Hospital Waterloo-Cedar Falls, IA

Grundy County Memorial Hospital

Grundy County Memorial Hospital in Grundy Center, IA publishes cash prices for 320 common procedures listed here, from its own machine-readable price file updated Jun 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Iowa median for 176 of 314 procedures and above it for 135. By typical cash price it ranks #33 of 85 Iowa hospitals and #4 of 6 hospitals in the Waterloo, IA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

201 East J Avenue, Grundy Center, Iowa 50638-2096 Collected Sep 29, 2026 Source price file (319) 824-5421

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 161303 · CMS hospital register NPI 1821055989

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 2 actions for a hospital named Grundy County Memorial Hospital in Grundy Center, IA:

Jul 17, 2025 Warning notice
Jul 30, 2025 Case closed

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W WO CONTRAST	$1,462.40	$1,828.00	$987.00–$1,736.00	25% below	20%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W WO CONTRAST	$1,462.40	$1,828.00	$1,188.00–$1,828.00	—	20%
Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS	$285.60	$357.00	$267.00–$339.00	14% above	20%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS	$285.60	$357.00	$232.00–$357.00	—	20%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE MIN 3 VIEWS	$269.60	$337.00	$165.00–$320.00	21% above	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE MIN 3 VIEWS	$269.60	$337.00	$219.00–$337.00	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS	$498.40	$623.00	$305.00–$591.00	47% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS	$498.40	$623.00	$404.00–$623.00	—	20%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTR WO CONTRAST	$904.80	$1,131.00	$554.00–$1,074.00	25% below	20%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTR WO CONTRAST	$904.80	$1,131.00	$735.00–$1,131.00	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE IMAGING WHOLE BODY	$1,696.80	$2,121.00	$1,039.00–$2,014.00	38% above	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE IMAGING WHOLE BODY	$1,696.80	$2,121.00	$1,378.00–$2,121.00	—	20%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST COMPLETE	$433.60	$542.00	$265.00–$514.00	21% above	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST COMPLETE	$433.60	$542.00	$352.00–$542.00	—	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST LIMITED	$271.20	$339.00	$166.00–$322.00	26% below	20%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST LIMITED	$271.20	$339.00	$220.00–$339.00	—	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD AND PELV WO W CONTRAST	$2,876.00	$3,595.00	$1,761.00–$3,415.00	3% below	20%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD AND PELV WO W CONTRAST	$2,876.00	$3,595.00	$2,336.00–$3,595.00	—	20%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W WO CONTRAST	$1,474.40	$1,843.00	$1,382.00–$1,750.00	24% below	20%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD W WO CONTRAST	$1,474.40	$1,843.00	$1,197.00–$1,843.00	—	20%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W WO CONTRAST	$1,481.60	$1,852.00	$907.00–$1,759.00	29% below	20%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W WO CONTRAST	$1,481.60	$1,852.00	$1,203.00–$1,852.00	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST W WO CONTRAST	$2,322.40	$2,903.00	$2,177.00–$2,757.00	9% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST W WO CONTRAST	$2,322.40	$2,903.00	$1,886.00–$2,903.00	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$2,224.00	$2,780.00	$2,085.00	15% below	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$2,224.00	$2,780.00	$1,807.00–$2,780.00	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$2,747.20	$3,434.00	$2,575.00	14% below	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$2,747.20	$3,434.00	$2,232.00–$3,434.00	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W WO CONTR 1+ REG/SEC	$3,020.00	$3,775.00	$2,283.00–$3,586.00	12% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W WO CONTR 1+ REG/SEC	$3,020.00	$3,775.00	$2,453.00–$3,775.00	—	20%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$1,318.40	$1,648.00	$807.00–$1,565.00	21% below	20%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$1,318.40	$1,648.00	$1,071.00–$1,648.00	—	20%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,057.60	$1,322.00	$647.00–$1,255.00	20% below	20%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,057.60	$1,322.00	$859.00–$1,322.00	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$790.40	$988.00	$741.00–$938.00	39% below	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$790.40	$988.00	$642.00–$988.00	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN WO CONTRAST	$1,340.80	$1,676.00	$1,257.00	at median	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN WO CONTRAST	$1,340.80	$1,676.00	$1,089.00–$1,676.00	—	20%
CT scan of the head with contrast CPT 70460 HC CT HEAD OR BRAIN W CONTRAST	$1,446.40	$1,808.00	$885.00–$1,717.00	4% below	20%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD OR BRAIN W CONTRAST	$1,446.40	$1,808.00	$1,175.00–$1,808.00	—	20%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD OR BRAIN W WO CONTRAST	$1,852.00	$2,315.00	$1,134.00–$2,199.00	3% above	20%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD OR BRAIN W WO CONTRAST	$1,852.00	$2,315.00	$1,504.00–$2,315.00	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$925.60	$1,157.00	$647.00–$1,099.00	39% below	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$925.60	$1,157.00	$752.00–$1,157.00	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CONTRAST	$1,192.00	$1,490.00	$1,117.00–$1,415.00	21% below	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO CONTRAST	$1,192.00	$1,490.00	$968.00–$1,490.00	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,272.80	$1,591.00	$779.00–$1,511.00	27% below	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,272.80	$1,591.00	$1,034.00–$1,591.00	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN; BILAT	$1,112.80	$1,391.00	$751.00–$1,321.00	—	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN; BILAT	$1,112.80	$1,391.00	$904.00–$1,391.00	—	20%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST W WO CONTRAST DIAG	$1,539.20	$1,924.00	$942.00–$1,827.00	21% below	20%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W WO CONTRAST DIAG	$1,539.20	$1,924.00	$1,250.00–$1,924.00	—	20%
Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS	$190.40	$238.00	$178.00	8% below	20%
Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS	$190.40	$238.00	$154.00–$238.00	—	20%
Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW	$149.60	$187.00	$140.00	11% below	20%
Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW	$149.60	$187.00	$121.00–$187.00	—	20%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE	$261.60	$327.00	$160.00–$310.00	39% above	20%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE	$261.60	$327.00	$212.00–$327.00	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US EXAM RETROPERITONEAL COMPL	$741.60	$927.00	$454.00–$880.00	21% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US EXAM RETROPERITONEAL COMPL	$741.60	$927.00	$602.00–$927.00	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL	$465.60	$582.00	$436.00–$552.00	18% above	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL	$465.60	$582.00	$378.00–$582.00	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST DIAG	$956.00	$1,195.00	$896.00–$1,135.00	31% below	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST DIAG	$956.00	$1,195.00	$776.00–$1,195.00	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST DIAG	$1,330.40	$1,663.00	$1,247.00–$1,579.00	25% below	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST DIAG	$1,330.40	$1,663.00	$1,080.00–$1,663.00	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BILAT	$259.20	$324.00	$158.00–$307.00	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BILAT	$259.20	$324.00	$210.00–$324.00	—	20%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNIL	$265.60	$332.00	$162.00–$315.00	9% below	20%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNIL	$265.60	$332.00	$215.00–$332.00	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG; BILAT	$1,108.80	$1,386.00	$679.00–$1,316.00	—	20%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG; BILAT	$1,108.80	$1,386.00	$900.00–$1,386.00	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXT VEINS; BILAT	$917.60	$1,147.00	$562.00–$1,089.00	—	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXT VEINS; BILAT	$917.60	$1,147.00	$745.00–$1,147.00	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/ DOPPLER COMPLETE	$1,490.40	$1,863.00	$1,397.00	2% below	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/ DOPPLER COMPLETE	$1,490.40	$1,863.00	$1,210.00–$1,863.00	—	20%
Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VIEWS	$109.60	$137.00	$67.00–$130.00	31% below	20%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VIEWS	$109.60	$137.00	$89.00–$137.00	—	20%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS	$291.20	$364.00	$178.00–$345.00	34% above	20%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS	$291.20	$364.00	$236.00–$364.00	—	20%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA MID INNER EAR WO CONTR	$1,078.40	$1,348.00	$660.00–$1,280.00	17% below	20%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT SELLA MID INNER EAR WO CONTR	$1,078.40	$1,348.00	$876.00–$1,348.00	—	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES MIN 3 VIEWS	$372.00	$465.00	$227.00–$441.00	38% above	20%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES MIN 3 VIEWS	$372.00	$465.00	$302.00–$465.00	—	20%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS	$252.00	$315.00	$154.00–$299.00	30% above	20%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS	$252.00	$315.00	$204.00–$315.00	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING	$1,884.80	$2,356.00	$1,154.00–$2,238.00	57% above	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING	$1,884.80	$2,356.00	$1,531.00–$2,356.00	—	20%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEWS	$159.20	$199.00	$97.00–$189.00	2% below	20%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEWS	$159.20	$199.00	$129.00–$199.00	—	20%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS MIN 2 VIEWS	$104.80	$131.00	$64.00–$124.00	37% below	20%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS MIN 2 VIEWS	$104.80	$131.00	$85.00–$131.00	—	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATT & RESP EFFT	$776.80	$971.00	$587.00–$922.00	40% above	20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATT & RESP EFFT	$776.80	$971.00	$631.00–$971.00	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC PSS W 4/> PARAM W CPAP/BIPAP 6+ YRS	$3,299.20	$4,124.00	$2,226.00–$3,917.00	5% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC PSS W 4/> PARAM W CPAP/BIPAP 6+ YRS	$3,299.20	$4,124.00	$2,680.00–$4,124.00	—	20%
Knee X-ray, 3 views CPT 73562 HC KNEE 3 VIEWS	$297.60	$372.00	$182.00–$353.00	40% above	20%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VIEWS	$297.60	$372.00	$241.00–$372.00	—	20%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE MIN 4 VIEWS	$355.20	$444.00	$217.00–$421.00	30% above	20%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE MIN 4 VIEWS	$355.20	$444.00	$288.00–$444.00	—	20%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTR WO CONTRAST	$916.00	$1,145.00	$561.00–$1,087.00	31% below	20%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTR WO CONTRAST	$916.00	$1,145.00	$744.00–$1,145.00	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US EXAM ABDOMEN LIMITED	$462.40	$578.00	$433.00–$549.00	4% below	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US EXAM ABDOMEN LIMITED	$462.40	$578.00	$375.00–$578.00	—	20%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US XTR NON-VASC LTD	$350.40	$438.00	$214.00–$416.00	at median	20%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US XTR NON-VASC LTD	$350.40	$438.00	$284.00–$438.00	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCREEN	$293.60	$367.00	$222.00–$275.00	32% below	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCREEN	$293.60	$367.00	$238.00–$367.00	—	20%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA FIBULA 2 VIEWS	$148.80	$186.00	$91.00–$176.00	22% below	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA FIBULA 2 VIEWS	$148.80	$186.00	$120.00–$186.00	—	20%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$1,501.60	$1,877.00	$919.00–$1,783.00	34% below	20%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$1,501.60	$1,877.00	$1,220.00–$1,877.00	—	20%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W WO CONTRAST W/CAD BILAT	$1,765.60	$2,207.00	$1,655.00–$2,096.00	—	20%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W WO CONTRAST W/CAD BILAT	$1,765.60	$2,207.00	$1,434.00–$2,207.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXTR ANY JOINT WO CONTRAST	$3,411.20	$4,264.00	$2,089.00–$4,050.00	52% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXTR ANY JOINT WO CONTRAST	$3,411.20	$4,264.00	$2,771.00–$4,264.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXTR ANY JOINT W WO CONTR	$4,412.00	$5,515.00	$2,702.00–$5,239.00	39% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXTR ANY JOINT W WO CONTR	$4,412.00	$5,515.00	$3,584.00–$5,515.00	—	20%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,439.20	$1,799.00	$881.00–$1,709.00	31% below	20%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,439.20	$1,799.00	$1,169.00–$1,799.00	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W WO CONTRAST	$2,732.80	$3,416.00	$1,673.00–$3,245.00	20% below	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W WO CONTRAST	$2,732.80	$3,416.00	$2,220.00–$3,416.00	—	20%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST	$1,626.40	$2,033.00	$1,524.00–$1,931.00	29% below	20%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST	$1,626.40	$2,033.00	$1,321.00–$2,033.00	—	20%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W WO CONTRAST	$2,220.80	$2,776.00	$2,082.00	37% below	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W WO CONTRAST	$2,220.80	$2,776.00	$1,804.00–$2,776.00	—	20%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST	$1,301.60	$1,627.00	$1,220.00	45% below	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST	$1,301.60	$1,627.00	$1,057.00–$1,627.00	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W WO CONTRAST	$2,775.20	$3,469.00	$1,942.00–$3,295.00	19% below	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W WO CONTRAST	$2,775.20	$3,469.00	$2,254.00–$3,469.00	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC WO CONTRAST	$1,626.40	$2,033.00	$1,138.00–$1,931.00	30% below	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC WO CONTRAST	$1,626.40	$2,033.00	$1,321.00–$2,033.00	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W WO CONTRAST	$2,931.20	$3,664.00	$1,795.00–$3,480.00	11% below	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W WO CONTRAST	$2,931.20	$3,664.00	$2,381.00–$3,664.00	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL WO CONTRAST	$1,301.60	$1,627.00	$797.00–$1,545.00	43% below	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL WO CONTRAST	$1,301.60	$1,627.00	$1,057.00–$1,627.00	—	20%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W WO CONTRAST	$2,775.20	$3,469.00	$2,601.00–$3,295.00	14% below	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W WO CONTRAST	$2,775.20	$3,469.00	$2,254.00–$3,469.00	—	20%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$1,423.20	$1,779.00	$871.00–$1,690.00	31% below	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$1,423.20	$1,779.00	$1,156.00–$1,779.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXTR ANY JOINT WO CONTRAST	$1,428.00	$1,785.00	$874.00–$1,695.00	35% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXTR ANY JOINT WO CONTRAST	$1,428.00	$1,785.00	$1,160.00–$1,785.00	—	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC CERVICAL SPINE MIN 4 VIEWS	$153.60	$192.00	$94.00–$182.00	53% below	20%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC CERVICAL SPINE MIN 4 VIEWS	$153.60	$192.00	$124.00–$192.00	—	20%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,189.60	$1,487.00	$728.00–$1,412.00	26% below	20%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,189.60	$1,487.00	$966.00–$1,487.00	—	20%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,010.40	$1,263.00	$618.00–$1,199.00	20% below	20%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,010.40	$1,263.00	$820.00–$1,263.00	—	20%
