Hospital Los Angeles-Long Beach-Anaheim, CA

Chapman Global Medical Center

Chapman Global Medical Center in Orange, CA publishes cash prices for 263 common procedures listed here, from its own machine-readable price file updated May 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 160 of 261 procedures and below it for 101. By typical cash price it ranks #139 of 213 California hospitals and #44 of 54 hospitals in the Los Angeles, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

2601 E. Chapman Avenue, Orange, CA 92869 Collected Sep 29, 2026 Source price file (714) 633-0011

Acute care hospital No emergency department CMS star rating 2 of 5 CCN 050745 · CMS hospital register NPI 1427041110

The price file shows no self-pay discount

For 1014 of the 1014 prices listed here, the cash price in Chapman Global Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

CMS price transparency record

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

Apr 3, 2023 Warning notice
Jul 12, 2023 Corrective action plan requested
Oct 23, 2023 Case closed

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MINIMUM 3 VIEWS RT	$484.00	$484.00	$30.17–$484.00	10% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MINIMUM 3 VIEWS LT	$484.00	$484.00	$30.17–$484.00	10% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MINIMUM 3 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MINIMUM 3 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INVAS UPLW EXT ART 1-2 LVL BIL	$1,003.00	$1,003.00	$62.52–$1,247.00	80% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INVAS UPLW EXT ART 1-2 LVL BIL	$1,003.00	$1,003.00	$526.58–$1,003.00	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS W-CHEST XR SNGL CONTRAST	$1,070.00	$1,070.00	$45.71–$1,070.00	78% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS W-CHEST XR SNGL CONTRAST	$1,070.00	$1,070.00	$561.75–$1,070.00	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONEJOINT IMAGING WHOLE BODY	$1,977.00	$1,977.00	$169.24–$1,977.00	7% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONEJOINT IMAGING WHOLE BODY	$1,977.00	$1,977.00	$1,037.92–$1,977.00	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE LT	$1,665.00	$1,665.00	$96.23–$1,665.00	197% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE RT	$1,665.00	$1,665.00	$96.23–$1,665.00	197% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE LT	$1,665.00	$1,665.00	$874.12–$1,665.00	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE RT	$1,665.00	$1,665.00	$874.12–$1,665.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED RT	$1,355.00	$1,355.00	$78.46–$1,355.00	248% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED LT	$1,355.00	$1,355.00	$78.46–$1,355.00	248% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED LT	$1,355.00	$1,355.00	$711.38–$1,355.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED RT	$1,355.00	$1,355.00	$711.38–$1,355.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST W-CONT INC NONCONT IMAGES	$3,727.00	$3,727.00	$192.60–$3,727.00	10% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST W-CONT INC NONCONT IMAGES	$3,727.00	$3,727.00	$1,956.68–$3,727.00	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY WCALCIUM SCORE	$3,727.00	$3,727.00	$192.60–$3,727.00	38% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY WCALCIUM SCORE	$3,727.00	$3,727.00	$1,956.68–$3,727.00	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WCALCIUM	$1,688.00	$1,688.00	$81.33–$1,688.00	308% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WCALCIUM	$1,688.00	$1,688.00	$886.20–$1,688.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABDOMEN PELVIS WO CONT	$5,653.00	$5,653.00	$174.31–$5,653.00	86% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABDOMEN PELVIS WO CONT	$5,653.00	$5,653.00	$2,967.82–$5,653.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABDOMEN PELVIS W-CONT	$7,682.00	$7,682.00	$281.80–$7,682.00	87% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABDOMEN PELVIS W-CONT	$7,682.00	$7,682.00	$4,033.05–$7,682.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABDOMEN PELVIS WO CONT W-CONT	$7,682.00	$7,682.00	$319.24–$7,682.00	72% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABDOMEN PELVIS WO CONT W-CONT	$7,682.00	$7,682.00	$4,033.05–$7,682.00	—	—
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W-CONT	$3,727.00	$3,727.00	$192.60–$3,727.00	48% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W-CONT	$3,727.00	$3,727.00	$1,956.68–$3,727.00	—	—
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO CONT	$2,271.00	$2,271.00	$114.15–$2,271.00	19% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO CONT	$2,271.00	$2,271.00	$1,192.28–$2,271.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL AREA WO CONT	$2,271.00	$2,271.00	$114.15–$2,271.00	4% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL AREA WO CONT	$2,271.00	$2,271.00	$1,192.28–$2,271.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEADBRAIN WO CONT	$2,319.00	$2,319.00	$114.15–$2,319.00	1% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEADBRAIN WO CONT	$2,319.00	$2,319.00	$1,217.48–$2,319.00	—	—
CT scan of the head with contrast CPT 70460 CT-HEADBRAIN W-CONT	$3,727.00	$3,727.00	$171.40–$3,727.00	38% above	—
CT scan of the head with contrast inpatient CPT 70460 CT-HEADBRAIN W-CONT	$3,727.00	$3,727.00	$1,956.68–$3,727.00	—	—
CT scan of the head without and with contrast CPT 70470 CT-HEADBRAIN WO CONT W-CONT	$3,727.00	$3,727.00	$192.60–$3,727.00	22% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEADBRAIN WO CONT W-CONT	$3,727.00	$3,727.00	$1,956.68–$3,727.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMBAR SPINE WO CONT	$2,785.00	$2,785.00	$114.15–$2,785.00	3% below	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMBAR SPINE WO CONT	$2,785.00	$2,785.00	$1,462.12–$2,785.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERVICAL SPINE WO CONT	$2,785.00	$2,785.00	$114.15–$2,785.00	4% below	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERVICAL SPINE WO CONT	$2,785.00	$2,785.00	$1,462.12–$2,785.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W-CONT	$3,727.00	$3,727.00	$192.60–$3,727.00	46% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W-CONT	$3,727.00	$3,727.00	$1,956.68–$3,727.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX SCAN XTRACRANIAL ARTERIES COMPLETE BIL	$2,047.00	$2,047.00	$187.97–$2,047.00	74% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX SCAN XTRACRANIAL ARTERIES COMPLETE BIL	$2,047.00	$2,047.00	$1,074.68–$2,047.00	—	—
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$484.00	$484.00	$27.47–$484.00	18% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$484.00	$484.00	$254.10–$484.00	—	—
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW	$598.00	$598.00	$17.65–$598.00	64% above	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW	$598.00	$598.00	$313.95–$598.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$1,385.00	$1,385.00	$96.86–$1,385.00	62% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$1,385.00	$1,385.00	$727.12–$1,385.00	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY STUDY 1 SITES AXIAL SKLTN	$652.00	$652.00	$34.27–$652.00	29% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY STUDY 1 SITES AXIAL SKLTN	$652.00	$652.00	$342.30–$652.00	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY STUDY 1 SITES APPENDICULAR SKLTN	$484.00	$484.00	$25.10–$484.00	75% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY STUDY 1 SITES APPENDICULAR SKLTN	$484.00	$484.00	$254.10–$484.00	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SINGLE1ST GEST	$2,728.00	$2,728.00	$158.68–$2,728.00	203% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED SINGLE1ST GEST	$2,728.00	$2,728.00	$1,432.20–$2,728.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-THORAX WO CONT	$2,785.00	$2,785.00	$114.15–$2,785.00	39% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-THORAX WO CONT	$2,785.00	$2,785.00	$1,462.12–$2,785.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-THORAX W-CONT	$4,558.00	$4,558.00	$192.60–$4,558.00	57% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-THORAX W-CONT	$4,558.00	$4,558.00	$2,392.95–$4,558.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY DIAGNOSTIC BILATERAL	$810.00	$810.00	$120.88–$810.00	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAPHY DIAGNOSTIC BILATERAL	$810.00	$810.00	$425.25–$810.00	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY DIAGNOSTIC UNILATERAL	$810.00	$810.00	$94.82–$810.00	129% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY DIAGNOSTIC UNILATERAL	$810.00	$810.00	$425.25–$810.00	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 DPLX SCAN LWR EXTRMTY ARTRSARTRL GRFT BIL CMPLT	$2,047.00	$2,047.00	$116.24–$2,047.00	100% above	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DPLX SCAN LWR EXTRMTY ARTRSARTRL GRFT BIL CMPLT	$2,047.00	$2,047.00	$1,074.68–$2,047.00	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 DPLX SCAN EXTRMTY VIENS COMPLETE BIL STDY	$2,047.00	$2,047.00	$189.00–$2,047.00	81% above	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DPLX SCAN EXTRMTY VIENS COMPLETE BIL STDY	$2,047.00	$2,047.00	$1,074.68–$2,047.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM WITH BUBBLE STUDY	$4,115.00	$4,115.00	$160.00–$4,115.00	53% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D SPECTRAL AND COLOR FLOW DOPPLER	$4,115.00	$4,115.00	$160.00–$4,115.00	53% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM WITH BUBBLE STUDY	$4,115.00	$4,115.00	$2,160.38–$4,115.00	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D SPECTRAL AND COLOR FLOW DOPPLER	$4,115.00	$4,115.00	$2,160.38–$4,115.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM IMAGING	$4,179.00	$4,179.00	$291.01–$4,179.00	128% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM IMAGING	$4,179.00	$4,179.00	$2,193.98–$4,179.00	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP SMART - NOX T3 APNEA TEST	$590.00	$590.00	$99.26–$590.00	22% below	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP SMART - NOX T3 APNEA TEST	$590.00	$590.00	$309.75–$590.00	—	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RT	$484.00	$484.00	$28.06–$484.00	19% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT	$484.00	$484.00	$28.06–$484.00	19% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$1,546.00	$1,546.00	$72.89–$1,546.00	87% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED	$1,546.00	$1,546.00	$811.65–$1,546.00	—	—
MRI of both breasts, without and then with contrast dye CPT 77049 MRI-BREAST WWO CONT BIL	$5,125.00	$5,125.00	$271.80–$5,125.00	54% above	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI-BREAST WWO CONT BIL	$5,125.00	$5,125.00	$2,690.62–$5,125.00	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-LOWER EXTREMITY ANY JNT WO CONT LT	$4,690.00	$4,690.00	$236.30–$4,690.00	86% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-LOWER EXTREMITY ANY JNT WO CONT RT	$4,690.00	$4,690.00	$236.30–$4,690.00	86% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-LOWER EXTREMITY ANY JNT WO CONT LT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-LOWER EXTREMITY ANY JNT WO CONT RT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-LOWER EXTREMITY ANY JNT WO CONT WCONT RT	$7,505.00	$7,505.00	$360.00–$7,505.00	100% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-LOWER EXTREMITY ANY JNT WO CONT WCONT LT	$7,505.00	$7,505.00	$360.00–$7,505.00	100% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-LOWER EXTREMITY ANY JNT WO CONT WCONT RT	$7,505.00	$7,505.00	$3,940.12–$7,505.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-LOWER EXTREMITY ANY JNT WO CONT WCONT LT	$7,505.00	$7,505.00	$3,940.12–$7,505.00	—	—
MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN WO CONT	$4,690.00	$4,690.00	$229.15–$4,690.00	69% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN WO CONT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN WWO CONT	$7,505.00	$7,505.00	$333.52–$7,505.00	72% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-ABDOMEN WWO CONT	$7,505.00	$7,505.00	$3,940.12–$7,505.00	—	—
