,870.48 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $550.77 | — | $128.29–$1,240.19 | 54% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,118.69 | — | $189.54–$1,870.48 | 45% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O DYE | $782.59 | — | $128.29–$1,240.19 | 28% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/DYE | $1,206.16 | — | $189.54–$1,870.48 | 28% below | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $506.50 | — | $128.29–$1,240.19 | 56% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $824.71 | — | $189.54–$1,870.48 | 53% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $499.12 | — | $128.29–$1,240.19 | 62% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $820.49 | — | $189.54–$1,870.48 | 54% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $499.12 | — | $128.29–$1,240.19 | 61% below | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $825.78 | — | $189.54–$1,870.48 | 50% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $499.12 | — | $128.29–$1,240.19 | 62% below | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $1,200.87 | — | $189.54–$1,870.48 | 25% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $866.86 | — | $128.29–$1,240.19 | 19% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $549.71 | — | $128.29–$1,240.19 | 57% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS | $97.67 | — | $43.89–$326.25 | 65% below | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE | $522.30 | — | $94.48–$1,012.76 | 48% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE | $371.63 | — | $56.44–$847.41 | 54% below | — |
| Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK | $61.86 | — | $31.22–$271.58 | 69% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $1,194.66 | — | $430.98–$4,040.23 | 55% below | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 CPTR OPHTH DX IMG POST SEGMT | $47.08 | — | $25.76–$297.33 | 33% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $3,855.10 | — | $774.13–$4,879.64 | 4% below | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE | $286.31 | — | $56.44–$847.41 | 66% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $102.94 | — | $39.82–$419.18 | 66% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $267.32 | — | $56.44–$1,818.26 | 33% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $287.33 | — | $56.44–$362.24 | 24% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $229.38 | — | $56.44–$362.24 | 35% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $172.48 | — | $56.44–$362.24 | 40% below | — |
| Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS | $65.01 | — | $36.58–$271.58 | 69% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST | $79.78 | — | $42.29–$326.25 | 69% below | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $296.61 | — | $38.10–$348.24 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $62.92 | — | $34.86–$271.58 | 70% below | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES | $78.72 | — | $37.57–$271.58 | 62% below | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL | $74.50 | — | $35.84–$326.25 | 68% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $1,459.05 | — | $539.97–$2,679.88 | 30% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $573.32 | — | $255.44–$1,705.20 | 51% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $195.69 | — | $94.48–$725.36 | 46% below | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $67.45 | — | $35.52–$271.58 | 66% below | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE | $371.63 | — | $56.44–$847.41 | 58% below | — |
| Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) | $71.34 | — | $29.16–$271.58 | 58% below | — |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $272.60 | — | $56.44–$419.18 | 28% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $189.35 | — | $56.44–$362.24 | 35% below | — |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $298.95 | — | $56.44–$1,818.26 | 36% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $124.03 | — | $56.44–$419.18 | 66% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $278.90 | — | $56.44–$419.18 | 24% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $241.00 | — | $94.48–$725.36 | 43% below | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS | $60.79 | — | $31.85–$271.58 | 70% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $269.44 | — | $56.44–$419.18 | 26% below | — |
| Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST | $67.13 | — | $33.83–$271.58 | 66% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $87.14 | — | $41.11–$271.58 | 57% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $88.59 | — | $43.89–$271.58 | 61% below | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $53.79 | — | $30.23–$271.58 | 74% below | — |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $60.79 | — | $32.18–$271.58 | 68% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $78.72 | — | $38.07–$271.58 | 56% below | — |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $58.70 | — | $28.54–$271.58 | 70% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $69.22 | — | $34.18–$271.58 | 66% below | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $72.38 | — | $37.15–$271.58 | 66% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $63.95 | — | $34.16–$271.58 | 69% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $72.38 | — | $39.88–$326.25 | 74% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $99.80 | — | $43.89–$326.25 | 67% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $67.13 | — | $32.91–$326.25 | 70% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $75.57 | — | $37.49–$271.58 | 63% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $72.38 | — | $39.55–$271.58 | 66% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $58.70 | — | $27.90–$326.25 | 74% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $60.79 | — | $32.53–$271.58 | 70% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIN | $164.55 | $292.06 | $28.97–$262.85 | 15% above | 44% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIN | $164.55 | $292.06 | $28.97–$262.85 | — | 44% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $22.55 | $46.05 | $3.98–$41.44 | 3% below | 51% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE | $22.55 | $46.05 | $3.98–$41.44 | — | 51% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $22.05 | $49.72 | $3.89–$44.74 | 8% below | 56% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE | $22.05 | $49.72 | $3.89–$44.74 | — | 56% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $202.93 | $416.64 | $35.72–$374.97 | 17% above | 51% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL | $202.93 | $416.64 | $35.72–$374.97 | — | 51% |
| Albumin blood test CPT 82040 ALBUMIN; SERUM PLASMA OR BLOOD | $21.08 | $46.25 | $3.71–$41.62 | 15% above | 54% |
| Albumin blood test CPT 82040 BODY FLUID ALBUMIN | $21.08 | $46.25 | $3.71–$41.62 | 15% above | 54% |
| Albumin blood test inpatient CPT 82040 BODY FLUID ALBUMIN | $21.08 | $46.25 | $3.71–$41.62 | — | 54% |
| Albumin blood test inpatient CPT 82040 ALBUMIN; SERUM PLASMA OR BLOOD | $21.08 | $46.25 | $3.71–$41.62 | — | 54% |
| Aldosterone blood test CPT 82088 ALDOSTERONE,URINE | $173.61 | $178.42 | $30.56–$160.57 | 38% above | 3% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM | $173.61 | $178.42 | $30.56–$160.57 | 38% above | 3% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE,URINE | $173.61 | $178.42 | $30.56–$160.57 | — | 3% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM | $173.61 | $178.42 | $30.56–$160.57 | — | 3% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, SERUM | $22.05 | $51.59 | $3.89–$46.43 | 9% above | 57% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, SERUM | $22.05 | $51.59 | $3.89–$46.43 | — | 57% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE, EACH | $22.23 | $25.82 | $3.69–$34.03 | 39% above | 14% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE, EACH | $22.23 | $25.82 | $3.69–$34.03 | — | 14% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN | $70.57 | $148.41 | $6.57–$133.56 | 14% above | 52% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN NTD,MOTHER S | $70.57 | $148.41 | $6.57–$133.56 | 14% above | 52% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN | $70.57 | $148.41 | $6.57–$133.56 | — | 52% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN NTD,MOTHER S | $70.57 | $148.41 | $6.57–$133.56 | — | 52% |
| Ammonia blood test CPT 82140 AMMONIA BLOOD | $62.08 | $133.81 | $10.93–$120.42 | 15% above | 54% |
| Ammonia blood test CPT 82140 AMMONIA, BLOOD | $62.08 | $133.81 | $10.93–$120.42 | 15% above | 54% |
| Ammonia blood test inpatient CPT 82140 AMMONIA, BLOOD | $62.08 | $133.81 | $10.93–$120.42 | — | 54% |
| Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD | $62.08 | $133.81 | $10.93–$120.42 | — | 54% |
| Amylase blood test CPT 82150 AMYLASE URINE RANDOM | $27.60 | $65.38 | $4.86–$58.84 | 9% below | 58% |
| Amylase blood test CPT 82150 AMYLASE SERUM | $27.60 | $65.38 | $4.86–$58.84 | 9% below | 58% |
| Amylase blood test CPT 82150 AMYLASE, OTHER SOURCE | $27.60 | $65.38 | $4.86–$58.84 | 9% below | 58% |
| Amylase blood test inpatient CPT 82150 AMYLASE, OTHER SOURCE | $27.60 | $65.38 | $4.86–$58.84 | — | 58% |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $27.60 | $65.38 | $4.86–$58.84 | — | 58% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE RANDOM | $27.60 | $65.38 | $4.86–$58.84 | — | 58% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG ANTIBODIES | $55.15 | $60.74 | $9.71–$54.66 | 15% above | 9% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG ANTIBODIES | $55.15 | $60.74 | $9.71–$54.66 | — | 9% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES ANA | $51.49 | $309.74 | $5.25–$278.76 | 18% above | 83% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES ANA | $51.49 | $309.74 | $5.25–$278.76 | — | 83% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $133.58 | $269.04 | $29.45–$242.13 | 9% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-NATRIURETIC PEPTIDE | $133.58 | $269.04 | $29.45–$242.13 | 9% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP | $133.58 | $269.04 | $29.45–$242.13 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-NATRIURETIC PEPTIDE | $133.58 | $269.04 | $29.45–$242.13 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE CULTURE | $36.69 | $89.80 | $6.47–$80.82 | 15% above | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $36.69 | $89.80 | $6.47–$80.82 | 15% above | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SINUS CULTURE | $36.69 | $89.80 | $6.47–$80.82 | 15% above | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BILL PRESUMPTIVE ID | $36.69 | $89.80 | $6.47–$80.82 | 15% above | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 UROGENITAL CULTURE | $36.69 | $89.80 | $6.47–$80.82 | 15% above | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 STERILITY CULTURE | $36.69 | $89.80 | $6.47–$80.82 | 15% above | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE | $36.69 | $89.80 | $6.47–$80.82 | 15% above | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA CULTURE | $36.69 | $89.80 | $6.47–$80.82 | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE | $36.69 | $89.80 | $6.47–$80.82 | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 UROGENITAL CULTURE | $36.69 | $89.80 | $6.47–$80.82 | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BILL PRESUMPTIVE ID | $36.69 | $89.80 | $6.47–$80.82 | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 STERILITY CULTURE | $36.69 | $89.80 | $6.47–$80.82 | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SINUS CULTURE | $36.69 | $89.80 | $6.47–$80.82 | — | 59% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOSE CULTURE | $36.69 | $89.80 | $6.47–$80.82 | — | 59% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $34.17 | $66.75 | $6.35–$84.04 | 41% below | 49% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $34.17 | $66.75 | $6.35–$84.04 | — | 49% |
| Bilirubin blood test, total CPT 82247 BODY FLUID BILIRUBIN | $21.35 | $44.66 | $3.77–$40.19 | 5% below | 52% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN UNCONJUGATED | $21.35 | $44.66 | $3.77–$40.19 | 5% below | 52% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN UNCONJUGATED | $21.35 | $44.66 | $3.77–$40.19 | — | 52% |
| Bilirubin blood test, total inpatient CPT 82247 BODY FLUID BILIRUBIN | $21.35 | $44.66 | $3.77–$40.19 | — | 52% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $94.52 | — | $28.36–$162.63 | 38% below | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE AEROBIC | $43.99 | $115.83 | $7.74–$104.24 | 30% below | 62% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE ANAEROBIC | $43.99 | $115.83 | $7.74–$104.24 | 30% below | 62% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE AEROBIC | $43.99 | $115.83 | $7.74–$104.24 | — | 62% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE ANAEROBIC | $43.99 | $115.83 | $7.74–$104.24 | — | 62% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VEN BLOOD VENIPUNCTURE | $9.37 | $28.14 | $5.07–$113.10 | 38% below | 67% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD | $9.37 | $28.14 | $5.07–$113.10 | 38% below | 67% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE BLOOD DRAW | $9.37 | $28.14 | $5.07–$113.10 | 38% below | 67% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $9.37 | $28.14 | $5.07–$113.10 | 38% below | 67% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION VENOUS BLOOD | $9.37 | $28.14 | $5.07–$113.10 | — | 67% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECT VEN BLOOD VENIPUNCTURE | $9.37 | $28.14 | $5.07–$113.10 | — | 67% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $9.37 | $28.14 | $5.07–$113.10 | — | 67% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE BLOOD DRAW | $9.37 | $28.14 | $5.07–$113.10 | — | 67% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $16.73 | $41.44 | $2.95–$37.29 | 7% below | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM | $16.73 | $41.44 | $2.95–$37.29 | — | 60% |
