Hospital Riverside-San Bernardino-Ontario, CA

Hemet Global Medical Center

Hemet Global Medical Center in Hemet, CA publishes cash prices for 306 common procedures listed here, from its own machine-readable price file updated Jun 15, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 170 of 303 procedures and below it for 133. By typical cash price it ranks #125 of 213 California hospitals and #20 of 24 hospitals in the Riverside, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1117 East Devonshire Avenue, Hemet, CA 92543 Collected Sep 29, 2026 Source price file (951) 652-2811

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 050390 · CMS hospital register NPI 1114239068

The price file shows no self-pay discount

For 1338 of the 1338 prices listed here, the cash price in Hemet Global Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

CMS price transparency record

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

Sep 20, 2023 Warning notice
Jan 4, 2024 Case closed
Jul 21, 2026 Met requirements

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. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO / IV ONLY (NO ORAL)	$2,592.00	$2,592.00	$209.80–$2,592.00	9% below	—
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO / IV ORAL (GASTROGRAFI	$2,592.00	$2,592.00	$209.80–$2,592.00	9% below	—
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO / IV ORAL (BARIUM)	$2,592.00	$2,592.00	$209.80–$2,592.00	9% below	—
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/W CONTRAST	$4,436.00	$4,436.00	$209.80–$4,436.00	57% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO / IV ONLY (NO ORAL)	$2,592.00	$2,592.00	$1,360.80–$2,592.00	—	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO / IV ORAL (BARIUM)	$2,592.00	$2,592.00	$1,360.80–$2,592.00	—	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO / IV ORAL (GASTROGRAFI	$2,592.00	$2,592.00	$1,360.80–$2,592.00	—	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WO/W CONTRAST	$4,436.00	$4,436.00	$2,328.90–$4,436.00	—	—
Abdominal X-ray, 2 views CPT 74019 CR ABDOMEN 2 VIEWS	$1,082.00	$1,082.00	$30.06–$1,082.00	151% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 CR ABDOMEN 2 VIEWS	$1,082.00	$1,082.00	$568.05–$1,082.00	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMPLETE	$373.00	$373.00	$29.67–$373.00	31% below	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS LEFT	$348.00	$348.00	$29.67–$348.00	35% below	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS RIGHT	$348.00	$348.00	$29.67–$348.00	35% below	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE COMPLETE	$373.00	$373.00	$195.82–$373.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT HAND W	$1,410.00	$1,410.00	$125.05–$1,410.00	38% below	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT HUMERUS W	$2,114.00	$2,114.00	$125.05–$2,114.00	7% below	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UP EXTR W CONTRAST	$2,787.00	$2,787.00	$125.05–$2,787.00	23% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CTHAND WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	35% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER WO RIGHT	$2,183.00	$2,183.00	$125.05–$2,183.00	4% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER WO LEFT	$2,183.00	$2,183.00	$125.05–$2,183.00	4% below	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT HAND W	$1,410.00	$1,410.00	$740.25–$1,410.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT HUMERUS W	$2,114.00	$2,114.00	$1,109.85–$2,114.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UP EXTR W CONTRAST	$2,787.00	$2,787.00	$1,463.18–$2,787.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CTHAND WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER WO RIGHT	$2,183.00	$2,183.00	$1,146.08–$2,183.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER WO LEFT	$2,183.00	$2,183.00	$1,146.08–$2,183.00	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$543.00	$543.00	$44.95–$543.00	10% below	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$543.00	$543.00	$285.08–$543.00	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$2,086.00	$2,086.00	$166.42–$2,086.00	2% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY	$2,086.00	$2,086.00	$1,095.15–$2,086.00	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LEFT	$622.00	$622.00	$96.23–$622.00	14% below	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RIGHT	$622.00	$622.00	$96.23–$622.00	14% below	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RIGHT	$622.00	$622.00	$326.55–$622.00	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LEFT	$622.00	$622.00	$326.55–$622.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT	$622.00	$622.00	$78.46–$622.00	15% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT	$622.00	$622.00	$78.46–$622.00	15% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LEFT	$622.00	$622.00	$326.55–$622.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RIGHT	$622.00	$622.00	$326.55–$622.00	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN PELVIS	$3,231.00	$3,231.00	$351.78–$3,231.00	40% below	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN PELVIS	$3,231.00	$3,231.00	$1,696.28–$3,231.00	—	—
CT angiography (CTA) of the head CPT 70496 CT ANGIO BRAIN	$3,241.00	$3,241.00	$209.80–$3,241.00	5% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO BRAIN	$3,241.00	$3,241.00	$1,701.52–$3,241.00	—	—
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK	$3,241.00	$3,241.00	$209.80–$3,241.00	9% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK	$3,241.00	$3,241.00	$1,701.52–$3,241.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST	$3,622.00	$3,622.00	$209.80–$3,622.00	7% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST	$3,622.00	$3,622.00	$1,901.55–$3,622.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/O CONTRAST	$2,579.00	$2,579.00	$174.31–$2,579.00	15% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO/ IV ONLY (NO ORAL)	$3,143.00	$3,143.00	$174.31–$3,143.00	3% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO/ IV ORAL ONLY (GASTRO	$3,143.00	$3,143.00	$174.31–$3,143.00	3% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO/ IV ORAL ONLY (BARIUM	$3,143.00	$3,143.00	$174.31–$3,143.00	3% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS W/O CONTRAST	$2,579.00	$2,579.00	$1,353.98–$2,579.00	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO/ IV ORAL ONLY (GASTRO	$3,143.00	$3,143.00	$1,650.08–$3,143.00	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO/ IV ORAL ONLY (BARIUM	$3,143.00	$3,143.00	$1,650.08–$3,143.00	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO/ IV ONLY (NO ORAL)	$3,143.00	$3,143.00	$1,650.08–$3,143.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/CONTRAST	$3,988.00	$3,988.00	$281.80–$3,988.00	3% below	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ IV ONLY (NO ORAL)	$4,504.00	$4,504.00	$281.80–$4,504.00	9% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ IV ORAL (BARIUM)	$4,504.00	$4,504.00	$281.80–$4,504.00	9% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ IV ORAL (GASTROGRAF	$4,504.00	$4,504.00	$281.80–$4,504.00	9% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/CONTRAST	$3,988.00	$3,988.00	$2,093.70–$3,988.00	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/ IV ORAL (GASTROGRAF	$4,504.00	$4,504.00	$2,364.60–$4,504.00	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/ IV ORAL (BARIUM)	$4,504.00	$4,504.00	$2,364.60–$4,504.00	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/ IV ONLY (NO ORAL)	$4,504.00	$4,504.00	$2,364.60–$4,504.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W/WO 1 BDY REGN	$4,446.00	$4,446.00	$319.24–$4,446.00	1% below	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W WO/ IV ORAL (BARIUM	$4,504.00	$4,504.00	$319.24–$4,504.00	1% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W WO/ IV ORAL (GASTROG	$4,504.00	$4,504.00	$319.24–$4,504.00	1% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W WO/ IV ONLY (NO ORAL)	$4,504.00	$4,504.00	$319.24–$4,504.00	1% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W/WO 1 BDY REGN	$4,446.00	$4,446.00	$2,334.15–$4,446.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W WO/ IV ONLY (NO ORAL)	$4,504.00	$4,504.00	$2,364.60–$4,504.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W WO/ IV ORAL (BARIUM	$4,504.00	$4,504.00	$2,364.60–$4,504.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W WO/ IV ORAL (GASTROG	$4,504.00	$4,504.00	$2,364.60–$4,504.00	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ IV ORAL (BARIUM)	$2,331.00	$2,331.00	$209.80–$2,331.00	8% below	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ IV ONLY (NO ORAL)	$2,331.00	$2,331.00	$209.80–$2,331.00	8% below	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ IV ORAL (GASTROGRAFIN)	$2,331.00	$2,331.00	$209.80–$2,331.00	8% below	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$4,278.00	$4,278.00	$209.80–$4,278.00	70% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ IV ONLY (NO ORAL)	$2,331.00	$2,331.00	$1,223.78–$2,331.00	—	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ IV ORAL (GASTROGRAFIN)	$2,331.00	$2,331.00	$1,223.78–$2,331.00	—	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ IV ORAL (BARIUM)	$2,331.00	$2,331.00	$1,223.78–$2,331.00	—	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$4,278.00	$4,278.00	$2,245.95–$4,278.00	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO/IV ONLY (NO ORAL)	$1,489.00	$1,489.00	$125.05–$1,489.00	22% below	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO/ IV ORAL ONLY (BARIUM)	$1,489.00	$1,489.00	$125.05–$1,489.00	22% below	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO/ IV ORAL ONLY (GASTROGRAFI	$1,489.00	$1,489.00	$125.05–$1,489.00	22% below	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$3,920.00	$3,920.00	$125.05–$3,920.00	105% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO/IV ONLY (NO ORAL)	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO/ IV ORAL ONLY (GASTROGRAFI	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO/ IV ORAL ONLY (BARIUM)	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$3,920.00	$3,920.00	$2,058.00–$3,920.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACE/JAW W/O CONTRAST	$1,697.00	$1,697.00	$125.05–$1,697.00	22% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONT	$2,184.00	$2,184.00	$125.05–$2,184.00	at median	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACE/JAW W/O CONTRAST	$1,697.00	$1,697.00	$890.92–$1,697.00	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O CONT	$2,184.00	$2,184.00	$1,146.60–$2,184.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRAST	$2,368.00	$2,368.00	$119.50–$2,368.00	3% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONTRAST	$2,368.00	$2,368.00	$1,243.20–$2,368.00	—	—