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN WO CONT	$5,195.00	$5,195.00	$228.19–$5,195.00	76% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN WO CONT	$5,195.00	$5,195.00	$2,727.38–$5,195.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN WO CONT WCONT	$7,505.00	$7,505.00	$360.00–$7,505.00	71% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN WO CONT WCONT	$7,505.00	$7,505.00	$3,940.12–$7,505.00	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI-SPINAL CANAL LUMBAR WO CONT	$4,690.00	$4,690.00	$223.20–$4,690.00	51% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-SPINAL CANAL LUMBAR WO CONT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI-SPINAL CANAL LUMBAR WO WCONT	$7,505.00	$7,505.00	$360.00–$7,505.00	65% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-SPINAL CANAL LUMBAR WO WCONT	$7,505.00	$7,505.00	$3,940.12–$7,505.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-SPINAL CANAL THORACIC WO CONT	$4,690.00	$4,690.00	$222.42–$4,690.00	55% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-SPINAL CANAL THORACIC WO CONT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-SPINAL CANAL CERVICAL WO WCONT	$7,505.00	$7,505.00	$360.00–$7,505.00	70% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI-SPINAL CANAL CERVICAL WO WCONT	$7,505.00	$7,505.00	$3,940.12–$7,505.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-SPINAL CANAL CERVICAL WO CONT	$5,253.00	$5,253.00	$222.78–$5,253.00	72% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-SPINAL CANAL CERVICAL WO CONT	$5,253.00	$5,253.00	$2,757.82–$5,253.00	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS WO WCONT	$7,505.00	$7,505.00	$332.91–$7,505.00	76% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS WO WCONT	$7,505.00	$7,505.00	$3,940.12–$7,505.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS WO CONT	$4,690.00	$4,690.00	$226.34–$4,690.00	82% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS WO CONT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-UPPER EXTREMITY ANY JNT WO CONT RT	$4,690.00	$4,690.00	$236.71–$4,690.00	92% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-UPPER EXTREMITY ANY JNT WO CONT LT	$4,690.00	$4,690.00	$236.71–$4,690.00	92% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-UPPER EXTREMITY ANY JNT WO CONT LT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-UPPER EXTREMITY ANY JNT WO CONT RT	$4,690.00	$4,690.00	$2,462.25–$4,690.00	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERFUSION IMAGING SPECT MULTIPLE	$6,414.00	$6,414.00	$348.12–$6,414.00	59% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERFUSION IMAGING SPECT MULTIPLE	$6,414.00	$6,414.00	$3,367.35–$6,414.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC REAL TIME LIMITED FOLLOW-UP	$723.00	$723.00	$50.60–$723.00	28% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC REAL TIME LIMITED FOLLOW-UP	$723.00	$723.00	$379.58–$723.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMPLETE	$1,161.00	$1,161.00	$81.18–$1,161.00	23% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON-OB COMPLETE	$1,161.00	$1,161.00	$609.52–$1,161.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST	$1,618.00	$1,618.00	$113.18–$1,618.00	80% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST	$1,618.00	$1,618.00	$849.45–$1,618.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMP<14WKS 1ST GEST	$1,345.00	$1,345.00	$78.42–$1,345.00	63% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMP<14WKS 1ST GEST	$1,345.00	$1,345.00	$706.12–$1,345.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 1OR> FETUS	$1,080.00	$1,080.00	$75.54–$1,080.00	79% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD 1OR> FETUS	$1,080.00	$1,080.00	$567.00–$1,080.00	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAPHY SCREENING BILATERAL	$810.00	$810.00	$100.25–$810.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAPHY SCREENING BILATERAL	$810.00	$810.00	$425.25–$810.00	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE MINIMUM 2 VIEWS RT	$484.00	$484.00	$31.03–$484.00	5% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE MINIMUM 2 VIEWS LT	$484.00	$484.00	$31.03–$484.00	5% below	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMPLETE MINIMUM 2 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMPLETE MINIMUM 2 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W-EKG	$4,115.00	$4,115.00	$160.00–$4,115.00	29% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO W-EKG	$4,115.00	$4,115.00	$2,160.38–$4,115.00	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOW FNCTN W-CINEVIDEO-RADIOGRAPHY	$1,070.00	$1,070.00	$62.29–$1,070.00	62% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOW FNCTN W-CINEVIDEO-RADIOGRAPHY	$1,070.00	$1,070.00	$561.75–$1,070.00	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$1,161.00	$1,161.00	$81.18–$1,161.00	62% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$1,161.00	$1,161.00	$609.52–$1,161.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$1,410.00	$1,410.00	$82.17–$1,410.00	108% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$1,410.00	$1,410.00	$740.25–$1,410.00	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$1,427.00	$1,427.00	$99.84–$1,427.00	26% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$1,427.00	$1,427.00	$749.18–$1,427.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTOM CONTENTS	$1,026.00	$1,026.00	$71.74–$1,026.00	15% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTOM CONTENTS	$1,026.00	$1,026.00	$538.65–$1,026.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK	$1,025.00	$1,025.00	$71.69–$1,025.00	22% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK	$1,025.00	$1,025.00	$538.12–$1,025.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GASTROINTESTINAL TRACT SNGL CNTRST	$1,070.00	$1,070.00	$86.91–$1,070.00	74% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GASTROINTESTINAL TRACT SNGL CNTRST	$1,070.00	$1,070.00	$561.75–$1,070.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DPLX SCAN EXTRMTY VIENS COMPLETE LMTD STDY RT	$969.00	$969.00	$101.47–$969.00	15% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DPLX SCAN EXTRMTY VIENS COMPLETE LMTD STDY LT	$969.00	$969.00	$101.47–$969.00	15% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DPLX SCAN EXTRMTY VIENS COMPLETE LMTD STDY LT	$969.00	$969.00	$508.72–$969.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DPLX SCAN EXTRMTY VIENS COMPLETE LMTD STDY RT	$969.00	$969.00	$508.72–$969.00	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE MINIMUM 3 VIEWS LT	$484.00	$484.00	$30.17–$484.00	10% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE MINIMUM 3 VIEWS RT	$484.00	$484.00	$30.17–$484.00	10% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE MINIMUM 3 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE MINIMUM 3 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL W-PELVIS 2-3 VIEWS LT	$484.00	$484.00	$37.28–$484.00	19% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL W-PELVIS 2-3 VIEWS RT	$484.00	$484.00	$37.28–$484.00	19% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL W-PELVIS 2-3 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL W-PELVIS 2-3 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$484.00	$484.00	$24.60–$484.00	60% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$484.00	$484.00	$22.82–$484.00	56% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$484.00	$484.00	$22.82–$484.00	56% above	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS MIN 2V 4TH DIGIT RIGHT T8	$484.00	$484.00	$18.71–$484.00	83% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS MIN 2V MULTI DIGITS RT	$484.00	$484.00	$18.71–$484.00	83% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS MIN 2V MULTI DIGITS LT	$484.00	$484.00	$18.71–$484.00	83% above	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS MIN 2V MULTI DIGITS RT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS MIN 2V 4TH DIGIT RIGHT T8	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS MIN 2V MULTI DIGITS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$484.00	$484.00	$20.76–$484.00	60% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$484.00	$484.00	$20.76–$484.00	60% above	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE MINIMUM 3 VIEWS LT	$484.00	$484.00	$29.06–$484.00	13% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE MINIMUM 3 VIEWS RT	$484.00	$484.00	$29.06–$484.00	13% above	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE MINIMUM 3 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE MINIMUM 3 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS LT	$484.00	$484.00	$30.17–$484.00	13% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS RT	$484.00	$484.00	$30.17–$484.00	13% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$484.00	$484.00	$22.82–$484.00	43% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$484.00	$484.00	$22.82–$484.00	43% above	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$652.00	$652.00	$36.35–$652.00	31% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$652.00	$652.00	$342.30–$652.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$652.00	$652.00	$52.62–$652.00	4% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$652.00	$652.00	$342.30–$652.00	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS	$652.00	$652.00	$33.65–$652.00	41% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS	$652.00	$652.00	$342.30–$652.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE MINIMUM 3 VIEWS	$484.00	$484.00	$29.75–$484.00	7% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE MINIMUM 3 VIEWS	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$484.00	$484.00	$31.18–$484.00	6% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$484.00	$484.00	$254.10–$484.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$652.00	$652.00	$25.94–$652.00	65% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$652.00	$652.00	$342.30–$652.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX MINIMUM 2 VIEWS	$484.00	$484.00	$30.02–$484.00	at median	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX MINIMUM 2 VIEWS	$484.00	$484.00	$254.10–$484.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CPT-TRANSAMINASE-SGPT (ALT)	$29.00	$29.00	$4.72–$29.00	33% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE-SGPT (ALT)	$29.00	$29.00	$4.72–$29.00	33% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 C ALT(SGPT) P5P-LC	$43.00	$43.00	$4.72–$43.00	at median	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CPT-TRANSAMINASE-SGPT (ALT)	$29.00	$29.00	$15.23–$29.00	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE-SGPT (ALT)	$29.00	$29.00	$15.23–$29.00	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 C ALT(SGPT) P5P-LC	$43.00	$43.00	$22.58–$43.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST (SGOT)	$29.00	$29.00	$4.61–$29.00	36% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 CPT-TRANSTERASE AST (SGOT)	$29.00	$29.00	$4.61–$29.00	36% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 C AST(SGOT) P5P-LC	$43.00	$43.00	$4.61–$43.00	5% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST (SGOT)	$29.00	$29.00	$15.23–$29.00	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CPT-TRANSTERASE AST (SGOT)	$29.00	$29.00	$15.23–$29.00	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 C AST(SGOT) P5P-LC	$43.00	$43.00	$22.58–$43.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE VIRAL HEPATITIS (HAV HBV HCV)	$42.00	$42.00	$12.60–$160.02	85% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE WRFLX - LC	$42.00	$42.00	$12.60–$160.02	85% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$115.00	$115.00	$34.50–$181.48	58% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE WRFLX - LC	$42.00	$42.00	$22.05–$42.00	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE VIRAL HEPATITIS (HAV HBV HCV)	$42.00	$42.00	$22.05–$42.00	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$115.00	$115.00	$60.38–$115.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F003	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F001	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS AG	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F002	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F207	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F010	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F004	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F024	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F256	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F013	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F338	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F014	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F008	$4.00	$4.00	$1.20–$15.24	52% below	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F004	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F002	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F013	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F010	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F001	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F207	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F256	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F003	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS AG	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F008	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F014	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F338	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE FOOD PROF WCOMPONENT RFLX F024	$4.00	$4.00	$2.10–$4.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLC CITRULINTD PEPTIDE CCP ANTIBDY lgG	$10.00	$10.00	$3.00–$38.10	58% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY (IGG) - LC	$13.00	$13.00	$3.90–$49.34	46% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLC CITRULINTD PEPTIDE CCP ANTIBDY lgG	$10.00	$10.00	$5.25–$10.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY (IGG) - LC	$13.00	$13.00	$6.82–$13.