| Blood lead test CPT 83655 LEAD LEVEL (PEDIATRIC) | $51.58 | $73.39 | $9.08–$66.05 | 18% above | 30% |
| Blood lead test CPT 83655 LEAD PROFILE | $51.58 | $73.39 | $9.08–$66.05 | 18% above | 30% |
| Blood lead test CPT 83655 LEAD | $51.58 | $73.39 | $9.08–$66.05 | 18% above | 30% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL (PEDIATRIC) | $51.58 | $73.39 | $9.08–$66.05 | — | 30% |
| Blood lead test inpatient CPT 83655 LEAD PROFILE | $51.58 | $73.39 | $9.08–$66.05 | — | 30% |
| Blood lead test inpatient CPT 83655 LEAD | $51.58 | $73.39 | $9.08–$66.05 | — | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $32.03 | — | $2.02–$25.96 | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO GROUPING | $12.71 | $155.62 | $2.99–$232.51 | 92% below | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, SEROLOGIC; ABO | $12.71 | $155.62 | $2.99–$232.51 | 92% below | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING, SEROLOGIC; ABO | $12.71 | $155.62 | $2.99–$232.51 | — | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO GROUPING | $12.71 | $155.62 | $2.99–$232.51 | — | 92% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE | $16.83 | $39.63 | $2.96–$35.66 | 25% below | 58% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN NO CHARGE | $16.83 | $39.63 | $2.96–$35.66 | 25% below | 58% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANTITATIVE | $16.83 | $39.63 | $2.96–$35.66 | — | 58% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN NO CHARGE | $16.83 | $39.63 | $2.96–$35.66 | — | 58% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $88.64 | $133.81 | $15.55–$120.42 | 3% above | 34% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $88.64 | $133.81 | $15.55–$120.42 | — | 34% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $16.21 | — | $3.89–$34.03 | 39% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE PCR | $149.47 | $264.83 | $27.95–$238.34 | 18% above | 44% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE PCR | $149.47 | $264.83 | $27.95–$238.34 | — | 44% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $88.64 | $95.65 | $15.12–$86.08 | 18% above | 7% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $88.64 | $95.65 | $15.12–$86.08 | — | 7% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $88.64 | $95.65 | $15.12–$86.08 | 15% above | 7% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $88.64 | $95.65 | $15.12–$86.08 | — | 7% |
| Calcium blood test, total CPT 82310 CALCIUM, SERUM | $21.98 | $49.72 | $3.87–$44.74 | 13% below | 56% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, SERUM | $21.98 | $49.72 | $3.87–$44.74 | — | 56% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $80.81 | $194.38 | $14.22–$174.94 | at median | 58% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN | $80.81 | $194.38 | $14.22–$174.94 | — | 58% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM | $39.65 | $180.67 | $8.11–$162.60 | 12% below | 78% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG AB | $39.65 | $180.67 | $8.11–$162.60 | 12% below | 78% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGM | $39.65 | $180.67 | $8.11–$162.60 | — | 78% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG AB | $39.65 | $180.67 | $8.11–$162.60 | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR URINE | $149.47 | $301.00 | $21.64–$270.90 | 49% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR GEN | $149.47 | $301.00 | $21.64–$270.90 | 49% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PCR GEN | $149.47 | $301.00 | $21.64–$270.90 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PCR URINE | $149.47 | $301.00 | $21.64–$270.90 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $57.04 | $128.62 | $6.10–$115.75 | 16% below | 56% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $57.04 | $128.62 | $6.10–$115.75 | — | 56% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (S) | $32.94 | $67.50 | $3.20–$60.75 | 20% below | 51% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE BLOOD CELL COUNT (S) | $32.94 | $67.50 | $3.20–$60.75 | — | 51% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM AUTO | $27.57 | $56.14 | $3.20–$50.52 | 4% below | 51% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM AUTO | $27.57 | $56.14 | $3.20–$50.52 | — | 51% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $44.99 | $90.33 | $7.92–$84.04 | 23% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $44.99 | $90.33 | $7.92–$84.04 | — | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL SALIVARY | $69.45 | $164.03 | $12.23–$147.62 | 42% above | 58% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $69.45 | $164.03 | $12.23–$147.62 | 42% above | 58% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $69.45 | $164.03 | $12.23–$147.62 | — | 58% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL SALIVARY | $69.45 | $164.03 | $12.23–$147.62 | — | 58% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $27.73 | $58.06 | $4.88–$52.25 | 11% above | 52% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL | $27.73 | $58.06 | $4.88–$52.25 | — | 52% |
| Creatinine blood test CPT 82565 CREATININE, SERUM | $21.83 | $42.83 | $3.84–$38.54 | 12% below | 49% |
| Creatinine blood test CPT 82565 I-STAT CREATININE & GFR, POCT | $21.83 | $42.83 | $3.84–$38.54 | 12% below | 49% |
| Creatinine blood test inpatient CPT 82565 I-STAT CREATININE & GFR, POCT | $21.83 | $42.83 | $3.84–$38.54 | — | 49% |
| Creatinine blood test inpatient CPT 82565 CREATININE, SERUM | $21.83 | $42.83 | $3.84–$38.54 | — | 49% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV SCREENED UNITS | $40.24 | $155.64 | $10.79–$140.07 | 23% below | 74% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG ANTIBODY | $40.24 | $155.64 | $10.79–$140.07 | 23% below | 74% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV SCREENED UNITS | $40.24 | $155.64 | $10.79–$140.07 | — | 74% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG ANTIBODY | $40.24 | $155.64 | $10.79–$140.07 | — | 74% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTATIVE | $43.37 | $70.11 | $7.64–$63.09 | 15% above | 38% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTATIVE | $43.37 | $70.11 | $7.64–$63.09 | — | 38% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $94.71 | $97.84 | $16.67–$88.05 | 12% above | 3% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $94.71 | $97.84 | $16.67–$88.05 | — | 3% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE/METHAMPHETAMINE UR | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE HYDROCODONE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE 6-ACETYLMORPHINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UR BUPRENORPHINE SCREEN | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOXASSURE SELECT URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX SCREEN BLOOD-EMERGENCY | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX SCREEN 6, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX SCREEN 12 URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX SCREEN 10, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 THC SEMIQUANT | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXYLENE, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES BLOOD | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE UR | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 K2 (SYNTHETIC THC) | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PRESUMP CHEMANALYZ | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN EA DRUG CLASS | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE UR | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SCREEN BLOOD | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAIN METABOLITE, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 C-BENZODIAZEPINES | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 C-BARBITURATES | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE UR REFLEX | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZO SEMIQUANT | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BATH SALTS | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES, URINE | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHET UR | $249.21 | $346.74 | $7.58–$312.06 | 104% above | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOXASSURE SELECT URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PRESUMP CHEMANALYZ | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE HYDROCODONE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE 6-ACETYLMORPHINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UR BUPRENORPHINE SCREEN | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 K2 (SYNTHETIC THC) | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN EA DRUG CLASS | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE UR | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE SCREEN BLOOD | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZO SEMIQUANT | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BATH SALTS | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE/METHAMPHETAMINE UR | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHET UR | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES BLOOD | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PCP, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PROPOXYLENE, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX SCREEN BLOOD-EMERGENCY | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAIN METABOLITE, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOIDS, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX SCREEN 6, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX SCREEN 12 URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX SCREEN 10, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC SEMIQUANT | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 C-BENZODIAZEPINES | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE UR | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 C-BARBITURATES | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE UR REFLEX | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINES, URINE | $249.21 | $346.74 | $7.58–$312.06 | — | 28% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 CATECHOLAMINES PANEL | $27.19 | $55.28 | $5.26–$84.04 | 13% below | 51% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $27.19 | $55.28 | $5.26–$84.04 | 13% below | 51% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 CATECHOLAMINES PANEL | $27.19 | $55.28 | $5.26–$84.04 | — | 51% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $27.19 | $55.28 | $5.26–$84.04 | — | 51% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG ANTIBODY | $41.60 | $187.52 | $13.61–$168.76 | 9% below | 78% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM ANTIBODY | $41.60 | $187.52 | $13.61–$168.76 | 9% below | 78% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG ANTIBODY | $41.60 | $187.52 | $13.61–$168.76 | — | 78% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM ANTIBODY | $41.60 | $187.52 | $13.61–$168.76 | — | 78% |
| Estradiol blood test CPT 82670 ESTRADIOL-SERUM | $119.03 | $280.18 | $20.96–$252.16 | 17% above | 58% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL-SERUM | $119.03 | $280.18 | $20.96–$252.16 | — | 58% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $79.16 | $180.15 | $13.94–$162.13 | 5% above | 56% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $79.16 | $180.15 | $13.94–$162.13 | — | 56% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROECTIN FECAL | $82.06 | $95.12 | $11.39–$85.60 | 10% below | 14% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROECTIN FECAL | $82.06 | $95.12 | $11.39–$85.60 | — | 14% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $58.04 | $132.02 | $10.22–$118.81 | 4% below | 56% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $58.04 | $132.02 | $10.22–$118.81 | — | 56% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $36.16 | $76.56 | $6.97–$68.90 | 4% below | 53% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $36.16 | $76.56 | $6.97–$68.90 | — | 53% |
| Folate (folic acid) blood test CPT 82746 FOLATE, SERUM | $57.49 | $135.99 | $11.03–$122.39 | 4% above | 58% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE, SERUM | $57.49 | $135.99 | $11.03–$122.39 | — | 58% |