CT scan of the head with contrast CPT 70460 CT BRAIN W CONTRAST	$3,323.00	$3,323.00	$168.54–$3,323.00	23% above	—
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W CONTRAST	$3,323.00	$3,323.00	$1,744.58–$3,323.00	—	—
CT scan of the head without and with contrast CPT 70470 CT BRAIN W/WO CONTRAST	$3,323.00	$3,323.00	$198.29–$3,323.00	9% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W/WO CONTRAST	$3,323.00	$3,323.00	$1,744.58–$3,323.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LS SPINE W/O CONTRAST	$4,046.00	$4,046.00	$125.05–$4,046.00	41% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LS SPINE W/O CONTRAST	$4,046.00	$4,046.00	$2,124.15–$4,046.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O CONTRAST	$4,155.00	$4,155.00	$125.05–$4,155.00	43% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O CONTRAST	$4,155.00	$4,155.00	$2,181.38–$4,155.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ IV ORAL (GASTROGRAFIN)	$2,331.00	$2,331.00	$209.80–$2,331.00	9% below	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ IV ORAL (BARIUM)	$2,331.00	$2,331.00	$209.80–$2,331.00	9% below	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ IV ONLY (NO ORAL)	$2,331.00	$2,331.00	$209.80–$2,331.00	9% below	—
CT scan of the pelvis, with contrast dye CPT 72193 CT SACRUM COCCYX W CONT	$3,086.00	$3,086.00	$209.80–$3,086.00	21% above	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$3,863.00	$3,863.00	$209.80–$3,863.00	52% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ IV ONLY (NO ORAL)	$2,331.00	$2,331.00	$1,223.78–$2,331.00	—	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ IV ORAL (BARIUM)	$2,331.00	$2,331.00	$1,223.78–$2,331.00	—	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ IV ORAL (GASTROGRAFIN)	$2,331.00	$2,331.00	$1,223.78–$2,331.00	—	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SACRUM COCCYX W CONT	$3,086.00	$3,086.00	$1,620.15–$3,086.00	—	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$3,863.00	$3,863.00	$2,028.08–$3,863.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID COMP BILATERAL	$2,180.00	$2,180.00	$184.84–$2,180.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID COMP BILATERAL	$2,180.00	$2,180.00	$1,144.50–$2,180.00	—	—
Chest CT scan without and with contrast CPT 71270 CT THORAX W/WO CONTRAST	$4,118.00	$4,118.00	$209.80–$4,118.00	33% above	—
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/WO CONTRAST	$4,118.00	$4,118.00	$2,161.95–$4,118.00	—	—
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEW PA LAT	$496.00	$496.00	$27.47–$496.00	21% above	—
Chest X-ray, 2 views CPT 71046 CR CHEST IN UNIT 2 VIEW	$578.00	$578.00	$27.47–$578.00	42% above	—
Chest X-ray, 2 views CPT 71046 CR CHEST W/FLUORO 2 VIEWS	$587.00	$587.00	$27.47–$587.00	44% above	—
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEW PA LAT	$496.00	$496.00	$260.40–$496.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST IN UNIT 2 VIEW	$578.00	$578.00	$303.45–$578.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST W/FLUORO 2 VIEWS	$587.00	$587.00	$308.18–$587.00	—	—
Chest X-ray, single view CPT 71045 CR CHEST 1 VIEW PA	$273.00	$273.00	$17.65–$273.00	25% below	—
Chest X-ray, single view CPT 71045 CR CHEST IN UNIT 1 VIEW	$449.00	$449.00	$17.65–$449.00	23% above	—
Chest X-ray, single view inpatient CPT 71045 CR CHEST 1 VIEW PA	$273.00	$273.00	$143.33–$273.00	—	—
Chest X-ray, single view inpatient CPT 71045 CR CHEST IN UNIT 1 VIEW	$449.00	$449.00	$235.73–$449.00	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE	$323.00	$323.00	$24.52–$323.00	33% below	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE LEFT	$348.00	$348.00	$24.52–$348.00	28% below	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE RIGHT	$348.00	$348.00	$24.52–$348.00	28% below	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE	$323.00	$323.00	$169.58–$323.00	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMP	$1,835.00	$1,835.00	$95.25–$1,835.00	115% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEYS BLADDER	$1,869.00	$1,869.00	$95.25–$1,869.00	119% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMP	$1,835.00	$1,835.00	$963.38–$1,835.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US KIDNEYS BLADDER	$1,869.00	$1,869.00	$981.22–$1,869.00	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SINGLE/1ST GEST	$1,309.00	$1,309.00	$158.68–$1,309.00	45% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED SINGLE/1ST GEST	$1,309.00	$1,309.00	$687.22–$1,309.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$3,238.00	$3,238.00	$125.05–$3,238.00	61% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$3,238.00	$3,238.00	$1,699.95–$3,238.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST	$3,913.00	$3,913.00	$189.91–$3,913.00	35% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CONTRAST	$3,913.00	$3,913.00	$2,054.33–$3,913.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOW EXTR ART BILAT	$1,861.00	$1,861.00	$114.31–$1,861.00	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LOW EXTR ART BILAT	$1,861.00	$1,861.00	$977.03–$1,861.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US EXTREMITY VEINS BILATERAL	$1,755.00	$1,755.00	$198.52–$1,755.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US EXTREMITY VEINS BILATERAL	$1,755.00	$1,755.00	$921.38–$1,755.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2DSPECTRAL AND COLOR FLOW DOP	$2,701.00	$2,701.00	$239.00–$2,701.00	at median	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 COMPLETE ECHO WITH DEFINITY	$4,350.00	$4,350.00	$239.00–$4,350.00	62% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2DSPECTRAL AND COLOR FLOW DOP	$2,701.00	$2,701.00	$1,418.02–$2,701.00	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 COMPLETE ECHO WITH DEFINITY	$4,350.00	$4,350.00	$2,283.75–$4,350.00	—	—
Elbow X-ray, 2 views CPT 73070 XR ELBOW LIMITED	$292.00	$292.00	$24.52–$292.00	26% below	—
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VIEWS RIGHT	$348.00	$348.00	$24.52–$348.00	12% below	—
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VIEWS LEFT	$348.00	$348.00	$24.52–$348.00	12% below	—
Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW LIMITED	$292.00	$292.00	$153.30–$292.00	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW COMPLETE	$391.00	$391.00	$30.66–$391.00	18% below	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS RIGHT	$348.00	$348.00	$30.66–$348.00	27% below	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS LEFT	$348.00	$348.00	$30.66–$348.00	27% below	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW COMPLETE	$391.00	$391.00	$205.28–$391.00	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT INT AUD CANAL W/O CONT	$2,127.00	$2,127.00	$125.05–$2,127.00	7% below	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT SKULL W/O CONTRAST	$2,787.00	$2,787.00	$125.05–$2,787.00	22% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT INT AUD CANAL W/O CONT	$2,127.00	$2,127.00	$1,116.68–$2,127.00	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SKULL W/O CONTRAST	$2,787.00	$2,787.00	$1,463.18–$2,787.00	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACE COMPL MIN 3 VIEW	$666.00	$666.00	$43.99–$666.00	35% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACE COMPL MIN 3 VIEW	$666.00	$666.00	$349.65–$666.00	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM	$316.00	$316.00	$24.52–$316.00	21% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREARM RIGHT	$348.00	$348.00	$24.52–$348.00	13% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREARM LEFT	$348.00	$348.00	$24.52–$348.00	13% below	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM	$316.00	$316.00	$165.90–$316.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREARM LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREARM RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM IMAGING	$2,799.00	$2,799.00	$291.01–$2,799.00	52% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM IMAGING	$2,799.00	$2,799.00	$1,469.48–$2,799.00	—	—
Hand X-ray, 2 views CPT 73120 XR HAND LIMITED	$239.00	$239.00	$20.41–$239.00	41% below	—
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS RIGHT	$348.00	$348.00	$20.41–$348.00	14% below	—
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS LEFT	$348.00	$348.00	$20.41–$348.00	14% below	—
Hand X-ray, 2 views inpatient CPT 73120 XR HAND LIMITED	$239.00	$239.00	$125.48–$239.00	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR OS CALCIS/HEEL	$292.00	$292.00	$22.44–$292.00	17% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR OS CALCIS/HEEL 2 VIEWS RIGHT	$348.00	$348.00	$22.44–$348.00	1% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR OS CALCIS/HEEL 2 VIEWS LEFT	$348.00	$348.00	$22.44–$348.00	1% below	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR OS CALCIS/HEEL	$292.00	$292.00	$153.30–$292.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR OS CALCIS/HEEL 2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR OS CALCIS/HEEL 2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS	$258.00	$258.00	$27.59–$258.00	44% below	—