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA TITER PATTERN - LC	$17.00	$17.00	$5.10–$46.06	67% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX TO PROFILE - LC	$17.00	$17.00	$5.10–$46.06	67% below	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX TO PROFILE - LC	$17.00	$17.00	$8.93–$17.00	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA TITER PATTERN - LC	$17.00	$17.00	$8.93–$17.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP N-TERMINAL - LC	$78.00	$78.00	$23.40–$149.58	63% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYP NATRIURETC PEPTIDE	$216.00	$216.00	$30.15–$216.00	3% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP N-TERMINAL - LC	$78.00	$78.00	$40.95–$78.00	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYP NATRIURETC PEPTIDE	$216.00	$216.00	$113.40–$216.00	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (TOTAL CALCIUM)	$48.00	$48.00	$7.53–$48.00	75% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (TOTAL CALCIUM)	$48.00	$48.00	$25.20–$48.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTO CELL BLOCK EA - PA	$31.00	$31.00	$9.30–$68.47	76% below	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LVL IV SURG PATH GROSS-CEDARS	$66.00	$66.00	$19.80–$68.47	49% below	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF PATH SURG TISS EXAM LEVEL IV	$150.00	$150.00	$44.62–$150.00	15% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG LEVEL IV GROSMICRO	$222.00	$222.00	$44.62–$222.00	71% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO INTERMÂ - UCI	$331.00	$331.00	$44.62–$331.00	155% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH SURG TISS EXAM LEVEL IV	$345.00	$345.00	$44.62–$345.00	165% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 H-PATH SURG TISS EXAM LEVEL IV	$345.00	$345.00	$44.62–$345.00	165% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LVL IV SURG PATH GROSS	$354.00	$354.00	$44.62–$354.00	172% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CYTO CELL BLOCK EA - PA	$31.00	$31.00	$16.28–$31.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LVL IV SURG PATH GROSS-CEDARS	$66.00	$66.00	$34.65–$66.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF PATH SURG TISS EXAM LEVEL IV	$150.00	$150.00	$78.75–$150.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG LEVEL IV GROSMICRO	$222.00	$222.00	$116.55–$222.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO INTERMÂ - UCI	$331.00	$331.00	$173.78–$331.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 H-PATH SURG TISS EXAM LEVEL IV	$345.00	$345.00	$181.12–$345.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH SURG TISS EXAM LEVEL IV	$345.00	$345.00	$181.12–$345.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LVL IV SURG PATH GROSS	$354.00	$354.00	$185.85–$354.00	—	—
Blood culture for bacteria CPT 87040 CULT BLOOD AEROANAERO	$57.00	$57.00	$9.18–$57.00	79% below	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$57.00	$57.00	$9.18–$57.00	79% below	—
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROANAERO	$57.00	$57.00	$29.92–$57.00	—	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$57.00	$57.00	$29.92–$57.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ER-COLLECTION VENOUS BLOOD BY VENIPUNCTURE	$22.00	$22.00	$6.60–$2,254.00	10% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD BY VENIPUNCTURE	$22.00	$22.00	$6.60–$35.58	10% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$22.00	$22.00	$6.60–$35.58	10% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$22.00	$22.00	$11.55–$22.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION VENOUS BLOOD BY VENIPUNCTURE	$22.00	$22.00	$11.55–$22.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ER-COLLECTION VENOUS BLOOD BY VENIPUNCTURE	$22.00	$22.00	$11.55–$22.00	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$22.00	$22.00	$3.50–$22.00	41% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE 2HR PP QT BLOOD	$22.00	$22.00	$3.50–$22.00	41% below	—
Blood glucose (sugar) test CPT 82947 C GLUCOSE POC	$22.00	$22.00	$3.50–$22.00	41% below	—
Blood glucose (sugar) test CPT 82947 C POC BLOOD GLUCOSE QUANT	$22.00	$22.00	$3.50–$22.00	41% below	—
Blood glucose (sugar) test CPT 82947 C GLUCOSE SERUM-LC	$43.00	$43.00	$3.50–$43.00	15% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$22.00	$22.00	$11.55–$22.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 C GLUCOSE POC	$22.00	$22.00	$11.55–$22.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE 2HR PP QT BLOOD	$22.00	$22.00	$11.55–$22.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 C POC BLOOD GLUCOSE QUANT	$22.00	$22.00	$11.55–$22.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 C GLUCOSE SERUM-LC	$43.00	$43.00	$22.58–$43.00	—	—
Blood lead test CPT 83655 LEAD BLOODE PEDIATRIC - LC	$9.00	$9.00	$2.70–$34.29	25% below	—
Blood lead test CPT 83655 LEAD BLOOD ADULT - LC	$14.00	$14.00	$4.20–$46.14	17% above	—
Blood lead test CPT 83655 C LEAD - LC	$23.00	$23.00	$6.90–$46.14	92% above	—
Blood lead test inpatient CPT 83655 LEAD BLOODE PEDIATRIC - LC	$9.00	$9.00	$4.73–$9.00	—	—
Blood lead test inpatient CPT 83655 LEAD BLOOD ADULT - LC	$14.00	$14.00	$7.35–$14.00	—	—
Blood lead test inpatient CPT 83655 C LEAD - LC	$23.00	$23.00	$12.08–$23.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN CHORIONIC (hCG) QUALITATIVE	$41.00	$41.00	$6.69–$41.00	76% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN CHORIONIC (hCG) QUALITATIVE	$41.00	$41.00	$21.52–$41.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 C ABO TYPING	$16.00	$16.00	$2.86–$164.28	85% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 C BLOOD TYPE ABO ONLY	$16.00	$16.00	$2.86–$164.28	85% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING - LS	$29.00	$29.00	$2.86–$164.28	72% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 C BB-ABO TYPING	$32.00	$32.00	$2.66–$164.28	69% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 C BB-RHO(D) ONLY	$119.00	$119.00	$2.86–$164.28	13% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 C BLOOD TYPE ABO ONLY	$142.00	$142.00	$2.86–$164.28	35% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB-ABO DISCREPANCY RESOLUTION	$174.00	$174.00	$2.86–$174.00	66% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 C BLOOD TYPE ABO ONLY	$16.00	$16.00	$8.40–$16.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 C ABO TYPING	$16.00	$16.00	$8.40–$16.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING - LS	$29.00	$29.00	$15.23–$29.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 C BB-ABO TYPING	$32.00	$32.00	$16.80–$32.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 C BB-RHO(D) ONLY	$119.00	$119.00	$62.48–$119.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 C BLOOD TYPE ABO ONLY	$142.00	$142.00	$74.55–$142.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB-ABO DISCREPANCY RESOLUTION	$174.00	$174.00	$91.35–$174.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTIEN	$29.00	$29.00	$4.61–$29.00	58% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTIEN	$29.00	$29.00	$15.23–$29.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 FACTOR V NUCLEIC ACID PR	$51.00	$51.00	$15.30–$142.00	67% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXINS AMP PRB	$51.00	$51.00	$15.30–$142.00	67% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 NUCLEIC ACID PROBE B	$51.00	$51.00	$15.30–$142.00	67% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 MOLECULAR CDIFF	$51.00	$51.00	$15.30–$142.00	67% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 NUCLEIC ACID PROBE A	$51.00	$51.00	$15.30–$142.00	67% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 NUCLEIC ACID PROBE D	$51.00	$51.00	$15.30–$142.00	67% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 NUCLEIC ACID PROBE C	$51.00	$51.00	$15.30–$142.00	67% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 DIFFICILE TOXIN GENE NAA - LC	$88.00	$88.00	$26.40–$142.00	42% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NUCLEIC ACID PROBE A	$51.00	$51.00	$26.78–$51.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NUCLEIC ACID PROBE D	$51.00	$51.00	$26.78–$51.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NUCLEIC ACID PROBE C	$51.00	$51.00	$26.78–$51.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXINS AMP PRB	$51.00	$51.00	$26.78–$51.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 FACTOR V NUCLEIC ACID PR	$51.00	$51.00	$26.78–$51.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NUCLEIC ACID PROBE B	$51.00	$51.00	$26.78–$51.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 MOLECULAR CDIFF	$51.00	$51.00	$26.78–$51.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 DIFFICILE TOXIN GENE NAA - LC	$88.00	$88.00	$46.20–$88.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 - LC	$12.00	$12.00	$3.60–$45.72	79% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 - LC	$12.00	$12.00	$6.30–$12.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR - UCI	$57.00	$57.00	$17.10–$195.49	38% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB - LC	$57.00	$57.00	$17.10–$195.49	38% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 LAB TEST NON-CDC - PLS	$77.00	$77.00	$23.10–$195.49	16% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 TEST BY PCR - PLS LC	$83.00	$83.00	$24.90–$195.49	10% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2 RNA QL RT-PCR - QUEST	$76.00	$76.00	$22.80–$195.49	17% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2 RNA QL RT-PCR	$77.00	$77.00	$23.10–$195.49	16% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB - LC	$57.00	$57.00	$29.92–$57.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR - UCI	$57.00	$57.00	$29.92–$57.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 LAB TEST NON-CDC - PLS	$77.00	$77.00	$40.43–$77.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 TEST BY PCR - PLS LC	$83.00	$83.00	$43.58–$83.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV-2 RNA QL RT-PCR - QUEST	$76.00	$76.00	$39.90–$76.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV-2 RNA QL RT-PCR	$77.00	$77.00	$40.43–$77.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE OTOL BIOT	$12.00	$12.00	$3.60–$69.41	78% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE BRONCHPNEU BIOT	$12.00	$12.00	$3.60–$69.41	78% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$13.00	$13.00	$3.90–$69.41	76% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNATMAUROGENITAL	$13.00	$13.00	$3.90–$69.41	76% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE GI PARA BIOT	$13.00	$13.00	$3.90–$69.41	76% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE GI BIOT	$15.00	$15.00	$4.50–$69.41	73% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE UTI HR BIOT	$15.00	$15.00	$4.50–$69.41	73% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C CHLAMYDIATRICH VAG BY NAA - LC	$19.00	$19.00	$5.70–$72.39	65% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED RNA	$48.00	$48.00	$14.40–$133.70	12% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.CHLAMYDIA AMPLIFIED RNA-BIOT	$66.00	$66.00	$19.80–$133.69	21% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$79.00	$79.00	$23.70–$133.69	45% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE OTOL BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE BRONCHPNEU BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNATMAUROGENITAL	$13.00	$13.00	$6.82–$13.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE GI PARA BIOT	$13.00	$13.00	$6.82–$13.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE	$13.00	$13.00	$6.82–$13.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C CHLAMYDIATRICH VAG BY NAA - LC	$19.00	$19.00	$9.98–$19.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED RNA	$48.00	$48.00	$25.20–$48.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.CHLAMYDIA AMPLIFIED RNA-BIOT	$66.00	$66.00	$34.65–$66.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS	$79.00	$79.00	$41.48–$79.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$74.00	$74.00	$11.92–$74.00	35% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$74.00	$74.00	$38.85–$74.00	—	—
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT WAUTO DIFF	$44.00	$44.00	$6.92–$44.00	60% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE BLOOD COUNT WAUTO DIFF	$44.00	$44.00	$23.10–$44.00	—	—
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED (Hgb Hct RBC WBC PLATELET COUNT)	$36.00	$36.00	$5.76–$36.00	59% below	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED (Hgb Hct RBC WBC PLATELET COUNT)	$36.00	$36.00	$18.90–$36.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$58.00	$58.00	$9.40–$58.00	77% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$58.00	$58.00	$30.45–$58.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$29.00	$29.00	$8.70–$38.78	80% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$29.00	$29.00	$15.23–$29.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE - LC	$30.00	$30.00	$9.00–$84.70	70% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE - LC	$30.00	$30.00	$15.75–$30.00	—	—