Neck soft tissue X-ray CPT 70360 HC SOFT TISSUE NECK	$268.80	$336.00	$164.00–$252.00	53% above	20%
Neck soft tissue X-ray inpatient CPT 70360 HC SOFT TISSUE NECK	$268.80	$336.00	$218.00–$336.00	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM HEART MUSCLE SPECT MULT	$2,800.80	$3,501.00	$2,118.00–$3,325.00	at median	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM HEART MUSCLE SPECT MULT	$2,800.80	$3,501.00	$2,275.00–$3,501.00	—	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC NM PET IMAGE W CT SKULL THIGH	$3,997.60	$4,997.00	$2,448.00–$4,747.00	5% below	20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC NM PET IMAGE W CT SKULL THIGH	$3,997.60	$4,997.00	$3,248.00–$4,997.00	—	20%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$1,040.00	$1,300.00	$637.00–$1,235.00	19% below	20%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$1,040.00	$1,300.00	$845.00–$1,300.00	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LTD	$142.40	$178.00	$87.00–$169.00	59% below	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LTD	$142.40	$178.00	$115.00–$178.00	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US EXAM PELVIC COMP TRANSABDOMINAL	$768.80	$961.00	$470.00–$912.00	42% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US EXAM PELVIC COMP TRANSABDOMINAL	$768.80	$961.00	$624.00–$961.00	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB COMPLETE SNGL FETUS	$740.00	$925.00	$453.00–$878.00	34% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB COMPLETE SNGL FETUS	$740.00	$925.00	$601.00–$925.00	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED FETUS(S)	$266.40	$333.00	$163.00–$316.00	21% below	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED FETUS(S)	$266.40	$333.00	$216.00–$333.00	—	20%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$190.40	$238.00	$116.00–$226.00	10% below	20%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$190.40	$238.00	$154.00–$238.00	—	20%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS CHEST UNIL MIN 3 VIEWS	$247.20	$309.00	$151.00–$293.00	14% below	20%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS CHEST UNIL MIN 3 VIEWS	$247.20	$309.00	$200.00–$309.00	—	20%
Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO INCL CAD BILAT	$248.80	$311.00	$233.00	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO INCL CAD BILAT	$248.80	$311.00	$202.00–$311.00	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER MIN 2 VIEWS	$244.00	$305.00	$149.00–$289.00	6% above	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER MIN 2 VIEWS	$244.00	$305.00	$198.00–$305.00	—	20%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES MIN 3 VIEWS	$248.80	$311.00	$152.00–$295.00	2% above	20%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES MIN 3 VIEWS	$248.80	$311.00	$202.00–$311.00	—	20%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL LESS THAN 4 VIEWS	$127.20	$159.00	$77.00–$151.00	38% below	20%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL LESS THAN 4 VIEWS	$127.20	$159.00	$103.00–$159.00	—	20%
Sleep study in a lab (polysomnography) CPT 95810 HC PSS W 4/> PARAM W TECH 6+ YRS	$3,256.80	$4,071.00	$1,994.00–$3,867.00	13% above	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC PSS W 4/> PARAM W TECH 6+ YRS	$3,256.80	$4,071.00	$2,646.00–$4,071.00	—	20%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VW	$231.20	$289.00	$141.00–$274.00	18% above	20%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VW	$231.20	$289.00	$187.00–$289.00	—	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO CONTRAST	$1,188.80	$1,486.00	$728.00–$1,411.00	14% below	20%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE WO CONTRAST	$1,188.80	$1,486.00	$965.00–$1,486.00	—	20%
Toe X-ray, 2 or more views CPT 73660 HC TOE OR TOES MIN 2 VIEWS	$200.80	$251.00	$122.00–$238.00	17% above	20%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE OR TOES MIN 2 VIEWS	$200.80	$251.00	$163.00–$251.00	—	20%
Transvaginal pelvic ultrasound CPT 76830 HC US NON OB TRANSVAG	$665.60	$832.00	$407.00–$624.00	30% above	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US NON OB TRANSVAG	$665.60	$832.00	$540.00–$832.00	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL	$372.80	$466.00	$228.00–$442.00	18% below	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL	$372.80	$466.00	$302.00–$466.00	—	20%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE	$944.80	$1,181.00	$578.00–$1,121.00	36% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE	$944.80	$1,181.00	$767.00–$1,181.00	—	20%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS	$617.60	$772.00	$378.00–$733.00	14% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS	$617.60	$772.00	$501.00–$772.00	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$563.20	$704.00	$528.00–$668.00	21% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$563.20	$704.00	$457.00–$704.00	—	20%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS MIN 2 VIEWS	$101.60	$127.00	$62.00–$120.00	45% below	20%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS MIN 2 VIEWS	$101.60	$127.00	$82.00–$127.00	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXT VEINS UNIL/LIMIT	$672.80	$841.00	$412.00–$798.00	4% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXT VEINS UNIL/LIMIT	$672.80	$841.00	$546.00–$841.00	—	20%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEWS	$203.20	$254.00	$124.00–$241.00	11% above	20%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEWS	$203.20	$254.00	$165.00–$254.00	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPL MIN 3 VIEWS	$267.20	$334.00	$163.00–$317.00	21% above	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPL MIN 3 VIEWS	$267.20	$334.00	$217.00–$334.00	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS	$223.20	$279.00	$136.00–$265.00	7% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS	$223.20	$279.00	$181.00–$279.00	—	20%
X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW	$149.60	$187.00	$140.00–$177.00	15% below	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW	$149.60	$187.00	$121.00–$187.00	—	20%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$128.80	$161.00	$78.00–$152.00	23% below	20%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$128.80	$161.00	$104.00–$161.00	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2 VIEWS	$228.00	$285.00	$139.00–$270.00	35% above	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2 VIEWS	$228.00	$285.00	$185.00–$285.00	—	20%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEWS	$90.40	$113.00	$55.00–$107.00	44% below	20%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEWS	$90.40	$113.00	$73.00–$113.00	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT MIN 3 VIEWS	$267.20	$334.00	$163.00–$317.00	23% above	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT MIN 3 VIEWS	$267.20	$334.00	$217.00–$334.00	—	20%
X-ray of the hand, 3 or more views CPT 73130 HC HAND MIN 3 VIEWS	$191.20	$239.00	$117.00–$227.00	6% below	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND MIN 3 VIEWS	$191.20	$239.00	$155.00–$239.00	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1 OR 2 VIEWS	$196.00	$245.00	$120.00–$232.00	at median	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1 OR 2 VIEWS	$196.00	$245.00	$159.00–$245.00	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBOSACR SPINE 2 OR 3 VIEWS	$171.20	$214.00	$160.00–$203.00	40% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBOSACR SPINE 2 OR 3 VIEWS	$171.20	$214.00	$139.00–$214.00	—	20%
X-ray of the lower back, 4 or more views CPT 72110 HC LUMBOSACR SPINE MIN 4 VIEWS	$428.80	$536.00	$289.00–$509.00	22% above	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBOSACR SPINE MIN 4 VIEWS	$428.80	$536.00	$348.00–$536.00	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2 VIEWS	$100.80	$126.00	$61.00–$119.00	60% below	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2 VIEWS	$100.80	$126.00	$81.00–$126.00	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES MIN 3 VIEWS	$199.20	$249.00	$122.00–$236.00	1% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES MIN 3 VIEWS	$199.20	$249.00	$161.00–$249.00	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE 2 OR 3 VIEWS	$97.60	$122.00	$59.00–$115.00	61% below	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE 2 OR 3 VIEWS	$97.60	$122.00	$79.00–$122.00	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$159.20	$199.00	$120.00–$189.00	19% below	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$159.20	$199.00	$129.00–$199.00	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM COCCYX MIN 2 VIEWS	$147.20	$184.00	$90.00–$138.00	33% below	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM COCCYX MIN 2 VIEWS	$147.20	$184.00	$119.00–$184.00	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIN MACTH QC/Q/Z/D/E/L/M/N/O/P/R/S/T/W/X/C1/S1/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$209.62	$262.03	$128.00–$248.00	26% above	20%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIN MACTH QC/Q/Z/D/E/L/M/N/O/P/R/S/T/W/X/C1/S1/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$209.62	$262.03	$170.00–$262.00	—	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) /ALL	$29.66	$37.08	$18.00–$27.00	32% below	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) /ALL	$29.66	$37.08	$24.00–$37.00	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) /ALL	$29.66	$37.08	$18.00–$27.00	26% below	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) /ALL	$29.66	$37.08	$24.00–$37.00	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PNL Q/QC/A/D/F/G/S/N/W1/F1	$210.12	$262.65	$128.00–$249.00	11% below	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PNL Q/QC/A/D/F/G/S/N/W1/F1	$210.12	$262.65	$170.00–$262.00	—	20%
Albumin blood test CPT 82040 ALBUMIN /ALL	$24.72	$30.90	$15.00–$29.00	31% below	20%
Albumin blood test CPT 82040 TESTOSTERONE, BIOAVAILABLE FREE & TOT MFFBTT	$76.00	$95.00	$46.00–$90.00	111% above	20%
Albumin blood test inpatient CPT 82040 ALBUMIN /ALL	$24.72	$30.90	$20.00–$30.00	—	20%
Albumin blood test inpatient CPT 82040 TESTOSTERONE, BIOAVAILABLE FREE & TOT MFFBTT	$76.00	$95.00	$61.00–$95.00	—	20%
Aldosterone blood test CPT 82088 ALDOSTERONE MALDS QC/Q/Z/A/D/E/F/G/J/L/N/O/S/T/W/X/S1/P/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$201.88	$252.35	$123.00–$239.00	15% above	20%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE MALDU QC/Q/A/D/F/G/L/M/P/S/W/X/C1/S1/N/O/L1/W1/PL/J/E/G1/F1/C2/P1/V/Y/M2/T	$247.20	$309.00	$151.00–$293.00	41% above	20%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE MALDS QC/Q/Z/A/D/E/F/G/J/L/N/O/S/T/W/X/S1/P/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$201.88	$252.35	$164.00–$252.00	—	20%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE MALDU QC/Q/A/D/F/G/L/M/P/S/W/X/C1/S1/N/O/L1/W1/PL/J/E/G1/F1/C2/P1/V/Y/M2/T	$247.20	$309.00	$200.00–$309.00	—	20%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHO,TOT AND ISO MALKP QC/Q/Z/C/D/N/X/W1/L/M/W/A/PL/E/G1/F1/C2/P1/V/Y/M2/S1	$28.84	$36.05	$17.00–$27.00	30% below	20%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS /ALL	$28.84	$36.05	$17.00–$27.00	30% below	20%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS /ALL	$28.84	$36.05	$23.00–$36.00	—	20%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHO,TOT AND ISO MALKP QC/Q/Z/C/D/N/X/W1/L/M/W/A/PL/E/G1/F1/C2/P1/V/Y/M2/S1	$28.84	$36.05	$23.00–$36.00	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP PROFILE REG 8 MRPR8 X/QC/Q/F/G/PMP/A/T/W1	$20.60	$25.75	$12.00–$24.00	47% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 STINGING INSECT VENOM,IgE L/M/W/PL	$24.72	$30.90	$15.00–$29.00	37% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 GUINEA PIG EPITH ALR MGUIN QC/Q/L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$31.40	$39.25	$19.00–$37.00	19% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TRICHOSPOR PULLANS IGE MTRPU L/M/W/S1/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$42.84	$53.56	$26.00–$50.00	10% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS ALLERG QC/V/Y/D/S/N/C2/P1/F1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 YEL FACE HORNET VEN MYFHV L/M/W/L1/C1/O/PL/J/P/E/G1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE FAC HORNET VEN MWFHV L/W/M/S1/L1/C1/O/PL/J/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BEAN ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPER/COMMON WASP IgE	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH TREE ALLER QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA FISH ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TREE ALLERGEN PANEL D/S/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA ALLERGEN IgE MTILAP D/L/M/O/S/W/N/L1/PL/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERG V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE POTATO ALLERG D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE ALLERGEN D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED ALLER D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO ALLERGN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED ALLERG QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON FISH ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE WEED QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP ALLERG PROFILE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM N MOLD QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO NUT ALLERG D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED ALLERGEN MRRRP QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN W REFLEX /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK TREE ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TREE NUT COMPONENTS /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003X8 PL	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY ALLERGEN QC/V/Y/P1/L/M/W/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS IGE D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO SPP., IGE MSPP Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL ALLERGEN MMOLD1 D/L/M/S/W/S1/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN W REFLEX /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COW MILK ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 MELONS ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTER WEED D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH ALLERGEN D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI ALLERGEN MKIWI QC/Q/L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNE/KENT BLUE GRASS D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003X3 PL	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS ALLERG D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT ALLERGEN QC/V/D/S/N/P1/F1/L/M/W/PL/M2/X	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSE EPI ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT MILK ALLERGEN MGMILK QC/Q/D/S/L/M/W/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 GIANT RAGWEED ALLERG MGRW QC/Q/L/W/M/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEA ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGEN MGLT QC/Q/J/L/M/W/S1/Z/L1/PL/O/C1/P/E/G1/F/G/PMP/A/X/T/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM OXYSPOR,IgE MFFOVE L/M/N/W/S1/S/D/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEY PROFILE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN AL D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM TREE ALELRGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG ALLEGEN W REFLEX /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003X2 PL	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO P DUST MITE QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO F DUST MITE QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 DAIRY AND GRAIN ALLERGEN PROFILE DAGRM Z/F1/C2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COW EPI ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD TREE ALRG QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN POLLEN ALLERGEN MCRNP L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN ALLERGEN QC/V/Y/D/S/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COD FISH ALLERGEN QC/V/Y/D/S/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM ALLERGEN QC/V/Y/D/S/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/COCOA ALRG D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM H MOLD QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHER ALRG MCHCK L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET CHESTNUT ALLER D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPI ALLERGEN Q/QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT ALLERGEN MBUCW D/S/L/M/W/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BURWEED MARSHELDER D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT ALLERGEN D/S/V/P1/Y/Q/QC/C2/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER/MAPLE TREE QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SILVER BIRCH TREE AL D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA T MOLD QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 A PULLULANS IGE D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 AMPICILLIN ALLERGEN MAMP QC/Q/D/L/M/S/W/S1/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN ALLERGEN MAMOXY D/L/M/N/S/W//S1/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND NUT ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket Wasp,IgE L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Trout, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Pine Nut, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin V, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin G, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Mugwort, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Epithelium, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Lentil, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Honeybee Venom, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Halibut, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Green String Bean, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Garlic, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Curvularia lunata, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Chick Pea, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus niger, IgE /L/M/W/PL/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS F MOLD QC/V/Y/D/S/N/C2/P1/F1/M2	$48.56	$60.71	$29.00–$57.00	25% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 SAGE ALLERGEN IGE MFSAG L/M/W/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$58.28	$72.85	$35.00–$69.00	49% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 HADDOCK IGE FHADE Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$65.39	$81.74	$40.00–$77.00	68% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH,IGE MFCATE QC/Q/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/W1	$65.39	$81.74	$40.00–$77.00	68% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 POLLOCK WHITE IGE MFPOLE QC/Q/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/W1	$65.39	$81.74	$40.00–$77.00	68% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CAYENNE PEPPER, IGE MFPCYE D/L/M/S/W/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$68.00	$85.00	$41.00–$80.00	74% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW TREE ALLERGEN D/S/F1/L/M/W/PL/M2	$71.09	$88.87	$43.00–$84.00	82% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$71.09	$88.87	$43.00–$84.00	82% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR RED IGE MFRCE D/N/S/F1/C2/P1/V/Y/F/G/PMP/A/QC/Q/W1	$75.03	$93.79	$45.00–$89.00	92% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 TUMERIC ALLERGEN IGE MFCTUR L/M/W/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$75.03	$93.79	$45.00–$89.00	92% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN SMUT IGE MFCRNS D/N/S/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$75.03	$93.79	$45.00–$89.00	92% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMINE DYE/RED DYE (COCHINEAL) IGE FCRDE Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$75.03	$93.79	$45.00–$89.00	92% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 HELM SATIVUM IgE FHSSE L/M/W/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$75.03	$93.79	$45.00–$89.00	92% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE, IGE FCOFE Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$84.04	$105.06	$51.00–$99.00	115% above	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP PROFILE REG 8 MRPR8 X/QC/Q/F/G/PMP/A/T/W1	$20.60	$25.75	$16.00–$25.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STINGING INSECT VENOM,IgE L/M/W/PL	$24.72	$30.90	$20.00–$30.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUINEA PIG EPITH ALR MGUIN QC/Q/L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$31.40	$39.25	$25.00–$39.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TRICHOSPOR PULLANS IGE MTRPU L/M/W/S1/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$42.84	$53.56	$34.00–$53.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Curvularia lunata, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus niger, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS F MOLD QC/V/Y/D/S/N/C2/P1/F1/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE FAC HORNET VEN MWFHV L/W/M/S1/L1/C1/O/PL/J/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH TREE ALLER QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA T MOLD QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A PULLULANS IGE D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMPICILLIN ALLERGEN MAMP QC/Q/D/L/M/S/W/S1/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN ALLERGEN MAMOXY D/L/M/N/S/W//S1/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND NUT ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket Wasp,IgE L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trout, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pine Nut, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin V, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin G, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwort, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Epithelium, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lettuce, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lentil, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHORT RAGWEED ALLERG QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO ALLERGN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED ALLER D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE ALLERGEN D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE POTATO ALLERG D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS ALLERG V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA ALLERGEN IgE MTILAP D/L/M/O/S/W/N/L1/PL/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honeybee Venom, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Halibut, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green String Bean, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Garlic, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chick Pea, IgE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER/COMMON WASP IgE	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE BEAN ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA FISH ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEL FACE HORNET VEN MYFHV L/M/W/L1/C1/O/PL/J/P/E/G1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE ALLERGEN PANEL D/S/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE WEED QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP ALLERG PROFILE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM N MOLD QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO NUT ALLERG D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED ALLERGEN MRRRP QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN W REFLEX /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK TREE ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE NUT COMPONENTS /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003X8 PL	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY ALLERGEN QC/V/Y/P1/L/M/W/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS IGE D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO SPP., IGE MSPP Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL ALLERGEN MMOLD1 D/L/M/S/W/S1/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGEN W REFLEX /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW MILK ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTER WEED D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH ALLERGEN D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI ALLERGEN MKIWI QC/Q/L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE/KENT BLUE GRASS D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003X3 PL	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS ALLERG D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT ALLERGEN QC/V/D/S/N/P1/F1/L/M/W/PL/M2/X	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE EPI ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT MILK ALLERGEN MGMILK QC/Q/D/S/L/M/W/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GIANT RAGWEED ALLERG MGRW QC/Q/L/W/M/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/T/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEA ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN ALLERGEN MGLT QC/Q/J/L/M/W/S1/Z/L1/PL/O/C1/P/E/G1/F/G/PMP/A/X/T/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM OXYSPOR,IgE MFFOVE L/M/N/W/S1/S/D/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEY PROFILE /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN AL D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM TREE ALELRGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG ALLEGEN W REFLEX /L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON FISH ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003X2 PL	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATO P DUST MITE QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP ALLERGEN QC/V/Y/D/S/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATO F DUST MITE QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DAIRY AND GRAIN ALLERGEN PROFILE DAGRM Z/F1/C2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW EPI ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD TREE ALRG QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN POLLEN ALLERGEN MCRNP L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN ALLERGEN QC/V/Y/D/S/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD FISH ALLERGEN QC/V/Y/D/S/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM ALLERGEN QC/V/Y/D/S/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE/COCOA ALRG D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM H MOLD QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHER ALRG MCHCK L/M/W/S1/L1/PL/O/J/C1/P/E/G1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET CHESTNUT ALLER D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPI ALLERGEN Q/QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT ALLERGEN D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT ALLERGEN MBUCW D/S/L/M/W/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BURWEED MARSHELDER D/N/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT ALLERGEN D/S/V/P1/Y/Q/QC/C2/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELDER/MAPLE TREE QC/V/Y/D/S/N/C2/P1/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SILVER BIRCH TREE AL D/S/N/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS ALLERG QC/V/Y/D/S/N/C2/P1/F1	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY ALLERGEN D/S/F1/L/M/W/PL/M2	$48.56	$60.71	$39.00–$60.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE ALLERGEN IGE MFSAG L/M/W/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$58.28	$72.85	$47.00–$72.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HADDOCK IGE FHADE Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$65.39	$81.74	$53.00–$81.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH,IGE MFCATE QC/Q/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/W1	$65.39	$81.74	$53.00–$81.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POLLOCK WHITE IGE MFPOLE QC/Q/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/W1	$65.39	$81.74	$53.00–$81.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAYENNE PEPPER, IGE MFPCYE D/L/M/S/W/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$68.00	$85.00	$55.00–$85.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN QC/V/Y/D/S/N/P1/F1/L/M/W/PL/M2	$71.09	$88.87	$57.00–$88.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW TREE ALLERGEN D/S/F1/L/M/W/PL/M2	$71.09	$88.87	$57.00–$88.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN SMUT IGE MFCRNS D/N/S/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$75.03	$93.79	$60.00–$93.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUMERIC ALLERGEN IGE MFCTUR L/M/W/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$75.03	$93.79	$60.00–$93.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELM SATIVUM IgE FHSSE L/M/W/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$75.03	$93.79	$60.00–$93.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR RED IGE MFRCE D/N/S/F1/C2/P1/V/Y/F/G/PMP/A/QC/Q/W1	$75.03	$93.79	$60.00–$93.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMINE DYE/RED DYE (COCHINEAL) IGE FCRDE Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$75.03	$93.79	$60.00–$93.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE, IGE FCOFE Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$84.04	$105.06	$68.00–$105.00	—	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER QC/V/Z/Y/D/I/J/L/M/N/O/P/R/C1/S1/L1/C2/P1/X/PL/G1/F1/M2	$49.44	$61.80	$30.00–$58.00	45% below	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER QC/V/Z/Y/D/I/J/L/M/N/O/P/R/C1/S1/L1/C2/P1/X/PL/G1/F1/M2	$49.44	$61.80	$40.00–$61.00	—	20%
Ammonia blood test CPT 82140 AMMONIA QC/V/Z/Y/A/B/D/E/F/J/L/M/N/O/P/R/S/U/W/X/C1/S1/L1/P1/W1/R1/PL/G1/F1/M2/B1/K	$88.16	$110.21	$54.00–$104.00	at median	20%
Ammonia blood test CPT 82140 AMMONIA F/H/T/Q/C1/C2/V1	$100.12	$125.15	$61.00–$118.00	14% above	20%
Ammonia blood test CPT 82140 SUPERSATURATION, U MSUP24 L/M/O/R/W/L1/W1/PL/J/P/E/G1/F1/P1/V/Y/M2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q	$140.16	$175.20	$85.00–$166.00	59% above	20%
Ammonia blood test inpatient CPT 82140 AMMONIA QC/V/Z/Y/A/B/D/E/F/J/L/M/N/O/P/R/S/U/W/X/C1/S1/L1/P1/W1/R1/PL/G1/F1/M2/B1/K	$88.16	$110.21	$71.00–$110.00	—	20%
Ammonia blood test inpatient CPT 82140 AMMONIA F/H/T/Q/C1/C2/V1	$100.12	$125.15	$81.00–$125.00	—	20%
Ammonia blood test inpatient CPT 82140 SUPERSATURATION, U MSUP24 L/M/O/R/W/L1/W1/PL/J/P/E/G1/F1/P1/V/Y/M2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q	$140.16	$175.20	$113.00–$175.00	—	20%
Amylase blood test CPT 82150 AMYLASE FLUID QC/V/Z/Y/A/D/E/F/G/L/M/Q/R/S/T/X/W/C1/N/C2/L1/H/O/P1/W1/R1/PL/P/G1/F1/M2	$38.72	$48.41	$23.00–$45.00	27% below	20%
Amylase blood test CPT 82150 AMYLASE /ALL	$38.72	$48.41	$23.00–$45.00	27% below	20%
Amylase blood test inpatient CPT 82150 AMYLASE FLUID QC/V/Z/Y/A/D/E/F/G/L/M/Q/R/S/T/X/W/C1/N/C2/L1/H/O/P1/W1/R1/PL/P/G1/F1/M2	$38.72	$48.41	$31.00–$48.00	—	20%