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3V LEFT	$348.00	$348.00	$27.59–$348.00	24% below	—
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3V RIGHT	$348.00	$348.00	$27.59–$348.00	24% below	—
Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEWS	$258.00	$258.00	$135.45–$258.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3V LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3V RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE COMPLETE	$552.00	$552.00	$32.69–$552.00	6% below	—
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE MIN 4 VIEWS LEFT	$348.00	$348.00	$32.69–$348.00	41% below	—
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE MIN 4 VIEWS RIGHT	$348.00	$348.00	$32.69–$348.00	41% below	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE COMPLETE	$552.00	$552.00	$289.80–$552.00	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE MIN 4 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE MIN 4 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT FOOT WO	$1,644.00	$1,644.00	$125.05–$1,644.00	23% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT FEMUR WO	$2,114.00	$2,114.00	$125.05–$2,114.00	1% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT TIB/FIB WO	$2,114.00	$2,114.00	$125.05–$2,114.00	1% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT ANKLE W/O CONT	$2,235.00	$2,235.00	$125.05–$2,235.00	5% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT KNEE W/O CONT	$2,235.00	$2,235.00	$125.05–$2,235.00	5% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOW EXTR W/O CONTRAST	$3,463.00	$3,463.00	$125.05–$3,463.00	62% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB WO LEFT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR WO RIGHT	$1,489.00	$1,489.00	$125.05–$1,489.00	30% below	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT FOOT WO	$1,644.00	$1,644.00	$863.10–$1,644.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT TIB/FIB WO	$2,114.00	$2,114.00	$1,109.85–$2,114.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT FEMUR WO	$2,114.00	$2,114.00	$1,109.85–$2,114.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT ANKLE W/O CONT	$2,235.00	$2,235.00	$1,173.38–$2,235.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT KNEE W/O CONT	$2,235.00	$2,235.00	$1,173.38–$2,235.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOW EXTR W/O CONTRAST	$3,463.00	$3,463.00	$1,818.08–$3,463.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE WO LEFT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE WO RIGHT	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ER-US ABDOMEN REAL TIME LTD	$547.00	$547.00	$71.67–$3,250.00	34% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SP US ABDOMEN LIMITED	$784.00	$784.00	$71.67–$784.00	5% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX	$1,328.00	$1,328.00	$71.67–$1,328.00	60% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDO GALLBLADDER SONOG	$1,328.00	$1,328.00	$71.67–$1,328.00	60% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDO PANCREAS SONOGRAM	$1,811.00	$1,811.00	$71.67–$1,811.00	119% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDO ORGAN OR QUADRANT	$1,811.00	$1,811.00	$71.67–$1,811.00	119% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDO SPLEEN SONOGRAM	$1,857.00	$1,857.00	$71.67–$1,857.00	124% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ER-US ABDOMEN REAL TIME LTD	$547.00	$547.00	$287.18–$547.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SP US ABDOMEN LIMITED	$784.00	$784.00	$411.60–$784.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDO GALLBLADDER SONOG	$1,328.00	$1,328.00	$697.20–$1,328.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX	$1,328.00	$1,328.00	$697.20–$1,328.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDO ORGAN OR QUADRANT	$1,811.00	$1,811.00	$950.78–$1,811.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDO PANCREAS SONOGRAM	$1,811.00	$1,811.00	$950.78–$1,811.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDO SPLEEN SONOGRAM	$1,857.00	$1,857.00	$974.92–$1,857.00	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD	$828.00	$828.00	$26.24–$828.00	65% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD	$828.00	$828.00	$434.70–$828.00	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA AND FIBULA	$323.00	$323.00	$24.52–$323.00	25% below	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR TIBIA AND FIBULA RIGHT	$348.00	$348.00	$24.52–$348.00	20% below	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR TIBIA AND FIBULA LEFT	$348.00	$348.00	$24.52–$348.00	20% below	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBIA AND FIBULA	$323.00	$323.00	$169.58–$323.00	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR TIBIA AND FIBULA LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR TIBIA AND FIBULA RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRI ANG HEAD W/O CONT	$4,316.00	$4,316.00	$210.94–$4,316.00	47% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI ANG HEAD W/O CONT	$4,316.00	$4,316.00	$2,265.90–$4,316.00	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREMITY JOINT	$4,316.00	$4,316.00	$232.37–$4,316.00	33% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOW EXTR JOINT WO LEFT	$2,625.00	$2,625.00	$232.37–$2,625.00	19% below	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOW EXTR JOINT WO RIGHT	$2,625.00	$2,625.00	$232.37–$2,625.00	19% below	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXTREMITY JOINT	$4,316.00	$4,316.00	$2,265.90–$4,316.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOW EXTR JOINT WO LEFT	$2,625.00	$2,625.00	$1,378.12–$2,625.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOW EXTR JOINT WO RIGHT	$2,625.00	$2,625.00	$1,378.12–$2,625.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTR JOINT W WO	$3,993.00	$3,993.00	$384.87–$3,993.00	15% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOW EXTR JOINT W WO RIGHT	$4,143.00	$4,143.00	$384.87–$4,143.00	12% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOW EXTR JOINT W WO LEFT	$4,143.00	$4,143.00	$384.87–$4,143.00	12% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXTR JOINT W WO	$3,993.00	$3,993.00	$2,096.33–$3,993.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOW EXTR JOINT W WO LEFT	$4,143.00	$4,143.00	$2,175.08–$4,143.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOW EXTR JOINT W WO RIGHT	$4,143.00	$4,143.00	$2,175.08–$4,143.00	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$4,432.00	$4,432.00	$225.33–$4,432.00	60% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$4,432.00	$4,432.00	$2,326.80–$4,432.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W CONTRAST	$4,323.00	$4,323.00	$333.52–$4,323.00	1% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W CONTRAST	$4,323.00	$4,323.00	$2,269.58–$4,323.00	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$4,432.00	$4,432.00	$224.39–$4,432.00	50% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$4,432.00	$4,432.00	$2,326.80–$4,432.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST	$4,323.00	$4,323.00	$367.05–$4,323.00	1% below	—
MRI of the brain, with and without contrast dye CPT 70553 MRI INT AUDITORY CANAL WWO	$5,403.00	$5,403.00	$367.05–$5,403.00	23% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST	$4,323.00	$4,323.00	$2,269.58–$4,323.00	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI INT AUDITORY CANAL WWO	$5,403.00	$5,403.00	$2,836.58–$5,403.00	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O CONTRAST	$4,316.00	$4,316.00	$219.48–$4,316.00	39% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR W/O CONTRAST	$4,316.00	$4,316.00	$2,265.90–$4,316.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR WO/W CONTRAST	$4,323.00	$4,323.00	$368.50–$4,323.00	5% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR WO/W CONTRAST	$4,323.00	$4,323.00	$2,269.58–$4,323.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O CONTRAST	$4,316.00	$4,316.00	$218.71–$4,316.00	42% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC W/O CONTRAST	$4,316.00	$4,316.00	$2,265.90–$4,316.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL WO/W CONT	$4,323.00	$4,323.00	$369.62–$4,323.00	2% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL WO/W CONT	$4,323.00	$4,323.00	$2,269.58–$4,323.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O CONTRAST	$4,316.00	$4,316.00	$219.07–$4,316.00	41% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O CONTRAST	$4,316.00	$4,316.00	$2,265.90–$4,316.00	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONTRAST	$4,323.00	$4,323.00	$332.91–$4,323.00	1% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/W CONTRAST	$4,323.00	$4,323.00	$2,269.58–$4,323.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$3,289.00	$3,289.00	$226.34–$3,289.00	28% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$3,289.00	$3,289.00	$1,726.72–$3,289.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JOINT	$4,316.00	$4,316.00	$232.77–$4,316.00	61% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UPPER EXTR JOINT WO RIGHT	$2,625.00	$2,625.00	$232.77–$2,625.00	2% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UPPER EXTR JOINT WO LEFT	$2,625.00	$2,625.00	$232.77–$2,625.00	2% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY JOINT	$4,316.00	$4,316.00	$2,265.90–$4,316.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UPPER EXTR JOINT WO RIGHT	$2,625.00	$2,625.00	$1,378.12–$2,625.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UPPER EXTR JOINT WO LEFT	$2,625.00	$2,625.00	$1,378.12–$2,625.00	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CR C SPINE 4-5 VIEWS	$598.00	$598.00	$47.20–$598.00	2% below	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CR C SPINE 4-5 VIEWS	$598.00	$598.00	$313.95–$598.00	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W CONTRAST	$2,924.00	$2,924.00	$209.80–$2,924.00	13% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W CONTRAST	$2,924.00	$2,924.00	$1,535.10–$2,924.00	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$2,787.00	$2,787.00	$125.05–$2,787.00	36% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$2,787.00	$2,787.00	$1,463.18–$2,787.00	—	—