Estradiol blood test CPT 82670 ESTRADIOL EXTRACTION - LC	$17.00	$17.00	$5.10–$64.77	81% below	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL EXTRACTION - LC	$17.00	$17.00	$8.93–$17.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FOLLICLE STMLTNG HORMONE (FSH)	$102.00	$102.00	$16.54–$102.00	1% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN FOLLICLE STMLTNG HORMONE (FSH)	$102.00	$102.00	$53.55–$102.00	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL - LC	$181.00	$181.00	$17.45–$181.00	149% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL - LC	$181.00	$181.00	$95.02–$181.00	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$75.00	$75.00	$12.13–$75.00	30% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$75.00	$75.00	$39.38–$75.00	—	—
Folate (folic acid) blood test CPT 82746 C-FOLATE	$9.00	$9.00	$2.70–$34.29	92% below	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$81.00	$81.00	$13.08–$81.00	26% below	—
Folate (folic acid) blood test inpatient CPT 82746 C-FOLATE	$9.00	$9.00	$4.73–$9.00	—	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$81.00	$81.00	$42.52–$81.00	—	—
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE	$93.00	$93.00	$14.32–$93.00	9% below	—
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3 FREE	$93.00	$93.00	$48.82–$93.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$50.00	$50.00	$8.03–$50.00	27% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$50.00	$50.00	$26.25–$50.00	—	—
Free testosterone test CPT 84402 C TESTOSTERONE FREE - LC	$21.00	$21.00	$6.30–$80.01	29% below	—
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT - LC	$52.00	$52.00	$15.60–$97.04	75% above	—
Free testosterone test inpatient CPT 84402 C TESTOSTERONE FREE - LC	$21.00	$21.00	$11.02–$21.00	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE DIRECT - LC	$52.00	$52.00	$27.30–$52.00	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$39.00	$39.00	$9.28–$81.78	86% below	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$39.00	$39.00	$20.48–$39.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$26.00	$26.00	$4.23–$26.00	47% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$26.00	$26.00	$13.65–$26.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HRS	$71.00	$71.00	$11.45–$71.00	48% below	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECIMENS	$71.00	$71.00	$11.45–$71.00	48% below	—
Glucose tolerance test, 3 samples CPT 82951 GLUC TOL TEST 5HRS QT BLOOD	$71.00	$71.00	$11.45–$71.00	48% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECIMENS	$71.00	$71.00	$37.28–$71.00	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC TOL TEST 5HRS QT BLOOD	$71.00	$71.00	$37.28–$71.00	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3HRS	$71.00	$71.00	$37.28–$71.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEA DNA	$11.00	$11.00	$3.30–$69.41	83% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C N-GONORRHOEAE AMP PROBE - LC	$11.00	$11.00	$3.30–$69.41	83% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB OPHTH BIOT	$11.00	$11.00	$3.30–$69.41	83% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB BRONCHPNEU BIOT	$12.00	$12.00	$3.60–$69.41	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GU INF BIOT	$12.00	$12.00	$3.60–$69.41	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB OTOL BIOT	$12.00	$12.00	$3.60–$69.41	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GI PARA BIOT	$13.00	$13.00	$3.90–$69.41	80% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE RNATMAUROGENITAL	$13.00	$13.00	$3.90–$69.41	80% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA AMP PROBE	$13.00	$13.00	$3.90–$69.41	80% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GI BIOT	$15.00	$15.00	$4.50–$69.41	77% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB UTI HR BIOT	$15.00	$15.00	$4.50–$69.41	77% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C GONOCOCCUS BY NAA - LC	$19.00	$19.00	$5.70–$72.39	71% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C.GONORRHEA AMPLIFIED RNA-BIOT	$66.00	$66.00	$19.80–$133.69	at median	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE	$79.00	$79.00	$23.70–$133.69	20% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB OPHTH BIOT	$11.00	$11.00	$5.78–$11.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEA DNA	$11.00	$11.00	$5.78–$11.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C N-GONORRHOEAE AMP PROBE - LC	$11.00	$11.00	$5.78–$11.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GU INF BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB OTOL BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB BRONCHPNEU BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GI PARA BIOT	$13.00	$13.00	$6.82–$13.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE RNATMAUROGENITAL	$13.00	$13.00	$6.82–$13.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE DNA AMP PROBE	$13.00	$13.00	$6.82–$13.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C GONOCOCCUS BY NAA - LC	$19.00	$19.00	$9.98–$19.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C.GONORRHEA AMPLIFIED RNA-BIOT	$66.00	$66.00	$34.65–$66.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE	$79.00	$79.00	$41.48–$79.00	—	—
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$23.00	$23.00	$6.90–$64.20	80% below	—
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB	$23.00	$23.00	$12.08–$23.00	—	—
H. pylori stool antigen test CPT 87338 H PYLORI AGEIASTOOL - LC	$33.00	$33.00	$9.90–$54.79	61% below	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AGEIASTOOL - LC	$33.00	$33.00	$17.32–$33.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 RNA PCR QT	$77.00	$77.00	$23.10–$293.37	30% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QN REAL-TIME - LC	$77.00	$77.00	$23.10–$293.37	30% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 QUANT RNA PCR - LC	$77.00	$77.00	$23.10–$293.37	30% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA-BIOT	$99.00	$99.00	$29.70–$324.23	10% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QN PCR CSF - LC	$116.00	$116.00	$34.80–$324.23	5% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REALTIME ABBOT - LC	$117.00	$117.00	$35.10–$324.23	6% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 (HIV-1) QUANTI R-TIME PCR	$117.00	$117.00	$35.10–$324.23	6% above	—
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 QUANTITATION RT PCR - LC	$77.00	$77.00	$23.10–$293.37	30% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 RNA PCR QT	$77.00	$77.00	$40.43–$77.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 QUANT RNA PCR - LC	$77.00	$77.00	$40.43–$77.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QN REAL-TIME - LC	$77.00	$77.00	$40.43–$77.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA-BIOT	$99.00	$99.00	$51.98–$99.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QN PCR CSF - LC	$116.00	$116.00	$60.90–$116.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REALTIME ABBOT - LC	$117.00	$117.00	$61.42–$117.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 (HIV-1) QUANTI R-TIME PCR	$117.00	$117.00	$61.42–$117.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 QUANTITATION RT PCR - LC	$77.00	$77.00	$40.43–$77.00	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 SINGLE ASSAY	$19.00	$19.00	$5.70–$52.23	68% below	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV TYPES 1 2 ANTIBODY EVAL	$19.00	$19.00	$5.70–$52.23	68% below	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV III SINGLE REPORT	$76.00	$76.00	$12.20–$76.00	27% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 SINGLE ASSAY	$19.00	$19.00	$9.98–$19.00	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV TYPES 1 2 ANTIBODY EVAL	$19.00	$19.00	$9.98–$19.00	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV III SINGLE REPORT	$76.00	$76.00	$39.90–$76.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 C HIV-12 AGAB WREFLEXES - LC	$12.00	$12.00	$3.60–$48.10	86% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-2 AG AB SCR P	$33.00	$33.00	$9.90–$91.74	62% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CONFIRMATORY HIV AGAB	$33.00	$33.00	$9.90–$91.74	62% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RAPID HIV 12 ABAG	$133.00	$133.00	$20.26–$133.00	52% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 C HIV-12 AGAB WREFLEXES - LC	$12.00	$12.00	$6.30–$12.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-2 AG AB SCR P	$33.00	$33.00	$17.32–$33.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CONFIRMATORY HIV AGAB	$33.00	$33.00	$17.32–$33.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RAPID HIV 12 ABAG	$133.00	$133.00	$69.82–$133.00	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMPLIFIED RNA-BIOT	$55.00	$55.00	$16.50–$133.70	59% below	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMPLIFIED RNA-BIOT	$55.00	$55.00	$28.88–$55.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$7.00	$7.00	$2.10–$26.67	89% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED (A1C)	$54.00	$54.00	$8.64–$54.00	17% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$7.00	$7.00	$3.68–$7.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED (A1C)	$54.00	$54.00	$28.35–$54.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB - LC	$9.00	$9.00	$2.70–$34.29	79% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QLQNT-UCI	$29.00	$29.00	$8.70–$40.92	32% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBsAb)	$59.00	$59.00	$9.56–$59.00	38% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB - LC	$9.00	$9.00	$4.73–$9.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB QLQNT-UCI	$29.00	$29.00	$15.23–$29.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBsAb)	$59.00	$59.00	$30.98–$59.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB SURF AG WRFX NEUT - LC	$7.00	$7.00	$2.10–$26.67	90% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG-UCI	$31.00	$31.00	$9.19–$39.36	57% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$57.00	$57.00	$9.19–$57.00	21% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB SURF AG WRFX NEUT - LC	$7.00	$7.00	$3.68–$7.00	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG-UCI	$31.00	$31.00	$16.28–$31.00	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$57.00	$57.00	$29.92–$57.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 LC HEPATITIS C VIRUS (HCV) ANTIBODY - LC	$13.00	$13.00	$3.90–$49.53	78% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY - LC	$13.00	$13.00	$3.90–$49.53	78% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY - LC	$33.00	$33.00	$9.90–$54.37	44% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB-UCI	$42.00	$42.00	$12.60–$54.36	29% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS PANEL ACUTE WREFLEX TO CONFIRMATION	$42.00	$42.00	$12.60–$54.36	29% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$79.00	$79.00	$12.70–$79.00	34% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$118.00	$118.00	$12.70–$118.00	100% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY - LC	$13.00	$13.00	$6.82–$13.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LC HEPATITIS C VIRUS (HCV) ANTIBODY - LC	$13.00	$13.00	$6.82–$13.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY - LC	$33.00	$33.00	$17.32–$33.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS PANEL ACUTE WREFLEX TO CONFIRMATION	$42.00	$42.00	$22.05–$42.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB-UCI	$42.00	$42.00	$22.05–$42.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$79.00	$79.00	$41.48–$79.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$118.00	$118.00	$61.95–$118.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 REFLEX HCV RNA QNT PCR - LC	$72.00	$72.00	$21.60–$163.22	18% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT - LC	$79.00	$79.00	$23.70–$163.22	10% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA-BIOT	$83.00	$83.00	$24.90–$163.22	6% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL RNA QUAN - LC	$95.00	$95.00	$28.50–$163.23	8% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCA VIRAL RNA QUANT	$292.00	$292.00	$37.81–$292.00	232% above	—
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR - REFLEX	$469.00	$469.00	$37.81–$469.00	434% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REFLEX HCV RNA QNT PCR - LC	$72.00	$72.00	$37.80–$72.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUANT - LC	$79.00	$79.00	$41.48–$79.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA-BIOT	$83.00	$83.00	$43.58–$83.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL RNA QUAN - LC	$95.00	$95.00	$49.88–$95.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCA VIRAL RNA QUANT	$292.00	$292.00	$153.30–$292.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT PCR - REFLEX	$469.00	$469.00	$246.23–$469.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 AB - LC	$11.00	$11.00	$3.30–$41.91	43% below	—
Herpes blood test, HSV-1 antibody CPT 86695 C HSV 1 IgG TYPE SPEC - LC	$12.00	$12.00	$3.60–$45.72	38% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1-SPECIFIC Ab IgG - LC	$14.00	$14.00	$4.20–$50.26	28% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 lgG TYPE SPEC	$20.00	$20.00	$6.00–$50.25	3% above	—