Amylase blood test inpatient CPT 82150 AMYLASE /ALL	$38.72	$48.41	$31.00–$48.00	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES MAYO MCCP E/J/L/M/O/P/R/W/C1/S1/W1/PL	$118.65	$148.32	$72.00–$140.00	50% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG QC/Y/V/C1/E/J/L/M/N/O/P/R/T/W/S1/L1/C2/P1/R1/X/S/D/N/PL/G1/F1/M2	$118.65	$148.32	$72.00–$140.00	50% above	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES MAYO MCCP E/J/L/M/O/P/R/W/C1/S1/W1/PL	$118.65	$148.32	$96.00–$148.00	—	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IgG QC/Y/V/C1/E/J/L/M/N/O/P/R/T/W/S1/L1/C2/P1/R1/X/S/D/N/PL/G1/F1/M2	$118.65	$148.32	$96.00–$148.00	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 10 PANEL L/M/O/T/W/S1/R/P/J/E/L1/PL/G1/M2	$52.73	$65.92	$32.00–$62.00	28% below	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA W REFLEX C1/E/J/L/M/O/P/R/W/S1/X/PL/G1/M2	$52.73	$65.92	$32.00–$62.00	28% below	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB MANA2 A/T/Z/S1/X/W1	$64.27	$80.34	$39.00–$76.00	12% below	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA W REFLEX C1/E/J/L/M/O/P/R/W/S1/X/PL/G1/M2	$52.73	$65.92	$42.00–$65.00	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA 10 PANEL L/M/O/T/W/S1/R/P/J/E/L1/PL/G1/M2	$52.73	$65.92	$42.00–$65.00	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB MANA2 A/T/Z/S1/X/W1	$64.27	$80.34	$52.00–$80.00	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP E/J/M/N/O/P/Q/QC/D/S/X/Y/Z/C1/C2/L1/P1/PL/G1/M2/B1	$140.08	$175.10	$131.00–$166.00	11% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP A/F/G/H/K/L/M/P/R/T/U/W/C1/M1/S1/W1/R1/V1/F1	$168.92	$211.15	$158.00–$200.00	8% above	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP E/J/M/N/O/P/Q/QC/D/S/X/Y/Z/C1/C2/L1/P1/PL/G1/M2/B1	$140.08	$175.10	$113.00–$175.00	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP A/F/G/H/K/L/M/P/R/T/U/W/C1/M1/S1/W1/R1/V1/F1	$168.92	$211.15	$137.00–$211.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR/EYE D/S/N/F1/A/G/F/W1	$41.20	$51.50	$25.00–$48.00	32% below	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CSF AND GRM STN D/N/S/F1/A/G/F/W1	$42.44	$53.05	$25.00–$50.00	30% below	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CATH TIP S/D/N/F1/A/G/F/W1	$82.40	$103.00	$50.00–$97.00	37% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CREDIT RESP CULTURE /S/D/Q/H/C2/R1	$106.95	$133.69	$65.00–$127.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT WOUND AND GRAM D/N/S/F1/A/G/F/W1	$106.95	$133.69	$65.00–$127.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TISS W GRAM STN D/S/N/F1/A/G/F/W1	$106.95	$133.69	$65.00–$127.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT RESP AND GRAM D/N/S/F1/A/G/F/W1	$106.95	$133.69	$65.00–$127.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT MISC W GRAM STN D/S/F1/A/G/F/W1	$106.95	$133.69	$65.00–$127.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT GENITAL AND GRAM D/N/S/F1/A/G/F/W1	$106.95	$133.69	$65.00–$127.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT FLUID WITH GRAM S/D/N/F1	$106.95	$133.69	$65.00–$127.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EAR/EYE D/S/N/F1/A/G/F/W1	$41.20	$51.50	$33.00–$51.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CSF AND GRM STN D/N/S/F1/A/G/F/W1	$42.44	$53.05	$34.00–$53.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CATH TIP S/D/N/F1/A/G/F/W1	$82.40	$103.00	$66.00–$103.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT WOUND AND GRAM D/N/S/F1/A/G/F/W1	$106.95	$133.69	$86.00–$133.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CREDIT RESP CULTURE /S/D/Q/H/C2/R1	$106.95	$133.69	$86.00–$133.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT TISS W GRAM STN D/S/N/F1/A/G/F/W1	$106.95	$133.69	$86.00–$133.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT RESP AND GRAM D/N/S/F1/A/G/F/W1	$106.95	$133.69	$86.00–$133.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT MISC W GRAM STN D/S/F1/A/G/F/W1	$106.95	$133.69	$86.00–$133.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT GENITAL AND GRAM D/N/S/F1/A/G/F/W1	$106.95	$133.69	$86.00–$133.00	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT FLUID WITH GRAM S/D/N/F1	$106.95	$133.69	$86.00–$133.00	—	20%
Basic metabolic panel (blood test) CPT 80048 BASIC FASTING PNL /ALL	$42.84	$53.56	$40.00	50% below	20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE /ALL	$42.84	$53.56	$40.00	50% below	20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE /ALL	$42.84	$53.56	$34.00–$53.00	—	20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC FASTING PNL /ALL	$42.84	$53.56	$34.00–$53.00	—	20%
Bilirubin blood test, total CPT 82247 NEONATE BILIRUBIN A/B/E/F/G/O/M1/B1/C1/	$28.84	$36.05	$17.00–$34.00	37% below	20%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL /ALL	$28.84	$36.05	$17.00–$34.00	37% below	20%
Bilirubin blood test, total inpatient CPT 82247 NEONATE BILIRUBIN A/B/E/F/G/O/M1/B1/C1/	$28.84	$36.05	$23.00–$36.00	—	20%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL /ALL	$28.84	$36.05	$23.00–$36.00	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH, LEVEL-IV	$232.80	$291.00	$218.00	31% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH, LEVEL-IV	$232.80	$291.00	$189.00–$291.00	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE	$24.00	$30.00	$22.00	14% above	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE	$24.00	$30.00	$19.00–$30.00	—	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE /ALL	$28.01	$35.02	$17.00–$26.00	17% below	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING /ALL	$45.81	$57.27	$28.00–$42.00	36% above	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR PP QC/Z/A/B/F/G/H/I/L/PL/Q/T/B1/L1/R1/PL/F1/V/P1/Y	$45.81	$57.27	$28.00–$42.00	36% above	20%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE /ALL	$28.01	$35.02	$22.00–$35.00	—	20%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2 HR PP QC/Z/A/B/F/G/H/I/L/PL/Q/T/B1/L1/R1/PL/F1/V/P1/Y	$45.81	$57.27	$37.00–$57.00	—	20%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING /ALL	$45.81	$57.27	$37.00–$57.00	—	20%
Blood lead test CPT 83655 HEAVY METAL/CREAT W/REFLX MHMUCR QC/Q/Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/W1	$28.84	$36.05	$17.00–$34.00	47% below	20%
Blood lead test CPT 83655 HEAVY MTL SCRN DEMOG MHMDB QC/Q/D/E/L/M/P/R/S/T/W/X/C1/S1/N/L1/PL/O/J/G1/F1/C2/P1/V/Y/M2/F/G/PMP/A/T	$41.20	$51.50	$25.00–$48.00	24% below	20%
Blood lead test CPT 83655 LEAD L/M/R/W/X/C1/S1/L1/PL/G1/M2	$41.20	$51.50	$25.00–$48.00	24% below	20%
Blood lead test CPT 83655 LEAD CAP W/DEMO MPBDC Q/QC/Z/F1/C2/P1/V/Y/D/S/SA/N	$44.49	$55.62	$27.00–$52.00	18% below	20%
Blood lead test CPT 83655 LEAD VENOUS W/DEMO MPBDV C/C1/J/L/L1/M/O/P/Q/QC/R/S1/T/W/X/Z/PL/E/G1/F1/C2/P1/V/Y/M2/D/S/SA/N	$44.49	$55.62	$27.00–$52.00	18% below	20%
Blood lead test CPT 83655 URINE HEAVY METALS Q 6601A /A/N/M1	$49.44	$61.80	$30.00–$58.00	9% below	20%
Blood lead test CPT 83655 HEAVY METAL SCR 24HR W/RFLX MHMU24 QC/Q/D/S/L/M/P/R/W/X/C1/N/L/Z/PL/O/J/E/G1/F1/C2/P1/V/Y/M2	$55.20	$69.01	$33.00–$65.00	2% above	20%
Blood lead test CPT 83655 LEAD URINE 24 HR MPBU QC/Q/D/S/T/X/L/M/X/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/M2/T/W1	$55.20	$69.01	$33.00–$65.00	2% above	20%
Blood lead test inpatient CPT 83655 HEAVY METAL/CREAT W/REFLX MHMUCR QC/Q/Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/W1	$28.84	$36.05	$23.00–$36.00	—	20%
Blood lead test inpatient CPT 83655 LEAD L/M/R/W/X/C1/S1/L1/PL/G1/M2	$41.20	$51.50	$33.00–$51.00	—	20%
Blood lead test inpatient CPT 83655 HEAVY MTL SCRN DEMOG MHMDB QC/Q/D/E/L/M/P/R/S/T/W/X/C1/S1/N/L1/PL/O/J/G1/F1/C2/P1/V/Y/M2/F/G/PMP/A/T	$41.20	$51.50	$33.00–$51.00	—	20%
Blood lead test inpatient CPT 83655 LEAD VENOUS W/DEMO MPBDV C/C1/J/L/L1/M/O/P/Q/QC/R/S1/T/W/X/Z/PL/E/G1/F1/C2/P1/V/Y/M2/D/S/SA/N	$44.49	$55.62	$36.00–$55.00	—	20%
Blood lead test inpatient CPT 83655 LEAD CAP W/DEMO MPBDC Q/QC/Z/F1/C2/P1/V/Y/D/S/SA/N	$44.49	$55.62	$36.00–$55.00	—	20%
Blood lead test inpatient CPT 83655 URINE HEAVY METALS Q 6601A /A/N/M1	$49.44	$61.80	$40.00–$61.00	—	20%
Blood lead test inpatient CPT 83655 LEAD URINE 24 HR MPBU QC/Q/D/S/T/X/L/M/X/N/L1/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/M2/T/W1	$55.20	$69.01	$44.00–$69.00	—	20%
Blood lead test inpatient CPT 83655 HEAVY METAL SCR 24HR W/RFLX MHMU24 QC/Q/D/S/L/M/P/R/W/X/C1/N/L/Z/PL/O/J/E/G1/F1/C2/P1/V/Y/M2	$55.20	$69.01	$44.00–$69.00	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE AND SCREEN F/G/H/P/R/T/U/O/B/K/S1/B1/V1	$28.01	$35.02	$18.00–$33.00	51% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH (D) V/Z/Y/A/D/E/F/G/H/J/L/M/N/O/P/T/QC/S1/L1/C2/P1/R1/W1/PL/G1/V1/F1/M2	$44.99	$56.24	$30.00–$53.00	21% below	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE AND SCREEN F/G/H/P/R/T/U/O/B/K/S1/B1/V1	$28.01	$35.02	$22.00–$35.00	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH (D) V/Z/Y/A/D/E/F/G/H/J/L/M/N/O/P/T/QC/S1/L1/C2/P1/R1/W1/PL/G1/V1/F1/M2	$44.99	$56.24	$36.00–$56.00	—	20%
Blood urea nitrogen (BUN) test CPT 84520 BUN /ALL	$25.54	$31.93	$15.00–$30.00	24% below	20%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN, BF MUEBF/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$41.04	$51.30	$25.00–$48.00	22% above	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN /ALL	$25.54	$31.93	$20.00–$31.00	—	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN, BF MUEBF/F/G/PMP/A/D/S/SA/N/QC/Q/W1	$41.04	$51.30	$33.00–$51.00	—	20%
C-peptide blood test CPT 84681 C-PEPTIDE QC/V/Y/C2/P1/L/W/M/S/D/N	$103.82	$129.78	$63.00–$123.00	2% below	20%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE QC/V/Y/C2/P1/L/W/M/S/D/N	$103.82	$129.78	$84.00–$129.00	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 PROMETHEUS IBD MFIBDD X/F1/C2/D/S/SA/N/QC/Q/W1	$50.81	$63.52	$47.00–$60.00	13% below	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN V/Y/A/B/E/F/G/H/I/J/L/M/O/P/Q/R/T/W/S1/B1/L1/N/P1/W1/PL/G1/V1/M1/F1/M2/R1	$54.38	$67.98	$50.00–$64.00	7% below	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD sgi DIAGNOSTIC H/L/M/W/C1/S1/L1/PL/O/J/P/E/G1/M2	$109.96	$137.46	$103.00–$130.00	88% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 PROMETHEUS IBD MFIBDD X/F1/C2/D/S/SA/N/QC/Q/W1	$50.81	$63.52	$41.00–$63.00	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN V/Y/A/B/E/F/G/H/I/J/L/M/O/P/Q/R/T/W/S1/B1/L1/N/P1/W1/PL/G1/V1/M1/F1/M2/R1	$54.38	$67.98	$44.00–$67.00	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IBD sgi DIAGNOSTIC H/L/M/W/C1/S1/L1/PL/O/J/P/E/G1/M2	$109.96	$137.46	$89.00–$137.00	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 CA19-9 QC/V/Y/D/S/E/J/L/M/N/O/P/R/W/C1/S1/L1/C2/P1/A/X/PL/G1/W1/F1/M2	$123.60	$154.50	$75.00–$146.00	27% above	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA19-9 QC/V/Y/D/S/E/J/L/M/N/O/P/R/W/C1/S1/L1/C2/P1/A/X/PL/G1/W1/F1/M2	$123.60	$154.50	$100.00–$154.00	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 D/L/M/N/O/P/R/S/X/W/E/J/C1/S1/L1/R1/PL/G1/F1	$139.25	$174.07	$85.00–$165.00	22% above	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 MCA25 A/F/G/T/Z/W1	$164.63	$205.79	$100.00–$195.00	44% above	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 D/L/M/N/O/P/R/S/X/W/E/J/C1/S1/L1/R1/PL/G1/F1	$139.25	$174.07	$113.00–$174.00	—	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 MCA25 A/F/G/T/Z/W1	$164.63	$205.79	$133.00–$205.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV 2 MOLECULAR Z/W/L/M/PL/G1/J/T/R/S1/O/C1/P/L1/E/S/SA/D/N/QC/Q/V/Y/P1/W1/A/G/F/H/V1/F1/K/B1/M2/B	$126.89	$158.62	$77.00–$150.00	7% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635	$126.89	$158.62	$77.00–$150.00	7% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 PCR MCOVOO	$126.89	$158.62	$77.00–$150.00	7% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV 2 PCR MCOVOO	$126.89	$158.62	$103.00–$158.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 87635	$126.89	$158.62	$103.00–$158.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV 2 MOLECULAR Z/W/L/M/PL/G1/J/T/R/S1/O/C1/P/L1/E/S/SA/D/N/QC/Q/V/Y/P1/W1/A/G/F/H/V1/F1/K/B1/M2/B	$126.89	$158.62	$103.00–$158.00	—	20%
Calcium blood test, total CPT 82310 CALCIUM /ALL	$28.01	$35.02	$18.00–$33.00	30% below	20%
Calcium blood test, total inpatient CPT 82310 CALCIUM /ALL	$28.01	$35.02	$22.00–$35.00	—	20%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA QC/V/Y/J/A/B/D/E/F/G/J/L/M/O/P/Q/R/W/X/C1/S1/L1/C2/P1/W1/R1/PL/G1/M2	$85.69	$107.12	$52.00–$101.00	19% below	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA QC/V/Y/J/A/B/D/E/F/G/J/L/M/O/P/Q/R/W/X/C1/S1/L1/C2/P1/W1/R1/PL/G1/M2	$85.69	$107.12	$69.00–$107.00	—	20%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG MVGPG Z/W1/O/J/C1/P/E/F/G/PMP/A/D/S/SA/N/T/QC/Q	$36.31	$45.39	$22.00–$34.00	43% below	20%
Chickenpox (varicella) immunity blood test CPT 86787 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$41.68	$52.10	$25.00–$39.00	35% below	20%
Chickenpox (varicella) immunity blood test CPT 86787 VZV ANTIBODY IgG Q/QC/Y/V/C1/E/J/L/M/O/P/R/W/S1/L1/P1/X/R1/PL/G1/M2	$61.80	$77.25	$37.00–$57.00	3% below	20%
Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGG IGM VZGM QC/A/E/F/G/L/M/O/P/R/W/X/C1/S1/J/L1/W1/PL/G1/F1/C2/P1/V/Y/M2/D/S/SA/N	$70.45	$88.07	$43.00–$66.00	10% above	20%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IMMUNE STATUS /A/F/G/W1	$74.98	$93.73	$45.00–$70.00	17% above	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG MVGPG Z/W1/O/J/C1/P/E/F/G/PMP/A/D/S/SA/N/T/QC/Q	$36.31	$45.39	$29.00–$45.00	—	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$41.68	$52.10	$33.00–$52.00	—	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV ANTIBODY IgG Q/QC/Y/V/C1/E/J/L/M/O/P/R/W/S1/L1/P1/X/R1/PL/G1/M2	$61.80	$77.25	$50.00–$77.00	—	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV AB IGG IGM VZGM QC/A/E/F/G/L/M/O/P/R/W/X/C1/S1/J/L1/W1/PL/G1/F1/C2/P1/V/Y/M2/D/S/SA/N	$70.45	$88.07	$57.00–$88.00	—	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IMMUNE STATUS /A/F/G/W1	$74.98	$93.73	$60.00–$93.00	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL/DIRECT LDL F/G/Q	$54.38	$67.98	$50.00	38% below	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL/DIRECT LDL F/G/Q	$54.38	$67.98	$44.00–$67.00	—	20%
Complete blood count (CBC) with differential CPT 85025 CBC W DIFF	$37.90	$47.38	$35.00	40% below	20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W DIFF	$37.90	$47.38	$30.00–$47.00	—	20%
Complete blood count (CBC), no differential CPT 85027 CBC (HEMOGRAM) Z/P1/B1/C1/C2/H/L1/M1/QC/S1/X/W1/A/E/R1/J/N/O/P/Q/R/U/T/PL/G1/V1/F1/M2	$36.25	$45.32	$33.00	21% below	20%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC (HEMOGRAM) Z/P1/B1/C1/C2/H/L1/M1/QC/S1/X/W1/A/E/R1/J/N/O/P/Q/R/U/T/PL/G1/V1/F1/M2	$36.25	$45.32	$29.00–$45.00	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL /ALL	$57.68	$72.10	$54.00	53% below	20%
Comprehensive metabolic panel (blood test) CPT 80053 COMP FASTING PNL /ALL	$57.68	$72.10	$54.00	53% below	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP FASTING PNL /ALL	$57.68	$72.10	$46.00–$72.00	—	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL /ALL	$57.68	$72.10	$46.00–$72.00	—	20%
Cortisol blood test, total CPT 82533 CORTISOL BASELINE D/E/J/N/P/R/S/Z/C1/L1/O/PL/F1/M2	$74.16	$92.70	$45.00–$88.00	26% below	20%
Cortisol blood test, total CPT 82533 CON ADRENAL HYP PED MFFCAH S/D/N/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$76.80	$96.00	$47.00–$91.00	23% below	20%
Cortisol blood test, total CPT 82533 CORTISOL 30 MINUTES QC/Q/Z/D/J/R/S/C2/N/L1/O/PL/P/E/F1/M2	$84.87	$106.09	$51.00–$100.00	15% below	20%
Cortisol blood test, total CPT 82533 CORTISOL 60 MINUTES QC/Q/Z/D/J/R/S/C2/N/M/L/W/L1/O/PL/P/F1/M2	$84.87	$106.09	$51.00–$100.00	15% below	20%
Cortisol blood test, total CPT 82533 CORTISOL AM Q/QC/Z/A/E/F/G/J/L/M/N/O/P/R/L/W1/G1/M2	$87.34	$109.18	$53.00–$103.00	13% below	20%
Cortisol blood test, total CPT 82533 CORTISOL PM Q/QC/Z/A/E/F/G/J/L/M/N/O/P/R/W/X/C1/S1/L1/R1/PL/G1/M2	$87.34	$109.18	$53.00–$103.00	13% below	20%
Cortisol blood test, total CPT 82533 CORTISOL RANDOM A/C1/C2/D/F/G/N/P1/V/Y/QC/W1/S/Z/F1	$87.34	$109.18	$53.00–$103.00	13% below	20%
Cortisol blood test, total CPT 82533 CORTISOL DST Q/Z/A/D/E/F/G/L/M/R/S/W/C1/L1/PL/O/J/P/G1/QC/F1/M2	$112.06	$140.08	$68.00–$133.00	12% above	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL BASELINE D/E/J/N/P/R/S/Z/C1/L1/O/PL/F1/M2	$74.16	$92.70	$60.00–$92.00	—	20%
Cortisol blood test, total inpatient CPT 82533 CON ADRENAL HYP PED MFFCAH S/D/N/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$76.80	$96.00	$62.00–$96.00	—	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 60 MINUTES QC/Q/Z/D/J/R/S/C2/N/M/L/W/L1/O/PL/P/F1/M2	$84.87	$106.09	$68.00–$106.00	—	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 30 MINUTES QC/Q/Z/D/J/R/S/C2/N/L1/O/PL/P/E/F1/M2	$84.87	$106.09	$68.00–$106.00	—	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL AM Q/QC/Z/A/E/F/G/J/L/M/N/O/P/R/L/W1/G1/M2	$87.34	$109.18	$70.00–$109.00	—	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL RANDOM A/C1/C2/D/F/G/N/P1/V/Y/QC/W1/S/Z/F1	$87.34	$109.18	$70.00–$109.00	—	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PM Q/QC/Z/A/E/F/G/J/L/M/N/O/P/R/W/X/C1/S1/L1/R1/PL/G1/M2	$87.34	$109.18	$70.00–$109.00	—	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL DST Q/Z/A/D/E/F/G/L/M/R/S/W/C1/L1/PL/O/J/P/G1/QC/F1/M2	$112.06	$140.08	$91.00–$140.00	—	20%
Creatine kinase (CK) blood test, total CPT 82550 CK /ALL	$59.32	$74.16	$44.00–$70.00	22% above	20%
Creatine kinase (CK) blood test, total CPT 82550 REPEAT CK F/G	$61.14	$76.43	$46.00–$72.00	25% above	20%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK /ALL	$59.32	$74.16	$48.00–$74.00	—	20%
Creatine kinase (CK) blood test, total inpatient CPT 82550 REPEAT CK F/G	$61.14	$76.43	$49.00–$76.00	—	20%