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$282.00	$282.00	$20.41–$282.00	12% below	—
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE	$282.00	$282.00	$148.05–$282.00	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARD S/R SPECT MULTI	$6,097.00	$6,097.00	$348.12–$6,097.00	51% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARD S/R SPECT MULTI	$6,097.00	$6,097.00	$3,200.92–$6,097.00	—	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO/ IV ONLY (NO ORAL)	$1,489.00	$1,489.00	$125.05–$1,489.00	24% below	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO/ IV ORAL ONLY (BARIUM)	$1,489.00	$1,489.00	$125.05–$1,489.00	24% below	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO/ IV ORAL ONLY (GASTROGRAFIN	$1,489.00	$1,489.00	$125.05–$1,489.00	24% below	—
Pelvic CT scan without contrast CPT 72192 CT S I JOINTS W/O CONT	$1,686.00	$1,686.00	$125.05–$1,686.00	14% below	—
Pelvic CT scan without contrast CPT 72192 CT SACRUM COCCYX W/O CONT	$2,667.00	$2,667.00	$125.05–$2,667.00	36% above	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$3,708.00	$3,708.00	$125.05–$3,708.00	89% above	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO/ IV ONLY (NO ORAL)	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO/ IV ORAL ONLY (GASTROGRAFIN	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO/ IV ORAL ONLY (BARIUM)	$1,489.00	$1,489.00	$781.72–$1,489.00	—	—
Pelvic CT scan without contrast inpatient CPT 72192 CT S I JOINTS W/O CONT	$1,686.00	$1,686.00	$885.15–$1,686.00	—	—
Pelvic CT scan without contrast inpatient CPT 72192 CT SACRUM COCCYX W/O CONT	$2,667.00	$2,667.00	$1,400.18–$2,667.00	—	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$3,708.00	$3,708.00	$1,946.70–$3,708.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US URINARY BLADDER	$1,206.00	$1,206.00	$49.76–$1,206.00	113% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PVL NON OB LMT CERV LNGTH	$1,328.00	$1,328.00	$49.76–$1,328.00	134% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US URINARY BLADDER	$1,206.00	$1,206.00	$633.15–$1,206.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PVL NON OB LMT CERV LNGTH	$1,328.00	$1,328.00	$697.20–$1,328.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US CERVIX COMPLETE	$627.00	$627.00	$79.83–$627.00	33% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC TRANS ABD	$1,370.00	$1,370.00	$79.83–$1,370.00	46% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US CERVIX COMPLETE	$627.00	$627.00	$329.18–$627.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC TRANS ABD	$1,370.00	$1,370.00	$719.25–$1,370.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14WKS SNGL	$1,346.00	$1,346.00	$111.30–$1,346.00	50% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14WKS SNGL	$1,346.00	$1,346.00	$706.65–$1,346.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14WKS SNGL	$1,281.00	$1,281.00	$78.42–$1,281.00	56% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14WKS SNGL	$1,281.00	$1,281.00	$672.52–$1,281.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LEVEL 1 ULTRASOUND/REAL TIME	$1,346.00	$1,346.00	$74.28–$1,346.00	123% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PLACENTAL LOCALIZATION	$1,346.00	$1,346.00	$74.28–$1,346.00	123% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 1OR> FETUS	$1,346.00	$1,346.00	$74.28–$1,346.00	123% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US AMNIOTIC FLUID INDEX	$1,346.00	$1,346.00	$74.28–$1,346.00	123% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$1,346.00	$1,346.00	$74.28–$1,346.00	123% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 AMNIOTIC FLUID INDEX	$1,346.00	$1,346.00	$74.28–$1,346.00	123% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$1,346.00	$1,346.00	$706.65–$1,346.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD 1OR> FETUS	$1,346.00	$1,346.00	$706.65–$1,346.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 AMNIOTIC FLUID INDEX	$1,346.00	$1,346.00	$706.65–$1,346.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LEVEL 1 ULTRASOUND/REAL TIME	$1,346.00	$1,346.00	$706.65–$1,346.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PLACENTAL LOCALIZATION	$1,346.00	$1,346.00	$706.65–$1,346.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US AMNIOTIC FLUID INDEX	$1,346.00	$1,346.00	$706.65–$1,346.00	—	—
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL W/O CHEST RIGHT	$499.00	$499.00	$32.05–$499.00	8% above	—
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL W/O CHEST LEFT	$499.00	$499.00	$32.05–$499.00	8% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL W/O CHEST RIGHT	$499.00	$499.00	$261.98–$499.00	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL W/O CHEST LEFT	$499.00	$499.00	$261.98–$499.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS UNI 3V W/PA CHEST	$301.00	$301.00	$38.14–$301.00	51% below	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CR RIBS 3V W/PA CXR RIGHT	$348.00	$348.00	$38.14–$348.00	44% below	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CR RIBS 3V W/PA CXR LEFT	$348.00	$348.00	$38.14–$348.00	44% below	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS UNI 3V W/PA CHEST	$301.00	$301.00	$158.02–$301.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CR RIBS 3V W/PA CXR RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CR RIBS 3V W/PA CXR LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMPLETE	$391.00	$391.00	$30.51–$391.00	31% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS LEFT	$348.00	$348.00	$30.51–$348.00	38% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS RIGHT	$348.00	$348.00	$30.51–$348.00	38% below	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER COMPLETE	$391.00	$391.00	$205.28–$391.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES MIN 3 VIEWS	$632.00	$632.00	$39.35–$632.00	38% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES MIN 3 VIEWS	$632.00	$632.00	$331.80–$632.00	—	—
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL LTD LESS THAN 4 VIEWS	$373.00	$373.00	$30.66–$373.00	12% below	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL LTD LESS THAN 4 VIEWS	$373.00	$373.00	$195.82–$373.00	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO WITH EKG	$3,952.00	$3,952.00	$239.00–$3,952.00	24% above	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO WITH DEFINITY AND EKG	$4,350.00	$4,350.00	$239.00–$4,350.00	37% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO WITH EKG	$3,952.00	$3,952.00	$2,074.80–$3,952.00	—	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO WITH DEFINITY AND EKG	$4,350.00	$4,350.00	$2,283.75–$4,350.00	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR ESOPHAGUS WITH VIDEO	$589.00	$589.00	$61.25–$589.00	11% below	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR ESOPHAGUS WITH VIDEO	$589.00	$589.00	$309.23–$589.00	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR MIN 2V LEFT	$582.00	$582.00	$29.15–$582.00	49% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR MIN 2V RIGHT	$582.00	$582.00	$29.15–$582.00	49% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR MIN 2V RIGHT	$582.00	$582.00	$305.55–$582.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR MIN 2V LEFT	$582.00	$582.00	$305.55–$582.00	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T SPINE W/O CONTRAST	$4,046.00	$4,046.00	$125.05–$4,046.00	44% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T SPINE W/O CONTRAST	$4,046.00	$4,046.00	$2,124.15–$4,046.00	—	—
Toe X-ray, 2 or more views CPT 73660 XR TOES	$232.00	$232.00	$18.40–$232.00	30% below	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2ND DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 1ST DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2ND DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 3RD DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 4TH DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 5TH DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 1ST DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 5TH DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 4TH DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 3RD DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	5% above	—