Herpes blood test, HSV-1 antibody CPT 86695 C-HSV 1 IgG TYPE SPEC	$20.00	$20.00	$6.00–$50.25	3% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 AB - LC	$11.00	$11.00	$5.78–$11.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HSV 1 IgG TYPE SPEC - LC	$12.00	$12.00	$6.30–$12.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1-SPECIFIC Ab IgG - LC	$14.00	$14.00	$7.35–$14.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C-HSV 1 IgG TYPE SPEC	$20.00	$20.00	$10.50–$20.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 lgG TYPE SPEC	$20.00	$20.00	$10.50–$20.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 AB - LC	$11.00	$11.00	$3.30–$41.91	54% below	—
Herpes blood test, HSV-2 antibody CPT 86696 C HSV 2 IgG TYPE SPEC - LC	$12.00	$12.00	$3.60–$45.72	50% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 lgG TYPE SPEC	$21.00	$21.00	$6.30–$73.73	12% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$27.00	$27.00	$8.10–$73.72	12% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IgG INHIBITION IA REFLEX	$158.00	$158.00	$17.20–$158.00	558% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 AB - LC	$11.00	$11.00	$5.78–$11.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HSV 2 IgG TYPE SPEC - LC	$12.00	$12.00	$6.30–$12.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 lgG TYPE SPEC	$21.00	$21.00	$11.02–$21.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$27.00	$27.00	$14.18–$27.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IgG INHIBITION IA REFLEX	$158.00	$158.00	$82.95–$158.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO IQ(R) HS-CRP - LC	$8.00	$8.00	$2.40–$30.48	88% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTIEN HIGH SENSITIVITY	$71.00	$71.00	$11.06–$71.00	5% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO IQ(R) HS-CRP - LC	$8.00	$8.00	$4.20–$8.00	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTIEN HIGH SENSITIVITY	$71.00	$71.00	$37.28–$71.00	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE - LC	$13.00	$13.00	$3.90–$49.53	82% below	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE - LC	$13.00	$13.00	$6.82–$13.00	—	—
Insulin blood test CPT 83525 INSULIN TOTAL - LC	$6.00	$6.00	$1.80–$22.86	87% below	—
Insulin blood test CPT 83525 C INSULIN TOTAL - LC	$35.00	$35.00	$9.60–$43.55	22% below	—
Insulin blood test inpatient CPT 83525 INSULIN TOTAL - LC	$6.00	$6.00	$3.15–$6.00	—	—
Insulin blood test inpatient CPT 83525 C INSULIN TOTAL - LC	$35.00	$35.00	$18.38–$35.00	—	—
Iron blood test (serum iron) CPT 83540 C IRON	$36.00	$36.00	$5.76–$36.00	38% below	—
Iron blood test (serum iron) CPT 83540 IRON	$36.00	$36.00	$5.76–$36.00	38% below	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$36.00	$36.00	$18.90–$36.00	—	—
Iron blood test (serum iron) inpatient CPT 83540 C IRON	$36.00	$36.00	$18.90–$36.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 C IRON BINDING CAPACITY	$48.00	$48.00	$7.78–$48.00	35% below	—
Iron-binding capacity (TIBC) test CPT 83550 IRON PROFILE	$48.00	$48.00	$7.78–$48.00	35% below	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$48.00	$48.00	$7.78–$48.00	35% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$48.00	$48.00	$25.20–$48.00	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON PROFILE	$48.00	$48.00	$25.20–$48.00	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 C IRON BINDING CAPACITY	$48.00	$48.00	$25.20–$48.00	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$48.00	$48.00	$7.73–$48.00	66% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$48.00	$48.00	$25.20–$48.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 C LIPASE FLUID	$8.00	$8.00	$2.40–$26.25	93% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$38.00	$38.00	$6.13–$38.00	66% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 C LIPASE FLUID	$8.00	$8.00	$4.20–$8.00	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$38.00	$38.00	$19.95–$38.00	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$45.00	$45.00	$7.27–$45.00	70% below	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$45.00	$45.00	$23.62–$45.00	—	—
Lyme disease antibody test CPT 86618 ANTIBODY BORRELIA BURG	$23.00	$23.00	$6.90–$64.88	1% below	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB WREFLEX - LC	$79.00	$79.00	$15.16–$79.00	241% above	—
Lyme disease antibody test inpatient CPT 86618 ANTIBODY BORRELIA BURG	$23.00	$23.00	$12.08–$23.00	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB WREFLEX - LC	$79.00	$79.00	$41.48–$79.00	—	—
Magnesium blood test CPT 83735 MAGNESIUM RBC - LC	$13.00	$13.00	$3.90–$25.53	84% below	—
Magnesium blood test CPT 83735 MAGNESIUM	$37.00	$37.00	$5.96–$37.00	53% below	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC - LC	$13.00	$13.00	$6.82–$13.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$37.00	$37.00	$19.42–$37.00	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IGG) - LC	$6.00	$6.00	$1.80–$25.43	82% below	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG CSF	$18.00	$18.00	$5.40–$49.08	46% below	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM CSF (P)	$18.00	$18.00	$5.40–$49.08	46% below	—
Measles (rubeola) antibody test CPT 86765 MEASLES AB (IGM) - LC	$28.00	$28.00	$8.40–$49.08	16% below	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IGG) - LC	$6.00	$6.00	$3.15–$6.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM CSF (P)	$18.00	$18.00	$9.45–$18.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG CSF	$18.00	$18.00	$9.45–$18.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB (IGM) - LC	$28.00	$28.00	$14.70–$28.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN	$7.00	$7.00	$2.10–$19.74	93% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB	$9.00	$9.00	$2.70–$19.73	91% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN (MONO TEST)	$29.00	$29.00	$4.61–$29.00	72% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$56.00	$56.00	$4.61–$56.00	47% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN	$7.00	$7.00	$3.68–$7.00	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB	$9.00	$9.00	$4.73–$9.00	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN (MONO TEST)	$29.00	$29.00	$15.23–$29.00	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$56.00	$56.00	$29.40–$56.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$25.00	$25.00	$7.50–$70.07	56% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$25.00	$25.00	$13.12–$25.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA POST PROSTATECTOMY - LC	$33.00	$33.00	$9.90–$70.06	44% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN TOTAL	$101.00	$101.00	$16.37–$101.00	72% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA POST PROSTATECTOMY - LC	$33.00	$33.00	$17.32–$33.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN TOTAL	$101.00	$101.00	$53.03–$101.00	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 C CYTOPATH CERV OR VAG	$34.00	$34.00	$10.20–$101.39	59% below	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 C CYTOPATH CERV OR VAG	$34.00	$34.00	$17.85–$34.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT-UCI	$110.00	$110.00	$33.00–$157.28	at median	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$228.00	$228.00	$36.74–$228.00	107% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT-UCI	$110.00	$110.00	$57.75–$110.00	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$228.00	$228.00	$119.70–$228.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 C THROMBOPLASTIN TIME PARTIAL(PTT)-LC	$15.00	$15.00	$4.50–$22.90	77% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL (PTT)	$33.00	$33.00	$5.35–$33.00	50% below	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 C THROMBOPLASTIN TIME PARTIAL(PTT)-LC	$15.00	$15.00	$7.88–$15.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL (PTT)	$33.00	$33.00	$17.32–$33.00	—	—
Progesterone blood test CPT 84144 PROGESTERONE LCMSMS - LC	$12.00	$12.00	$3.60–$45.72	86% below	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE LCMSMS - LC	$12.00	$12.00	$6.30–$12.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 C PROTHROMBIN TIME (PT) - LC	$15.00	$15.00	$3.82–$16.35	77% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$24.00	$24.00	$3.82–$24.00	64% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME INR POC	$24.00	$24.00	$3.82–$24.00	64% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 C PROTHROMBIN TIME - LC	$37.00	$37.00	$3.82–$37.00	44% below	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 C PROTHROMBIN TIME (PT) - LC	$15.00	$15.00	$7.88–$15.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME INR POC	$24.00	$24.00	$12.60–$24.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$24.00	$24.00	$12.60–$24.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 C PROTHROMBIN TIME - LC	$37.00	$37.00	$19.42–$37.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR MULT CLS EA PROC	$17.00	$17.00	$5.10–$48.01	80% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN MULTI CLASSES PER DATE	$69.00	$69.00	$10.08–$69.00	19% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCR MULT CLS EA PROC	$17.00	$17.00	$8.93–$17.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN MULTI CLASSES PER DATE	$69.00	$69.00	$36.22–$69.00	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B RAPID IA WDIR OPT OBSV	$91.00	$91.00	$8.85–$91.00	21% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B SCRN IMMUN OPTICAL OBSV	$91.00	$91.00	$8.85–$91.00	21% above	—
Rapid flu test (influenza antigen) CPT 87804 C INFLUENZA A IA WDIR OPTICAL OBSV	$91.00	$91.00	$8.85–$91.00	21% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B	$91.00	$91.00	$8.85–$91.00	21% above	—
Rapid flu test (influenza antigen) CPT 87804 C INFLUENZA B IA WDIR OPTICAL OBSV	$91.00	$91.00	$8.85–$91.00	21% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A RAPID IA WDIR OPT OBSV	$91.00	$91.00	$8.85–$91.00	21% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A RAPID IA WDIR OPT OBSV	$91.00	$91.00	$47.78–$91.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B	$91.00	$91.00	$47.78–$91.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B RAPID IA WDIR OPT OBSV	$91.00	$91.00	$47.78–$91.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A B SCRN IMMUN OPTICAL OBSV	$91.00	$91.00	$47.78–$91.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 C INFLUENZA A IA WDIR OPTICAL OBSV	$91.00	$91.00	$47.78–$91.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 C INFLUENZA B IA WDIR OPTICAL OBSV	$91.00	$91.00	$47.78–$91.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A AG IA WDIR OPT OBSV	$91.00	$91.00	$8.39–$91.00	18% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A AG IA WDIR OPT OBSV	$91.00	$91.00	$47.78–$91.00	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR - LC	$5.00	$5.00	$1.50–$19.06	62% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE	$31.00	$31.00	$5.05–$31.00	135% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR - LC	$5.00	$5.00	$2.62–$5.00	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE	$31.00	$31.00	$16.28–$31.00	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB (IGM) - LC	$8.00	$8.00	$2.40–$30.48	86% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS - LC	$8.00	$8.00	$2.40–$30.48	86% below	—
Rubella antibody test (immunity check) CPT 86762 IMMUNE STATUS PANEL MMR MEASLES	$9.00	$9.00	$2.70–$34.29	84% below	—
Rubella antibody test (immunity check) CPT 86762 C RUBELLA ANTIBODIES IgM - LC	$12.00	$12.00	$3.60–$45.72	79% below	—
Rubella antibody test (immunity check) CPT 86762 C RUBELLA ANTIBODIES IgG - LC	$12.00	$12.00	$3.60–$45.72	79% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$79.00	$79.00	$12.81–$79.00	41% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB (IGM) - LC	$8.00	$8.00	$4.20–$8.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNE STATUS - LC	$8.00	$8.00	$4.20–$8.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 IMMUNE STATUS PANEL MMR MEASLES	$9.00	$9.00	$4.73–$9.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 C RUBELLA ANTIBODIES IgM - LC	$12.00	$12.00	$6.30–$12.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 C RUBELLA ANTIBODIES IgG - LC	$12.00	$12.00	$6.30–$12.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$79.00	$79.00	$41.48–$79.00	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERYTHRO SEDIMENTATION RATE	$15.00	$15.00	$2.40–$15.00	73% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ERYTHRO SEDIMENTATION RATE	$15.00	$15.00	$7.88–$15.00	—	—
Stool ova and parasites exam CPT 87177 OP DIR SMR CONC ID	$49.00	$49.00	$7.92–$49.00	135% above	—
Stool ova and parasites exam CPT 87177 FECES OVA PARASITES	$49.00	$49.00	$7.92–$49.00	135% above	—
Stool ova and parasites exam CPT 87177 C OVA PARASITES DIRECT SMEAR 188110	$66.00	$66.00	$7.92–$66.00	216% above	—
Stool ova and parasites exam inpatient CPT 87177 OP DIR SMR CONC ID	$49.00	$49.00	$25.72–$49.00	—	—
Stool ova and parasites exam inpatient CPT 87177 FECES OVA PARASITES	$49.00	$49.00	$25.72–$49.00	—	—