Creatinine blood test CPT 82565 CREATININE /ALL	$31.31	$39.14	$29.00–$37.00	12% below	20%
Creatinine blood test inpatient CPT 82565 CREATININE /ALL	$31.31	$39.14	$25.00–$39.00	—	20%
Cytomegalovirus (CMV) antibody test CPT 86644 TORCH PROFILE IgG	$63.63	$79.54	$38.00–$75.00	6% below	20%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AND IGM MCMVP Z/A/F/G/J/T/F1/X/D/S/SA/N/T/QC/Q	$68.00	$85.00	$41.00–$80.00	at median	20%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG L/M/P/R/W/C1/S1/L1/D/N/S/X/PL/O/E/G1/F1/M2	$68.39	$85.49	$41.00–$81.00	1% above	20%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG AND IGM E/J/L/M/P/R/W/C1/S1/L1/D/N/S/X/PL/G1/F1/M2	$68.39	$85.49	$41.00–$81.00	1% above	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TORCH PROFILE IgG	$63.63	$79.54	$51.00–$79.00	—	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AND IGM MCMVP Z/A/F/G/J/T/F1/X/D/S/SA/N/T/QC/Q	$68.00	$85.00	$55.00–$85.00	—	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB IGG L/M/P/R/W/C1/S1/L1/D/N/S/X/PL/O/E/G1/F1/M2	$68.39	$85.49	$55.00–$85.00	—	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB IGG AND IGM E/J/L/M/P/R/W/C1/S1/L1/D/N/S/X/PL/G1/F1/M2	$68.39	$85.49	$55.00–$85.00	—	20%
D-dimer blood test (blood clot marker) CPT 85379 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$27.00–$34.00	66% below	20%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER SENS QUANT SA/T/X/U/S1/N/B1/C2/L1/E/G/O	$138.43	$173.04	$129.00–$164.00	63% above	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$23.00–$36.00	—	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER SENS QUANT SA/T/X/U/S1/N/B1/C2/L1/E/G/O	$138.43	$173.04	$112.00–$173.00	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE QC/V/Y/D/E/I/J/L/M/N/O/P/R/S/W/X/C1/S1/T/L1/C2/P1/PL/G1/F1/M2	$111.24	$139.05	$68.00–$104.00	4% below	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE QC/V/Y/D/E/I/J/L/M/N/O/P/R/S/W/X/C1/S1/T/L1/C2/P1/PL/G1/F1/M2	$111.24	$139.05	$90.00–$139.00	—	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE CONF URN MCDAU A/T/X/W1/F1/C2/P1/V/Y/D/S/SA/N/QC/Q	$49.19	$61.49	$30.00–$58.00	61% below	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL URINE Z/O/Q/R/T/X/C1/L/M/W/O/R/S1/PL/J/P/E/G1/M2	$160.70	$200.88	$98.00–$190.00	27% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SED HYPNOTIC PNL, U MFSHPU QC/Q/Z/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/W1	$272.96	$341.21	$167.00–$324.00	116% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE SERUM A/B/F/G/J/L/M/O/P/T/W/C1/L1/PL/G1/M2	$277.68	$347.11	$170.00–$329.00	120% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CSM Enhanced Profile,21 MCSMEU A/T/X/W1/F1/C2/P1/V/Y/D/S/SA/N/QC/Q	$283.88	$354.86	$173.00–$337.00	125% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CONT. SUBS MONITOR,U MCSMPU QC/Q/D/S/N/A/G/F/W1/X/F1/C2/P1/V/Y/G1/T	$288.00	$360.00	$176.00–$342.00	128% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN, MECONIUM 4 MDASM4 Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/W1	$352.00	$440.00	$215.00–$418.00	178% above	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE CONF URN MCDAU A/T/X/W1/F1/C2/P1/V/Y/D/S/SA/N/QC/Q	$49.19	$61.49	$39.00–$61.00	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL URINE Z/O/Q/R/T/X/C1/L/M/W/O/R/S1/PL/J/P/E/G1/M2	$160.70	$200.88	$130.00–$200.00	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SED HYPNOTIC PNL, U MFSHPU QC/Q/Z/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/W1	$272.96	$341.21	$221.00–$341.00	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COTININE SERUM A/B/F/G/J/L/M/O/P/T/W/C1/L1/PL/G1/M2	$277.68	$347.11	$225.00–$347.00	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CSM Enhanced Profile,21 MCSMEU A/T/X/W1/F1/C2/P1/V/Y/D/S/SA/N/QC/Q	$283.88	$354.86	$230.00–$354.00	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CONT. SUBS MONITOR,U MCSMPU QC/Q/D/S/N/A/G/F/W1/X/F1/C2/P1/V/Y/G1/T	$288.00	$360.00	$234.00–$360.00	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SCREEN, MECONIUM 4 MDASM4 Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/T/W1	$352.00	$440.00	$286.00–$440.00	—	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES /ALL	$34.60	$43.26	$21.00–$41.00	50% below	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES URINE Z/A/F/G/O/P/Q/T/W/X/L1/PL/J/C1/E/G1/M2	$68.56	$85.70	$41.00–$81.00	at median	20%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES /ALL	$34.60	$43.26	$28.00–$43.00	—	20%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES URINE Z/A/F/G/O/P/Q/T/W/X/L1/PL/J/C1/E/G1/M2	$68.56	$85.70	$55.00–$85.00	—	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgM QC/Y/V/C1/E/J/L/M/O/P/R/T/W/L1/P1/PL/G1/M2	$79.20	$99.01	$48.00–$94.00	10% above	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV ANTIBODIES MEBVAB D/S/T/S1/N/W1/F1/F/G/PMP/A	$84.04	$105.06	$51.00–$99.00	17% above	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab Profile C1/E/J/L/M/O/P/R/T/W/S1/L1/X/PL/G1/M2	$84.04	$105.06	$51.00–$99.00	17% above	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IgM QC/Y/V/C1/E/J/L/M/O/P/R/T/W/L1/P1/PL/G1/M2	$79.20	$99.01	$64.00–$99.00	—	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab Profile C1/E/J/L/M/O/P/R/T/W/S1/L1/X/PL/G1/M2	$84.04	$105.06	$68.00–$105.00	—	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV ANTIBODIES MEBVAB D/S/T/S1/N/W1/F1/F/G/PMP/A	$84.04	$105.06	$68.00–$105.00	—	20%
Estradiol blood test CPT 82670 ESTRADIOL QC/V/Z/T/A/B/D/E/F/G/J/L/M/N/O/P/R/S/W/Z/C1/S1/L1/P1/W1/R1/PL/G1/F1/M2	$148.56	$185.71	$91.00–$139.00	15% above	20%
Estradiol blood test inpatient CPT 82670 ESTRADIOL QC/V/Z/T/A/B/D/E/F/G/J/L/M/N/O/P/R/S/W/Z/C1/S1/L1/P1/W1/R1/PL/G1/F1/M2	$148.56	$185.71	$120.00–$185.00	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH QC/V/Z/Y/A/D/E/F/G/I/J/LM/N/O/P/Q/R/S/W/X/S1/C1/L1/P1/W1/R1/PL/G1/V1/F1/M2	$88.16	$110.21	$54.00–$104.00	14% below	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH QC/V/Z/Y/A/D/E/F/G/I/J/LM/N/O/P/Q/R/S/W/X/S1/C1/L1/P1/W1/R1/PL/G1/V1/F1/M2	$88.16	$110.21	$71.00–$110.00	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, F MCALPR Q/Z/X/W1/A/S/D/N/L/M/W/PL/F1/C2/P1/V/Y/M2	$77.13	$96.42	$47.00–$91.00	52% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, F MCALPR Q/Z/X/W1/A/S/D/N/L/M/W/PL/F1/C2/P1/V/Y/M2	$77.13	$96.42	$62.00–$96.00	—	20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN /ALL	$70.04	$87.55	$65.00	22% below	20%
Ferritin blood test (iron stores) CPT 82728 THAL AND HEMOGL EVAL MTHEV1 D/L/L1/M/N/Q/S/S1/W/W1/Z/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/M2/F/G/PMP/A/X/T/QC	$184.48	$230.60	$172.00	106% above	20%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN /ALL	$70.04	$87.55	$56.00–$87.00	—	20%
Ferritin blood test (iron stores) inpatient CPT 82728 THAL AND HEMOGL EVAL MTHEV1 D/L/L1/M/N/Q/S/S1/W/W1/Z/PL/O/J/C1/P/E/G1/F1/C2/P1/V/Y/M2/F/G/PMP/A/X/T/QC	$184.48	$230.60	$149.00–$230.00	—	20%
Fibrinogen blood test CPT 85384 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$17.00–$34.00	56% below	20%
Fibrinogen blood test CPT 85384 FIBRINOGEN C2/QC/V/Z/Y/A/D/E/F/G/L/M/P/Q/S/T/X/N/L1/P1/W1/PL/G1/F1/M2	$84.87	$106.09	$51.00–$100.00	29% above	20%
Fibrinogen blood test inpatient CPT 85384 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$23.00–$36.00	—	20%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN C2/QC/V/Z/Y/A/D/E/F/G/L/M/P/Q/S/T/X/N/L1/P1/W1/PL/G1/F1/M2	$84.87	$106.09	$68.00–$106.00	—	20%
Folate (folic acid) blood test CPT 82746 VIT B12 AND FOLATE Q/QC/Z/A/F/G/I/L/M/W/S1/L1/C2/W1/R1/PL/O/J/C1/P/E/G1/B	$80.75	$100.94	$75.00–$95.00	8% below	20%
Folate (folic acid) blood test CPT 82746 FOLATE /ALL EXCEPT/H/T/U/	$80.75	$100.94	$75.00–$95.00	8% below	20%
Folate (folic acid) blood test inpatient CPT 82746 VIT B12 AND FOLATE Q/QC/Z/A/F/G/I/L/M/W/S1/L1/C2/W1/R1/PL/O/J/C1/P/E/G1/B	$80.75	$100.94	$65.00–$100.00	—	20%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE /ALL EXCEPT/H/T/U/	$80.75	$100.94	$65.00–$100.00	—	20%
Free T3 thyroid hormone test CPT 84481 FREE T3 QC/V/Z/Y/A/D/E/F/G/J/L/M/N/O/P/Q/R/S/W/1/S1/L1/P1/W1/R1/PL/G1/F1/M2	$79.10	$98.88	$59.00–$74.00	27% below	20%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 QC/V/Z/Y/A/D/E/F/G/J/L/M/N/O/P/Q/R/S/W/1/S1/L1/P1/W1/R1/PL/G1/F1/M2	$79.10	$98.88	$64.00–$98.00	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE Y/V/E/H/N/O/U/C2/P1/R1/F1	$47.79	$59.74	$44.00	27% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE QC/A/B/D/F/G/I/J/K/L/M/P/Q/R/S/T/W/X/S1/B1/L1/W1/PL/G1/V1/M2	$47.79	$59.74	$44.00	27% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS FRT4D X/Z/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/T/W1/PL/L/M/W/F1	$154.08	$192.61	$144.00	135% above	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE QC/A/B/D/F/G/I/J/K/L/M/P/Q/R/S/T/W/X/S1/B1/L1/W1/PL/G1/V1/M2	$47.79	$59.74	$38.00–$59.00	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE Y/V/E/H/N/O/U/C2/P1/R1/F1	$47.79	$59.74	$38.00–$59.00	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS FRT4D X/Z/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/T/W1/PL/L/M/W/F1	$154.08	$192.61	$125.00–$192.00	—	20%
Free testosterone test CPT 84402 TESTOSTERONE MTTFB Q/QC/L/M/W/E/P/S1/T/C1/L1/PL/G1/T/B/F/M2/F1/F/G/PMP/A/X/D/S/SA/N/W1	$24.38	$30.48	$14.00–$22.00	76% below	20%
Free testosterone test CPT 84402 TESTOSTERONE GROUP MTGRP A/D/E/F/G/J/O/P/R/S/T/X/S1/N/W1/F1	$59.32	$74.16	$36.00–$55.00	43% below	20%
Free testosterone test inpatient CPT 84402 TESTOSTERONE MTTFB Q/QC/L/M/W/E/P/S1/T/C1/L1/PL/G1/T/B/F/M2/F1/F/G/PMP/A/X/D/S/SA/N/W1	$24.38	$30.48	$19.00–$30.00	—	20%
Free testosterone test inpatient CPT 84402 TESTOSTERONE GROUP MTGRP A/D/E/F/G/J/O/P/R/S/T/X/S1/N/W1/F1	$59.32	$74.16	$48.00–$74.00	—	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT /ALL EXCEPT/V1	$49.19	$61.49	$30.00–$58.00	3% below	20%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT /ALL EXCEPT/V1	$49.19	$61.49	$39.00–$61.00	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLU CHALLENGE 50 GM QC/V/Z/A/B/D/E/F/G/H/I/L/M/N/Q/R/S/T/R/W/S1/M1/C2/P1/W1/Y/R1/PL/P/G1/V1/F1/M2	$45.81	$57.27	$28.00–$54.00	15% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLU CHALLENGE 50 GM QC/V/Z/A/B/D/E/F/G/H/I/L/M/N/Q/R/S/T/R/W/S1/M1/C2/P1/W1/Y/R1/PL/P/G1/V1/F1/M2	$45.81	$57.27	$37.00–$57.00	—	20%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE STANDARD 2 HR	$91.63	$114.54	$56.00–$108.00	5% above	20%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HOUR /G/M2	$124.75	$155.94	$76.00–$148.00	43% above	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE STANDARD 2 HR	$91.63	$114.54	$74.00–$114.00	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 HOUR /G/M2	$124.75	$155.94	$101.00–$155.00	—	20%
HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY	$70.86	$88.58	$43.00–$84.00	46% above	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV ANTIBODY	$70.86	$88.58	$57.00–$88.00	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB USING TOTAL HGB /G	$67.56	$84.46	$63.00	4% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C Z/A/E/H/I/P/O/R/T/C1/B1/M1/C2/W1/R1	$74.65	$93.32	$69.00	15% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HGB USING TOTAL HGB /G	$67.56	$84.46	$54.00–$84.00	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C Z/A/E/H/I/P/O/R/T/C1/B1/M1/C2/W1/R1	$74.65	$93.32	$60.00–$93.00	—	20%
Hemoglobin blood test CPT 85018 HGB Z/S/D/W1/B1/C1/C2/M1/X/H/K/A/E/S1/P1/R1/J/N/O/P/Q/R/U/PL/G1/V1/F1/M2	$14.42	$18.03	$8.00–$17.00	49% below	20%
Hemoglobin blood test CPT 85018 HGB/HCT QC/A/D/E/F/G/H/N/O/P/Q/U	$27.19	$33.99	$16.00–$32.00	4% below	20%
Hemoglobin blood test CPT 85018 HGB AND HCT Z/B1/C2/S/D/H/K/L1/P1/S1/X/W1/E/J/N/Y/V/O/P/Q/R/U/PL/G1/V1/F1/M2/C1	$27.19	$33.99	$16.00–$32.00	4% below	20%
Hemoglobin blood test inpatient CPT 85018 HGB Z/S/D/W1/B1/C1/C2/M1/X/H/K/A/E/S1/P1/R1/J/N/O/P/Q/R/U/PL/G1/V1/F1/M2	$14.42	$18.03	$11.00–$18.00	—	20%
Hemoglobin blood test inpatient CPT 85018 HGB/HCT QC/A/D/E/F/G/H/N/O/P/Q/U	$27.19	$33.99	$22.00–$33.00	—	20%
Hemoglobin blood test inpatient CPT 85018 HGB AND HCT Z/B1/C2/S/D/H/K/L1/P1/S1/X/W1/E/J/N/Y/V/O/P/Q/R/U/PL/G1/V1/F1/M2/C1	$27.19	$33.99	$22.00–$33.00	—	20%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE MHBC A/F/G/T/Q/L/M/P/W/C1/S1/W1	$88.99	$111.24	$54.00–$105.00	25% above	20%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT AB Z/E/J/L/M/R/W/C1/S1/L1/X/D/N/S/P/PL/G1/F1/M2	$92.28	$115.36	$56.00–$109.00	29% above	20%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE MHBC A/F/G/T/Q/L/M/P/W/C1/S1/W1	$88.99	$111.24	$72.00–$111.00	—	20%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT AB Z/E/J/L/M/R/W/C1/S1/L1/X/D/N/S/P/PL/G1/F1/M2	$92.28	$115.36	$74.00–$115.00	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SUF AB Z/A/F/G/Q/X/W1	$57.68	$72.10	$35.00–$54.00	16% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SUF AB Z/A/F/G/Q/X/W1	$57.68	$72.10	$46.00–$72.00	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QC/V/Z/Y/A/D/E/F/G/Q/S/X/N/P1/W1/F1/B1	$68.72	$85.90	$42.00–$64.00	14% below	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB QC/V/Z/Y/A/D/E/F/G/Q/S/X/N/P1/W1/F1/B1	$68.72	$85.90	$55.00–$85.00	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 TORCH PROFILE IgG	$73.77	$92.22	$45.00–$87.00	10% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1,2 IGG QC/Y/V/P1/L/M/W/PL/M2	$78.28	$97.85	$47.00–$92.00	16% above	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH PROFILE IgG	$73.77	$92.22	$59.00–$92.00	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1,2 IGG QC/Y/V/P1/L/M/W/PL/M2	$78.28	$97.85	$63.00–$97.00	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 TORCH PROFILE IgG	$39.05	$48.82	$23.00–$46.00	32% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1,2 IGG QC/Y/V/P1/L/M/W/PL/M2	$43.67	$54.59	$26.00–$51.00	25% below	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 TORCH PROFILE IgG	$39.05	$48.82	$31.00–$48.00	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1,2 IGG QC/Y/V/P1/L/M/W/PL/M2	$43.67	$54.59	$35.00–$54.00	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP A/D/E/F/G/J/L/M/N/O/P/QC/R/S/W/V/Z/Y/L1/S1/P1/X/PL/G1/F1/M2	$65.92	$82.40	$40.00–$78.00	18% below	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP A/D/E/F/G/J/L/M/N/O/P/QC/R/S/W/V/Z/Y/L1/S1/P1/X/PL/G1/F1/M2	$65.92	$82.40	$53.00–$82.00	—	20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE QC/V/Y/D/E/J/L/M/N/O/P/R/S/W/C1/S1/L1/P1/X/PL/G1/F1/M2	$74.16	$92.70	$45.00–$88.00	23% below	20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE /A/F/G/W1	$113.71	$142.14	$69.00–$135.00	18% above	20%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE QC/V/Y/D/E/J/L/M/N/O/P/R/S/W/C1/S1/L1/P1/X/PL/G1/F1/M2	$74.16	$92.70	$60.00–$92.00	—	20%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE /A/F/G/W1	$113.71	$142.14	$92.00–$142.00	—	20%
Insulin blood test CPT 83525 INSULIN QC/V/Y/D/E/J/L/M/N/O/P/R/S/W/C1/S1/L1/P1/PL/G1/F1/M2	$59.32	$74.16	$36.00–$55.00	22% below	20%
Insulin blood test inpatient CPT 83525 INSULIN QC/V/Y/D/E/J/L/M/N/O/P/R/S/W/C1/S1/L1/P1/PL/G1/F1/M2	$59.32	$74.16	$48.00–$74.00	—	20%
Iron blood test (serum iron) CPT 83540 IRON /ALL EXCEPT/H/T/U	$33.56	$41.96	$31.00	20% below	20%
Iron blood test (serum iron) CPT 83540 TOTAL IRON/IRON BIND QC/V/Y/A/B/E/F/G/O/Q/T/U/S1/C2/P1/W1/R1/J/N1	$38.72	$48.41	$36.00	8% below	20%
Iron blood test (serum iron) CPT 83540 IRON & IRON BINDING I/L/M/P/W/PL/G1/F1	$38.72	$48.41	$36.00	8% below	20%
Iron blood test (serum iron) inpatient CPT 83540 IRON /ALL EXCEPT/H/T/U	$33.56	$41.96	$27.00–$41.00	—	20%
Iron blood test (serum iron) inpatient CPT 83540 IRON & IRON BINDING I/L/M/P/W/PL/G1/F1	$38.72	$48.41	$31.00–$48.00	—	20%
Iron blood test (serum iron) inpatient CPT 83540 TOTAL IRON/IRON BIND QC/V/Y/A/B/E/F/G/O/Q/T/U/S1/C2/P1/W1/R1/J/N1	$38.72	$48.41	$31.00–$48.00	—	20%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY N/Z/A/D/E/F/G/K/O/Q/R/S/T/L1/R1/PL/J/G1/F1/M2/C1	$33.56	$41.96	$31.00	31% below	20%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON/IRON BIND QC/V/Y/A/B/E/F/G/O/Q/T/U/S1/C2/P1/W1/R1/J/N1	$49.44	$61.80	$46.00	1% above	20%
Iron-binding capacity (TIBC) test CPT 83550 IRON & IRON BINDING I/L/M/P/W/PL/G1/F1	$49.44	$61.80	$46.00	1% above	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY N/Z/A/D/E/F/G/K/O/Q/R/S/T/L1/R1/PL/J/G1/F1/M2/C1	$33.56	$41.96	$27.00–$41.00	—	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON/IRON BIND QC/V/Y/A/B/E/F/G/O/Q/T/U/S1/C2/P1/W1/R1/J/N1	$49.44	$61.80	$40.00–$61.00	—	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON & IRON BINDING I/L/M/P/W/PL/G1/F1	$49.44	$61.80	$40.00–$61.00	—	20%