| Free T3 thyroid hormone test CPT 84481 TRIIDOTHYRONINE FREE SERUM | $72.16 | $112.23 | $9.09–$101.00 | 14% above | 36% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIDOTHYRONINE FREE SERUM | $72.16 | $112.23 | $9.09–$101.00 | — | 36% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE, FREE | $38.40 | $108.58 | $6.77–$97.72 | 20% below | 65% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS | $38.40 | $108.58 | $6.77–$97.72 | 20% below | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS | $38.40 | $108.58 | $6.77–$97.72 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE, FREE | $38.40 | $108.58 | $6.77–$97.72 | — | 65% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $108.48 | $128.04 | $19.10–$115.23 | 31% above | 15% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $108.48 | $128.04 | $19.10–$115.23 | — | 15% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA-GLUTAMYLTRANSFERASE | $30.67 | $64.80 | $5.08–$58.32 | 14% above | 53% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA-GLUTAMYLTRANSFERASE | $30.67 | $64.80 | $5.08–$58.32 | — | 53% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $55.16 | — | $33.43–$84.04 | 65% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE | $18.62 | $6.67 | $3.56–$21.74 | 12% below | -179% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE | $18.62 | $6.67 | $3.56–$21.74 | — | -179% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE GTT INITIAL 3 SPEC | $49.18 | $18.07 | $6.91–$44.42 | 14% below | -172% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE GTT INITIAL 3 SPEC | $49.18 | $18.07 | $6.91–$44.42 | — | -172% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE PCR GENITAL | $149.47 | $294.64 | $21.64–$265.17 | 49% above | 49% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE PCR URINE | $149.47 | $294.64 | $21.64–$265.17 | 49% above | 49% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE PCR GENITAL | $149.47 | $294.64 | $21.64–$265.17 | — | 49% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE PCR URINE | $149.47 | $294.64 | $21.64–$265.17 | — | 49% |
| H. pylori antibody blood test CPT 86677 H PYLORI ICG ANTIBODY | $41.60 | $121.46 | $8.11–$109.31 | 21% below | 66% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI ICG ANTIBODY | $41.60 | $121.46 | $8.11–$109.31 | — | 66% |
| H. pylori stool antigen test CPT 87338 H.PYLORI STOOL AG EIA (DT) | $61.27 | $172.67 | $8.11–$155.40 | 14% above | 65% |
| H. pylori stool antigen test inpatient CPT 87338 H.PYLORI STOOL AG EIA (DT) | $61.27 | $172.67 | $8.11–$155.40 | — | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA VIRAL LOAD | $362.49 | $446.42 | $55.38–$401.77 | 55% above | 19% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV REAL-TIME PCR QUANTITATIVE | $362.49 | $446.42 | $55.38–$401.77 | 55% above | 19% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA VIRAL LOAD | $362.49 | $446.42 | $55.38–$401.77 | — | 19% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV REAL-TIME PCR QUANTITATIVE | $362.49 | $446.42 | $55.38–$401.77 | — | 19% |
| HIV-1 and HIV-2 antibody test CPT 86703 HTLV I/II ANTIBODIES | $39.65 | $170.05 | $10.28–$153.04 | 21% below | 77% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HTLV I/II ANTIBODIES | $39.65 | $170.05 | $10.28–$153.04 | — | 77% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIGEN ANTIBODY COMBO | $90.46 | $113.78 | $13.99–$102.40 | 26% above | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 ANTIGEN ANTIBODY COMBO | $90.46 | $113.78 | $13.99–$102.40 | — | 20% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMAVIRUS DNA PROBE | $149.13 | $294.64 | $26.32–$265.17 | 57% above | 49% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMAVIRUS DNA PROBE | $149.13 | $294.64 | $26.32–$265.17 | — | 49% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN-A1C POINT OF CARE | $41.35 | $86.88 | $7.28–$78.19 | 15% above | 52% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN-A1C | $41.35 | $86.88 | $7.28–$78.19 | 15% above | 52% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN-A1C | $41.35 | $86.88 | $7.28–$78.19 | — | 52% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN-A1C POINT OF CARE | $41.35 | $86.88 | $7.28–$78.19 | — | 52% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $10.09 | $26.36 | $1.78–$35.99 | 30% below | 62% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $10.09 | $26.36 | $1.78–$35.99 | — | 62% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $51.33 | $111.43 | $9.04–$100.28 | 18% above | 54% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY | $51.33 | $111.43 | $9.04–$100.28 | — | 54% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $45.74 | $100.94 | $8.06–$90.84 | 15% above | 55% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $45.74 | $100.94 | $8.06–$90.84 | — | 55% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $44.03 | $101.05 | $7.75–$90.94 | 18% above | 56% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $44.03 | $101.05 | $7.75–$90.94 | — | 56% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY TOTAL | $60.79 | $130.79 | $10.10–$117.71 | 14% above | 54% |
| Hepatitis C antibody blood test (screening) CPT 86803 RAPID HEP C VIRUS ANTIBODY | $60.79 | $130.79 | $10.10–$117.71 | 14% above | 54% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 RAPID HEP C VIRUS ANTIBODY | $60.79 | $130.79 | $10.10–$117.71 | — | 54% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY TOTAL | $60.79 | $130.79 | $10.10–$117.71 | — | 54% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV REAL-TIME PCR QUANTITATIVE | $182.48 | $276.04 | $32.13–$248.43 | 34% above | 34% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C PCR QUANT | $182.48 | $276.04 | $32.13–$248.43 | 34% above | 34% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV REAL-TIME PCR QUANTITATIVE | $182.48 | $276.04 | $32.13–$248.43 | — | 34% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C PCR QUANT | $182.48 | $276.04 | $32.13–$248.43 | — | 34% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG AB | $39.65 | $109.34 | $9.89–$98.40 | 2% below | 64% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG AB | $39.65 | $109.34 | $9.89–$98.40 | — | 64% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG AB | $82.43 | $133.62 | $14.51–$120.25 | 42% above | 38% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG AB | $82.43 | $133.62 | $14.51–$120.25 | — | 38% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HS-CRP CARDIAC RISK | $55.15 | $91.10 | $9.71–$81.99 | 15% above | 39% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS-CRP CARDIAC RISK | $55.15 | $91.10 | $9.71–$81.99 | — | 39% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE,QUANTITATIVE | $71.84 | $158.24 | $13.44–$142.41 | 2% below | 55% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE,QUANTITATIVE | $71.84 | $158.24 | $13.44–$142.41 | — | 55% |
| Insulin blood test CPT 83525 INSULIN (LAB) | $48.68 | $71.91 | $8.57–$82.12 | 15% above | 32% |
| Insulin blood test inpatient CPT 83525 INSULIN (LAB) | $48.68 | $71.91 | $8.57–$82.12 | — | 32% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $27.57 | $255.62 | $4.85–$230.05 | 7% above | 89% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE | $27.57 | $255.62 | $4.85–$230.05 | 7% above | 89% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE | $27.57 | $255.62 | $4.85–$230.05 | — | 89% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $27.57 | $255.62 | $4.85–$230.05 | — | 89% |
| Iron-binding capacity (TIBC) test CPT 83550 UNSATURATED IRON BINDING | $37.26 | $93.26 | $5.08–$83.93 | 7% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $37.26 | $93.26 | $5.08–$83.93 | 7% below | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 UNSATURATED IRON BINDING | $37.26 | $93.26 | $5.08–$83.93 | — | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY | $37.26 | $93.26 | $5.08–$83.93 | — | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $37.01 | $101.93 | $6.51–$91.73 | 45% below | 64% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $37.01 | $101.93 | $6.51–$91.73 | — | 64% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $78.87 | $178.28 | $13.89–$160.45 | 2% above | 56% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $78.87 | $178.28 | $13.89–$160.45 | — | 56% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE | $45.49 | $108.11 | $8.68–$97.29 | 13% above | 58% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE | $45.49 | $108.11 | $8.68–$97.29 | — | 58% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC ACID DEHYDROGENASE | $25.69 | $56.48 | $4.53–$50.83 | 15% above | 55% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC ACID DEHYDROGENASE | $25.69 | $56.48 | $4.53–$50.83 | — | 55% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $27.32 | $61.80 | $5.17–$55.62 | 3% below | 56% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $27.32 | $61.80 | $5.17–$55.62 | — | 56% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $34.17 | $66.02 | $6.13–$84.04 | 40% below | 48% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $34.17 | $66.02 | $6.13–$84.04 | — | 48% |
| Lyme disease antibody test CPT 86618 LYME TOTAL AB TEST/REFLEX | $41.60 | $91.10 | $12.77–$81.99 | 14% below | 54% |
| Lyme disease antibody test CPT 86618 LYME, TOTAL AB TEST/REFLEX | $41.60 | $91.10 | $12.77–$81.99 | 14% below | 54% |
| Lyme disease antibody test inpatient CPT 86618 LYME, TOTAL AB TEST/REFLEX | $41.60 | $91.10 | $12.77–$81.99 | — | 54% |
| Lyme disease antibody test inpatient CPT 86618 LYME TOTAL AB TEST/REFLEX | $41.60 | $91.10 | $12.77–$81.99 | — | 54% |
| Magnesium blood test CPT 83735 URINE MAGNESIUM 24 HOURS | $28.53 | $60.67 | $5.03–$54.60 | 15% above | 53% |
| Magnesium blood test CPT 83735 URINE MAGNESIUM | $28.53 | $60.67 | $5.03–$54.60 | 15% above | 53% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $28.53 | $60.67 | $5.03–$54.60 | 15% above | 53% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $28.53 | $60.67 | $5.03–$54.60 | 15% above | 53% |
| Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM 24 HOURS | $28.53 | $60.67 | $5.03–$54.60 | — | 53% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $28.53 | $60.67 | $5.03–$54.60 | — | 53% |
| Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM | $28.53 | $60.67 | $5.03–$54.60 | — | 53% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM | $28.53 | $60.67 | $5.03–$54.60 | — | 53% |
| Measles (rubeola) antibody test CPT 86765 MEASLES AB SER (IMMUNE STATUS) | $39.65 | $306.68 | $9.66–$276.01 | 14% below | 87% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES IGM | $39.65 | $306.68 | $9.66–$276.01 | 14% below | 87% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES IGM | $39.65 | $306.68 | $9.66–$276.01 | — | 87% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB SER (IMMUNE STATUS) | $39.65 | $306.68 | $9.66–$276.01 | — | 87% |
| Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONONUCLEOSIS | $22.05 | $50.51 | $3.89–$45.45 | 36% below | 56% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONONUCLEOSIS | $22.05 | $50.51 | $3.89–$45.45 | — | 56% |
| Mumps immunity blood test CPT 86735 MUMPS AB SERUM (IMMUNE STATUS) | $39.65 | $197.40 | $8.11–$177.66 | 7% below | 80% |
| Mumps immunity blood test CPT 86735 MUMPS AB, IGM | $39.65 | $197.40 | $8.11–$177.66 | 7% below | 80% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB SERUM (IMMUNE STATUS) | $39.65 | $197.40 | $8.11–$177.66 | — | 80% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB, IGM | $39.65 | $197.40 | $8.11–$177.66 | — | 80% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $78.34 | $176.00 | $13.79–$158.40 | 18% above | 55% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $78.34 | $176.00 | $13.79–$158.40 | — | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $78.34 | $176.00 | $13.79–$158.40 | 18% above | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $78.34 | $176.00 | $13.79–$158.40 | — | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTO DG AUTO SCREEN PAP | $93.64 | $204.93 | $19.96–$184.43 | 38% above | 54% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO DG AUTO SCREEN PAP | $93.64 | $204.93 | $19.96–$184.43 | — | 54% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CG LIQUID NORMAL | $78.93 | $153.36 | $15.20–$138.02 | 12% above | 49% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CG LIQUID NORMAL | $78.93 | $153.36 | $15.20–$138.02 | — | 49% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE,INTACT | $175.82 | $273.37 | $30.96–$246.03 | 20% above | 36% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE,INTACT | $175.82 | $273.37 | $30.96–$246.03 | — | 36% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN PAT | $25.57 | $58.01 | $4.51–$52.20 | 8% above | 56% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN PAT | $25.57 | $58.01 | $4.51–$52.20 | — | 56% |
| Phosphorus (phosphate) blood test CPT 84100 ASSY OF INORG PHOPH PHOSPHORUS | $20.17 | $44.60 | $3.56–$40.14 | 1% below | 55% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM | $20.17 | $44.60 | $3.56–$40.14 | 1% below | 55% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM | $20.17 | $44.60 | $3.56–$40.14 | — | 55% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 ASSY OF INORG PHOPH PHOSPHORUS | $20.17 | $44.60 | $3.56–$40.14 | — | 55% |
| Potassium blood test CPT 84132 POTASSIUM | $19.58 | $45.08 | $3.57–$40.57 | 15% below | 57% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $19.58 | $45.08 | $3.57–$40.57 | — | 57% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $2,505.26 | — | $569.29–$2,619.78 | 120% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $88.87 | $130.93 | $15.65–$117.83 | 3% above | 32% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $88.87 | $130.93 | $15.65–$117.83 | — | 32% |