Stool ova and parasites exam inpatient CPT 87177 C OVA PARASITES DIRECT SMEAR 188110	$66.00	$66.00	$34.65–$66.00	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL 1-3 COLOREC NEOPLSM	$24.00	$24.00	$3.50–$24.00	38% below	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL 1-3 COLOREC NEOPLSM	$24.00	$24.00	$12.60–$24.00	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IA - LC	$28.00	$28.00	$8.40–$60.66	29% below	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL IA - LC	$28.00	$28.00	$14.70–$28.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR RFX QN RPRCONFIRM TP - LC	$5.00	$5.00	$1.50–$16.27	76% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM - LC	$7.00	$7.00	$2.10–$16.27	67% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUAL CSF - LC	$24.00	$24.00	$3.80–$24.00	14% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRLRPR QUAL	$24.00	$24.00	$3.80–$24.00	14% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL - LC	$30.00	$30.00	$3.80–$30.00	43% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR RFX QN RPRCONFIRM TP - LC	$5.00	$5.00	$2.62–$5.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM - LC	$7.00	$7.00	$3.68–$7.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL QUAL CSF - LC	$24.00	$24.00	$12.60–$24.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRLRPR QUAL	$24.00	$24.00	$12.60–$24.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL - LC	$30.00	$30.00	$15.75–$30.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QFT-TB PLUS (CLIENT INCUBATED) - LC	$43.00	$43.00	$12.90–$163.83	56% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS	$83.00	$83.00	$24.90–$236.14	14% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QFT-TB PLUS (CLIENT INCUBATED) - LC	$43.00	$43.00	$22.58–$43.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS	$83.00	$83.00	$43.58–$83.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 C TESTOSTERONE TOTAL - LC	$21.00	$21.00	$6.30–$80.01	57% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONETLCMSMS - LC	$38.00	$38.00	$11.40–$98.34	23% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$74.00	$74.00	$22.20–$98.34	50% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 C TESTOSTERONE TOTAL - LC	$21.00	$21.00	$11.02–$21.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONETLCMSMS - LC	$38.00	$38.00	$19.95–$38.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$74.00	$74.00	$38.85–$74.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 C MICROSOMAL ANTIBODIES EACH - LC	$7.00	$7.00	$2.10–$28.86	69% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS - LC	$8.00	$8.00	$2.40–$30.48	65% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 ANTIBODY (IGG) - LC	$14.00	$14.00	$4.20–$53.34	39% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 C MICROSOMAL ANTIBODIES EACH - LC	$7.00	$7.00	$3.68–$7.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS - LC	$8.00	$8.00	$4.20–$8.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 ANTIBODY (IGG) - LC	$14.00	$14.00	$7.35–$14.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 C TSH	$18.00	$18.00	$5.40–$64.01	83% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH)	$93.00	$93.00	$14.95–$93.00	14% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 C TSH	$18.00	$18.00	$9.45–$18.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH)	$93.00	$93.00	$48.82–$93.00	—	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GU INF BIOT	$12.00	$12.00	$3.60–$69.41	88% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GI PARA BIOT	$13.00	$13.00	$3.90–$69.41	87% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE UTI HR BIOT	$15.00	$15.00	$4.50–$69.41	85% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GI BIOT	$15.00	$15.00	$4.50–$69.41	85% below	—
Trichomonas test (NAAT) CPT 87661 C TRICH VAG BY NAA - LC	$19.00	$19.00	$5.70–$72.39	81% below	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA	$32.00	$32.00	$9.60–$121.92	68% below	—
Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA - LC	$32.00	$32.00	$9.60–$121.92	68% below	—
Trichomonas test (NAAT) CPT 87661 TRACHOMONAS	$79.00	$79.00	$23.70–$133.69	21% below	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GU INF BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GI PARA BIOT	$13.00	$13.00	$6.82–$13.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 C TRICH VAG BY NAA - LC	$19.00	$19.00	$9.98–$19.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA - LC	$32.00	$32.00	$16.80–$32.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA	$32.00	$32.00	$16.80–$32.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRACHOMONAS	$79.00	$79.00	$41.48–$79.00	—	—
Uric acid blood test CPT 84550 URIC ACID BLOOD	$25.00	$25.00	$4.02–$25.00	62% below	—
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$25.00	$25.00	$13.12–$25.00	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO WMICROSCOPY	$17.00	$17.00	$2.82–$17.00	79% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO WMICROSCOPY	$17.00	$17.00	$8.93–$17.00	—	—
Urinalysis with microscope exam, manual CPT 81000 UA NON-AUTO WMICRO	$22.00	$22.00	$3.10–$22.00	31% below	—
Urinalysis with microscope exam, manual inpatient CPT 81000 UA NON-AUTO WMICRO	$22.00	$22.00	$11.55–$22.00	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS COMP AUTO WO MICRO	$12.00	$12.00	$2.00–$12.00	79% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS COMP AUTO WO MICRO	$12.00	$12.00	$6.30–$12.00	—	—
Urinalysis without microscope exam, manual CPT 81002 DIPSTICK URINE NON-AUTO WO MICRO POC	$19.00	$19.00	$2.58–$19.00	46% below	—
Urinalysis without microscope exam, manual inpatient CPT 81002 DIPSTICK URINE NON-AUTO WO MICRO POC	$19.00	$19.00	$9.98–$19.00	—	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE ROUTINE URINE	$9.00	$9.00	$2.70–$30.74	94% below	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT	$44.00	$44.00	$6.78–$44.00	68% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE ROUTINE URINE	$9.00	$9.00	$4.73–$9.00	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY COUNT	$44.00	$44.00	$23.10–$44.00	—	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$47.00	$47.00	$3.36–$47.00	47% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$47.00	$47.00	$24.68–$47.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VIT B12)	$83.00	$83.00	$13.42–$83.00	11% below	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN (VIT B12)	$83.00	$83.00	$43.58–$83.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 PROTEIN S	$21.00	$21.00	$6.30–$80.01	68% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VITAMIN D (D2D3 FRACT) LCMS-MS	$21.00	$21.00	$6.30–$80.01	68% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 W VITAMIN D 25-HYDROXY - LC	$21.00	$21.00	$6.30–$80.01	68% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXYLCMSMS (>3YRS)	$68.00	$68.00	$20.40–$112.78	4% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 PROTEIN S	$21.00	$21.00	$11.02–$21.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY VITAMIN D (D2D3 FRACT) LCMS-MS	$21.00	$21.00	$11.02–$21.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 W VITAMIN D 25-HYDROXY - LC	$21.00	$21.00	$11.02–$21.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXYLCMSMS (>3YRS)	$68.00	$68.00	$35.70–$68.00	—	—
Zinc blood test CPT 84630 ZINC - LC	$17.00	$17.00	$5.10–$43.40	22% above	—
Zinc blood test CPT 84630 ZINCRBC-LC	$102.00	$102.00	$10.14–$102.00	633% above	—
Zinc blood test inpatient CPT 84630 ZINC - LC	$17.00	$17.00	$8.93–$17.00	—	—
Zinc blood test inpatient CPT 84630 ZINCRBC-LC	$102.00	$102.00	$53.55–$102.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC (hCG) QUANT	$31.00	$31.00	$9.30–$57.34	83% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC (hCG) QUANTITATIVE	$83.00	$83.00	$13.39–$83.00	54% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC (hCG) QUANT	$31.00	$31.00	$16.28–$31.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC (hCG) QUANTITATIVE	$83.00	$83.00	$43.58–$83.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 XR BX BREAST WCLIP PLACE 1ST LES WSTEREO	$5,207.00	$5,207.00	$632.17–$6,727.00	20% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 XR BX BREAST WCLIP PLACE 1ST LES WSTEREO	$5,207.00	$5,207.00	$2,733.68–$5,207.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ER-CLSD TX DISTAL FIBULA FX WO MAN	$1,666.00	$1,666.00	$208.70–$2,254.00	211% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ER-CLSD TX DISTAL FIBULA FX WO MAN	$1,666.00	$1,666.00	$874.65–$1,666.00	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ER-CLSD TX METATARSAL FX WO MNPLTN EA TA	$1,666.00	$1,666.00	$166.39–$2,254.00	210% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ER-CLSD TX METATARSAL FX WO MNPLTN EA TA	$1,666.00	$1,666.00	$874.65–$1,666.00	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 CATH PLCMNT CRNRY ARTERYCRNRY ANGIO W-LT HRT CATH	$10,732.00	$10,732.00	$950.01–$10,732.00	17% below	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CATH PLCMNT CRNRY ARTERYCRNRY ANGIO W-LT HRT CATH	$10,732.00	$10,732.00	$5,634.30–$10,732.00	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL	$2,079.00	$2,079.00	$146.95–$2,079.00	11% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER-CARDIOVERSION ELECTIVE EXTERNAL	$4,541.00	$4,541.00	$146.95–$4,541.00	142% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL	$2,079.00	$2,079.00	$1,091.48–$2,079.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER-CARDIOVERSION ELECTIVE EXTERNAL	$4,541.00	$4,541.00	$2,384.02–$4,541.00	—	—
Carpal tunnel release, open surgery CPT 64721 ER-NEUROPLASTYTRNSPSTN MDN NRV CARPAL TUNNEL	$14,195.00	$14,195.00	$350.00–$14,195.00	293% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 ER-NEUROPLASTYTRNSPSTN MDN NRV CARPAL TUNNEL	$14,195.00	$14,195.00	$7,452.38–$14,195.00	—	—
Catheter ablation for atrial fibrillation CPT 93656 COMP EP ABL AFIB	$79,415.00	$79,415.00	$880.47–$79,415.00	137% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 COMP EP ABL AFIB	$79,415.00	$79,415.00	$41,692.88–$79,415.00	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 ER-CIRCUMCISION WCLAMPOTH DEVRNG BLCK	$14,475.00	$14,475.00	$350.00–$14,475.00	1239% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 ER-CIRCUMCISION WCLAMPOTH DEVRNG BLCK	$14,475.00	$14,475.00	$7,599.38–$14,475.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ER-CLSD TX DISTAL RADIAL FX WO MAN	$1,666.00	$1,666.00	$188.86–$2,254.00	185% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ER-CLSD TX DISTAL RADIAL FX WO MAN	$1,666.00	$1,666.00	$874.65–$1,666.00	—	—
Coronary stent placement, one artery CPT 92928 PTCA STENT SNGL MJR ARTERYBRANCH	$39,944.00	$39,944.00	$483.05–$39,944.00	167% above	—
Coronary stent placement, one artery inpatient CPT 92928 PTCA STENT SNGL MJR ARTERYBRANCH	$39,944.00	$39,944.00	$20,970.60–$39,944.00	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 ER-RMVL IMPCTD CERUMEN IRRGTNLAVAGE UNI	$450.00	$450.00	$11.54–$2,254.00	153% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ER-RMVL IMPCTD CERUMEN IRRGTNLAVAGE UNI	$450.00	$450.00	$236.25–$450.00	—	—
Earwax removal with instruments, one ear CPT 69210 ER-RMVL IMPCTD CERUMEN REQ INSTRMNTTN UNI	$450.00	$450.00	$36.64–$2,254.00	157% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 ER-RMVL IMPCTD CERUMEN REQ INSTRMNTTN UNI	$450.00	$450.00	$236.25–$450.00	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DX TX CER THOR EPID W IMG	$3,803.00	$3,803.00	$223.38–$3,803.00	94% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ DX TX CER THOR EPID W IMG	$3,803.00	$3,803.00	$1,996.58–$3,803.00	—	—
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ DX THER PARAVERTEBRLJNT W-IMG GD LVL 1 LT	$3,047.00	$3,047.00	$144.45–$3,954.00	48% above	—