Kidney function blood test panel CPT 80069 RENAL FASTING PNL /ALL	$44.49	$55.62	$41.00–$52.00	53% below	20%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PNL P/QC/V/Y/B/D/E/H/N/R/S/T/X/Q/C1/S1/B1/M1/L1/C2/P1/R1/V1/F1/M2	$44.49	$55.62	$41.00–$52.00	53% below	20%
Kidney function blood test panel inpatient CPT 80069 RENAL FASTING PNL /ALL	$44.49	$55.62	$36.00–$55.00	—	20%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PNL P/QC/V/Y/B/D/E/H/N/R/S/T/X/Q/C1/S1/B1/M1/L1/C2/P1/R1/V1/F1/M2	$44.49	$55.62	$36.00–$55.00	—	20%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE QC/V/Z/Y/A/B/D/E/F/G/I/J/L/M/N/O/P/Q/R/S/W1/S1/L1/C1/C2/P1/W1/R1/PL/G1/F1/M2	$88.16	$110.21	$54.00–$104.00	3% below	20%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE QC/V/Z/Y/A/B/D/E/F/G/I/J/L/M/N/O/P/Q/R/S/W1/S1/L1/C1/C2/P1/W1/R1/PL/G1/F1/M2	$88.16	$110.21	$71.00–$110.00	—	20%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID /ALL EXCEPT/J/QC/Z/V1	$90.64	$113.30	$84.00–$107.00	19% above	20%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID /ALL EXCEPT/J/QC/Z/V1	$90.64	$113.30	$73.00–$113.00	—	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID QC/V/Z/Y/A/E/F/G/H/J/L/M/Q/R/T/X/C1/C2/L1/P1/W1/R1/PL/P/G1/M2/D/S/F1/N1/N	$42.44	$53.05	$25.00–$50.00	2% below	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH /ALL	$44.49	$55.62	$27.00–$52.00	3% above	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID QC/V/Z/Y/A/E/F/G/H/J/L/M/Q/R/T/X/C1/C2/L1/P1/W1/R1/PL/P/G1/M2/D/S/F1/N1/N	$42.44	$53.05	$34.00–$53.00	—	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH /ALL	$44.49	$55.62	$36.00–$55.00	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, FLUID V/I/J/L/M/Q/D/L1/O/P1/PL/C1/R/P/E/G1/M2	$40.37	$50.47	$37.00	38% below	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE /ALL	$54.38	$67.98	$50.00	17% below	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, FLUID V/I/J/L/M/Q/D/L1/O/P1/PL/C1/R/P/E/G1/M2	$40.37	$50.47	$32.00–$50.00	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE /ALL	$54.38	$67.98	$44.00–$67.00	—	20%
Liver function blood test panel CPT 80076 HEPATIC FUNC PANEL /ALL EXCEPT M/L/W/PL/G1	$41.20	$51.50	$38.00–$48.00	54% below	20%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNC PANEL /ALL EXCEPT M/L/W/PL/G1	$41.20	$51.50	$33.00–$51.00	—	20%
Lyme disease antibody test CPT 86618 LYME DISEASE AB A/D/F/G/S/N/F1/PL	$64.06	$80.08	$39.00–$76.00	26% below	20%
Lyme disease antibody test CPT 86618 LYME CNS IgG RFLX MLNBAB QC/Q/Z/L/M/W/X/C2/P1/V/Y/M2/F/G/PMP/A/D/S/SA/N/T/W1	$65.92	$82.40	$40.00–$78.00	24% below	20%
Lyme disease antibody test CPT 86618 LYME DIS AB SERO A/C1/C2/E/J/L/L1/M/O/P/QC/R/S1/V/W/Y/P1/R1/X/G1/M2	$68.39	$85.49	$41.00–$81.00	21% below	20%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB A/D/F/G/S/N/F1/PL	$64.06	$80.08	$52.00–$80.00	—	20%
Lyme disease antibody test inpatient CPT 86618 LYME CNS IgG RFLX MLNBAB QC/Q/Z/L/M/W/X/C2/P1/V/Y/M2/F/G/PMP/A/D/S/SA/N/T/W1	$65.92	$82.40	$53.00–$82.00	—	20%
Lyme disease antibody test inpatient CPT 86618 LYME DIS AB SERO A/C1/C2/E/J/L/L1/M/O/P/QC/R/S1/V/W/Y/P1/R1/X/G1/M2	$68.39	$85.49	$55.00–$85.00	—	20%
Magnesium blood test CPT 83735 MAGNESIUM URINE L/M/W/PL/O/J/R/P/G1/M2	$12.36	$15.45	$11.00	75% below	20%
Magnesium blood test CPT 83735 MAGNESIUM URINE 24HR U/A/E/F/G/L/M/P/Q/S/W/X/S1/O/C1/L1/PL/J/G1/F1/M2	$33.56	$41.96	$31.00	31% below	20%
Magnesium blood test CPT 83735 SUPERSATURATION, U MSUP24 L/M/O/R/W/L1/W1/PL/J/P/E/G1/F1/P1/V/Y/M2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q	$36.70	$45.88	$34.00	25% below	20%
Magnesium blood test CPT 83735 MAGNESIUM /ALL	$38.72	$48.41	$36.00	20% below	20%
Magnesium blood test CPT 83735 LYTES AND OSMOL PANEL, F EFPO Z/W1/R/T/L/M/W/E/J/L1/O/P/W1/PL/E/G1/F1/C2/P1/V/Y/M2/X/D/S/SA/N/T/QC/Q	$52.52	$65.66	$49.00	8% above	20%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE L/M/W/PL/O/J/R/P/G1/M2	$12.36	$15.45	$10.00–$15.00	—	20%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24HR U/A/E/F/G/L/M/P/Q/S/W/X/S1/O/C1/L1/PL/J/G1/F1/M2	$33.56	$41.96	$27.00–$41.00	—	20%
Magnesium blood test inpatient CPT 83735 SUPERSATURATION, U MSUP24 L/M/O/R/W/L1/W1/PL/J/P/E/G1/F1/P1/V/Y/M2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q	$36.70	$45.88	$29.00–$45.00	—	20%
Magnesium blood test inpatient CPT 83735 MAGNESIUM /ALL	$38.72	$48.41	$31.00–$48.00	—	20%
Magnesium blood test inpatient CPT 83735 LYTES AND OSMOL PANEL, F EFPO Z/W1/R/T/L/M/W/E/J/L1/O/P/W1/PL/E/G1/F1/C2/P1/V/Y/M2/X/D/S/SA/N/T/QC/Q	$52.52	$65.66	$42.00–$65.00	—	20%
Measles (rubeola) antibody test CPT 86765 MMR PANEL E/L/M/W/S1/L1/PL/O/J/C1/P/G1/M2	$26.96	$33.70	$16.00–$25.00	53% below	20%
Measles (rubeola) antibody test CPT 86765 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$26.96	$33.70	$16.00–$25.00	53% below	20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IgG QC/Y/V/C1/E/J/L/M/P/W/S1/L1/P1/X/R1/PL/R/G1/M2	$26.98	$33.73	$16.00–$25.00	53% below	20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG/IGM MROGM QC/Q/D/S/X/L/M/P/W/S1/N/L1/W1/PL/O/C1/E/G1/F1/C2/P1/V/Y/M2	$27.19	$33.99	$16.00–$25.00	52% below	20%
Measles (rubeola) antibody test inpatient CPT 86765 MMR PANEL E/L/M/W/S1/L1/PL/O/J/C1/P/G1/M2	$26.96	$33.70	$21.00–$33.00	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$26.96	$33.70	$21.00–$33.00	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IgG QC/Y/V/C1/E/J/L/M/P/W/S1/L1/P1/X/R1/PL/R/G1/M2	$26.98	$33.73	$21.00–$33.00	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG/IGM MROGM QC/Q/D/S/X/L/M/P/W/S1/N/L1/W1/PL/O/C1/E/G1/F1/C2/P1/V/Y/M2	$27.19	$33.99	$22.00–$33.00	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONO SCRN /ALL	$28.01	$35.02	$17.00–$33.00	42% below	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONO SCRN /ALL	$28.01	$35.02	$22.00–$35.00	—	20%
Mumps immunity blood test CPT 86735 MMR PANEL E/L/M/W/S1/L1/PL/O/J/C1/P/G1/M2	$28.80	$36.00	$17.00–$27.00	45% below	20%
Mumps immunity blood test CPT 86735 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$28.80	$36.00	$17.00–$27.00	45% below	20%
Mumps immunity blood test CPT 86735 MUMPS VIRUS IGM EIA MMMPM QC/Q/D/S/X/W1/F1/C2/P1/V/Y/F/G/PMP/A/N/T	$30.48	$38.11	$18.00–$28.00	42% below	20%
Mumps immunity blood test CPT 86735 MUMPS AB IgG QC/Y/V/C1/E/J/L/M/O/P/W/S1/L1/P1/X/PL/R/G1/M2	$48.56	$60.71	$29.00–$45.00	8% below	20%
Mumps immunity blood test inpatient CPT 86735 MMR PANEL E/L/M/W/S1/L1/PL/O/J/C1/P/G1/M2	$28.80	$36.00	$23.00–$36.00	—	20%
Mumps immunity blood test inpatient CPT 86735 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$28.80	$36.00	$23.00–$36.00	—	20%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS IGM EIA MMMPM QC/Q/D/S/X/W1/F1/C2/P1/V/Y/F/G/PMP/A/N/T	$30.48	$38.11	$24.00–$38.00	—	20%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IgG QC/Y/V/C1/E/J/L/M/O/P/W/S1/L1/P1/X/PL/R/G1/M2	$48.56	$60.71	$39.00–$60.00	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PHI REFLEX MPHI13 F/	$84.04	$105.06	$51.00–$99.00	14% below	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA TOTAL,FREE MPSAFT L/M/P/R/W/X/O/J/D/S/C1/E/S1/N/L1/W1/PL/G1/F1	$84.04	$105.06	$51.00–$99.00	14% below	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PHI REFLEX MPHI13 F/	$84.04	$105.06	$68.00–$105.00	—	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA TOTAL,FREE MPSAFT L/M/P/R/W/X/O/J/D/S/C1/E/S1/N/L1/W1/PL/G1/F1	$84.04	$105.06	$68.00–$105.00	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL,FREE MPSAFT L/M/P/R/W/X/O/J/D/S/C1/E/S1/N/L1/W1/PL/G1/F1	$71.68	$89.61	$67.00	26% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE HEALTH INDEX W/RFLX MPHI11 F/	$71.68	$89.61	$67.00	26% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA V/Z/E/K/L/M/N/P/W/C1/C2/M1/P1/R1/PL/G1/M2	$88.99	$111.24	$83.00	8% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG QC/A/B/F/G/H/I/J/O/Q/R/S/T/X/S1/L1/W1/V1/F1/B1	$88.99	$111.24	$83.00	8% below	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE HEALTH INDEX W/RFLX MPHI11 F/	$71.68	$89.61	$58.00–$89.00	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL,FREE MPSAFT L/M/P/R/W/X/O/J/D/S/C1/E/S1/N/L1/W1/PL/G1/F1	$71.68	$89.61	$58.00–$89.00	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG QC/A/B/F/G/H/I/J/O/Q/R/S/T/X/S1/L1/W1/V1/F1/B1	$88.99	$111.24	$72.00–$111.00	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA V/Z/E/K/L/M/N/P/W/C1/C2/M1/P1/R1/PL/G1/M2	$88.99	$111.24	$72.00–$111.00	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT /ALL EXCEPT/H/U/G1	$189.52	$236.90	$177.00	6% above	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT /ALL EXCEPT/H/U/G1	$189.52	$236.90	$153.00–$236.00	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT MALUPP QC/Q/T/W/X/S/D/S1/N/W1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q	$28.84	$36.05	$27.00	38% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAG INHIB PTT	$28.84	$36.05	$27.00	38% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$27.00	38% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT E/J/L/M/O/P/W/C1/S1/L1/PL/G1/M2	$37.08	$46.35	$34.00	20% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT /ALL	$38.72	$48.41	$36.00	16% below	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 COAG INHIB PTT	$28.84	$36.05	$23.00–$36.00	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$23.00–$36.00	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT MALUPP QC/Q/T/W/X/S/D/S1/N/W1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q	$28.84	$36.05	$23.00–$36.00	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT E/J/L/M/O/P/W/C1/S1/L1/PL/G1/M2	$37.08	$46.35	$30.00–$46.00	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT /ALL	$38.72	$48.41	$31.00–$48.00	—	20%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS /ALL	$28.01	$35.02	$21.00–$33.00	22% below	20%
Phosphorus (phosphate) blood test CPT 84100 LYTES AND OSMOL PANEL, F EFPO Z/W1/R/T/L/M/W/E/J/L1/O/P/W1/PL/E/G1/F1/C2/P1/V/Y/M2/X/D/S/SA/N/T/QC/Q	$57.92	$72.41	$43.00–$68.00	62% above	20%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS /ALL	$28.01	$35.02	$22.00–$35.00	—	20%
Phosphorus (phosphate) blood test inpatient CPT 84100 LYTES AND OSMOL PANEL, F EFPO Z/W1/R/T/L/M/W/E/J/L1/O/P/W1/PL/E/G1/F1/C2/P1/V/Y/M2/X/D/S/SA/N/T/QC/Q	$57.92	$72.41	$47.00–$72.00	—	20%
Potassium blood test CPT 84132 POTASSIUM /ALL	$24.72	$30.90	$15.00–$29.00	28% below	20%
Potassium blood test CPT 84132 REPEAT POTASSIUM TEST /G	$24.72	$30.90	$15.00–$29.00	28% below	20%
Potassium blood test inpatient CPT 84132 POTASSIUM /ALL	$24.72	$30.90	$20.00–$30.00	—	20%
Potassium blood test inpatient CPT 84132 REPEAT POTASSIUM TEST /G	$24.72	$30.90	$20.00–$30.00	—	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21 PLUS MFMT21 F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$702.04	$877.56	$430.00–$833.00	4% below	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNIT21 PLUS MFMT21 F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$702.04	$877.56	$570.00–$877.00	—	20%
Progesterone blood test CPT 84144 CON ADRENAL HYP PED MFFCAH S/D/N/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$78.40	$98.00	$48.00–$73.00	22% below	20%
Progesterone blood test CPT 84144 PROGESTERONE Q/QC/V/Z/Y/A/B/E/F/G/J/L/M/O/P/R/W/X/S1/L1/P1/W1/PL/G1/M2	$95.08	$118.86	$58.00–$89.00	5% below	20%
Progesterone blood test inpatient CPT 84144 CON ADRENAL HYP PED MFFCAH S/D/N/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$78.40	$98.00	$63.00–$98.00	—	20%
Progesterone blood test inpatient CPT 84144 PROGESTERONE Q/QC/V/Z/Y/A/B/E/F/G/J/L/M/O/P/R/W/X/S1/L1/P1/W1/PL/G1/M2	$95.08	$118.86	$77.00–$118.00	—	20%
Prolactin blood test CPT 84146 PROLACTIN ALL EXCEPT B/B1/H/K/M1/T/U	$92.28	$115.36	$56.00–$109.00	10% below	20%
Prolactin blood test inpatient CPT 84146 PROLACTIN ALL EXCEPT B/B1/H/K/M1/T/U	$92.28	$115.36	$74.00–$115.00	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 COAG INHIB PROTIME	$18.95	$23.69	$17.00	42% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$24.00	$30.00	$22.00	27% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME /ALL	$25.54	$31.93	$23.00	22% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAGULANT MALUPP QC/Q/T/W/X/S/D/S1/N/W1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q	$28.84	$36.05	$27.00	12% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$27.00	12% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME REPEAT TESTING /G	$43.26	$54.08	$40.00	32% above	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 COAG INHIB PROTIME	$18.95	$23.69	$15.00–$23.00	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$24.00	$30.00	$19.00–$30.00	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME /ALL	$25.54	$31.93	$20.00–$31.00	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 THROMBOPHILIA PROFILE MAATHR /F1/F1/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1/PL/W/L/M	$28.84	$36.05	$23.00–$36.00	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ANTICOAGULANT MALUPP QC/Q/T/W/X/S/D/S1/N/W1/F1/C2/P1/V/Y/F/G/PMP/A/D/S/SA/N/QC/Q	$28.84	$36.05	$23.00–$36.00	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME REPEAT TESTING /G	$43.26	$54.08	$35.00–$54.00	—	20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 GENERAL URINE DRUG SCREEN G/F/M1	$288.40	$360.50	$176.00–$270.00	296% above	20%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 GENERAL URINE DRUG SCREEN G/F/M1	$288.40	$360.50	$234.00–$360.00	—	20%
Renin blood test CPT 84244 RENIN MPRA QC/Q/Z/D/E/F/G/L/M/O/P/R/S/X/Y/W/S1/N/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$122.77	$153.47	$75.00–$145.00	13% above	20%
Renin blood test inpatient CPT 84244 RENIN MPRA QC/Q/Z/D/E/F/G/L/M/O/P/R/S/X/Y/W/S1/N/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$122.77	$153.47	$99.00–$153.00	—	20%
Rh blood typing CPT 86901 TYPE AND SCREEN F/G/H/P/R/T/U/O/B/K/S1/B1/V1	$28.01	$35.02	$18.00–$33.00	38% below	20%
Rh blood typing CPT 86901 ABO/RH (D) V/Z/Y/A/D/E/F/G/H/J/L/M/N/O/P/T/QC/S1/L1/C2/P1/R1/W1/PL/G1/V1/F1/M2	$41.61	$52.02	$28.00–$49.00	7% below	20%
Rh blood typing inpatient CPT 86901 TYPE AND SCREEN F/G/H/P/R/T/U/O/B/K/S1/B1/V1	$28.01	$35.02	$22.00–$35.00	—	20%
Rh blood typing inpatient CPT 86901 ABO/RH (D) V/Z/Y/A/D/E/F/G/H/J/L/M/N/O/P/T/QC/S1/L1/C2/P1/R1/W1/PL/G1/V1/F1/M2	$41.61	$52.02	$33.00–$52.00	—	20%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QC/V/Z/Y/A/D/E/F/G/I/J/L/M/N/O/P/S/W/X/C1/S1/L1/P1/PL/G1/F1/M2	$29.66	$37.08	$18.00–$35.00	39% below	20%
Rheumatoid factor (RF) test CPT 86431 RA TITER M9060 M/L/W//S1/F/G/PMP/A/X/N/QC/Q/W1	$38.38	$47.98	$23.00–$45.00	21% below	20%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QC/V/Z/Y/A/D/E/F/G/I/J/L/M/N/O/P/S/W/X/C1/S1/L1/P1/PL/G1/F1/M2	$29.66	$37.08	$24.00–$37.00	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER M9060 M/L/W//S1/F/G/PMP/A/X/N/QC/Q/W1	$38.38	$47.98	$31.00–$47.00	—	20%
Rubella antibody test (immunity check) CPT 86762 TORCH PROFILE IgG	$44.12	$55.16	$27.00–$41.00	31% below	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG QC/Y/V/J/L/M/O/P/R/W/S1/L1/P1/PL/G1/T/M2	$48.61	$60.77	$29.00–$45.00	24% below	20%
Rubella antibody test (immunity check) CPT 86762 MMR PANEL E/L/M/W/S1/L1/PL/O/J/C1/P/G1/M2	$52.96	$66.20	$32.00–$49.00	18% below	20%
Rubella antibody test (immunity check) CPT 86762 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$52.96	$66.20	$32.00–$49.00	18% below	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG IMMUNE Q/QC/E	$63.69	$79.62	$39.00–$59.00	1% below	20%
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH PROFILE IgG	$44.12	$55.16	$35.00–$55.00	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG QC/Y/V/J/L/M/O/P/R/W/S1/L1/P1/PL/G1/T/M2	$48.61	$60.77	$39.00–$60.00	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 MMRV PANEL L/M/W/E/J/S1/L1/C1/X/PL/O/P/G1/M2	$52.96	$66.20	$43.00–$66.00	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 MMR PANEL E/L/M/W/S1/L1/PL/O/J/C1/P/G1/M2	$52.96	$66.20	$43.00–$66.00	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG IMMUNE Q/QC/E	$63.69	$79.62	$51.00–$79.00	—	20%
Sodium blood test CPT 84295 SODIUM /ALL	$29.66	$37.08	$18.00–$35.00	12% below	20%
Sodium blood test CPT 84295 SODIUM REPEAT /G	$45.81	$57.27	$28.00–$54.00	36% above	20%
Sodium blood test inpatient CPT 84295 SODIUM /ALL	$29.66	$37.08	$24.00–$37.00	—	20%