| Prolactin blood test CPT 84146 PROLACTIN | $82.56 | $178.42 | $14.54–$160.57 | 14% above | 54% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $82.56 | $178.42 | $14.54–$160.57 | — | 54% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME | $16.77 | $37.66 | $3.22–$43.28 | 8% above | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT-STIK, PT-INR | $16.77 | $37.66 | $3.22–$43.28 | 8% above | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME POCT | $16.77 | $37.66 | $3.22–$43.28 | 8% above | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME POCT (CL) | $16.77 | $37.66 | $3.22–$43.28 | 8% above | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME POCT | $16.77 | $37.66 | $3.22–$43.28 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME POCT (CL) | $16.77 | $37.66 | $3.22–$43.28 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-STIK, PT-INR | $16.77 | $37.66 | $3.22–$43.28 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME | $16.77 | $37.66 | $3.22–$43.28 | — | 55% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $46.72 | — | $5.05–$43.48 | 34% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $48.77 | — | $12.41–$57.11 | 19% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP QUICK TEST | $48.77 | $129.90 | $3.79–$116.91 | 22% above | 62% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A SCREEN | $48.77 | $129.90 | $3.79–$116.91 | 22% above | 62% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP QUICK TEST | $48.77 | $129.90 | $3.79–$116.91 | — | 62% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A SCREEN | $48.77 | $129.90 | $3.79–$116.91 | — | 62% |
| Renin blood test CPT 84244 RENIN LEVEL | $93.71 | $96.39 | $16.49–$86.75 | 15% above | 3% |
| Renin blood test inpatient CPT 84244 RENIN LEVEL | $93.71 | $96.39 | $16.49–$86.75 | — | 3% |
| Rh blood typing CPT 86901 RH (D) TYPING | $12.71 | $65.87 | $2.99–$133.68 | 77% below | 81% |
| Rh blood typing inpatient CPT 86901 RH (D) TYPING | $12.71 | $65.87 | $2.99–$133.68 | — | 81% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $24.17 | $59.86 | $4.25–$53.87 | 15% above | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $24.17 | $59.86 | $4.25–$53.87 | — | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY SERUM | $40.24 | $347.68 | $10.79–$312.91 | 10% below | 88% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY SERUM | $40.24 | $347.68 | $10.79–$312.91 | — | 88% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE | $11.52 | $12.07 | $2.02–$35.99 | 53% below | 5% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE | $11.52 | $12.07 | $2.02–$35.99 | — | 5% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $49.18 | — | $9.23–$121.03 | 31% above | — |
| Sodium blood test CPT 84295 SODIUM SERUM PLASMA WB | $20.48 | $44.60 | $3.61–$40.14 | 6% below | 54% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM PLASMA WB | $20.48 | $44.60 | $3.61–$40.14 | — | 54% |
| Stool ova and parasites exam CPT 87177 PARASITE EXAM URINE | $37.90 | $77.65 | $6.68–$69.88 | 15% above | 51% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $37.90 | $77.65 | $6.68–$69.88 | 15% above | 51% |
| Stool ova and parasites exam inpatient CPT 87177 PARASITE EXAM URINE | $37.90 | $77.65 | $6.68–$69.88 | — | 51% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $37.90 | $77.65 | $6.68–$69.88 | — | 51% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD-GUIAC | $13.87 | $35.98 | $3.29–$32.38 | 3% below | 61% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD-GUIAC | $13.87 | $35.98 | $3.29–$32.38 | — | 61% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $53.06 | $67.62 | $3.43–$60.85 | 8% above | 22% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $53.06 | $67.62 | $3.43–$60.85 | — | 22% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS ANTIBODY | $56.40 | $66.60 | $9.93–$59.94 | 33% above | 15% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS ANTIBODY | $56.40 | $66.60 | $9.93–$59.94 | — | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 T.PALLIDUM HEMAGGLUTINATION | $12.27 | $66.83 | $3.20–$60.14 | 22% below | 82% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN | $12.27 | $66.83 | $3.20–$60.14 | 22% below | 82% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST VDRL CSF | $12.27 | $66.83 | $3.20–$60.14 | 22% below | 82% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SCREEN | $12.27 | $66.83 | $3.20–$60.14 | — | 82% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST VDRL CSF | $12.27 | $66.83 | $3.20–$60.14 | — | 82% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 T.PALLIDUM HEMAGGLUTINATION | $12.27 | $66.83 | $3.20–$60.14 | — | 82% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB | $260.07 | $412.96 | $46.49–$371.66 | 59% above | 37% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 INTERFERON-GAMMA FOR TB TEST | $260.07 | $412.96 | $46.49–$371.66 | 59% above | 37% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB | $260.07 | $412.96 | $46.49–$371.66 | — | 37% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 INTERFERON-GAMMA FOR TB TEST | $260.07 | $412.96 | $46.49–$371.66 | — | 37% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE/TOT/EXTRACT | $109.97 | $257.92 | $19.36–$232.12 | 18% above | 57% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $109.97 | $257.92 | $19.36–$232.12 | 18% above | 57% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, FREE/TOT/EXTRACT | $109.97 | $257.92 | $19.36–$232.12 | — | 57% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $109.97 | $257.92 | $19.36–$232.12 | — | 57% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL (LC-1) AUTOABS | $61.98 | $155.22 | $10.91–$139.69 | 17% above | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB | $61.98 | $155.22 | $10.91–$139.69 | 17% above | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB | $61.98 | $155.22 | $10.91–$139.69 | 17% above | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB | $61.98 | $155.22 | $10.91–$139.69 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL AB | $61.98 | $155.22 | $10.91–$139.69 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL (LC-1) AUTOABS | $61.98 | $155.22 | $10.91–$139.69 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $71.59 | $112.23 | $9.09–$101.00 | 2% below | 36% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $71.59 | $112.23 | $9.09–$101.00 | — | 36% |
| Total IgE blood test CPT 82785 IGE ALLERGY SCREEN | $70.16 | $71.95 | $12.35–$64.75 | 15% above | 2% |
| Total IgE blood test inpatient CPT 82785 IGE ALLERGY SCREEN | $70.16 | $71.95 | $12.35–$64.75 | — | 2% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $18.51 | $44.75 | $3.26–$40.27 | 18% below | 59% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL | $18.51 | $44.75 | $3.26–$40.27 | — | 59% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL | $29.26 | $100.25 | $5.15–$90.22 | at median | 71% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL | $29.26 | $100.25 | $5.15–$90.22 | — | 71% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE | $60.38 | $130.93 | $5.76–$117.83 | 5% below | 54% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE | $60.38 | $130.93 | $5.76–$117.83 | — | 54% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $54.40 | $146.76 | $9.57–$132.08 | 15% above | 63% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $54.40 | $146.76 | $9.57–$132.08 | — | 63% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS NAA GENITAL | $149.47 | $190.09 | $21.64–$171.08 | 97% above | 21% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS NAA URINE | $149.47 | $190.09 | $21.64–$171.08 | 97% above | 21% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS NAA URINE | $149.47 | $190.09 | $21.64–$171.08 | — | 21% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS NAA GENITAL | $149.47 | $190.09 | $21.64–$171.08 | — | 21% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $24.48 | $54.89 | $4.31–$49.40 | at median | 55% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $24.48 | $54.89 | $4.31–$49.40 | — | 55% |
| Troponin test, quantitative CPT 84484 TROPONIN-I | $41.90 | $117.98 | $8.13–$106.18 | 3% below | 64% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE | $41.90 | $117.98 | $8.13–$106.18 | 3% below | 64% |
| Troponin test, quantitative CPT 84484 ASSY OF TROP QU HI SENS TROP I | $41.90 | $117.98 | $8.13–$106.18 | 3% below | 64% |
| Troponin test, quantitative inpatient CPT 84484 ASSY OF TROP QU HI SENS TROP I | $41.90 | $117.98 | $8.13–$106.18 | — | 64% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-I | $41.90 | $117.98 | $8.13–$106.18 | — | 64% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE | $41.90 | $117.98 | $8.13–$106.18 | — | 64% |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $19.12 | $39.18 | $3.39–$35.26 | 5% below | 51% |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $19.12 | $39.18 | $3.39–$35.26 | — | 51% |
| Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W/ MICRO | $13.48 | $27.85 | $2.38–$34.29 | 59% below | 52% |
| Urinalysis with microscope exam, automated CPT 81001 UA W/ AUTO MICROSCOPY | $13.48 | $27.85 | $2.38–$34.29 | 59% below | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W/ MICRO | $13.48 | $27.85 | $2.38–$34.29 | — | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/ AUTO MICROSCOPY | $13.48 | $27.85 | $2.38–$34.29 | — | 52% |
| Urinalysis with microscope exam, manual CPT 81000 URINE HEMOGLOBIN ANALYSIS | $13.48 | $28.02 | $3.02–$34.29 | 14% above | 52% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE HEMOGLOBIN ANALYSIS | $13.48 | $28.02 | $3.02–$34.29 | — | 52% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS QUALITATIVE | $9.55 | $22.06 | $1.69–$34.29 | 44% below | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS QUALITATIVE | $9.55 | $22.06 | $1.69–$34.29 | — | 57% |
| Urinalysis without microscope exam, manual CPT 81002 DIP URINE | $10.89 | $23.60 | $2.02–$34.29 | 5% above | 54% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK POCT | $10.89 | $23.60 | $2.02–$34.29 | 5% above | 54% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK | $10.89 | $23.60 | $2.02–$34.29 | 5% above | 54% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK | $10.89 | $23.60 | $2.02–$34.29 | — | 54% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK POCT | $10.89 | $23.60 | $2.02–$34.29 | — | 54% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 DIP URINE | $10.89 | $23.60 | $2.02–$34.29 | — | 54% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE COLONY COUNT | $34.38 | $80.89 | $6.05–$72.80 | 10% below | 57% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE COLONY COUNT | $34.38 | $80.89 | $6.05–$72.80 | — | 57% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, TIMED URINE | $24.30 | $60.25 | $4.34–$54.22 | 18% below | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, TIMED URINE | $24.30 | $60.25 | $4.34–$54.22 | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 URINE HCG COUNTER | $26.94 | $65.51 | $3.22–$58.95 | 7% below | 59% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $26.94 | $65.51 | $3.22–$58.95 | 7% below | 59% |
| Urine pregnancy test, read by color change CPT 81025 URINE HCG | $26.94 | $65.51 | $3.22–$58.95 | 7% below | 59% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $26.94 | $65.51 | $3.22–$58.95 | — | 59% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG COUNTER | $26.94 | $65.51 | $3.22–$58.95 | — | 59% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG | $26.94 | $65.51 | $3.22–$58.95 | — | 59% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $62.57 | $144.24 | $11.31–$129.81 | 12% above | 57% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $62.57 | $144.24 | $11.31–$129.81 | — | 57% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROXY | $123.68 | $307.89 | $22.20–$277.10 | 15% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROXY | $123.68 | $307.89 | $22.20–$277.10 | — | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1,25-DIHYDROXY | $164.02 | $168.34 | $28.88–$151.50 | 53% above | 3% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1,25-DIHYDROXY | $164.02 | $168.34 | $28.88–$151.50 | — | 3% |
| Zinc blood test CPT 84630 ZINC | $42.03 | $74.20 | $7.98–$66.78 | 4% above | 43% |
| Zinc blood test inpatient CPT 84630 ZINC | $42.03 | $74.20 | $7.98–$66.78 | — | 43% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-CHORIONIC GONADATROPIN, QT | $64.13 | $153.06 | $11.29–$137.75 | 15% above | 58% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QT ISTAT | $64.13 | $153.06 | $11.29–$137.75 | 15% above | 58% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QT ISTAT | $64.13 | $153.06 | $11.29–$137.75 | — | 58% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-CHORIONIC GONADATROPIN, QT | $64.13 | $153.06 | $11.29–$137.75 | — | 58% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $4,265.00 | — | $1,821.70–$10,346.58 | 11% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $9,882.00 | — | $3,002.03–$40,065.80 | 35% below | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $7,053.00 | — | $916.59–$7,167.21 | 63% above | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $7,053.00 | — | $3,185.43–$20,202.93 | 4% below | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $4,265.00 | — | $2,531.88–$22,644.55 | 50% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $6,167.00 | — | $3,138.78–$22,644.55 | 27% below | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $9,882.00 | — | $180.51–$22,024.28 | 21% above | — |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $3,710.00 | $914.28 | $148.59–$3,844.46 | 751% above | -306% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE | $3,710.00 | $914.28 | $148.59–$3,844.46 | — | -306% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $3,710.00 | — | $1,447.90–$5,154.15 | 20% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TREAT DISTAL FIB FX W/O MAN | $859.90 | $1,398.49 | $216.25–$3,120.00 | 63% above | 39% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TREAT DISTAL FIB FX W/O MAN | $859.90 | $1,398.49 | $216.25–$3,120.00 | — | 39% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TREAT METATARSEL FX W/O MAN | $477.00 | $1,229.25 | $216.25–$3,120.00 | 5% above | 61% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TREAT METATAR FX W/O MAN | $477.00 | $1,024.28 | $216.25–$3,120.00 | 5% above | 53% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TREAT METATAR FX W/O MAN | $477.00 | $1,024.28 | $216.25–$3,120.00 | — | 53% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TREAT METATARSEL FX W/O MAN | $477.00 | $1,229.25 | $216.25–$3,120.00 | — | 61% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $4,265.00 | — | $2,531.88–$10,210.98 | 11% above | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS | $3,710.00 | — | $2,202.36–$10,210.98 | 3% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $2,228.32 | — | $2,272.74–$10,117.13 | 63% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $374.04 | $1,844.14 | $120.70–$2,062.63 | 64% below | 80% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL | $374.04 | $1,844.14 | $120.70–$2,062.63 | — | 80% |
| Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY MED NRVE CRPL TUNL | $1,276.59 | $2,963.81 | $1,675.94–$6,093.90 | 45% below | 57% |
| Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY MED NRVE CRPL TUNL | $1,276.59 | $2,963.81 | $1,675.94–$6,093.90 | — | 57% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $9,711.00 | — | $2,023.20–$12,896.00 | 260% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB | $3,391.67 | — | $1,164.00–$81,568.68 | 88% below | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $954.00 | — | $485.55–$3,120.00 | 36% below | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $7,028.89 | — | $2,018.00–$8,871.83 | 13% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $3,710.00 | — | $1,194.58–$6,523.48 | 2% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $954.00 | — | $485.55–$6,523.48 | 61% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $954.00 | — | $485.55–$4,576.00 | 26% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TREAT COLLES FX W/O MANIP | $477.00 | $1,167.90 | $216.25–$3,120.00 | 15% below | 59% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TREAT COLLES FX W/O MANIP | $477.00 | $1,167.90 | $216.25–$3,120.00 | — | 59% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $3,710.00 | — | $977.20–$4,576.00 | 155% above | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $935.31 | — | $977.20–$4,576.00 | 51% below | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $787.30 | — | $977.20–$4,576.00 | 44% below | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $3,710.00 | — | $815.26–$4,576.00 | 91% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $504.41 | — | $485.55–$10,102.13 | 87% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/BIOPSY CERVIX | $954.00 | $1,117.94 | $267.15–$4,576.00 | 43% above | 15% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/BIOPSY CERVIX | $954.00 | $1,117.94 | $267.15–$4,576.00 | — | 15% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $9,711.00 | — | $2,023.20–$12,896.00 | 260% above | — |
| Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL | $1,832.59 | — | $637.16–$36,026.08 | 87% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCPY URETER STNT INSRT | $3,710.00 | $5,401.70 | $2,047.65–$11,000.45 | 15% below | 31% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCPY URETER STNT INSRT | $3,710.00 | $5,401.70 | $2,047.65–$11,000.45 | — | 31% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $2,717.00 | $2,923.44 | $611.30–$4,607.20 | 88% above | 7% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY | $2,717.00 | $2,923.44 | $611.30–$4,607.20 | — | 7% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,710.00 | — | $1,763.87–$10,102.13 | 1% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $954.00 | — | $175.89–$3,120.00 | 229% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $4,265.00 | — | $1,360.23–$6,032.00 | 143% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $3,710.00 | — | $169.13–$6,032.00 | 241% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN REMOVE BY IRRIG UNI | $477.00 | $216.95 | $17.78–$3,120.00 | 294% above | -120% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN REMOVE BY IRRIG UNI | $477.00 | $216.95 | $17.78–$3,120.00 | — | -120% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $101.85 | — | $51.72–$3,120.00 | 22% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX UTERUS LINING W/O CERV DILT | $271.81 | $467.40 | $177.24–$3,120.00 | 41% below | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BX UTERUS LINING W/O CERV DILT | $271.81 | $467.40 | $177.24–$3,120.00 | — | 42% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $7,053.00 | — | $3,589.69–$22,024.28 | 14% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $4,265.00 | — | $481.90–$22,024.28 | 48% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $4,265.00 | — | $2,115.87–$11,635.08 | 2% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $4,265.00 | — | $481.90–$22,024.28 | 48% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDUR INJECT CERV/THOR W/IMAG | $340.23 | $2,930.44 | $618.82–$3,129.00 | 76% below | 88% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDUR INJECT CERV/THOR W/IMAG | $340.23 | $2,930.44 | $618.82–$3,129.00 | — | 88% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECT DRUG INTO EYE | $954.00 | $715.61 | $247.76–$3,120.00 | 32% above | -33% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECT DRUG INTO EYE | $954.00 | $715.61 | $247.76–$3,120.00 | — | -33% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ ANES AGENT LUMBAR/L/S | $477.00 | $3,476.23 | $242.76–$3,128.60 | 76% below | 86% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERTEBR JNT L/S 1 LEVL | $477.00 | $3,476.23 | $242.76–$3,128.60 | 76% below | 86% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ ANES AGENT LUMBAR/L/S | $477.00 | $3,476.23 | $242.76–$3,128.60 | — | 86% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERTEBR JNT L/S 1 LEVL | $477.00 | $3,476.23 | $242.76–$3,128.60 | — | 86% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $192.85 | — | $485.55–$3,120.00 | 90% below | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $7,053.00 | — | $3,404.36–$18,866.33 | 2% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $7,053.00 | — | $904.34–$18,866.33 | 2% above | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $7,053.00 | — | $1,115.70–$7,592.00 | 68% above | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $4,265.00 | — | $2,058.70–$10,210.98 | 11% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY,INT, BANDING | $954.00 | $1,278.42 | $485.55–$3,120.00 | 16% below | 25% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY,INT, BANDING | $954.00 | $1,278.42 | $485.55–$3,120.00 | — | 25% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $1,063.58 | — | $1,937.43–$8,662.03 | 71% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $20,269.00 | — | $4,412.22–$40,065.80 | 19% above | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $7,053.00 | — | $880.34–$12,792.00 | 14% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $177.17 | — | $48.74–$3,120.00 | 42% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $6,167.00 | — | $1,763.87–$15,611.20 | 6% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $823.15 | — | $1,763.87–$10,102.13 | 81% below | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $477.00 | — | $44.16–$3,120.00 | 17% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE | $954.00 | $753.10 | $105.46–$3,120.00 | 136% above | -27% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE | $954.00 | $753.10 | $105.46–$3,120.00 | 136% above | -27% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE | $954.00 | $753.10 | $105.46–$3,120.00 | — | -27% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS SIMPLE | $954.00 | $753.10 | $105.46–$3,120.00 | — | -27% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $6,167.00 | — | $2,631.50–$11,173.40 | 48% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON SHEATH/LIGAMENT | $127.74 | $697.32 | $242.76–$3,120.00 | 74% below | 82% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON SHEATH/LIGAMENT | $127.74 | $697.32 | $242.76–$3,120.00 | — | 82% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP/INJ MAJ JNT | $477.00 | $931.30 | $242.76–$3,120.00 | 6% below | 49% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASP/INJ MAJ JNT | $477.00 | $931.30 | $242.76–$3,120.00 | — | 49% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELIVERY IMPLANT | $247.89 | $196.00 | $116.64–$3,120.00 | 12% below | -26% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG DELIVERY IMPLANT | $247.89 | $196.00 | $116.64–$3,120.00 | — | -26% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASP/INJ INT JNT | $477.00 | $774.75 | $242.76–$3,120.00 | 4% above | 38% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASP/INJ INT JNT | $477.00 | $774.75 | $242.76–$3,120.00 | — | 38% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP/INJ SM JNT | $109.57 | $431.21 | $242.76–$3,120.00 | 76% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASP/INJ SM JNT | $109.57 | $431.21 | $242.76–$3,120.00 | — | 75% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $4,265.00 | — | $2,302.93–$10,210.98 | 11% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $6,167.00 | — | $2,302.93–$10,210.98 | 61% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $1,699.62 | — | $2,302.93–$10,210.98 | 56% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $1,879.65 | — | $2,302.93–$10,210.98 | 51% below | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $9,882.00 | — | $1,808.30–$9,677.27 | 60% below | — |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE | $7,053.00 | — | $1,414.37–$33,172.63 | 43% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $1,799.80 | — | $3,185.43–$18,866.33 | 74% below | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $7,053.00 | — | $1,349.97–$33,172.63 | 43% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $7,053.00 | — | $981.37–$33,172.63 | 43% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $7,053.00 | — | $1,104.80–$33,172.63 | 31% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $1,282.62 | — | $2,631.50–$18,866.33 | 81% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $9,882.00 | — | $2,631.50–$18,866.33 | 43% above | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $6,167.00 | — | $3,138.78–$12,031.80 | 37% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $1,986.93 | — | $2,179.49–$18,866.33 | 71% below | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $3,876.65 | — | $1,152.77–$7,023.11 | 83% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $3,710.00 | — | $482.16–$4,577.58 | 196% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTRMED S/A/T/E 2.5CM/< | $460.54 | $1,621.72 | $264.00–$3,120.00 | 22% below | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPR LAC INTERM S/T/E 2.5 CM/< | $460.54 | $1,331.72 | $356.38–$3,120.00 | 22% below | 65% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTRMED S/A/T/E 2.5CM/< | $460.54 | $1,621.72 | $264.00–$3,120.00 | — | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPR LAC INTERM S/T/E 2.5 CM/< | $460.54 | $1,331.72 | $356.38–$3,120.00 | — | 65% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $1,827.21 | — | $2,272.74–$10,117.13 | 73% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJECT LUMBAR W/IMAG | $2,717.00 | $2,930.44 | $618.82–$3,129.00 | 82% above | 7% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJECT LUMBAR W/IMAG | $2,717.00 | $2,930.44 | $618.82–$3,129.00 | — | 7% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $271.87 | — | $699.91–$3,120.00 | 81% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ EPIDURAL LUMB/SACR W/IMAG | $2,717.00 | $2,948.13 | $699.91–$3,129.00 | 76% above | 8% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ EPIDURAL LUMB/SACR W/IMAG | $2,717.00 | $2,948.13 | $699.91–$3,129.00 | — | 8% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $2,898.44 | — | $4,075.53–$22,644.55 | 66% below | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $9,882.00 | — | $3,194.11–$84,677.40 | 55% below | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM | $9,882.00 | — | $4,942.86–$84,677.40 | 55% below | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $9,882.00 | — | $4,075.53–$22,644.55 | 17% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $9,882.00 | — | $4,942.86–$54,717.95 | 55% below | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $4,265.00 | — | $2,531.88–$12,218.93 | 6% below | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $3,013.79 | — | $2,801.37–$20,722.03 | 61% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $3,710.00 | — | $959.89–$12,896.00 | 9% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G | $954.00 | — | $402.02–$4,576.00 | 22% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES TRNK/ARM/LEG 0.5CM OR< | $239.46 | $399.80 | $359.82–$3,120.00 | 78% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESN T/A/L .5CM/< | $239.46 | $399.80 | $359.82–$3,120.00 | 78% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES TRNK/ARM/LEG .5CM OR< | $239.46 | $399.80 | $359.82–$3,129.00 | 78% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LES TRNK/ARM/LEG .5CM OR< | $239.46 | $399.80 | $359.82–$3,129.00 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LES TRNK/ARM/LEG 0.5CM OR< | $239.46 | $399.80 | $359.82–$3,120.00 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LESN T/A/L .5CM/< | $239.46 | $399.80 | $359.82–$3,120.00 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9LES FACE/EAR 0.5CM/< | $954.00 | $1,002.58 | $485.55–$4,576.00 | 9% below | 5% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC B9LES FACE/EAR 0.5CM/< | $954.00 | $1,002.58 | $485.55–$4,576.00 | — | 5% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMP SINGL | $954.00 | $414.60 | $105.46–$3,120.00 | 186% above | -130% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMP SINGL | $954.00 | $414.60 | $105.46–$3,120.00 | — | -130% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES GREATR OCCIPTAL NERVE | $477.00 | $584.43 | $242.76–$3,120.00 | 1% above | 18% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECT ANESTH OCCIPITAL NERVE | $477.00 | $510.16 | $242.76–$3,120.00 | 1% above | 6% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECT ANESTH OCCIPITAL NERVE | $477.00 | $510.16 | $242.76–$3,120.00 | — | 6% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES GREATR OCCIPTAL NERVE | $477.00 | $584.43 | $242.76–$3,120.00 | — | 18% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 GASTRIC BYPASS FOR OBESITY | $4,841.91 | — | $1,722.54–$7,174.45 | 84% below | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $8,512.00 | — | $4,332.03–$32,617.65 | 31% below | — |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS | $3,710.00 | $2,744.76 | $264.00–$4,576.00 | 160% above | -35% |