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ DX THER PARAVERTEBRLJNT W-IMG GD LVL 1 RT	$3,047.00	$3,047.00	$144.45–$3,954.00	48% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ DX THER PARAVERTEBRLJNT W-IMG GD LVL 1 LT	$3,047.00	$3,047.00	$1,599.68–$3,047.00	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ DX THER PARAVERTEBRLJNT W-IMG GD LVL 1 RT	$3,047.00	$3,047.00	$1,599.68–$3,047.00	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC AND CATH HYSTEROGRAPHY	$4,270.00	$4,270.00	$222.54–$8,806.00	559% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC AND CATH HYSTEROGRAPHY	$4,270.00	$4,270.00	$2,241.75–$4,270.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$925.00	$925.00	$50.93–$1,677.00	98% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 ER-INCISION DRAINAGE OF SKIN ABSCESS SIMPLE	$1,452.00	$1,452.00	$50.93–$2,254.00	210% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$925.00	$925.00	$485.62–$925.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ER-INCISION DRAINAGE OF SKIN ABSCESS SIMPLE	$1,452.00	$1,452.00	$762.30–$1,452.00	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP IHERN INIT REDUC >5 YR	$18,138.00	$18,138.00	$412.81–$18,138.00	157% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP IHERN INIT REDUC >5 YR	$18,138.00	$18,138.00	$9,522.45–$18,138.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ER-INJ SNGL TENDON SHTHLGMNTAPNRSS	$2,112.00	$2,112.00	$54.95–$2,254.00	220% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ER-INJ SNGL TENDON SHTHLGMNTAPNRSS	$2,112.00	$2,112.00	$1,108.80–$2,112.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER-ARTHRCNTSS ASPINJ MJR JNTBURSA WO US GD	$2,112.00	$2,112.00	$54.95–$2,254.00	122% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHRCNTSS ASPINJ MJR JNTBURSA WO US GD RT	$967.00	$967.00	$54.95–$3,954.00	2% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHRCNTSS ASPINJ MJR JNTBURSA WO US GD LT	$967.00	$967.00	$54.95–$3,954.00	2% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ER-ARTHRCNTSS ASPINJ MJR JNTBURSA WO US GD	$2,112.00	$2,112.00	$1,108.80–$2,112.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHRCNTSS ASPINJ MJR JNTBURSA WO US GD RT	$967.00	$967.00	$507.68–$967.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHRCNTSS ASPINJ MJR JNTBURSA WO US GD LT	$967.00	$967.00	$507.68–$967.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ER-ARTHRCNTSS ASPINJ INTRMDT JNTBURSA WO US	$2,112.00	$2,112.00	$45.56–$2,254.00	247% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHRCNTSS ASPINJ INTRMDT JNTBURSA WO US LT	$967.00	$967.00	$45.56–$3,954.00	59% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHRCNTSS ASPINJ INTRMDT JNTBURSA WO US RT	$967.00	$967.00	$45.56–$3,954.00	59% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ER-ARTHRCNTSS ASPINJ INTRMDT JNTBURSA WO US	$2,112.00	$2,112.00	$1,108.80–$2,112.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ARTHRCNTSS ASPINJ INTRMDT JNTBURSA WO US RT	$967.00	$967.00	$507.68–$967.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ARTHRCNTSS ASPINJ INTRMDT JNTBURSA WO US LT	$967.00	$967.00	$507.68–$967.00	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ER-ARTHRCNTSS ASPINJ SM JNTBURSA WO US	$2,112.00	$2,112.00	$38.87–$2,254.00	190% above	—
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPINJ SMALL JOINT WO GUID LT	$967.00	$967.00	$38.87–$3,954.00	33% above	—
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPINJ SMALL JOINT WO GUID RT	$967.00	$967.00	$38.87–$3,954.00	33% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ER-ARTHRCNTSS ASPINJ SM JNTBURSA WO US	$2,112.00	$2,112.00	$1,108.80–$2,112.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASPINJ SMALL JOINT WO GUID RT	$967.00	$967.00	$507.68–$967.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASPINJ SMALL JOINT WO GUID LT	$967.00	$967.00	$507.68–$967.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER-INT WOUND<2.5CM TRUNKSCLPAXIL	$2,794.00	$2,794.00	$101.41–$2,794.00	222% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ER-INT WOUND<2.5CM TRUNKSCLPAXIL	$2,794.00	$2,794.00	$1,466.85–$2,794.00	—	—
Left heart catheterization, diagnostic CPT 93452 LT HEART CATH W-INJVENTRICULOGRAPHY	$10,732.00	$10,732.00	$762.86–$10,732.00	8% above	—
Left heart catheterization, diagnostic inpatient CPT 93452 LT HEART CATH W-INJVENTRICULOGRAPHY	$10,732.00	$10,732.00	$5,634.30–$10,732.00	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 INJ DX TX LSP CAUD EPID W IMG	$3,803.00	$3,803.00	$220.03–$3,803.00	71% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DX TX LSP CAUD EPID W IMG	$3,803.00	$3,803.00	$1,996.58–$3,803.00	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 INJ DIAG INCL NDL OR CATH PLCMNT WO GD	$2,350.00	$2,350.00	$138.50–$3,954.00	43% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DIAG INCL NDL OR CATH PLCMNT WO GD	$2,350.00	$2,350.00	$1,233.75–$2,350.00	—	—
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ ANESSTRD TRANS EPDRL LMBRSCRL SNGL LVL RT	$3,047.00	$3,047.00	$172.01–$3,954.00	57% above	—
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ ANESSTRD TRANS EPDRL LMBRSCRL SNGL LVL LT	$3,047.00	$3,047.00	$172.01–$3,954.00	57% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ ANESSTRD TRANS EPDRL LMBRSCRL SNGL LVL RT	$3,047.00	$3,047.00	$1,599.68–$3,047.00	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ ANESSTRD TRANS EPDRL LMBRSCRL SNGL LVL LT	$3,047.00	$3,047.00	$1,599.68–$3,047.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER-TX LES BGN TRNKARMLEGS .5CM<	$5,031.00	$5,031.00	$69.70–$5,031.00	279% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ER-TX LES BGN TRNKARMLEGS .5CM<	$5,031.00	$5,031.00	$2,641.28–$5,031.00	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 ER-EXC FACE-MM B9MARG 0.5CM	$5,031.00	$5,031.00	$77.29–$5,031.00	241% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 ER-EXC FACE-MM B9MARG 0.5CM	$5,031.00	$5,031.00	$2,641.28–$5,031.00	—	—
Nail removal (partial or complete), one nail CPT 11730 ER-REMOVAL OF NAIL PLATE	$1,452.00	$1,452.00	$38.42–$2,254.00	201% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 ER-REMOVAL OF NAIL PLATE	$1,452.00	$1,452.00	$762.30–$1,452.00	—	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W-IMGNG GD	$2,995.00	$2,995.00	$89.72–$4,764.00	63% above	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS WIMG GUIDANCE	$3,308.00	$3,308.00	$89.72–$4,764.00	80% above	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS WIMAGING	$4,227.00	$4,227.00	$89.72–$4,227.00	130% above	—
Paracentesis with imaging guidance CPT 49083 ER-ABDOMINAL PARACENTESIS W-IMGNG GD	$6,541.00	$6,541.00	$89.72–$6,541.00	256% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W-IMGNG GD	$2,995.00	$2,995.00	$1,572.38–$2,995.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS WIMG GUIDANCE	$3,308.00	$3,308.00	$1,736.70–$3,308.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS WIMAGING	$4,227.00	$4,227.00	$2,219.18–$4,227.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ER-ABDOMINAL PARACENTESIS W-IMGNG GD	$6,541.00	$6,541.00	$3,434.02–$6,541.00	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER-EXCSN of NAILMTRX PRTLCOMPL FOR RMVL	$2,794.00	$2,794.00	$101.41–$2,794.00	116% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ER-EXCSN of NAILMTRX PRTLCOMPL FOR RMVL	$2,794.00	$2,794.00	$1,466.85–$2,794.00	—	—
Prostate biopsy CPT 55700 BIOPSY PROSTATE SGL OR MULTI	$6,626.00	$6,626.00	$104.99–$6,626.00	65% above	—
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE SGL OR MULTI	$6,626.00	$6,626.00	$3,478.65–$6,626.00	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DES NEURO AGNT PRVRTBRL FCT W-IMG LS SINGLE RT	$6,498.00	$6,498.00	$195.46–$10,517.00	87% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DES NEURO AGNT PRVRTBRL FCT W-IMG LS SINGLE LT	$6,498.00	$6,498.00	$195.46–$10,517.00	87% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DES NEURO AGNT PRVRTBRL FCT W-IMG LS SINGLE RT	$6,498.00	$6,498.00	$3,411.45–$6,498.00	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DES NEURO AGNT PRVRTBRL FCT W-IMG LS SINGLE LT	$6,498.00	$6,498.00	$3,411.45–$6,498.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 ER-INCISION REMOVAL FOREIGN BODY SIMPLE	$2,794.00	$2,794.00	$62.10–$2,794.00	187% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 ER-INCISION REMOVAL FOREIGN BODY SIMPLE	$2,794.00	$2,794.00	$1,466.85–$2,794.00	—	—
Short arm cast (elbow to hand) CPT 29075 ER-APPLICATION CAST ELBOW TO FINGER	$1,950.00	$1,950.00	$99.18–$2,254.00	291% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 ER-APPLICATION CAST ELBOW TO FINGER	$1,950.00	$1,950.00	$1,023.75–$1,950.00	—	—
Short arm splint (forearm and hand) CPT 29125 ER-APPLICTION SHORT ARM SPLINT	$912.00	$912.00	$63.44–$2,254.00	125% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 ER-APPLICTION SHORT ARM SPLINT	$912.00	$912.00	$478.80–$912.00	—	—
Short leg cast (below the knee) CPT 29405 ER-APPLICATION SHORT LEG CAST	$1,950.00	$1,950.00	$102.31–$2,254.00	291% above	—
Short leg cast (below the knee) inpatient CPT 29405 ER-APPLICATION SHORT LEG CAST	$1,950.00	$1,950.00	$1,023.75–$1,950.00	—	—
Short leg splint (calf to foot) CPT 29515 ER-APPLICATION SHORT LEG SPLINT	$1,142.00	$1,142.00	$67.91–$2,254.00	131% above	—
Short leg splint (calf to foot) inpatient CPT 29515 ER-APPLICATION SHORT LEG SPLINT	$1,142.00	$1,142.00	$599.55–$1,142.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER-RPR SUPFISCIAL WND<2.5CMSCLP TRNK NCK AXILA	$1,452.00	$1,452.00	$83.99–$2,254.00	163% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ER-RPR SUPFISCIAL WND<2.5CMSCLP TRNK NCK AXILA	$1,452.00	$1,452.00	$762.30–$1,452.00	—	—
Skin tag removal, up to 15 tags CPT 11200 ER-REM SKIN TAGS ANY AREA<15 LESIONS	$1,452.00	$1,452.00	$37.98–$2,254.00	267% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 ER-REM SKIN TAGS ANY AREA<15 LESIONS	$1,452.00	$1,452.00	$762.30–$1,452.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$2,350.00	$2,350.00	$98.29–$3,954.00	78% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER-SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$5,134.00	$5,134.00	$98.29–$5,134.00	289% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$2,350.00	$2,350.00	$1,233.75–$2,350.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ER-SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$5,134.00	$5,134.00	$2,695.35–$5,134.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER-RPR SUPFICIAL WND2.6-7.5SCLP TRNK NCK AXILA	$1,452.00	$1,452.00	$89.35–$2,254.00	94% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ER-RPR SUPFICIAL WND2.6-7.5SCLP TRNK NCK AXILA	$1,452.00	$1,452.00	$762.30–$1,452.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER-WOUND<2.5CMFACEEAR	$1,452.00	$1,452.00	$87.56–$2,254.00	120% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER-WOUND<2.5CMFACEEAR	$1,452.00	$1,452.00	$762.30–$1,452.00	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WGUIDANCE	$2,205.00	$2,205.00	$92.33–$3,954.00	8% above	—
Thoracentesis with imaging guidance CPT 32555 ER-THORACENTESIS ASPIRATION W-GUIDANCE	$4,370.00	$4,370.00	$92.33–$4,370.00	115% above	—
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASPIRATION W-GUIDANCE RT	$3,237.00	$3,237.00	$92.33–$3,237.00	59% above	—
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASPIRATION W-GUIDANCE LT	$3,237.00	$3,237.00	$92.33–$3,237.00	59% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS WGUIDANCE	$2,205.00	$2,205.00	$1,157.62–$2,205.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 ER-THORACENTESIS ASPIRATION W-GUIDANCE	$4,370.00	$4,370.00	$2,294.25–$4,370.00	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASPIRATION W-GUIDANCE RT	$3,237.00	$3,237.00	$1,699.43–$3,237.00	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASPIRATION W-GUIDANCE LT	$3,237.00	$3,237.00	$1,699.43–$3,237.00	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SNGL MULTIPLE TRIGGER POINT 1 OR 2 MUSCLE	$967.00	$967.00	$52.49–$3,954.00	55% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 ER-INJ SNGL MULTIPLE TRIGGER POINT 1 OR 2 MUSCLE	$2,112.00	$2,112.00	$52.49–$2,254.00	238% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SNGL MULTIPLE TRIGGER POINT 1 OR 2 MUSCLE	$967.00	$967.00	$507.68–$967.00	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ER-INJ SNGL MULTIPLE TRIGGER POINT 1 OR 2 MUSCLE	$2,112.00	$2,112.00	$1,108.80–$2,112.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BRST WLOCAL DVC WUS 1ST LES	$10,532.00	$10,532.00	$270.00–$10,532.00	228% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BRST WLOCAL DVC WUS 1ST LES	$10,532.00	$10,532.00	$5,529.30–$10,532.00	—	—
Wart removal, up to 14 warts CPT 17110 ER-DESTRUCTION OF BENIGN LESIONS	$1,452.00	$1,452.00	$40.58–$2,254.00	305% above	—