Sodium blood test inpatient CPT 84295 SODIUM REPEAT /G	$45.81	$57.27	$37.00–$57.00	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN 3SPEC Z/G/N/Q/SA/U/B1/C1/P/R/L/M/W/X/A/R1/PL/G1/V1/M2	$12.36	$15.45	$8.00–$14.00	63% below	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN 3SPEC Z/G/N/Q/SA/U/B1/C1/P/R/L/M/W/X/A/R1/PL/G1/V1/M2	$12.36	$15.45	$10.00–$15.00	—	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS IGG/IGM TOTAL V/Y/P1/C2/M/L/W/A/PL/E/W1/M2/C1/S/D/N/F1	$54.38	$67.98	$33.00–$64.00	1% above	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS AB BY TP-PA, S TPPA QC/Q/Z/C2/P1/V/Y/Q/W1	$54.38	$67.98	$33.00–$64.00	1% above	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS AB BY TP-PA, S TPPA QC/Q/Z/C2/P1/V/Y/Q/W1	$54.38	$67.98	$44.00–$67.00	—	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS IGG/IGM TOTAL V/Y/P1/C2/M/L/W/A/PL/E/W1/M2/C1/S/D/N/F1	$54.38	$67.98	$44.00–$67.00	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF L/M/W/C1/PL/O/J/R/P/E/G1/M2	$42.84	$53.56	$26.00–$50.00	12% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, RESP TO THERAPY L/M/W/L1/J/O/P/S1/T/R/PL/C1/E/G1/M2	$44.48	$55.60	$27.00–$52.00	8% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR CONFIRM L/M/W/L1/A/PL/E/G1/M2	$58.50	$73.13	$35.00–$69.00	20% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF L/M/W/C1/PL/O/J/R/P/E/G1/M2	$42.84	$53.56	$34.00–$53.00	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, RESP TO THERAPY L/M/W/L1/J/O/P/S1/T/R/PL/C1/E/G1/M2	$44.48	$55.60	$36.00–$55.00	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR CONFIRM L/M/W/L1/A/PL/E/G1/M2	$58.50	$73.13	$47.00–$73.00	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QFT PANEL S/D/N/F1	$136.64	$170.80	$83.00–$162.00	9% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QFT PANEL S/D/N/F1	$136.64	$170.80	$111.00–$170.00	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE MTTFB Q/QC/L/M/W/E/P/S1/T/C1/L1/PL/G1/T/B/F/M2/F1/F/G/PMP/A/X/D/S/SA/N/W1	$41.09	$51.37	$25.00–$38.00	60% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE GROUP MTGRP A/D/E/F/G/J/O/P/R/S/T/X/S1/N/W1/F1	$59.32	$74.16	$36.00–$55.00	42% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL Q/V/Y/A/E/F/G/J/L/M/O/P/R/W/C1/S1/L1/P1/W1/R1/PL/G1/M1/M2/X	$74.98	$93.73	$45.00–$70.00	27% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 CON ADRENAL HYP PED MFFCAH S/D/N/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$88.80	$111.00	$54.00–$83.00	14% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, BIOAVAILABLE FREE & TOT MFFBTT	$124.52	$155.66	$76.00–$116.00	21% above	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE MTTFB Q/QC/L/M/W/E/P/S1/T/C1/L1/PL/G1/T/B/F/M2/F1/F/G/PMP/A/X/D/S/SA/N/W1	$41.09	$51.37	$33.00–$51.00	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE GROUP MTGRP A/D/E/F/G/J/O/P/R/S/T/X/S1/N/W1/F1	$59.32	$74.16	$48.00–$74.00	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL Q/V/Y/A/E/F/G/J/L/M/O/P/R/W/C1/S1/L1/P1/W1/R1/PL/G1/M1/M2/X	$74.98	$93.73	$60.00–$93.00	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CON ADRENAL HYP PED MFFCAH S/D/N/F1/C2/P1/V/Y/F/G/PMP/A/X/T/QC/Q/W1	$88.80	$111.00	$72.00–$111.00	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, BIOAVAILABLE FREE & TOT MFFBTT	$124.52	$155.66	$101.00–$155.00	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM ANTIBODIES MLKM QC/Q/D/E/L/M/N/O/S/W/C1/S1/L1/W1/J/PL/P/G1/F1/C2/P1/V/Y/M2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$181.28	$226.60	$111.00–$215.00	127% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO/MICROSOM QC/V/Y/E/L/M/O/P/R/W/C1/F/S1/L1/P1/X/R1/PL/G1/M2	$214.24	$267.80	$131.00–$254.00	168% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB MAYO MTPO A/F/G/T/W1/X	$246.12	$307.66	$150.00–$292.00	208% above	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM ANTIBODIES MLKM QC/Q/D/E/L/M/N/O/S/W/C1/S1/L1/W1/J/PL/P/G1/F1/C2/P1/V/Y/M2/F/G/PMP/A/X/D/S/SA/N/T/QC/Q/W1	$181.28	$226.60	$147.00–$226.00	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-TPO/MICROSOM QC/V/Y/E/L/M/O/P/R/W/C1/F/S1/L1/P1/X/R1/PL/G1/M2	$214.24	$267.80	$174.00–$267.00	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB MAYO MTPO A/F/G/T/W1/X	$246.12	$307.66	$199.00–$307.00	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE /ALL EXCEPT /K/L/M/W/P/U/B1/P1/Y/V/PL/G1/L1	$87.34	$109.18	$81.00	12% below	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE /ALL EXCEPT /K/L/M/W/P/U/B1/P1/Y/V/PL/G1/L1	$87.34	$109.18	$70.00–$109.00	—	20%
Total IgE blood test CPT 82785 RESP PROFILE REG 8 MRPR8 X/QC/Q/F/G/PMP/A/T/W1	$65.92	$82.40	$40.00–$78.00	13% below	20%
Total IgE blood test CPT 82785 TOTAL IMMUNOGLOB E QC/V/Y/D/S/N/P1/F1/L/M/W/PL/X	$70.86	$88.58	$43.00–$84.00	6% below	20%
Total IgE blood test CPT 82785 RESP ALLERG PROFILE /L/M/W/PL/M2	$70.86	$88.58	$43.00–$84.00	6% below	20%
Total IgE blood test inpatient CPT 82785 RESP PROFILE REG 8 MRPR8 X/QC/Q/F/G/PMP/A/T/W1	$65.92	$82.40	$53.00–$82.00	—	20%
Total IgE blood test inpatient CPT 82785 TOTAL IMMUNOGLOB E QC/V/Y/D/S/N/P1/F1/L/M/W/PL/X	$70.86	$88.58	$57.00–$88.00	—	20%
Total IgE blood test inpatient CPT 82785 RESP ALLERG PROFILE /L/M/W/PL/M2	$70.86	$88.58	$57.00–$88.00	—	20%
Total cholesterol blood test CPT 82465 CHOLESTEROL /ALL	$25.54	$31.93	$15.00–$30.00	27% below	20%
Total cholesterol blood test CPT 82465 LIPOPROTEIN METABOLISM PROFILE LMPP Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/QC/Q/W1	$28.84	$36.05	$17.00–$34.00	18% below	20%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL /ALL	$25.54	$31.93	$20.00–$31.00	—	20%
Total cholesterol blood test inpatient CPT 82465 LIPOPROTEIN METABOLISM PROFILE LMPP Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/QC/Q/W1	$28.84	$36.05	$23.00–$36.00	—	20%
Total thyroxine (T4) blood test CPT 84436 FREE THYROXINE INDEX (FTI), S FRTUP Z/F1/C2/P1/V/Y/X/D/S/SA/N/QC/Q/W1	$38.18	$47.73	$23.00–$45.00	28% below	20%
Total thyroxine (T4) blood test CPT 84436 T7 /A/F/G	$48.36	$60.46	$29.00–$57.00	8% below	20%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL T4 QC/V/Z/Y/A/B/D/E/F/G/J/L/M/N/O/P/Q/R/S/T/W1/S1/L1/P1/W1/PL/G1/F1/M2	$48.36	$60.46	$29.00–$57.00	8% below	20%
Total thyroxine (T4) blood test inpatient CPT 84436 FREE THYROXINE INDEX (FTI), S FRTUP Z/F1/C2/P1/V/Y/X/D/S/SA/N/QC/Q/W1	$38.18	$47.73	$31.00–$47.00	—	20%
Total thyroxine (T4) blood test inpatient CPT 84436 T7 /A/F/G	$48.36	$60.46	$39.00–$60.00	—	20%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL T4 QC/V/Z/Y/A/B/D/E/F/G/J/L/M/N/O/P/Q/R/S/T/W1/S1/L1/P1/W1/PL/G1/F1/M2	$48.36	$60.46	$39.00–$60.00	—	20%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE A/D/E/F/G/J/L/M/N/O/P/S/W/R/C1/L1/W1/PL/G1/F1/M2	$66.74	$83.43	$40.00–$79.00	14% below	20%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE A/D/E/F/G/J/L/M/N/O/P/S/W/R/C1/L1/W1/PL/G1/F1/M2	$66.74	$83.43	$54.00–$83.00	—	20%
Transferrin blood test CPT 84466 TRANSFERRIN QC/V/Y/A/E/F/G/I/J/L/M/O/P/W/C1/S1/R/L1/P1/N/D/S/PL/G1/F1/M2/X	$64.28	$80.35	$39.00–$76.00	5% below	20%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN QC/V/Y/A/E/F/G/I/J/L/M/O/P/W/C1/S1/R/L1/P1/N/D/S/PL/G1/F1/M2/X	$64.28	$80.35	$52.00–$80.00	—	20%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS DNA F1/PL	$75.84	$94.81	$46.00–$90.00	20% below	20%
Trichomonas test (NAAT) CPT 87661 T.VAGINALIS MMTRNA L/M/W/F1/M2/X/D/S/SA/N/W1/O	$123.60	$154.50	$75.00–$146.00	30% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMP RNA MTVRNA Z/F/G/PMP/A/X/D/S/SA/N/T/W1	$130.88	$163.61	$80.00–$155.00	37% above	20%
Trichomonas test (NAAT) CPT 87661 Vaginitis NuSwab MFNSVG	$130.88	$163.60	$80.00–$155.00	37% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINALIS DNA F1/PL	$75.84	$94.81	$61.00–$94.00	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 T.VAGINALIS MMTRNA L/M/W/F1/M2/X/D/S/SA/N/W1/O	$123.60	$154.50	$100.00–$154.00	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMP RNA MTVRNA Z/F/G/PMP/A/X/D/S/SA/N/T/W1	$130.88	$163.61	$106.00–$163.00	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 Vaginitis NuSwab MFNSVG	$130.88	$163.60	$106.00–$163.00	—	20%
Triglycerides blood test CPT 84478 TRIGLYCERIDE FLUID Q/QC/V/Z/Y/A/D/L/M/N/R/S/T/X/C1/L1/O/P1/W1/N/PL/J/P/E/G1/F1/M2	$28.84	$36.05	$17.00–$27.00	31% below	20%
Triglycerides blood test CPT 84478 LIPOPROTEIN METABOLISM PROFILE LMPP Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/QC/Q/W1	$39.20	$49.00	$24.00–$36.00	6% below	20%
Triglycerides blood test CPT 84478 TRIGLYCERIDES /ALL	$45.81	$57.27	$28.00–$42.00	10% above	20%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE FLUID Q/QC/V/Z/Y/A/D/L/M/N/R/S/T/X/C1/L1/O/P1/W1/N/PL/J/P/E/G1/F1/M2	$28.84	$36.05	$23.00–$36.00	—	20%
Triglycerides blood test inpatient CPT 84478 LIPOPROTEIN METABOLISM PROFILE LMPP Z/F1/C2/P1/V/Y/F/G/PMP/A/X/D/S/SA/N/QC/Q/W1	$39.20	$49.00	$31.00–$49.00	—	20%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES /ALL	$45.81	$57.27	$37.00–$57.00	—	20%
Troponin test, quantitative CPT 84484 TROPONIN T 5TH GEN /PL/L/M/W/O/M2/A/X/F1/D/S	$90.64	$113.30	$84.00	22% below	20%
Troponin test, quantitative CPT 84484 TROPONIN ULTRA A/F/G/W1	$115.36	$144.20	$108.00	1% below	20%
Troponin test, quantitative CPT 84484 TROP I HIGH SENS /M1/S1/H/M2/C2/P/R/R1	$123.60	$154.50	$115.00	6% above	20%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T 5TH GEN /PL/L/M/W/O/M2/A/X/F1/D/S	$90.64	$113.30	$73.00–$113.00	—	20%
Troponin test, quantitative inpatient CPT 84484 TROPONIN ULTRA A/F/G/W1	$115.36	$144.20	$93.00–$144.00	—	20%
Troponin test, quantitative inpatient CPT 84484 TROP I HIGH SENS /M1/S1/H/M2/C2/P/R/R1	$123.60	$154.50	$100.00–$154.00	—	20%
Uric acid blood test CPT 84550 URIC ACID /ALL	$33.56	$41.96	$25.00–$31.00	13% below	20%
Uric acid blood test inpatient CPT 84550 URIC ACID /ALL	$33.56	$41.96	$27.00–$41.00	—	20%
Urine microalbumin (albumin) test CPT 82043 VITAMIN D,25 HYDROXY Q/QC/V/Z/Y/A/B/D/E/F/G/J/K/L1/N/H/C2/P1/W1/L/M/W/O/S/X/PL/G1/V1/M1/F1/M2	$20.00	$25.00	$18.00	63% below	20%
Urine microalbumin (albumin) test CPT 82043 MINIMUM ALB EXCRET L/M/P/R/W/O/J/L1/PL/C1/G1	$20.47	$25.59	$19.00	63% below	20%
Urine microalbumin (albumin) test CPT 82043 UR MICROALB CREAT RATIO QC/E/F/G/T/N/P/Q/T/U/X/B/S/B1/W1/M1/G1/M2	$65.92	$82.40	$61.00	20% above	20%
Urine microalbumin (albumin) test inpatient CPT 82043 VITAMIN D,25 HYDROXY Q/QC/V/Z/Y/A/B/D/E/F/G/J/K/L1/N/H/C2/P1/W1/L/M/W/O/S/X/PL/G1/V1/M1/F1/M2	$20.00	$25.00	$16.00–$25.00	—	20%
Urine microalbumin (albumin) test inpatient CPT 82043 MINIMUM ALB EXCRET L/M/P/R/W/O/J/L1/PL/C1/G1	$20.47	$25.59	$16.00–$25.00	—	20%
Urine microalbumin (albumin) test inpatient CPT 82043 UR MICROALB CREAT RATIO QC/E/F/G/T/N/P/Q/T/U/X/B/S/B1/W1/M1/G1/M2	$65.92	$82.40	$53.00–$82.00	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12 AND FOLATE Q/QC/Z/A/F/G/I/L/M/W/S1/L1/C2/W1/R1/PL/O/J/C1/P/E/G1/B	$86.52	$108.15	$81.00	at median	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 QC/V/Z/Y/A/B/D/E/F/G/I/J/K/L/M/N/O/P/Q/R/S1/S1/L1/C2/P1/W1/R1/PL/G1/V1/F1/M2	$86.52	$108.15	$81.00	at median	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 QC/V/Z/Y/A/B/D/E/F/G/I/J/K/L/M/N/O/P/Q/R/S1/S1/L1/C2/P1/W1/R1/PL/G1/V1/F1/M2	$86.52	$108.15	$70.00–$108.00	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12 AND FOLATE Q/QC/Z/A/F/G/I/L/M/W/S1/L1/C2/W1/R1/PL/O/J/C1/P/E/G1/B	$86.52	$108.15	$70.00–$108.00	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D,25 HYDROXY Q/QC/V/Z/Y/A/B/D/E/F/G/J/K/L1/N/H/C2/P1/W1/L/M/W/O/S/X/PL/G1/V1/M1/F1/M2	$107.12	$133.90	$100.00	17% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 OH VIT D2/D3 M25HDN Z/A/F/G/X/W1/P1/V/Y/M2/D/S/SA/N/QC/Q	$112.00	$140.00	$105.00	13% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D,25 HYDROXY Q/QC/V/Z/Y/A/B/D/E/F/G/J/K/L1/N/H/C2/P1/W1/L/M/W/O/S/X/PL/G1/V1/M1/F1/M2	$107.12	$133.90	$87.00–$133.00	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 OH VIT D2/D3 M25HDN Z/A/F/G/X/W1/P1/V/Y/M2/D/S/SA/N/QC/Q	$112.00	$140.00	$91.00–$140.00	—	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1,25 DIHYDROXY MDHVD QC/Q/A/D/E/F/G/J/L/M/N/O/P/R/S/T/W/X/C1/S1/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$341.21	$426.52	$208.00–$405.00	92% above	20%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1,25 DIHYDROXY MDHVD QC/Q/A/D/E/F/G/J/L/M/N/O/P/R/S/T/W/X/C1/S1/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$341.21	$426.52	$277.00–$426.00	—	20%
Zinc blood test CPT 84630 ZINC URINE 24 HR MZNU D/S/N/F1/C2/P1/V/Y/X/QC/Q/W1	$63.44	$79.31	$38.00–$75.00	21% above	20%
Zinc blood test CPT 84630 ZINC MZN_S QC/Q/D/E/J/L/M/N/O/P/R/S/T/W/X/C1/S1/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$63.44	$79.31	$38.00–$75.00	21% above	20%
Zinc blood test inpatient CPT 84630 ZINC MZN_S QC/Q/D/E/J/L/M/N/O/P/R/S/T/W/X/C1/S1/L1/W1/PL/G1/F1/C2/P1/V/Y/M2	$63.44	$79.31	$51.00–$79.00	—	20%
Zinc blood test inpatient CPT 84630 ZINC URINE 24 HR MZNU D/S/N/F1/C2/P1/V/Y/X/QC/Q/W1	$63.44	$79.31	$51.00–$79.00	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER L/M/W/S1/O/P/L1/PL/C1/E/G1/M2	$55.20	$69.01	$33.00–$65.00	38% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE /ALL	$78.28	$97.85	$47.00–$92.00	13% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER L/M/W/S1/O/P/L1/PL/C1/E/G1/M2	$55.20	$69.01	$44.00–$69.00	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE /ALL	$78.28	$97.85	$63.00–$97.00	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$457.60	$572.00	$280.00–$543.00	15% above	20%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$457.60	$572.00	$371.00–$572.00	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DSTL FIB FX WO MANIP	$340.00	$425.00	$208.00–$403.00	23% below	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DSTL FIB FX WO MANIP	$340.00	$425.00	$276.00–$425.00	—	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX METATARSAL FX WO MANIP	$280.00	$350.00	$171.00–$332.00	25% below	20%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX METATARSAL FX WO MANIP	$280.00	$350.00	$227.00–$350.00	—	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$903.20	$1,129.00	$553.00–$1,072.00	9% above	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$903.20	$1,129.00	$733.00–$1,129.00	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC TX FRACTURE D RADIUS/ULNA WO MANIP	$347.20	$434.00	$212.00–$412.00	19% below	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC TX FRACTURE D RADIUS/ULNA WO MANIP	$347.20	$434.00	$282.00–$434.00	—	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$149.60	$187.00	$91.00–$177.00	119% above	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$149.60	$187.00	$121.00–$187.00	—	20%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN (EARWAX)	$145.60	$182.00	$89.00–$172.00	38% above	20%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN (EARWAX)	$145.60	$182.00	$118.00–$182.00	—	20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ INTERLAM C/T W IMG	$1,274.40	$1,593.00	$780.00–$1,513.00	4% above	20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ INTERLAM C/T W IMG	$1,274.40	$1,593.00	$1,035.00–$1,593.00	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV	$1,511.20	$1,889.00	$925.00–$1,794.00	17% above	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV	$1,511.20	$1,889.00	$1,227.00–$1,889.00	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SMPL OR SGL	$368.80	$461.00	$225.00–$437.00	44% above	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SMPL OR SGL	$368.80	$461.00	$299.00–$461.00	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SGL TENDON SHTH OR LIGAMENT	$392.80	$491.00	$240.00–$466.00	45% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SGL TENDON SHTH OR LIGAMENT	$392.80	$491.00	$319.00–$491.00	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJ MAJOR JNT/BURSA	$517.60	$647.00	$317.00–$614.00	50% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJ MAJOR JNT/BURSA	$517.60	$647.00	$420.00–$647.00	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ INTERM JNT/BURSA	$436.80	$546.00	$267.00–$518.00	39% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJ INTERM JNT/BURSA	$436.80	$546.00	$354.00–$546.00	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ JOINT/BURSA W/O US	$410.40	$513.00	$251.00–$487.00	49% above	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJ JOINT/BURSA W/O US	$410.40	$513.00	$333.00–$513.00	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5 CM/<	$307.20	$384.00	$188.00–$364.00	13% below	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5 CM/<	$307.20	$384.00	$249.00–$384.00	—	20%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ INTERLAM L/S W IMG	$1,376.80	$1,721.00	$963.00–$1,290.00	14% above	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ INTERLAM L/S W IMG	$1,376.80	$1,721.00	$1,118.00–$1,721.00	—	20%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ INTERLAM L/S WO IMG	$982.40	$1,228.00	$601.00–$1,166.00	20% above	20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ INTERLAM L/S WO IMG	$982.40	$1,228.00	$798.00–$1,228.00	—	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV	$1,584.80	$1,981.00	$970.00–$1,881.00	20% above	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV	$1,584.80	$1,981.00	$1,287.00–$1,981.00	—	20%