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOES	$232.00	$232.00	$121.80–$232.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 5TH DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 1ST DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 3RD DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2ND DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 1ST DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 3RD DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2ND DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 4TH DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 5TH DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 4TH DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL	$1,370.00	$1,370.00	$79.83–$1,370.00	91% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAGINAL	$1,370.00	$1,370.00	$719.25–$1,370.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US OB/PREG TRANSVAG	$1,370.00	$1,370.00	$82.17–$1,370.00	102% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB/PREG TRANSVAG	$1,370.00	$1,370.00	$719.25–$1,370.00	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN	$1,830.00	$1,830.00	$98.18–$1,830.00	61% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN	$1,830.00	$1,830.00	$960.75–$1,830.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$1,811.00	$1,811.00	$70.54–$1,811.00	103% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR	$1,811.00	$1,811.00	$950.78–$1,811.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK	$1,529.00	$1,529.00	$70.49–$1,529.00	82% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$1,811.00	$1,811.00	$70.49–$1,811.00	116% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK	$1,529.00	$1,529.00	$802.72–$1,529.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$1,811.00	$1,811.00	$950.78–$1,811.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SNGL CONTRAST	$1,168.00	$1,168.00	$86.91–$1,168.00	90% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI SNGL CONTRAST	$1,168.00	$1,168.00	$613.20–$1,168.00	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS	$323.00	$323.00	$24.52–$323.00	24% below	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS LEFT	$348.00	$348.00	$24.52–$348.00	19% below	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS RIGHT	$348.00	$348.00	$24.52–$348.00	19% below	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS	$323.00	$323.00	$169.58–$323.00	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER EXTREMITY VEINS RIGHT	$747.00	$747.00	$99.78–$747.00	16% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER EXTREMITY VEINS LEFT	$747.00	$747.00	$99.78–$747.00	16% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXTREMITY VEINS LEFT	$747.00	$747.00	$99.78–$747.00	16% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXTREMITY VEINS RIGHT	$747.00	$747.00	$99.78–$747.00	16% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXTREMITY VEINS UNILATERAL OR LIMITED	$1,439.00	$1,439.00	$99.78–$1,439.00	61% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LOWER EXTREMITY VEINS LEFT	$747.00	$747.00	$392.18–$747.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LOWER EXTREMITY VEINS RIGHT	$747.00	$747.00	$392.18–$747.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UPPER EXTREMITY VEINS RIGHT	$747.00	$747.00	$392.18–$747.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UPPER EXTREMITY VEINS LEFT	$747.00	$747.00	$392.18–$747.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXTREMITY VEINS UNILATERAL OR LIMITED	$1,439.00	$1,439.00	$755.48–$1,439.00	—	—
Wrist X-ray, 2 views CPT 73100 XR WRIST LIMITED	$260.00	$260.00	$20.41–$260.00	33% below	—
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS RIGHT	$348.00	$348.00	$20.41–$348.00	10% below	—
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS LEFT	$348.00	$348.00	$20.41–$348.00	10% below	—
Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST LIMITED	$260.00	$260.00	$136.50–$260.00	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST COMPLETE	$391.00	$391.00	$29.67–$391.00	22% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS RIGHT	$348.00	$348.00	$29.67–$348.00	31% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS LEFT	$348.00	$348.00	$29.67–$348.00	31% below	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST COMPLETE	$391.00	$391.00	$205.28–$391.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP W/PELVIS WHEN PREFORM 2-3V RIGHT	$582.00	$582.00	$37.28–$582.00	38% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP W/PELVIS WHEN PREFORM 2-3V LEFT	$582.00	$582.00	$37.28–$582.00	38% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR HIP W/PELVIS WHEN PREFORM 2-3V RIGHT	$582.00	$582.00	$305.55–$582.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR HIP W/PELVIS WHEN PREFORM 2-3V LEFT	$582.00	$582.00	$305.55–$582.00	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN/KUB	$273.00	$273.00	$24.60–$273.00	9% below	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN SINGLE VIEW (NON-KUB)	$333.00	$333.00	$24.60–$333.00	10% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN/KUB	$273.00	$273.00	$143.33–$273.00	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN SINGLE VIEW (NON-KUB)	$333.00	$333.00	$174.82–$333.00	—	—
X-ray of the ankle, 2 views CPT 73600 XR ANKLE LIMITED	$282.00	$282.00	$22.44–$282.00	28% below	—
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VIEWS RIGHT	$348.00	$348.00	$22.44–$348.00	11% below	—
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VIEWS LEFT	$348.00	$348.00	$22.44–$348.00	11% below	—
X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE LIMITED	$282.00	$282.00	$148.05–$282.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS	$232.00	$232.00	$18.40–$232.00	38% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 4TH DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 4TH DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2ND DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 5TH DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 3RD DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 5TH DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 3RD DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 1ST DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 1ST DIGIT LEFT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2ND DIGIT RIGHT	$348.00	$348.00	$18.40–$348.00	7% below	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGERS	$232.00	$232.00	$121.80–$232.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 4TH DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 1ST DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2ND DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 1ST DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2ND DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 3RD DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 4TH DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 5TH DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 5TH DIGIT RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 3RD DIGIT LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the foot, 2 views CPT 73620 XR FOOT LIMITED	$251.00	$251.00	$20.41–$251.00	38% below	—
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS LEFT	$348.00	$348.00	$20.41–$348.00	14% below	—
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS RIGHT	$348.00	$348.00	$20.41–$348.00	14% below	—
X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT LIMITED	$251.00	$251.00	$131.78–$251.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMPLETE	$361.00	$361.00	$28.58–$361.00	30% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT MIN 3 VIEWS RIGHT	$348.00	$348.00	$28.58–$348.00	32% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT MIN 3 VIEWS LEFT	$348.00	$348.00	$28.58–$348.00	32% below	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT COMPLETE	$361.00	$361.00	$189.52–$361.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT MIN 3 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT MIN 3 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the hand, 3 or more views CPT 73130 XR HAND COMPLETE	$362.00	$362.00	$29.67–$362.00	29% below	—
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS LEFT	$348.00	$348.00	$29.67–$348.00	32% below	—
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS RIGHT	$348.00	$348.00	$29.67–$348.00	32% below	—
X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND COMPLETE	$362.00	$362.00	$190.05–$362.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE LIMITED	$282.00	$282.00	$22.44–$282.00	26% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1-2 VIEWS LEFT	$348.00	$348.00	$22.44–$348.00	9% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1-2 VIEWS RIGHT	$348.00	$348.00	$22.44–$348.00	9% below	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE LIMITED	$282.00	$282.00	$148.05–$282.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1-2 VIEWS RIGHT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1-2 VIEWS LEFT	$348.00	$348.00	$182.70–$348.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR LUMBAR SPINE 2-3 VIEWS	$648.00	$648.00	$35.74–$648.00	31% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR LUMBAR SPINE 2-3 VIEWS	$648.00	$648.00	$340.20–$648.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 CR LUMBAR SPINE MIN 4 VIEWS	$962.00	$962.00	$51.74–$962.00	42% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR LUMBAR SPINE MIN 4 VIEWS	$962.00	$962.00	$505.05–$962.00	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR THORACIC SPINE 2 VIEWS	$331.00	$331.00	$33.09–$331.00	29% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR THORACIC SPINE 2 VIEWS	$331.00	$331.00	$173.78–$331.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$407.00	$407.00	$29.25–$407.00	10% below	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$407.00	$407.00	$213.68–$407.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR C SPINE 2-3 VIEWS	$391.00	$391.00	$30.66–$391.00	14% below	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR C SPINE 2-3 VIEWS	$391.00	$391.00	$205.28–$391.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS	$323.00	$323.00	$25.51–$323.00	18% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VIEWS	$323.00	$323.00	$169.58–$323.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX MIN 2 VIEWS	$422.00	$422.00	$29.52–$422.00	13% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX MIN 2 VIEWS	$422.00	$422.00	$221.55–$422.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ACTH blood test CPT 82024 B-LAB ADRENOCORTICOTROPHIC HOR	$166.00	$166.00	$34.33–$166.00	145% above	—