| Paracentesis with imaging guidance CPT 49083 US PARCENTESIS ANY METHOD | $3,710.00 | $2,744.76 | $264.00–$4,576.00 | 160% above | -35% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINL PARACENTESIS W/IMAGIN | $3,710.00 | $2,253.95 | $761.38–$4,576.00 | 160% above | -65% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS | $3,710.00 | $2,744.76 | $264.00–$4,576.00 | — | -35% |
| Paracentesis with imaging guidance inpatient CPT 49083 US PARCENTESIS ANY METHOD | $3,710.00 | $2,744.76 | $264.00–$4,576.00 | — | -35% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINL PARACENTESIS W/IMAGIN | $3,710.00 | $2,253.95 | $761.38–$4,576.00 | — | -65% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $3,516.35 | — | $4,412.22–$40,065.80 | 77% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL PARTIAL OR COMPLETE | $954.00 | $963.17 | $356.38–$3,120.00 | 30% above | 1% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL PARTIAL OR COMPLETE | $954.00 | $963.17 | $356.38–$3,120.00 | — | 1% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $3,710.00 | — | $2,202.36–$5,658.43 | 53% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $5,305.01 | — | $3,401.82–$33,172.63 | 57% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION LUMBAR/SACRAL JNT | $697.56 | $4,695.97 | $670.00–$6,093.90 | 80% below | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTRUCTION LUMBAR/SACRAL JNT | $697.56 | $4,695.97 | $670.00–$6,093.90 | — | 85% |
| Removal of a breast lump, open surgery CPT 19120 EXC LES BREAST TISSUE OPN 1/> | $4,265.00 | $1,895.04 | $1,705.53–$12,218.93 | 6% below | -125% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXC LES BREAST TISSUE OPN 1/> | $4,265.00 | $1,895.04 | $1,705.53–$12,218.93 | — | -125% |
| Removal of a foreign object under the skin, simple CPT 10120 INCIS & REMOVAL FB SUBCUT SIMP | $311.93 | $1,104.87 | $212.05–$3,120.00 | 52% below | 72% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS & REMOVAL FB SUBCUT SIMP | $311.93 | $1,104.87 | $212.05–$3,120.00 | — | 72% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $2,156.26 | — | $2,202.36–$18,866.33 | 69% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $658.56 | — | $483.88–$4,576.00 | 57% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $3,710.00 | — | $483.88–$4,576.00 | 244% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $6,167.00 | — | $2,906.56–$10,346.58 | 59% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $1,730.17 | — | $786.50–$12,532.00 | 68% below | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION SHORT ARM CAST | $954.00 | $529.95 | $245.20–$954.65 | 123% above | -80% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION SHORT ARM CAST | $954.00 | $529.95 | $245.20–$954.65 | — | -80% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT | $477.00 | $537.47 | $116.64–$602.56 | 127% above | 11% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SHORT ARM SPLINT | $477.00 | $537.47 | $116.64–$602.56 | — | 11% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST | $477.00 | $551.65 | $242.76–$872.85 | 3% below | 14% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST | $477.00 | $551.65 | $242.76–$872.85 | — | 14% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT | $477.00 | $324.41 | $142.46–$602.56 | 67% above | -47% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT | $477.00 | $324.41 | $142.46–$602.56 | — | -47% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $7,053.00 | — | $2,302.93–$12,896.00 | 84% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $4,265.00 | — | $179.15–$6,032.00 | at median | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMP REPAIR < 2.5CM SCALP | $137.29 | $397.00 | $175.89–$3,120.00 | 64% below | 65% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC SIMP REPAIR < 2.5CM SCALP | $137.29 | $397.00 | $175.89–$3,120.00 | — | 65% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESN | $954.00 | $750.04 | $53.01–$3,120.00 | 38% above | -27% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESN | $954.00 | $942.66 | $53.01–$3,120.00 | 38% above | -1% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESN SP | $954.00 | $750.04 | $53.01–$3,120.00 | 38% above | -27% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESN SP | $954.00 | $750.04 | $53.01–$3,120.00 | — | -27% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESN | $954.00 | $942.66 | $53.01–$3,120.00 | — | -1% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESN | $954.00 | $750.04 | $53.01–$3,120.00 | — | -27% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LESION TRUNK<.5 CM | $954.00 | $776.69 | $485.55–$3,120.00 | 11% above | -23% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LESION TRUNK<.5 CM | $954.00 | $776.69 | $485.55–$3,120.00 | — | -23% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS <= 15 LES | $954.00 | $542.93 | $175.89–$3,120.00 | 162% above | -76% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS <= 15 LES | $954.00 | $542.93 | $175.89–$3,120.00 | — | -76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR | $2,717.00 | $2,808.16 | $618.82–$3,129.00 | 129% above | 3% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINAL PUNCTURE | $2,717.00 | $2,808.16 | $618.82–$3,129.00 | 129% above | 3% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $2,717.00 | $2,681.41 | $618.82–$3,120.00 | 129% above | -1% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR | $2,717.00 | $2,808.16 | $618.82–$3,129.00 | — | 3% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR SPINAL PUNCTURE | $2,717.00 | $2,808.16 | $618.82–$3,129.00 | — | 3% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $2,717.00 | $2,681.41 | $618.82–$3,120.00 | — | -1% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SIMP S/N/G/E 2.6-7.5CM | $180.85 | $522.96 | $175.89–$1,301.53 | 54% below | 65% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR LAC SIMP S/N/G/E 2.6-7.5CM | $180.85 | $522.96 | $175.89–$1,301.53 | — | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SIMP FACE/EAR<2.5CM SP | $170.93 | $494.27 | $175.89–$1,301.53 | 55% below | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SIMP FACE/EAR <2.5 CM | $170.93 | $411.85 | $175.89–$1,301.53 | 55% below | 58% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SIMP FACE/EAR <2.5CM | $170.93 | $494.27 | $175.89–$1,301.53 | 55% below | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SIMP FACE/EAR <2.5 CM | $170.93 | $411.85 | $175.89–$1,301.53 | — | 58% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SIMP FACE/EAR <2.5CM | $170.93 | $494.27 | $175.89–$1,301.53 | — | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SIMP FACE/EAR<2.5CM SP | $170.93 | $494.27 | $175.89–$1,301.53 | — | 65% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $2,580.80 | — | $3,138.78–$16,732.60 | 57% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESN | $954.00 | $750.04 | $42.78–$3,120.00 | 92% above | -27% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESN | $954.00 | $750.04 | $42.78–$3,120.00 | — | -27% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS PLEURA W/ IMAGE | $2,717.00 | $2,214.34 | $549.94–$3,120.00 | 112% above | -23% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS PLEURA W/ IMAGE | $2,717.00 | $2,214.34 | $549.94–$3,120.00 | — | -23% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $7,053.00 | — | $1,821.70–$12,896.00 | 84% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $897.50 | — | $1,821.70–$18,474.08 | 87% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $777.31 | — | $1,821.70–$10,346.58 | 80% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $809.32 | — | $1,821.70–$18,474.08 | 88% below | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $9,882.00 | — | $4,412.22–$40,065.80 | 35% below | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $7,053.00 | — | $4,412.22–$40,065.80 | 54% below | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $4,423.44 | — | $4,412.22–$54,717.95 | 80% below | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $4,265.00 | — | $2,531.88–$18,866.33 | 38% below | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,710.00 | — | $1,409.68–$5,018.08 | 42% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJECTS 1 OR 2 MUSC | $116.94 | $706.61 | $242.76–$3,120.00 | 72% below | 83% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJECTS 1 OR 2 MUSC | $116.94 | $706.61 | $242.76–$3,120.00 | — | 83% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $4,265.00 | — | $2,179.49–$18,866.33 | 38% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST PERCUT BX CORE/IMAGING | $515.67 | $3,229.39 | $803.00–$5,154.15 | 82% below | 84% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BREAST PERCUT BX CORE/IMAGING | $515.67 | $3,229.39 | $803.00–$5,154.15 | — | 84% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $3,143.90 | — | $1,017.26–$5,988.35 | 29% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $3,710.00 | — | $795.13–$4,576.00 | 122% above | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $3,710.00 | — | $795.13–$4,576.00 | 177% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $3,710.00 | — | $1,017.26–$5,988.35 | 60% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $1,240.49 | — | $795.13–$4,576.00 | at median | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC | $404.11 | $3,072.22 | $795.13–$3,120.00 | 75% below | 87% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC | $404.11 | $3,072.22 | $795.13–$3,120.00 | — | 87% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST | $3,710.00 | — | $1,233.89–$18,945.50 | 47% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $6,167.00 | — | $1,825.27–$16,732.60 | 3% above | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $6,167.00 | — | $562.62–$16,732.60 | 3% above | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $6,661.94 | — | $2,018.00–$8,395.12 | at median | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $6,362.52 | — | $2,018.00–$8,051.99 | 102% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $689.31 | — | $485.55–$6,523.48 | 83% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 USABL ABLATION FIRST VEIN | $7,053.00 | $7,401.44 | $1,233.00–$9,853.58 | 56% above | 5% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 USABL ABLATION FIRST VEIN | $7,053.00 | $7,401.44 | $1,233.00–$9,853.58 | — | 5% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION B9 LESION 1-14 | $207.49 | $325.42 | $175.89–$3,120.00 | 40% below | 36% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION B9 LESION 1-14 | $207.49 | $325.42 | $175.89–$3,120.00 | — | 36% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TIS 20SQCM/< | $188.22 | $1,245.87 | $212.05–$4,576.00 | 78% below | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ TIS 20SQCM/< | $188.22 | $1,245.87 | $212.05–$4,576.00 | — | 85% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $2,208.47 | — | $3,589.69–$22,644.55 | 74% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $99.80 | $1,802.40 | $60.51–$3,120.00 | 86% below | 94% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLD COMP | $99.80 | $1,802.40 | $60.51–$3,120.00 | 86% below | 94% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD ADMIN | $99.80 | $1,802.40 | $60.51–$3,120.00 | 86% below | 94% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD | $99.80 | $1,802.40 | $60.51–$3,120.00 | — | 94% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLD COMP | $99.80 | $1,802.40 | $60.51–$3,120.00 | — | 94% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD ADMIN | $99.80 | $1,802.40 | $60.51–$3,120.00 | — | 94% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION THERAPY | $53.42 | $473.70 | $8.24–$683.38 | 76% below | 89% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION THERAPY | $53.42 | $473.70 | $8.24–$683.38 | — | 89% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION INTL 1ST HR | $392.22 | $583.47 | $125.33–$1,030.80 | 36% below | 33% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION INTL 1ST HR | $392.22 | $583.47 | $125.33–$1,030.80 | — | 33% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/> | $453.01 | — | $88.21–$511.22 | 97% above | — |
| Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/> | $376.97 | — | $70.94–$429.70 | 93% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $99.89 | — | $28.98–$401.55 | 46% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $12,198.62 | — | $271.00–$5,089.00 | 610% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $870.45 | — | $165.27–$1,082.43 | 26% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG W/INTERPRETATION | $49.99 | $50.00 | $16.11–$119.20 | 18% below | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG W/INTERPRETATION | $49.99 | $50.00 | $16.11–$119.20 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $23.92 | $220.15 | $6.97–$198.13 | 83% below | 89% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY | $23.92 | $220.15 | $6.97–$198.13 | — | 89% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY SING | $861.94 | $2,240.12 | $316.18–$2,679.88 | at median | 62% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY SING | $861.94 | $2,240.12 | $316.18–$2,679.88 | — | 62% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 W/WO PHYS/QHP | $505.71 | $1,101.47 | $105.26–$991.32 | 103% above | 54% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED PIT-LEVEL 1 W/ASSESMENT | $505.71 | $1,101.47 | $105.26–$991.32 | 103% above | 54% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED PIT-LEVEL 1 W/ASSESMENT | $505.71 | $1,101.47 | $105.26–$991.32 | — | 54% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED LEVEL 1 W/WO PHYS/QHP | $505.71 | $1,101.47 | $105.26–$991.32 | — | 54% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2 SF MDM | $1,475.01 | $1,651.24 | $162.00–$2,254.00 | 337% above | 11% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED LEVEL 2 SF MDM | $1,475.01 | $1,651.24 | $162.00–$2,254.00 | — | 11% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3 LOW MDM | $2,065.02 | $2,229.46 | $200.00–$3,198.00 | 267% above | 7% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED LEVEL 3 LOW MDM | $2,065.02 | $2,229.46 | $200.00–$3,198.00 | — | 7% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4 MOD MDM | $2,528.53 | $4,985.94 | $233.00–$4,487.34 | 200% above | 49% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $7,624.14 | — | $233.00–$3,832.00 | 804% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED LEVEL 4 MOD MDM | $2,528.53 | $4,985.94 | $233.00–$4,487.34 | — | 49% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5 HIGH MDM | $3,371.37 | $5,365.10 | $233.00–$5,089.00 | 184% above | 37% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $10,165.52 | — | $233.00–$5,089.00 | 757% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED LEVEL 5 HIGH MDM | $3,371.37 | $5,365.10 | $233.00–$5,089.00 | — | 37% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGIC NUCLEAR STRESS | $114.53 | $723.47 | $39.53–$673.83 | 79% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NUCLEAR STRESS TEST | $114.53 | $723.47 | $39.53–$673.83 | 79% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 WALKING STRESS | $114.53 | $723.47 | $39.53–$673.83 | 79% below | 84% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMACOLOGIC NUCLEAR STRESS | $114.53 | $723.47 | $39.53–$673.83 | — | 84% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 WALKING STRESS | $114.53 | $723.47 | $39.53–$673.83 | — | 84% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUCLEAR STRESS TEST | $114.53 | $723.47 | $39.53–$673.83 | — | 84% |
| Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT | $259.82 | — | $47.02–$415.48 | 13% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 COLLAT/FAM VIST W/PAT 30MN MIN | $329.48 | $703.29 | $105.15–$936.00 | 18% above | 53% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY 60 MIN MINIMUM | $329.48 | $703.29 | $92.00–$936.00 | 18% above | 53% |
| Family therapy with the patient, 50 minutes CPT 90847 FAM PSY TX W/PAT PRES 60MN MIN | $329.48 | $703.29 | $105.15–$936.00 | 18% above | 53% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY TX W/PAT 60 MIN MINIMUM | $329.48 | $703.29 | $92.00–$936.00 | 18% above | 53% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY TX W/PAT 60 MIN MINIMUM | $329.48 | $703.29 | $92.00–$936.00 | — | 53% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY 60 MIN MINIMUM | $329.48 | $703.29 | $92.00–$936.00 | — | 53% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 COLLAT/FAM VIST W/PAT 30MN MIN | $329.48 | $703.29 | $105.15–$936.00 | — | 53% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSY TX W/PAT PRES 60MN MIN | $329.48 | $703.29 | $105.15–$936.00 | — | 53% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCH W/O PT PRES 30MIN | $319.37 | $687.06 | $100.83–$936.00 | 21% above | 54% |
| Family therapy without the patient, 50 minutes CPT 90846 COLLAT/FAM VST 30MIN W/O PAT | $319.37 | $687.06 | $100.83–$936.00 | 21% above | 54% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCH W/O PT PRES 50MIN | $319.37 | $687.06 | $88.00–$936.00 | 21% above | 54% |
| Family therapy without the patient, 50 minutes CPT 90846 COLLAT/FAM VIST 30MIN W/O PAT | $319.37 | $687.06 | $100.83–$936.00 | 21% above | 54% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 COLLAT/FAM VIST 30MIN W/O PAT | $319.37 | $687.06 | $100.83–$936.00 | — | 54% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 COLLAT/FAM VST 30MIN W/O PAT | $319.37 | $687.06 | $100.83–$936.00 | — | 54% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH W/O PT PRES 50MIN | $319.37 | $687.06 | $88.00–$936.00 | — | 54% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH W/O PT PRES 30MIN | $319.37 | $687.06 | $100.83–$936.00 | — | 54% |
| Group psychotherapy session CPT 90853 PSYCHOTH GROUP 40 TO 59 MIN | $80.87 | $364.18 | $28.98–$936.00 | 36% below | 78% |
| Group psychotherapy session CPT 90853 PARTIAL HOSP GROUP 1 HR | $80.87 | $364.18 | $28.98–$936.00 | 36% below | 78% |
| Group psychotherapy session CPT 90853 PARTHOSP GROUP 40 TO 59 MIN | $80.87 | $364.18 | $28.98–$936.00 | 36% below | 78% |
| Group psychotherapy session CPT 90853 PSYCHOTHERAPY GROUP 1 HR MIN | $80.87 | $364.18 | $28.98–$936.00 | 36% below | 78% |
| Group psychotherapy session CPT 90853 GROUP THERAPY 1HR MINIMUM | $80.87 | $364.18 | $28.98–$936.00 | 36% below | 78% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERPY 1HR | $80.87 | $364.18 | $28.98–$936.00 | 36% below | 78% |
| Group psychotherapy session inpatient CPT 90853 PSYCHOTHERAPY GROUP 1 HR MIN | $80.87 | $364.18 | $28.98–$936.00 | — | 78% |
| Group psychotherapy session inpatient CPT 90853 PARTIAL HOSP GROUP 1 HR | $80.87 | $364.18 | $28.98–$936.00 | — | 78% |
| Group psychotherapy session inpatient CPT 90853 PARTHOSP GROUP 40 TO 59 MIN | $80.87 | $364.18 | $28.98–$936.00 | — | 78% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY 1HR MINIMUM | $80.87 | $364.18 | $28.98–$936.00 | — | 78% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERPY 1HR | $80.87 | $364.18 | $28.98–$936.00 | — | 78% |
| Group psychotherapy session inpatient CPT 90853 PSYCHOTH GROUP 40 TO 59 MIN | $80.87 | $364.18 | $28.98–$936.00 | — | 78% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONIT/REPRT UP TO 48 HRS | $272.19 | — | $80.99–$527.43 | at median | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRATN 1ST 31-60MIN | $167.71 | $779.68 | $32.20–$761.51 | 55% below | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ST HYDRATE INT 31MIN TO 1HR | $167.71 | $779.68 | $32.20–$761.51 | 55% below | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ST HYDRATE INT 31MIN TO 1HR | $167.71 | $779.68 | $32.20–$761.51 | — | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS HYDRATN 1ST 31-60MIN | $167.71 | $779.68 | $32.20–$761.51 | — | 78% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY 1ST HOUR | $202.71 | $845.62 | $62.03–$761.51 | 52% below | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY 1ST HOUR | $202.71 | $845.62 | $62.03–$761.51 | — | 76% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SINGLE DRUG | $165.64 | $659.37 | $36.42–$663.78 | 35% below | 75% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SINGLE DRUG | $165.64 | $659.37 | $36.42–$663.78 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ EACH | $74.54 | $257.98 | $13.36–$232.18 | 33% below | 71% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ W/ MONITOR/EDUC 15 MIN | $74.54 | $265.39 | $13.36–$238.85 | 33% below | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ EACH | $74.54 | $257.98 | $13.36–$232.18 | — | 71% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJ W/ MONITOR/EDUC 15 MIN | $74.54 | $265.39 | $13.36–$238.85 | — | 72% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 CPEP BRIEF EVALUATION | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | 875% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 ASSESSMENT NORMATIVE 30 MIN | $2,475.84 | $574.49 | $221.56–$3,487.19 | 875% above | -331% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL PART HOSP | $2,475.84 | $574.49 | $110.00–$3,487.19 | 875% above | -331% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAG INTERVIEW EXAM | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | 875% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX INTERVIEW/EXAMINATION | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | 875% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 CPEP ASSESSMENT FULL | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | 875% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 ASSESSMENT EXTENDED 75 MIN | $2,475.84 | $574.49 | $221.56–$3,487.19 | 875% above | -331% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ASSESSMENT EXTENDED 75 MIN | $2,475.84 | $574.49 | $221.56–$3,487.19 | — | -331% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ASSESSMENT NORMATIVE 30 MIN | $2,475.84 | $574.49 | $221.56–$3,487.19 | — | -331% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CPEP ASSESSMENT FULL | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CPEP BRIEF EVALUATION | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAG INTERVIEW EXAM | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX INTERVIEW/EXAMINATION | $2,475.84 | $3,099.98 | $221.56–$3,487.19 | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL PART HOSP | $2,475.84 | $574.49 | $110.00–$3,487.19 | — | -331% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $229.93 | — | $134.86–$1,164.53 | 50% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $95.00 | — | $16.19–$202.45 | 16% above | — |
| New patient office visit, about 30 minutes CPT 99203 OUTPT VIS NEW LEVEL 3 30-44MIN | $323.34 | $402.00 | $61.45–$361.80 | 45% above | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VIS NEW LEVEL 3 30-44MIN | $323.34 | $402.00 | $61.45–$361.80 | — | 20% |
| New patient office visit, about 45 minutes CPT 99204 OUTPT VIS NEW LEVEL 4 45-59MIN | $497.76 | $615.00 | $99.68–$553.50 | 67% above | 19% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VIS NEW LEVEL 4 45-59MIN | $497.76 | $615.00 | $99.68–$553.50 | — | 19% |
| New patient office visit, about 60 minutes CPT 99205 OUTPT VIS NEW LEVEL 5 60-74MIN | $621.43 | $763.00 | $135.26–$686.70 | 65% above | 19% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VIS NEW LEVEL 5 60-74MIN | $621.43 | $763.00 | $135.26–$686.70 | — | 19% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PRE-EMPOLYMENT SCREENING | $223.01 | $278.00 | $36.06–$250.20 | 28% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPT VIS NEW LEVEL 2 15-29MIN | $223.01 | $278.00 | $36.06–$250.20 | 28% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPT VIS NEW LEVEL 2 15-29MIN | $223.01 | $278.00 | $36.06–$250.20 | — | 20% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PRE-EMPOLYMENT SCREENING | $223.01 | $278.00 | $36.06–$250.20 | — | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $107.85 | — | $13.72–$111.65 | 103% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $95.00 | — | $60.24–$377.05 | 44% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $95.00 | — | $59.84–$355.50 | 64% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $95.00 | — | $42.27–$355.50 | 47% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $95.00 | — | $59.84–$355.50 | 60% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $95.00 | — | $14.60–$202.45 | 14% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $95.00 | — | $15.49–$202.45 | 26% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT NEW 18-39 | $398.55 | $480.17 | $85.79–$444.91 | 97% above | 17% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT,NEW 18 - 39 | $398.55 | $480.17 | $85.79–$444.91 | 97% above | 17% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT, NEW, 18 - 39 | $398.55 | $480.17 | $85.79–$444.91 | 97% above | 17% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT, NEW 18-39 | $398.55 | $480.17 | $85.79–$444.91 | 97% above | 17% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE VISIT NEW 18-39 | $398.55 | $480.17 | $85.79–$444.91 | — | 17% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE VISIT,NEW 18 - 39 | $398.55 | $480.17 | $85.79–$444.91 | — | 17% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE VISIT, NEW, 18 - 39 | $398.55 | $480.17 | $85.79–$444.91 | — | 17% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE VISIT, NEW 18-39 | $398.55 | $480.17 | $85.79–$444.91 | — | 17% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT, NEW 40-64 | $460.63 | $571.79 | $104.02–$515.19 | 105% above | 19% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT, NEW, 40 - 64 | $460.63 | $571.79 | $104.02–$515.19 | 105% above | 19% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE VISIT, NEW, 40 - 64 | $460.63 | $571.79 | $104.02–$515.19 | — | 19% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE VISIT, NEW 40-64 | $460.63 | $571.79 | $104.02–$515.19 | — | 19% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PREVENTATIVE VISIT NEW=> 65 | $500.10 | $619.83 | $111.63–$558.15 | 95% above | 19% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREVENTATIVE VISIT NEW=> 65 | $500.10 | $619.83 | $111.63–$558.15 | — | 19% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE VISIT, EST, 18 - 39 | $358.03 | $440.10 | $77.54–$401.71 | 77% above | 19% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE VISIT, EST 18-39 | $358.03 | $440.10 | $77.54–$401.71 | 77% above | 19% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE VISIT,EST 18-39 YRS | $358.03 | $440.10 | $77.54–$401.71 | 77% above | 19% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE VISIT, EST, 18 - 39 | $358.03 | $440.10 | $77.54–$401.71 | — | 19% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE VISIT,EST 18-39 YRS | $358.03 | $440.10 | $77.54–$401.71 | — | 19% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE VISIT, EST 18-39 | $358.03 | $440.10 | $77.54–$401.71 | — | 19% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE VISIT, EST, 40 - 64 | $381.88 | $460.07 | $84.87–$427.56 | 63% above | 17% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE VISIT EST 40-64 | $381.88 | $460.07 | $84.87–$427.56 | 63% above | 17% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE VISIT, EST 40-64 | $381.88 | $460.07 | $84.87–$427.56 | 63% above | 17% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE VISIT EST 40-64 | $381.88 | $460.07 | $84.87–$427.56 | — | 17% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE VISIT, EST, 40 - 64 | $381.88 | $460.07 | $84.87–$427.56 | — | 17% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE VISIT, EST 40-64 | $381.88 | $460.07 | $84.87–$427.56 | — | 17% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PREVENTIVE VISIT,EST => 65 | $410.67 | $494.75 | $89.41–$458.93 | 101% above | 17% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PREVENTATIVE VISIT-EST=> 65 | $410.67 | $494.75 | $89.41–$458.93 | 101% above | 17% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENTATIVE VISIT-EST=> 65 | $410.67 | $494.75 | $89.41–$458.93 | — | 17% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENTIVE VISIT,EST => 65 | $410.67 | $494.75 | $89.41–$458.93 | — | 17% |
| Psychiatric evaluation with medical services CPT 90792 PSY DX EVAL W/MED IOP | $442.26 | $636.91 | $140.00–$1,976.00 | 48% above | 31% |
| Psychiatric evaluation with medical services CPT 90792 PSY DX EVAL W/ MED PART HOSP | $442.26 | $613.90 | $140.00–$1,976.00 | 48% above | 28% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSY DX EVAL W/ MED PART HOSP | $442.26 | $613.90 | $140.00–$1,976.00 | — | 28% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSY DX EVAL W/MED IOP | $442.26 | $636.91 | $140.00–$1,976.00 | — | 31% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST | $361.02 | — | $112.78–$542.47 | 4% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 M CRISI CM/CS 1LIC30-74MNONMCD | $411.98 | $472.25 | $83.00–$936.00 | 54% above | 13% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVENT COMPLX 1HR MM | $411.98 | $472.25 | $83.00–$936.00 | 54% above | 13% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVNT NORM 90MN MIN | $411.98 | $1,211.97 | $132.31–$1,090.77 | 54% above | 66% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 M CRISIS HOME 1LIC30-74MNONMCD | $411.98 | $472.25 | $83.00–$936.00 | 54% above | 13% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 MB CRISIS CM/CS2PPL30-74MNOMCD | $411.98 | $472.25 | $83.00–$936.00 | 54% above | 13% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 MB CRISIS HOME2PPL30-74M NOMCD | $411.98 | $472.25 | $83.00–$936.00 | 54% above | 13% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 MB PSYTX CRIS 2PPL30-74M NOMCD | $411.98 | $472.25 | $83.00–$936.00 | 54% above | 13% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSY TX CRISIS 1ST 60 MIN | $411.98 | $472.25 | $83.00–$936.00 | 54% above | 13% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 M CRISI CM/CS 1LIC30-74MNONMCD | $411.98 | $472.25 | $83.00–$936.00 | — | 13% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERVNT NORM 90MN MIN | $411.98 | $1,211.97 | $132.31–$1,090.77 | — | 66% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERVENT COMPLX 1HR MM | $411.98 | $472.25 | $83.00–$936.00 | — | 13% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSY TX CRISIS 1ST 60 MIN | $411.98 | $472.25 | $83.00–$936.00 | — | 13% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 MB PSYTX CRIS 2PPL30-74M NOMCD | $411.98 | $472.25 | $83.00–$936.00 | — | 13% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 MB CRISIS HOME2PPL30-74M NOMCD | $411.98 | $472.25 | $83.00–$936.00 | — | 13% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 MB CRISIS CM/CS2PPL30-74MNOMCD | $411.98 | $472.25 | $83.00–$936.00 | — | 13% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 M CRISIS HOME 1LIC30-74MNONMCD | $411.98 | $472.25 | $83.00–$936.00 | — | 13% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL COUNSEL BRF 30 MIN | $198.56 | $362.70 | $70.44–$936.00 | at median | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY INDIVIDUAL 30MIN | $198.56 | $362.60 | $70.44–$936.00 | at median | 45% |
| Psychotherapy session, 30 minutes CPT 90832 CRISIS INTERVENT BRIEF 15 MIN | $198.56 | $408.55 | $32.00–$936.00 | at median | 51% |
| Psychotherapy session, 30 minutes CPT 90832 MOBILE CRISIS HOME 1LIC EA 15M | $198.56 | $408.55 | $32.00–$936.00 | at median | 51% |
| Psychotherapy session, 30 minutes CPT 90832 MOBLE CRISIS RSP 2PPL E15M90M< | $198.56 | $408.55 | $32.00–$936.00 | at median | 51% |
| Psychotherapy session, 30 minutes CPT 90832 MOBLE CRIS HOME 2PPL E15M 90M< | $198.56 | $408.55 | $32.00–$936.00 | at median | 51% |
| Psychotherapy session, 30 minutes CPT 90832 MOBLE CRIS CM/CS 1LIC E15M90M< | $198.56 | $408.55 | $32.00–$936.00 | at median | 51% |
| Psychotherapy session, 30 minutes CPT 90832 MOBLE CRIS CM/CS 2PPL E15M90M< | $198.56 | $408.55 | $32.00–$936.00 | at median | 51% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY IND 20-29M MINIM | $198.56 | $362.70 | $70.44–$936.00 | at median | 45% |
| Psychotherapy session, 30 minutes CPT 90832 MED INDIVID COUNSEL BRF 30 MIN | $198.56 | $362.70 | $70.44–$936.00 | at median | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY IND 20-29M MINIM | $198.56 | $362.70 | $70.44–$936.00 | — | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 MED INDIVID COUNSEL BRF 30 MIN | $198.56 | $362.70 | $70.44–$936.00 | — | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 MOBLE CRIS HOME 2PPL E15M 90M< | $198.56 | $408.55 | $32.00–$936.00 | — | 51% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY INDIVIDUAL 30MIN | $198.56 | $362.60 | $70.44–$936.00 | — | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 MOBLE CRIS CM/CS 2PPL E15M90M< | $198.56 | $408.55 | $32.00–$936.00 | — | 51% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 MOBLE CRIS CM/CS 1LIC E15M90M< | $198.56 | $408.55 | $32.00–$936.00 | — | 51% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 MOBILE CRISIS HOME 1LIC EA 15M | $198.56 | $408.55 | $32.00–$936.00 | — | 51% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 CRISIS INTERVENT BRIEF 15 MIN | $198.56 | $408.55 | $32.00–$936.00 | — | 51% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 MOBLE CRISIS RSP 2PPL E15M90M< | $198.56 | $408.55 | $32.00–$936.00 | — | 51% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL COUNSEL BRF 30 MIN | $198.56 | $362.70 | $70.44–$936.00 | — | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY INDIVIDUAL 45MIN | $263.35 | $429.05 | $93.37–$936.00 | 1% above | 39% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY CHILD 45MIN | $263.35 | $429.05 | $73.00–$936.00 | 1% above | 39% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY INDIVIDUAL 45MIN | $263.35 | $429.05 | $93.37–$936.00 | — | 39% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY CHILD 45MIN | $263.35 | $429.05 | $73.00–$936.00 | — | 39% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY INDIVIDUAL 60MIN | $394.27 | $551.42 | $80.00–$936.00 | 32% above | 28% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY INDIVIDUAL 60MIN | $394.27 | $551.42 | $80.00–$936.00 | — | 28% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MIN | $42.33 | $67.00 | $11.31–$145.96 | 9% below | 37% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3 - 10 MIN | $42.33 | $67.00 | $11.31–$145.96 | 9% below | 37% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3 - 10 MIN | $42.33 | $67.00 | $11.31–$145.96 | — | 37% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10 MIN | $42.33 | $67.00 | $11.31–$145.96 | — | 37% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPT VIS EST LEVEL 5 40-54MIN | $434.24 | $539.00 | $107.51–$485.10 | 85% above | 19% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OUTPT VIS EST LEVEL 5 40-54MIN | $434.24 | $539.00 | $107.51–$485.10 | — | 19% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ANNUAL PHYSICAL | $219.04 | $347.00 | $49.33–$312.30 | 20% above | 37% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT VIS EST LEVEL 3 20-29MIN | $219.04 | $347.00 | $49.33–$312.30 | 20% above | 37% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 DOT PHYSICAL | $219.04 | $347.00 | $49.33–$312.30 | 20% above | 37% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPT VIS EST LEVEL 3 20-29MIN | $219.04 | $347.00 | $49.33–$312.30 | — | 37% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 DOT PHYSICAL | $219.04 | $347.00 | $49.33–$312.30 | — | 37% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ANNUAL PHYSICAL | $219.04 | $347.00 | $49.33–$312.30 | — | 37% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPT VIS EST LEVEL 4 30-39MIN | $323.73 | $478.00 | $72.50–$430.20 | 64% above | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OUTPT VIS EST LEVEL 4 30-39MIN | $323.73 | $478.00 | $72.50–$430.20 | — | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPT VIS EST LEVEL 2 10-19MIN | $130.40 | $274.00 | $26.72–$246.60 | 22% below | 52% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OUTPT VIS EST LEVEL 2 10-19MIN | $130.40 | $274.00 | $26.72–$246.60 | — | 52% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $376.70 | — | $97.60–$407.92 | 26% above | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $559.86 | — | $156.13–$611.77 | 87% above | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $95.00 | — | $153.21–$792.31 | 76% below | — |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY | $95.00 | — | $64.91–$344.73 | 43% below | — |
| Spirometry (breathing test) CPT 94010 PEAK EXPIRATORY FLOW | $80.81 | $412.28 | $28.54–$673.83 | 64% below | 80% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $80.81 | $412.28 | $28.54–$673.83 | 64% below | 80% |
| Spirometry (breathing test) inpatient CPT 94010 PEAK EXPIRATORY FLOW | $80.81 | $412.28 | $28.54–$673.83 | — | 80% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $80.81 | $412.28 | $28.54–$673.83 | — | 80% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $139.83 | — | $40.77–$1,164.53 | 64% below | — |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLAN | $978.72 | — | $140.00–$1,316.19 | 166% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $95.00 | — | $16.89–$202.45 | 10% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY - THERAPUETIC | $289.24 | $360.23 | $40.36–$474.41 | 36% above | 20% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY - THERAPUETIC | $289.24 | $360.23 | $40.36–$474.41 | — | 20% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $227.32 | — | $30.58–$473.10 | 34% below | — |
| Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM | $106.10 | — | $59.36–$415.20 | 68% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM SMALLPOX/MONKEYPOX 19YRS+ | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM ONE VACCINE | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION FLU VACCINE | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VACCINE | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VACCINE CPEP | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VACCINE - ED | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE | $74.54 | $126.06 | $18.84–$224.70 | 11% below | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM SMALLPOX/MONKEYPOX 19YRS+ | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEPATITIS B VACCINE | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VACCINE - ED | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VACCINE CPEP | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VACCINE | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION FLU VACCINE | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM ONE VACCINE | $74.54 | $126.06 | $18.84–$224.70 | — | 41% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EACH ADD'L | $37.53 | $73.11 | $10.00–$65.79 | 17% below | 49% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD'L | $37.53 | $73.11 | $10.00–$65.79 | 17% below | 49% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM EACH ADD'L | $37.53 | $73.11 | $10.00–$65.79 | — | 49% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD'L | $37.53 | $73.11 | $10.00–$65.79 | — | 49% |
Source file: https://www.ecmc.edu/wp-content/uploads/2023/03/830382654_erie-county-medical-center_standardcharges.json