Nail removal (partial or complete), one nail CPT 11730 HC SPL AVULSE NP SGL	$238.40	$298.00	$146.00–$283.00	16% above	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC SPL AVULSE NP SGL	$238.40	$298.00	$193.00–$298.00	—	20%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANESTH/STER GREATER OCCIPITAL NERVE	$826.40	$1,033.00	$506.00–$981.00	98% above	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANESTH/STER GREATER OCCIPITAL NERVE	$826.40	$1,033.00	$671.00–$1,033.00	—	20%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING	$2,011.20	$2,514.00	$1,231.00–$2,388.00	82% above	20%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING	$2,011.20	$2,514.00	$1,634.00–$2,514.00	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$771.20	$964.00	$472.00–$915.00	80% above	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$771.20	$964.00	$626.00–$964.00	—	20%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FACET JNT UNIL	$2,913.60	$3,642.00	$1,784.00–$3,459.00	33% above	20%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY LUMB/SAC FACET JNT UNIL	$2,913.60	$3,642.00	$2,367.00–$3,642.00	—	20%
Removal of a foreign object under the skin, simple CPT 10120 HC INC & REM FB SQ SMPL	$121.60	$152.00	$74.00–$144.00	59% below	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC & REM FB SQ SMPL	$121.60	$152.00	$98.00–$152.00	—	20%
Short arm cast (elbow to hand) CPT 29075 HC APPLY SHORT ARM CAST	$244.00	$305.00	$149.00–$289.00	6% above	20%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY SHORT ARM CAST	$244.00	$305.00	$198.00–$305.00	—	20%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT STATIC	$175.20	$219.00	$107.00–$208.00	at median	20%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT ARM SPLINT STATIC	$175.20	$219.00	$142.00–$219.00	—	20%
Short leg cast (below the knee) CPT 29405 HC APPLY SH LEG CAST	$268.00	$335.00	$164.00–$318.00	10% above	20%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SH LEG CAST	$268.00	$335.00	$217.00–$335.00	—	20%
Short leg splint (calf to foot) CPT 29515 HC APPLY SHORT LEG SPLINT	$204.80	$256.00	$125.00–$243.00	19% above	20%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SHORT LEG SPLINT	$204.80	$256.00	$166.00–$256.00	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SREP S/N/A/G/TR/E 2.5 CM/<	$212.00	$265.00	$129.00–$251.00	7% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SREP S/N/A/G/TR/E 2.5 CM/<	$212.00	$265.00	$172.00–$265.00	—	20%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$418.40	$523.00	$256.00–$496.00	59% above	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$418.40	$523.00	$339.00–$523.00	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAG	$444.00	$555.00	$271.00–$527.00	5% below	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAG	$444.00	$555.00	$360.00–$555.00	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SREP S/N/A/G/TR/E 2.6-7.5 CM	$230.40	$288.00	$141.00–$216.00	6% below	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SREP S/N/A/G/TR/E 2.6-7.5 CM	$230.40	$288.00	$187.00–$288.00	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SREP F/E/N/L/MM 2.5 CM/<	$216.00	$270.00	$132.00–$256.00	14% below	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SREP F/E/N/L/MM 2.5 CM/<	$216.00	$270.00	$175.00–$270.00	—	20%
Trigger point injections, 1 or 2 muscles CPT 20552 HC SIJ ANESTH/STERIOD INJ WO IMG	$392.80	$491.00	$240.00–$466.00	30% above	20%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL	$467.20	$584.00	$286.00–$554.00	55% above	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC SIJ ANESTH/STERIOD INJ WO IMG	$392.80	$491.00	$319.00–$491.00	—	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL	$467.20	$584.00	$379.00–$584.00	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN TO SQ TISSUE	$743.20	$929.00	$501.00–$882.00	74% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN TO SQ TISSUE	$743.20	$929.00	$603.00–$929.00	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD OR COMPONENT PER UNIT	$836.80	$1,046.00	$512.00–$993.00	43% above	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR COMPONENT PER UNIT	$836.80	$1,046.00	$679.00–$1,046.00	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT INITIAL	$355.20	$444.00	$333.00–$421.00	206% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI AIRWAY INHALATION TX INITIAL	$355.20	$444.00	$333.00–$421.00	206% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI AIRWAY INHALATION TX INITIAL	$355.20	$444.00	$288.00–$444.00	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT INITIAL	$355.20	$444.00	$288.00–$444.00	—	20%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO, IV INFUSION, 1 HR	$320.00	$400.00	$196.00–$380.00	41% below	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO, IV INFUSION, 1 HR	$320.00	$400.00	$260.00–$400.00	—	20%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 MIN	$2,026.40	$2,533.00	$1,241.00–$2,406.00	102% above	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74 MIN	$2,026.40	$2,533.00	$1,646.00–$2,533.00	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC 12 LEAD EKG; TRACING ONLY	$210.40	$263.00	$197.00	32% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC 12 LEAD EKG; TRACING ONLY	$210.40	$263.00	$170.00–$263.00	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 VISIT	$202.40	$253.00	$123.00–$240.00	31% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 VISIT	$202.40	$253.00	$164.00–$253.00	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 VISIT	$364.80	$456.00	$246.00–$342.00	39% above	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 VISIT	$364.80	$456.00	$296.00–$456.00	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 VISIT	$572.80	$716.00	$386.00–$537.00	37% above	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 VISIT	$572.80	$716.00	$465.00–$716.00	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 VISIT	$938.40	$1,173.00	$633.00–$879.00	45% above	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 VISIT	$938.40	$1,173.00	$762.00–$1,173.00	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 VISIT	$1,285.60	$1,607.00	$867.00–$1,205.00	31% above	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 VISIT	$1,285.60	$1,607.00	$1,044.00–$1,607.00	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CVSLR STRESS TEST; TRACING	$778.40	$973.00	$729.00–$924.00	16% above	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CVSLR STRESS TEST; TRACING	$778.40	$973.00	$632.00–$973.00	—	20%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PT 50 MIN	$724.00	$905.00	$443.00–$859.00	210% above	20%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PT 50 MIN	$724.00	$905.00	$588.00–$905.00	—	20%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY WO PT 50 MIN	$680.00	$850.00	$416.00–$807.00	191% above	20%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY WO PT 50 MIN	$680.00	$850.00	$552.00–$850.00	—	20%
Group psychotherapy session CPT 90853 HC RELAPSE PREVENTION GROUP	$776.00	$970.00	$475.00–$921.00	248% above	20%
Group psychotherapy session inpatient CPT 90853 HC RELAPSE PREVENTION GROUP	$776.00	$970.00	$630.00–$970.00	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT 31-60 MIN	$260.80	$326.00	$197.00–$309.00	7% below	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION INIT 31-60 MIN	$260.80	$326.00	$211.00–$326.00	—	20%
IV infusion of a medicine, first hour CPT 96365 HC THER/PROPH/DX IV INF INIT UP TO 1HR	$338.40	$423.00	$317.00–$401.00	7% above	20%
IV infusion of a medicine, first hour inpatient CPT 96365 HC THER/PROPH/DX IV INF INIT UP TO 1HR	$338.40	$423.00	$274.00–$423.00	—	20%
IV push of a medicine, first drug CPT 96374 HC THER/PRO/DX INJ IV PUSH	$146.40	$183.00	$137.00	23% below	20%
IV push of a medicine, first drug inpatient CPT 96374 HC THER/PRO/DX INJ IV PUSH	$146.40	$183.00	$118.00–$183.00	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$83.20	$104.00	$78.00–$98.00	9% below	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$83.20	$104.00	$67.00–$104.00	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCLE RE-EDUC EA 15M	$112.00	$140.00	$68.00–$133.00	23% above	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCLE RE-EDUC EA 15M	$112.00	$140.00	$91.00–$140.00	—	20%
New patient office visit, about 30 minutes CPT 99203 HC O/P VISIT NEW LEVEL 3	$258.40	$323.00	$158.00–$306.00	58% above	20%
New patient office visit, about 30 minutes inpatient CPT 99203 HC O/P VISIT NEW LEVEL 3	$258.40	$323.00	$209.00–$323.00	—	20%
New patient office visit, about 45 minutes CPT 99204 HC O/P VISIT NEW LEVEL 4	$329.60	$412.00	$201.00–$391.00	34% above	20%
New patient office visit, about 45 minutes inpatient CPT 99204 HC O/P VISIT NEW LEVEL 4	$329.60	$412.00	$267.00–$412.00	—	20%
New patient office visit, about 60 minutes CPT 99205 HC O/P VISIT NEW LEVEL 5	$496.80	$621.00	$304.00–$589.00	57% above	20%
New patient office visit, about 60 minutes inpatient CPT 99205 HC O/P VISIT NEW LEVEL 5	$496.80	$621.00	$403.00–$621.00	—	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC O/P VISIT NEW LEVEL 2	$160.00	$200.00	$98.00–$190.00	53% above	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC O/P VISIT NEW LEVEL 2	$160.00	$200.00	$130.00–$200.00	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC INIT NUTRITION THERAPY; EACH 15M	$48.80	$61.00	$29.00–$57.00	10% above	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC INIT NUTRITION THERAPY; EACH 15M	$48.80	$61.00	$39.00–$61.00	—	20%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX	$196.80	$246.00	$120.00–$233.00	10% above	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX	$196.80	$246.00	$159.00–$246.00	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX	$280.80	$351.00	$171.00–$333.00	31% above	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX	$280.80	$351.00	$228.00–$351.00	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX	$232.00	$290.00	$142.00–$275.00	19% above	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX	$232.00	$290.00	$188.00–$290.00	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX	$257.60	$322.00	$157.00–$305.00	30% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX	$257.60	$322.00	$209.00–$322.00	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY EA 15M	$112.80	$141.00	$69.00–$133.00	17% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY EA 15M	$112.80	$141.00	$91.00–$141.00	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAP EXERCISE ROM EA 15M	$100.00	$125.00	$61.00–$118.00	10% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAP EXERCISE ROM EA 15M	$100.00	$125.00	$81.00–$125.00	—	20%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN (16-37 MIN)	$484.00	$605.00	$296.00–$574.00	188% above	20%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN (16-37 MIN)	$484.00	$605.00	$393.00–$605.00	—	20%
Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN (38-52 MIN)	$640.00	$800.00	$392.00–$760.00	189% above	20%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN (38-52 MIN)	$640.00	$800.00	$520.00–$800.00	—	20%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN (>53 MIN)	$776.00	$970.00	$475.00–$921.00	185% above	20%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN (>53 MIN)	$776.00	$970.00	$630.00–$970.00	—	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO COUNSELING 3-10 MIN	$49.60	$62.00	$30.00–$58.00	35% above	20%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBACCO COUNSELING 3-10 MIN	$49.60	$62.00	$40.00–$62.00	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC O/P VISIT EST LEVEL 5 (40-54 MIN)	$399.20	$499.00	$244.00–$474.00	70% above	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC O/P VISIT EST LEVEL 5 (40-54 MIN)	$399.20	$499.00	$324.00–$499.00	—	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC O/P VISIT EST LEVEL 3 (20-29 MIN)	$244.80	$306.00	$149.00–$290.00	107% above	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC O/P VISIT EST LEVEL 3 (20-29 MIN)	$244.80	$306.00	$198.00–$306.00	—	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC O/P VISIT EST LEVEL 4 (30-39 MIN)	$289.60	$362.00	$177.00–$343.00	75% above	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC O/P VISIT EST LEVEL 4 (30-39 MIN)	$289.60	$362.00	$235.00–$362.00	—	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC O/P VISIT EST LEVEL 2 (10-19 MIN)	$100.00	$125.00	$61.00–$118.00	23% above	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC O/P VISIT EST LEVEL 2 (10-19 MIN)	$100.00	$125.00	$81.00–$125.00	—	20%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND LANG COMPREHEN	$275.20	$344.00	$168.00–$326.00	9% below	20%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND LANG COMPREHEN	$275.20	$344.00	$223.00–$344.00	—	20%
Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY	$263.20	$329.00	$161.00–$312.00	21% above	20%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY	$263.20	$329.00	$213.00–$329.00	—	20%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$284.00	$355.00	$173.00–$337.00	45% above	20%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$284.00	$355.00	$230.00–$355.00	—	20%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHOSPASM PRE & POST BD	$543.20	$679.00	$410.00–$645.00	38% above	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHOSPASM PRE & POST BD	$543.20	$679.00	$441.00–$679.00	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY DIR EA 15M	$108.00	$135.00	$66.00–$128.00	6% above	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY DIR EA 15M	$108.00	$135.00	$87.00–$135.00	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY, THERAPEUTIC	$326.40	$408.00	$199.00–$387.00	70% above	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY, THERAPEUTIC	$326.40	$408.00	$265.00–$408.00	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$73.40	$73.40	$35.00–$69.00	30% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$73.40	$73.40	$47.00–$73.00	—	—
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSP	$128.00	$128.00	$62.00–$121.00	51% below	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSP	$128.00	$128.00	$83.00–$128.00	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$627.05	$627.05	$307.00–$595.00	26% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$627.05	$627.05	$407.00–$627.00	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$956.75	$956.75	$468.00–$908.00	34% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$956.75	$956.75	$621.00–$956.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$182.30	$182.30	$89.00–$136.00	115% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$182.30	$182.30	$118.00–$182.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADM 1 VACCINE	$74.40	$93.00	$45.00–$69.00	113% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE	$75.20	$94.00	$46.00–$70.00	115% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VACCINE	$75.20	$94.00	$46.00–$70.00	115% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMONIA VACCINE	$75.20	$94.00	$46.00–$70.00	115% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADM 1 VACCINE	$74.40	$93.00	$60.00–$93.00	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMONIA VACCINE	$75.20	$94.00	$61.00–$94.00	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VACCINE	$75.20	$94.00	$61.00–$94.00	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE	$75.20	$94.00	$61.00–$94.00	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADM EA ADDTL VACCINE	$75.20	$94.00	$46.00–$89.00	161% above	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADM EA ADDTL VACCINE	$75.20	$94.00	$61.00–$94.00	—	20%

Source file: https://www.grundycountyhospital.org/media/7b2751302d554257b5c0e1b088f4cc72/426006485_grundy-county-memorial-hospital_standardcharges.csv