ACTH blood test inpatient CPT 82024 B-LAB ADRENOCORTICOTROPHIC HOR	$166.00	$166.00	$87.15–$166.00	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB TRANSAMINASE GPT	$121.00	$121.00	$4.58–$121.00	181% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB TRANSAMINASE GPT	$121.00	$121.00	$63.53–$121.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 LAB TRANSAMIMASE GOT	$121.00	$121.00	$4.41–$121.00	167% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB TRANSAMIMASE GOT	$121.00	$121.00	$63.53–$121.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 B-LAB HEPATITIS EVAL 1	$205.00	$205.00	$34.86–$205.00	25% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 B-LAB HEPATITIS EVAL 1	$205.00	$205.00	$107.62–$205.00	—	—
Albumin blood test CPT 82040 C ALBUMIN SERUM PLASMA OR WHOLE BLD-LC	$9.00	$9.00	$4.02–$16.38	64% below	—
Albumin blood test CPT 82040 LAB ALBUMIN SERUM	$109.00	$109.00	$4.02–$109.00	337% above	—
Albumin blood test inpatient CPT 82040 C ALBUMIN SERUM PLASMA OR WHOLE BLD-LC	$9.00	$9.00	$4.73–$9.00	—	—
Albumin blood test inpatient CPT 82040 LAB ALBUMIN SERUM	$109.00	$109.00	$57.22–$109.00	—	—
Aldosterone blood test CPT 82088 C ALDOSTERONE - LC	$152.00	$152.00	$36.22–$152.00	280% above	—
Aldosterone blood test CPT 82088 B-LAB ALDOSTERONE URINE	$175.00	$175.00	$36.22–$175.00	338% above	—
Aldosterone blood test CPT 82088 B-LAB ALDOSTERONE	$175.00	$175.00	$36.22–$175.00	338% above	—
Aldosterone blood test inpatient CPT 82088 C ALDOSTERONE - LC	$152.00	$152.00	$79.80–$152.00	—	—
Aldosterone blood test inpatient CPT 82088 B-LAB ALDOSTERONE	$175.00	$175.00	$91.88–$175.00	—	—
Aldosterone blood test inpatient CPT 82088 B-LAB ALDOSTERONE URINE	$175.00	$175.00	$91.88–$175.00	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 LAB PHOSPHATASE ALK	$130.00	$130.00	$4.13–$130.00	252% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB PHOSPHATASE ALK	$130.00	$130.00	$68.25–$130.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 C ALLERGEN SPECIFIC IGE CRUDE EXT EA-LC	$4.00	$4.00	$1.80–$13.24	52% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 B-LAB ASPERGILLUS AG	$50.00	$50.00	$4.64–$50.00	501% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C ALLERGEN SPECIFIC IGE CRUDE EXT EA-LC	$4.00	$4.00	$2.10–$4.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B-LAB ASPERGILLUS AG	$50.00	$50.00	$26.25–$50.00	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 B-LAB AFP TUMOR MARKER	$171.00	$171.00	$16.44–$171.00	82% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 B-LAB AFP SCRN	$179.00	$179.00	$16.44–$179.00	90% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 B-LAB AFP TUMOR MARKER	$171.00	$171.00	$89.78–$171.00	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 B-LAB AFP SCRN	$179.00	$179.00	$93.98–$179.00	—	—
Ammonia blood test CPT 82140 LAB AMMONIA BLOOD	$301.00	$301.00	$12.95–$301.00	66% above	—
Ammonia blood test inpatient CPT 82140 LAB AMMONIA BLOOD	$301.00	$301.00	$158.02–$301.00	—	—
Amylase blood test CPT 82150 LAB AMYLASE	$208.00	$208.00	$5.73–$208.00	213% above	—
Amylase blood test CPT 82150 LAB ANYLASE 2 HR URINE	$273.00	$273.00	$5.73–$273.00	310% above	—
Amylase blood test inpatient CPT 82150 LAB AMYLASE	$208.00	$208.00	$109.20–$208.00	—	—
Amylase blood test inpatient CPT 82150 LAB ANYLASE 2 HR URINE	$273.00	$273.00	$143.33–$273.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLC CITRULINTD PEPTIDE CCP ANTIBDY lgG	$11.00	$11.00	$4.95–$36.41	54% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG ANTIBODIES - LC	$13.00	$13.00	$5.85–$42.86	46% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 B-LAB CYCLIC CITRULL. PEPTIDE	$112.00	$112.00	$7.10–$112.00	369% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLC CITRULINTD PEPTIDE CCP ANTIBDY lgG	$11.00	$11.00	$5.78–$11.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG ANTIBODIES - LC	$13.00	$13.00	$6.82–$13.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 B-LAB CYCLIC CITRULL. PEPTIDE	$112.00	$112.00	$58.80–$112.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX TO PROFILE - LC	$30.00	$30.00	$10.63–$40.02	42% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 B-LAB ANTINUCLEAR ANTIBODY	$52.00	$52.00	$10.63–$52.00	at median	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX TO PROFILE - LC	$30.00	$30.00	$15.75–$30.00	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 B-LAB ANTINUCLEAR ANTIBODY	$52.00	$52.00	$27.30–$52.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$217.00	$217.00	$30.15–$217.00	4% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$217.00	$217.00	$113.93–$217.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT THROAT OR NOSE AEROB	$217.00	$217.00	$7.51–$217.00	63% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT ANY OTHER SOURCE AEROB	$292.00	$292.00	$7.51–$292.00	120% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT SMEAR GENITAL	$391.00	$391.00	$7.51–$391.00	194% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT THROAT OR NOSE AEROB	$217.00	$217.00	$113.93–$217.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT ANY OTHER SOURCE AEROB	$292.00	$292.00	$153.30–$292.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT SMEAR GENITAL	$391.00	$391.00	$205.28–$391.00	—	—
Basic metabolic panel (blood test) CPT 80048 LAB BASIC METABOLIC PNL CALCIUM TTL	$103.00	$103.00	$7.27–$103.00	47% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 LAB BASIC METABOLIC PNL CALCIUM TTL	$103.00	$103.00	$54.08–$103.00	—	—
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL	$109.00	$109.00	$4.09–$109.00	141% above	—
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL	$109.00	$109.00	$57.22–$109.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF PATH SURG TISS EXAM LEVEL IV	$150.00	$150.00	$40.99–$150.00	15% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH SURG TISS EXAM LEVEL IV	$345.00	$345.00	$40.99–$345.00	165% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF PATH SURG TISS EXAM LEVEL IV	$150.00	$150.00	$78.75–$150.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH SURG TISS EXAM LEVEL IV	$345.00	$345.00	$181.12–$345.00	—	—
Blood culture for bacteria CPT 87040 LAB CULTURE BLOOD	$410.00	$410.00	$8.98–$410.00	51% above	—
Blood culture for bacteria inpatient CPT 87040 LAB CULTURE BLOOD	$410.00	$410.00	$215.25–$410.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$10.00	$10.00	$3.00–$30.92	50% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ER-VENIPUNCTURE	$10.00	$10.00	$3.00–$3,250.00	50% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE BLD SPEC COLLECTION	$22.00	$22.00	$3.60–$30.91	10% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-NURSE TO DRAW	$22.00	$22.00	$3.60–$30.91	10% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$10.00	$10.00	$5.25–$10.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ER-VENIPUNCTURE	$10.00	$10.00	$5.25–$10.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE BLD SPEC COLLECTION	$22.00	$22.00	$11.55–$22.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE-NURSE TO DRAW	$22.00	$22.00	$11.55–$22.00	—	—
Blood glucose (sugar) test CPT 82947 LAB POC GLUCOSE	$121.00	$121.00	$3.30–$121.00	222% above	—
Blood glucose (sugar) test CPT 82947 LAB GLUCOSE QT BLOOD	$121.00	$121.00	$3.30–$121.00	222% above	—
Blood glucose (sugar) test CPT 82947 LAB GLUCOSE 2HR PP QT BLOOD	$121.00	$121.00	$3.30–$121.00	222% above	—
Blood glucose (sugar) test inpatient CPT 82947 LAB GLUCOSE QT BLOOD	$121.00	$121.00	$63.53–$121.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 LAB POC GLUCOSE	$121.00	$121.00	$63.53–$121.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 LAB GLUCOSE 2HR PP QT BLOOD	$121.00	$121.00	$63.53–$121.00	—	—
Blood lead test CPT 83655 B-LAB LEAD	$52.00	$52.00	$10.63–$52.00	333% above	—
Blood lead test inpatient CPT 83655 B-LAB LEAD	$52.00	$52.00	$27.30–$52.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LAB SERUM PREGNANCY	$243.00	$243.00	$6.46–$243.00	40% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LAB SERUM PREGNANCY	$243.00	$243.00	$127.58–$243.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPING	$32.00	$32.00	$2.38–$159.14	69% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPING A-B-O	$53.00	$53.00	$2.38–$159.14	49% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB HMLYT DIS NEWBORN SCRN ABO	$80.00	$80.00	$2.38–$159.14	24% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO/RH	$85.00	$85.00	$2.38–$159.14	19% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO DISCREPANCY RESOLUTION	$174.00	$174.00	$2.38–$174.00	66% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPING	$32.00	$32.00	$16.80–$32.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPING A-B-O	$53.00	$53.00	$27.83–$53.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB HMLYT DIS NEWBORN SCRN ABO	$80.00	$80.00	$42.00–$80.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO/RH	$85.00	$85.00	$44.62–$85.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO DISCREPANCY RESOLUTION	$174.00	$174.00	$91.35–$174.00	—	—
Blood urea nitrogen (BUN) test CPT 84520 LAB POC BUN QT	$121.00	$121.00	$3.15–$121.00	230% above	—
Blood urea nitrogen (BUN) test CPT 84520 LAB BUN	$121.00	$121.00	$3.15–$121.00	230% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB POC BUN QT	$121.00	$121.00	$63.53–$121.00	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB BUN	$121.00	$121.00	$63.53–$121.00	—	—
C-peptide blood test CPT 84681 C-PEPTIDE - LC	$12.00	$12.00	$5.40–$41.23	81% below	—
C-peptide blood test CPT 84681 B-LAB C-PEPTIDE SERUM	$71.00	$71.00	$17.83–$71.00	11% above	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE - LC	$12.00	$12.00	$6.30–$12.00	—	—