Wart removal, up to 14 warts inpatient CPT 17110 ER-DESTRUCTION OF BENIGN LESIONS	$1,452.00	$1,452.00	$762.30–$1,452.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER-DEBRIDE SKINTISSUE 1ST 20 OR<	$2,794.00	$2,794.00	$103.87–$2,794.00	310% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ER-DEBRIDE SKINTISSUE 1ST 20 OR<	$2,794.00	$2,794.00	$1,466.85–$2,794.00	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS 4-5 HRS	$2,224.00	$2,224.00	$544.72–$2,224.00	155% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$2,224.00	$2,224.00	$544.72–$2,224.00	155% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$2,224.00	$2,224.00	$544.72–$2,224.00	155% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS > 8 HRS	$2,224.00	$2,224.00	$544.72–$2,224.00	155% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS 6-8 HRS	$2,224.00	$2,224.00	$544.72–$2,224.00	155% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS 1-3 HRS	$3,040.00	$3,040.00	$544.72–$3,040.00	248% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS 4-5 HRS	$2,224.00	$2,224.00	$1,167.60–$2,224.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$2,224.00	$2,224.00	$1,167.60–$2,224.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$2,224.00	$2,224.00	$1,167.60–$2,224.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS > 8 HRS	$2,224.00	$2,224.00	$1,167.60–$2,224.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS 6-8 HRS	$2,224.00	$2,224.00	$1,167.60–$2,224.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOODBLOOD COMPONENTS 1-3 HRS	$3,040.00	$3,040.00	$1,596.00–$3,040.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX - MDI	$870.00	$870.00	$14.04–$870.00	168% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX - AEROSOL	$870.00	$870.00	$14.04–$870.00	168% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX - IN LINE VENT	$870.00	$870.00	$14.04–$870.00	168% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX - SPUTUM	$870.00	$870.00	$14.04–$870.00	168% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX - NEBULIZER	$870.00	$870.00	$14.04–$870.00	168% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX - IPPB	$870.00	$870.00	$14.04–$870.00	168% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX - NEBULIZER	$870.00	$870.00	$456.75–$870.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX - AEROSOL	$870.00	$870.00	$456.75–$870.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX - IPPB	$870.00	$870.00	$456.75–$870.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX - SPUTUM	$870.00	$870.00	$456.75–$870.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX - MDI	$870.00	$870.00	$456.75–$870.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX - IN LINE VENT	$870.00	$870.00	$456.75–$870.00	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE AUDIOMETRY EVAL	$311.00	$311.00	$49.03–$311.00	43% below	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE AUDIOMETRY EVAL	$311.00	$311.00	$163.28–$311.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 ER-CRITICAL CARE 30-74MIN	$9,908.00	$9,908.00	$145.92–$9,908.00	114% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER-CRITICAL CARE 30-74MIN	$9,908.00	$9,908.00	$5,201.70–$9,908.00	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG W-RECORDING AWAKE DROWSY	$1,118.00	$1,118.00	$90.70–$1,118.00	9% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG W-RECORDING AWAKE DROWSY	$1,118.00	$1,118.00	$586.95–$1,118.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE TRACING ONLY	$631.00	$631.00	$19.68–$1,000.00	87% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE TRACING ONLY	$631.00	$631.00	$331.28–$631.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ER-VISIT LEVEL I - SEPARATE SERVICE	$882.00	$882.00	$18.22–$2,254.00	110% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ER-VISIT LEVEL I	$882.00	$882.00	$18.22–$2,254.00	110% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER-VISIT LEVEL I	$927.00	$927.00	$18.22–$2,254.00	120% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER-VISIT LEVEL I - SEPARATE SERVICE	$927.00	$927.00	$18.22–$2,254.00	120% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ER-VISIT LEVEL I - SEPARATE SERVICE	$882.00	$882.00	$463.05–$882.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ER-VISIT LEVEL I	$882.00	$882.00	$463.05–$882.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER-VISIT LEVEL I	$927.00	$927.00	$486.68–$927.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER-VISIT LEVEL I - SEPARATE SERVICE	$927.00	$927.00	$486.68–$927.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ER-VISIT LEVEL II	$1,598.00	$1,598.00	$29.26–$2,510.00	83% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ER-VISIT LEVEL II - SEPARATE SERVICE	$1,598.00	$1,598.00	$29.26–$2,510.00	83% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER-VISIT LEVEL II	$1,683.00	$1,683.00	$29.26–$2,510.00	93% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER-VISIT LEVEL II - SEPARATE SERVICE	$1,683.00	$1,683.00	$29.26–$2,510.00	93% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ER-VISIT LEVEL II - SEPARATE SERVICE	$1,598.00	$1,598.00	$838.95–$1,598.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ER-VISIT LEVEL II	$1,598.00	$1,598.00	$838.95–$1,598.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER-VISIT LEVEL II	$1,683.00	$1,683.00	$883.58–$1,683.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER-VISIT LEVEL II - SEPARATE SERVICE	$1,683.00	$1,683.00	$883.58–$1,683.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ER-VISIT LEVEL III - SEPARATE SERVICE	$2,815.00	$2,815.00	$53.52–$3,389.00	84% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ER-VISIT LEVEL III	$2,815.00	$2,815.00	$53.52–$3,389.00	84% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER-VISIT LEVEL III - SEPARATE SERVICE	$2,959.00	$2,959.00	$53.52–$3,389.00	94% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER-VISIT LEVEL III	$2,959.00	$2,959.00	$53.52–$3,389.00	94% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ER-VISIT LEVEL III - SEPARATE SERVICE	$2,815.00	$2,815.00	$1,477.88–$2,815.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ER-VISIT LEVEL III	$2,815.00	$2,815.00	$1,477.88–$2,815.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER-VISIT LEVEL III	$2,959.00	$2,959.00	$1,553.48–$2,959.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER-VISIT LEVEL III - SEPARATE SERVICE	$2,959.00	$2,959.00	$1,553.48–$2,959.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ER-VISIT LEVEL IV - SEPARATE SERVICE	$4,425.00	$4,425.00	$82.02–$5,170.00	63% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ER-VISIT LEVEL IV	$4,425.00	$4,425.00	$82.02–$5,170.00	63% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER-VISIT LEVEL IV	$4,802.00	$4,802.00	$82.02–$5,170.00	77% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER-VISIT LEVEL IV - SEPARATE SERVICE	$4,802.00	$4,802.00	$82.02–$5,170.00	77% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ER-VISIT LEVEL IV - SEPARATE SERVICE	$4,425.00	$4,425.00	$2,323.12–$4,425.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ER-VISIT LEVEL IV	$4,425.00	$4,425.00	$2,323.12–$4,425.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER-VISIT LEVEL IV - SEPARATE SERVICE	$4,802.00	$4,802.00	$2,521.05–$4,802.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER-VISIT LEVEL IV	$4,802.00	$4,802.00	$2,521.05–$4,802.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ER-VISIT LEVEL V - SEPARATE SERVICE	$6,352.00	$6,352.00	$129.70–$6,352.00	79% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ER-VISIT LEVEL V	$6,352.00	$6,352.00	$129.70–$6,352.00	79% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER-VISIT LEVEL V - SEPARATE SERVICE	$7,034.00	$7,034.00	$129.70–$7,034.00	98% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER-VISIT LEVEL V	$7,034.00	$7,034.00	$129.70–$7,034.00	98% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ER-VISIT LEVEL V - SEPARATE SERVICE	$6,352.00	$6,352.00	$3,334.80–$6,352.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ER-VISIT LEVEL V	$6,352.00	$6,352.00	$3,334.80–$6,352.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER-VISIT LEVEL V - SEPARATE SERVICE	$7,034.00	$7,034.00	$3,692.85–$7,034.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER-VISIT LEVEL V	$7,034.00	$7,034.00	$3,692.85–$7,034.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$979.00	$979.00	$57.96–$979.00	27% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$979.00	$979.00	$513.98–$979.00	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY 50MIN W-PATIENT	$2,546.00	$2,546.00	$89.65–$2,546.00	644% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY 50MIN W-PATIENT	$2,546.00	$2,546.00	$1,336.65–$2,546.00	—	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY 50MIN WO PATIENT	$2,546.00	$2,546.00	$86.64–$2,546.00	644% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY 50MIN WO PATIENT	$2,546.00	$2,546.00	$1,336.65–$2,546.00	—	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 30MIN	$291.00	$291.00	$4.16–$480.00	5% above	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 45MIN	$291.00	$291.00	$4.16–$480.00	5% above	—
Group psychotherapy session CPT 90853 CD PARTIAL HOSP FULL DAY	$2,546.00	$2,546.00	$4.16–$2,546.00	816% above	—
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 45MIN	$291.00	$291.00	$152.78–$291.00	—	—
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 30MIN	$291.00	$291.00	$152.78–$291.00	—	—
Group psychotherapy session inpatient CPT 90853 CD PARTIAL HOSP FULL DAY	$2,546.00	$2,546.00	$1,336.65–$2,546.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN - 1 HR	$1,048.00	$1,048.00	$51.30–$1,048.00	112% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER-IV INFUSION HYDRATION INITIAL 31 MIN - 1 HR	$1,548.00	$1,548.00	$51.30–$2,254.00	213% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN - 1 HR	$1,048.00	$1,048.00	$550.20–$1,048.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER-IV INFUSION HYDRATION INITIAL 31 MIN - 1 HR	$1,548.00	$1,548.00	$812.70–$1,548.00	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFSN SUBSTANCEDRUG INITIAL <1HR	$1,048.00	$1,048.00	$62.60–$1,048.00	78% above	—
IV infusion of a medicine, first hour CPT 96365 ER-IV INFSN SUBSTANCEDRUG INITIAL <1HR	$1,548.00	$1,548.00	$62.60–$2,254.00	163% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFSN SUBSTANCEDRUG INITIAL <1HR	$1,048.00	$1,048.00	$550.20–$1,048.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 ER-IV INFSN SUBSTANCEDRUG INITIAL <1HR	$1,548.00	$1,548.00	$812.70–$1,548.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTICDX INJ SBCTNSINTRMSCLR	$236.00	$236.00	$18.75–$236.00	32% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-THERAPEUTIC PRPHYLCTCDX INJ SBCTNSINTRMSCLR	$501.00	$501.00	$18.75–$2,254.00	180% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTICDX INJ SBCTNSINTRMSCLR	$236.00	$236.00	$123.90–$236.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-THERAPEUTIC PRPHYLCTCDX INJ SBCTNSINTRMSCLR	$501.00	$501.00	$263.03–$501.00	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$2,546.00	$2,546.00	$128.08–$2,546.00	504% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$2,546.00	$2,546.00	$1,336.65–$2,546.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THERAPY INITIAL EA 15MIN	$456.00	$456.00	$16.30–$456.00	357% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THERAPY INITIAL EA 15MIN	$456.00	$456.00	$239.40–$456.00	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30MIN W-PATIENT	$520.00	$520.00	$52.87–$520.00	63% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30MIN W-PATIENT	$520.00	$520.00	$273.00–$520.00	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45MIN W-PATIENT	$520.00	$520.00	$67.16–$520.00	63% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45MIN W-PATIENT	$520.00	$520.00	$273.00–$520.00	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60MIN W-PATIENT	$520.00	$520.00	$98.02–$520.00	42% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60MIN W-PATIENT	$520.00	$520.00	$273.00–$520.00	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 ER-SMKING TABACCO CESSATION VISIT INTRMDT 3-10MIN	$157.00	$157.00	$10.41–$157.00	114% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ER-SMKING TABACCO CESSATION VISIT INTRMDT 3-10MIN	$157.00	$157.00	$82.42–$157.00	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY W-WO MAX VOLUNTARY VENTILATION	$646.00	$646.00	$29.52–$646.00	82% above	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W-WO MAX VOLUNTARY VENTILATION	$646.00	$646.00	$339.15–$646.00	—	—
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPONSIVNESS PREPOST	$1,225.00	$1,225.00	$54.04–$1,225.00	53% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION RESPONSIVNESS PREPOST	$1,225.00	$1,225.00	$643.12–$1,225.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB-PHLEBOTOMY THERAPEUTIC	$132.00	$132.00	$19.68–$1,494.00	59% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB-PHLEBOTOMY THERAPEUTIC	$132.00	$132.00	$69.30–$132.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VIRUS VACCINE 0.5ML INJ	$650.90	$650.90	$27.34–$650.90	407% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VIRUS VACCINE 0.5ML INJ	$650.90	$650.90	$179.13–$650.90	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUSDIPHTHERIA TOXOIDS (Td) 2U2U0.5ML INJ	$248.25	$248.25	$14.72–$248.25	208% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUSDIPHTHERIA TOXOIDS (Td) 2U2U0.5ML INJ	$248.25	$248.25	$68.32–$248.25	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanusdiphtheriapertussis acel (Tdap) BOOSTRIX	$650.00	$650.00	$36.12–$650.00	459% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanusdiphtheriapertussis acel (Tdap) BOOSTRIX	$650.00	$650.00	$178.88–$650.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN VACCINE-SINGLECOMBO	$317.00	$317.00	$4.46–$317.00	205% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN VACCINE-SINGLECOMBO	$317.00	$317.00	$166.42–$317.00	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN VACCINE-EA ADDTNL	$159.00	$159.00	$4.46–$159.00	106% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER-IMMUNIZATION ADMIN VACCINE-EA ADDTNL	$343.00	$343.00	$4.46–$2,254.00	343% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN VACCINE-EA ADDTNL	$159.00	$159.00	$83.48–$159.00	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ER-IMMUNIZATION ADMIN VACCINE-EA ADDTNL	$343.00	$343.00	$180.08–$343.00	—	—

Source file: https://www.chapmanglobalmedicalcenter.com/csv/v4/550883864_chapman-global-medical-center_standardcharges.csv