C-peptide blood test inpatient CPT 84681 B-LAB C-PEPTIDE SERUM	$71.00	$71.00	$37.28–$71.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB C REACTIVE PROTEIN	$79.00	$79.00	$4.60–$79.00	15% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB C REACTIVE PROTEIN	$79.00	$79.00	$41.48–$79.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 B-LAB NUCLEIC ACID PROBE C	$20.00	$20.00	$9.00–$74.22	87% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 B-LAB NUCLEIC ACID PROBE B	$20.00	$20.00	$9.00–$74.22	87% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 B-LAB NUCLEIC ACID PROBE A	$20.00	$20.00	$9.00–$74.22	87% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 B-LAB NUCLEIC ACID PROBE D	$20.00	$20.00	$9.00–$74.22	87% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 B-LAB FACTOR V NUCLEIC ACID PR	$42.00	$42.00	$18.90–$123.36	73% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 B-LAB NUCLEIC ACID PROBE D	$20.00	$20.00	$10.50–$20.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 B-LAB NUCLEIC ACID PROBE C	$20.00	$20.00	$10.50–$20.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 B-LAB NUCLEIC ACID PROBE B	$20.00	$20.00	$10.50–$20.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 B-LAB NUCLEIC ACID PROBE A	$20.00	$20.00	$10.50–$20.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 B-LAB FACTOR V NUCLEIC ACID PR	$42.00	$42.00	$22.05–$42.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 B-LAB CA 19-9	$89.00	$89.00	$18.50–$89.00	58% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 B-LAB CA 19-9	$89.00	$89.00	$46.72–$89.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 B-LAB CANCER ANTIGEN 125 (CA12	$196.00	$196.00	$18.50–$196.00	42% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 B-LAB CANCER ANTIGEN 125 (CA12	$196.00	$196.00	$102.90–$196.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB - LC	$57.00	$57.00	$25.65–$169.84	38% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 LAB TEST NON-CDC - PLS	$77.00	$77.00	$34.65–$169.84	16% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019-nCoV DIAGNOSTIC PANEL	$125.00	$125.00	$50.30–$169.84	36% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB - LC	$57.00	$57.00	$29.92–$57.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 LAB TEST NON-CDC - PLS	$77.00	$77.00	$40.43–$77.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019-nCoV DIAGNOSTIC PANEL	$125.00	$125.00	$65.62–$125.00	—	—
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL	$89.00	$89.00	$4.10–$89.00	44% above	—
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL	$89.00	$89.00	$46.72–$89.00	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 LAB CEA	$152.00	$152.00	$16.85–$152.00	43% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB CEA	$152.00	$152.00	$79.80–$152.00	—	—
Chickenpox (varicella) immunity blood test CPT 86787 B-LAB VARICELLA ZOSTER AB	$73.00	$73.00	$11.38–$73.00	93% above	—
Chickenpox (varicella) immunity blood test CPT 86787 B-LAB VARICELLA-ZOSTER IGM	$113.00	$113.00	$11.38–$113.00	198% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 B-LAB VARICELLA ZOSTER AB	$73.00	$73.00	$38.33–$73.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 B-LAB VARICELLA-ZOSTER IGM	$113.00	$113.00	$59.32–$113.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE OTOL BIOT	$12.00	$12.00	$5.40–$69.41	78% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE BRONCH/PNEU B	$12.00	$12.00	$5.40–$69.41	78% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE GI PARA BIO	$13.00	$13.00	$5.85–$69.41	76% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE GI BIOT	$15.00	$15.00	$6.75–$69.41	73% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE UTI HR BIOT	$15.00	$15.00	$6.75–$69.41	73% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.CHLAMYDIA AMPLIFIED RNA	$66.00	$66.00	$25.59–$116.15	21% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 B-LAB CHLAMYDIA DNA PROBE	$107.00	$107.00	$25.59–$116.15	96% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED RNA	$169.00	$169.00	$25.59–$169.00	210% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE BRONCH/PNEU B	$12.00	$12.00	$6.30–$12.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE OTOL BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE GI PARA BIO	$13.00	$13.00	$6.82–$13.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.CHLAMYDIA AMPLIFIED RNA	$66.00	$66.00	$34.65–$66.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 B-LAB CHLAMYDIA DNA PROBE	$107.00	$107.00	$56.18–$107.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED RNA	$169.00	$169.00	$88.72–$169.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB LIPID PANEL	$422.00	$422.00	$11.54–$422.00	269% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB LIPID PANEL	$422.00	$422.00	$221.55–$422.00	—	—
Complete blood count (CBC) with differential CPT 85025 LAB COMPLETE BLOOD COUNT W/AUTO DIFF	$193.00	$193.00	$6.75–$193.00	74% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 LAB COMPLETE BLOOD COUNT W/AUTO DIFF	$193.00	$193.00	$101.32–$193.00	—	—
Complete blood count (CBC), no differential CPT 85027 LAB HEMOGRAM	$111.00	$111.00	$5.71–$111.00	28% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 LAB HEMOGRAM	$111.00	$111.00	$58.28–$111.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 LAB COMPREHENSIVE METABOLIC PANEL	$126.00	$126.00	$9.19–$126.00	51% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB COMPREHENSIVE METABOLIC PANEL	$126.00	$126.00	$66.15–$126.00	—	—
Cortisol blood test, total CPT 82533 B-LAB CORTISOL URINE	$72.00	$72.00	$14.49–$72.00	27% below	—
Cortisol blood test, total CPT 82533 B-LAB CORTISOL SERUM	$141.00	$141.00	$14.49–$141.00	43% above	—
Cortisol blood test, total inpatient CPT 82533 B-LAB CORTISOL URINE	$72.00	$72.00	$37.80–$72.00	—	—
Cortisol blood test, total inpatient CPT 82533 B-LAB CORTISOL SERUM	$141.00	$141.00	$74.03–$141.00	—	—
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$6.00	$6.00	$2.70–$19.86	93% below	—
Creatine kinase (CK) blood test, total CPT 82550 LAB CPK TOTAL	$179.00	$179.00	$5.79–$179.00	105% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK)	$6.00	$6.00	$3.15–$6.00	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CPK TOTAL	$179.00	$179.00	$93.98–$179.00	—	—
Creatinine blood test CPT 82565 LAB POC CREATININE BLOOD	$121.00	$121.00	$4.31–$121.00	153% above	—
Creatinine blood test CPT 82565 LAB CREATININE BLOOD	$121.00	$121.00	$4.31–$121.00	153% above	—
Creatinine blood test inpatient CPT 82565 LAB POC CREATININE BLOOD	$121.00	$121.00	$63.53–$121.00	—	—
Creatinine blood test inpatient CPT 82565 LAB CREATININE BLOOD	$121.00	$121.00	$63.53–$121.00	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 B-LAB CYTOMEGALOVIRUS IGG	$160.00	$160.00	$12.38–$160.00	410% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 B-LAB CYTOMEGALOVIRUS IGG	$160.00	$160.00	$84.00–$160.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 LAB DDT QT	$251.00	$251.00	$9.05–$251.00	75% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB DDT QT	$251.00	$251.00	$131.78–$251.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 B-LAB DHEA-S	$96.00	$96.00	$19.62–$96.00	5% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 B-LAB DHEA-S	$96.00	$96.00	$50.40–$96.00	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PNL 5 MECONIUM - LC	$55.00	$55.00	$24.75–$182.06	23% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL/NORFENTANYL SCREEN URINE	$64.00	$64.00	$28.80–$205.69	10% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SERUM - LC	$105.00	$105.00	$43.50–$205.68	47% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL/NORFENTANYL CONFIRM URINE	$132.00	$132.00	$43.50–$205.68	85% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE RAPID	$262.00	$262.00	$43.50–$262.00	267% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 B-LAB DRUG SCREEN MECONIUM	$308.00	$308.00	$43.50–$308.00	331% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PNL 5 MECONIUM - LC	$55.00	$55.00	$28.88–$55.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL/NORFENTANYL SCREEN URINE	$64.00	$64.00	$33.60–$64.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SERUM - LC	$105.00	$105.00	$55.12–$105.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL/NORFENTANYL CONFIRM URINE	$132.00	$132.00	$69.30–$132.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE RAPID	$262.00	$262.00	$137.55–$262.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 B-LAB DRUG SCREEN MECONIUM	$308.00	$308.00	$161.70–$308.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LAB ELECTROLYTES	$509.00	$509.00	$6.23–$509.00	483% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LAB ELECTROLYTES	$509.00	$509.00	$267.23–$509.00	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 C EPSTEIN-BARR AB VIRAL CAPSID - LC	$11.00	$11.00	$4.95–$36.41	60% below	—
Epstein-Barr virus (EBV) antibody test CPT 86665 B-LAB EBV AB (VCA)	$67.00	$67.00	$15.82–$67.00	146% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 C EPSTEIN-BARR AB VIRAL CAPSID - LC	$11.00	$11.00	$5.78–$11.00	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 B-LAB EBV AB (VCA)	$67.00	$67.00	$35.18–$67.00	—	—
Estradiol blood test CPT 82670 ESTRADIOL LC	$17.00	$17.00	$7.65–$56.27	81% below	—
Estradiol blood test CPT 82670 C ESTRADIOL - LC	$24.00	$24.00	$10.80–$79.44	74% below	—
Estradiol blood test CPT 82670 B-LAB LUTEINIZING HORMONE (LH)	$145.00	$145.00	$24.71–$145.00	58% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL LC	$17.00	$17.00	$8.93–$17.00	—	—
Estradiol blood test inpatient CPT 82670 C ESTRADIOL - LC	$24.00	$24.00	$12.60–$24.00	—	—
Estradiol blood test inpatient CPT 82670 B-LAB LUTEINIZING HORMONE (LH)	$145.00	$145.00	$76.12–$145.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 B-LAB FSH	$80.00	$80.00	$16.41–$80.00	23% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 B-LAB FSH	$80.00	$80.00	$42.00–$80.00	—	—
Ferritin blood test (iron stores) CPT 82728 LAB FERRITIN	$220.00	$220.00	$12.07–$220.00	105% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 LAB FERRITIN	$220.00	$220.00	$115.50–$220.00	—	—
Fibrinogen blood test CPT 85384 LAB FIBRINOGEN QUANT ACTIVITY	$10.00	$10.00	$4.50–$32.17	93% below	—
Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN QUANT ACTIVITY	$10.00	$10.00	$5.25–$10.00	—	—
Folate (folic acid) blood test CPT 82746 LAB FOLIC ACID (FOLATE) SERUM	$125.00	$125.00	$13.07–$125.00	15% above	—
Folate (folic acid) blood test inpatient CPT 82746 LAB FOLIC ACID (FOLATE) SERUM	$125.00	$125.00	$65.62–$125.00	—	—
Free T3 thyroid hormone test CPT 84481 B-LAB T3 TRIIODOTHYRONINE FREE	$238.00	$238.00	$11.93–$238.00	132% above	—
Free T3 thyroid hormone test inpatient CPT 84481 B-LAB T3 TRIIODOTHYRONINE FREE	$238.00	$238.00	$124.95–$238.00	—	—
Free testosterone test CPT 84402 B-LAB TESTOSTERONE FREE (P)	$139.00	$139.00	$22.64–$139.00	367% above	—
Free testosterone test inpatient CPT 84402 B-LAB TESTOSTERONE FREE (P)	$139.00	$139.00	$72.98–$139.00	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB TRANSFERASE GAMMA GT	$159.00	$159.00	$6.40–$159.00	257% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB TRANSFERASE GAMMA GT	$159.00	$159.00	$83.48–$159.00	—	—
Glucose tolerance test, 3 samples CPT 82951 LAB GTT FIRST 3 SPECIMENS	$431.00	$431.00	$11.27–$431.00	214% above	—
Glucose tolerance test, 3 samples CPT 82951 LAB GLUC TOL TEST 5HRS QT BLOOD	$608.00	$608.00	$11.27–$608.00	343% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 LAB GTT FIRST 3 SPECIMENS	$431.00	$431.00	$226.28–$431.00	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 LAB GLUC TOL TEST 5HRS QT BLOOD	$608.00	$608.00	$319.20–$608.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C N-GONORRHOEAE AMP PROBE - LC	$11.00	$11.00	$4.95–$69.41	83% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB OPHTH BIOT	$11.00	$11.00	$4.95–$69.41	83% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB OTOL BIOT	$12.00	$12.00	$5.40–$69.41	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GU INF BIOT	$12.00	$12.00	$5.40–$69.41	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB BRONCH/PNEU BIOT	$12.00	$12.00	$5.40–$69.41	82% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GI PARA BIOT	$13.00	$13.00	$5.85–$69.41	80% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB UTI HR BIOT	$15.00	$15.00	$6.75–$69.41	77% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORR DNA AMP PROB GI BIOT	$15.00	$15.00	$6.75–$69.41	77% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 B-LAB N. GONNORRHOEAE DNA	$60.00	$60.00	$25.36–$116.15	9% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 C.GONORRHEA AMPLIFIED RNA	$66.00	$66.00	$25.36–$116.15	at median	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ""B-LAB NEISSERIA GONORRHOEA DN""	$107.00	$107.00	$25.36–$116.15	62% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C N-GONORRHOEAE AMP PROBE - LC	$11.00	$11.00	$5.78–$11.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB OPHTH BIOT	$11.00	$11.00	$5.78–$11.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB OTOL BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GU INF BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB BRONCH/PNEU BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GI PARA BIOT	$13.00	$13.00	$6.82–$13.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORR DNA AMP PROB UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 B-LAB N. GONNORRHOEAE DNA	$60.00	$60.00	$31.50–$60.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 C.GONORRHEA AMPLIFIED RNA	$66.00	$66.00	$34.65–$66.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 ""B-LAB NEISSERIA GONORRHOEA DN""	$107.00	$107.00	$56.18–$107.00	—	—
H. pylori antibody blood test CPT 86677 LAB HELICOBACTER PYLORI AB	$179.00	$179.00	$12.95–$179.00	57% above	—
H. pylori antibody blood test inpatient CPT 86677 LAB HELICOBACTER PYLORI AB	$179.00	$179.00	$93.98–$179.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA	$99.00	$99.00	$44.55–$281.68	10% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 B-LAB HIV1 RNA PCR QT	$570.00	$570.00	$75.64–$570.00	418% above	—
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 QUANTITATION RT PCR - LC	$77.00	$77.00	$34.65–$254.87	30% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA	$99.00	$99.00	$51.98–$99.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 B-LAB HIV1 RNA PCR QT	$570.00	$570.00	$299.25–$570.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 QUANTITATION RT PCR - LC	$77.00	$77.00	$40.43–$77.00	—	—
HIV-1 and HIV-2 antibody test CPT 86703 B-LAB HIV TYPES 1 2 ANTIBODY EVAL	$215.00	$215.00	$11.96–$215.00	260% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 B-LAB HIV TYPES 1 2 ANTIBODY EVAL	$215.00	$215.00	$112.88–$215.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 B-LAB HIV-2 AG AB SCR P	$23.00	$23.00	$10.35–$76.13	74% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 B-LAB HIV-2 AG AB SCR P	$23.00	$23.00	$12.08–$23.00	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMPLIFIED RNA	$55.00	$55.00	$24.75–$116.15	59% below	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMPLIFIED RNA	$55.00	$55.00	$28.88–$55.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB GLYCOHEMOGLOBIN (HGBA1C)	$62.00	$62.00	$8.54–$62.00	5% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB GLYCOHEMOGLOBIN (HGBA1C)	$62.00	$62.00	$32.55–$62.00	—	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL - LC	$7.00	$7.00	$3.15–$24.05	81% below	—
Hepatitis B core antibody test (total) CPT 86704 B-LAB HEPATITIS B CORE TOTAL A	$125.00	$125.00	$10.71–$125.00	231% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL - LC	$7.00	$7.00	$3.68–$7.00	—	—
Hepatitis B core antibody test (total) inpatient CPT 86704 B-LAB HEPATITIS B CORE TOTAL A	$125.00	$125.00	$65.62–$125.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$24.00	$24.00	$9.51–$35.55	44% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 B-LAB HEPATITIS B SURFACE AB (	$103.00	$103.00	$9.51–$103.00	141% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$24.00	$24.00	$12.60–$24.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 B-LAB HEPATITIS B SURFACE AB (	$103.00	$103.00	$54.08–$103.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 B-LAB HEPATITIS B SURFACE AG	$108.00	$108.00	$9.12–$108.00	51% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 B-LAB HEPATITIS B SURFACE AG	$108.00	$108.00	$56.70–$108.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 B-LAB HEPATITIS C ANTIBODY	$61.00	$61.00	$12.57–$61.00	4% above	—
Hepatitis C antibody blood test (screening) CPT 86803 B-LAB HEP C VIRUS AB	$183.00	$183.00	$12.57–$183.00	211% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 B-LAB HEPATITIS C ANTIBODY	$61.00	$61.00	$32.02–$61.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 B-LAB HEP C VIRUS AB	$183.00	$183.00	$96.08–$183.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 REFLEX HCV RNA QNT PCR - LC	$72.00	$72.00	$31.51–$141.80	18% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA	$83.00	$83.00	$31.51–$141.80	6% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL RNA QUAN - LC	$95.00	$95.00	$31.51–$141.81	8% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 B-LAB HEPATITIS C QUANT PCR	$465.00	$465.00	$31.51–$465.00	429% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REFLEX HCV RNA QNT PCR - LC	$72.00	$72.00	$37.80–$72.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA	$83.00	$83.00	$43.58–$83.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL RNA QUAN - LC	$95.00	$95.00	$49.88–$95.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 B-LAB HEPATITIS C QUANT PCR	$465.00	$465.00	$244.12–$465.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 AB - LC	$9.00	$9.00	$4.05–$29.79	54% below	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 IGG AB - LC	$16.00	$16.00	$7.20–$43.66	17% below	—
Herpes blood test, HSV-1 antibody CPT 86695 C HERPES SIMPLEX TYPE 1 IGM AB - LC	$16.00	$16.00	$7.20–$43.66	17% below	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 AB - LC	$9.00	$9.00	$4.73–$9.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 IGM AB - LC	$16.00	$16.00	$8.40–$16.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 C HERPES SIMPLEX TYPE 1 IGG AB - LC	$16.00	$16.00	$8.40–$16.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 AB - LC	$13.00	$13.00	$5.85–$43.03	46% below	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 IGG AB - LC	$23.00	$23.00	$10.35–$64.05	4% below	—
Herpes blood test, HSV-2 antibody CPT 86696 C HERPES SIMPLEX TYPE 2 IGM AB - LC	$23.00	$23.00	$10.35–$64.05	4% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IgG INHIBITION IA REFLEX	$158.00	$158.00	$17.20–$158.00	558% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 AB - LC	$13.00	$13.00	$6.82–$13.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 IGM AB - LC	$23.00	$23.00	$12.08–$23.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 C HERPES SIMPLEX TYPE 2 IGG AB - LC	$23.00	$23.00	$12.08–$23.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IgG INHIBITION IA REFLEX	$158.00	$158.00	$82.95–$158.00	—	—
Homocysteine blood test CPT 83090 B-LAB HOMO TOTAL PL	$280.00	$280.00	$14.99–$280.00	293% above	—
Homocysteine blood test inpatient CPT 83090 B-LAB HOMO TOTAL PL	$280.00	$280.00	$147.00–$280.00	—	—
Insulin blood test CPT 83525 INSULIN TOTAL - LC	$7.00	$7.00	$3.15–$23.17	84% below	—
Insulin blood test CPT 83525 B-LAB INSULIN	$53.00	$53.00	$8.00–$53.00	18% above	—
Insulin blood test inpatient CPT 83525 INSULIN TOTAL - LC	$7.00	$7.00	$3.68–$7.00	—	—
Insulin blood test inpatient CPT 83525 B-LAB INSULIN	$53.00	$53.00	$27.83–$53.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 LAB IRON PROFILE	$251.00	$251.00	$6.89–$251.00	239% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB IRON PROFILE	$251.00	$251.00	$131.78–$251.00	—	—
LH (luteinizing hormone) test CPT 83002 LH SERUM - LC	$10.00	$10.00	$4.50–$37.11	91% below	—
LH (luteinizing hormone) test CPT 83002 B-LAB ESTRADIOL (ESTROGENS)	$17.00	$17.00	$7.65–$56.27	84% below	—
LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM - LC	$10.00	$10.00	$5.25–$10.00	—	—
LH (luteinizing hormone) test inpatient CPT 83002 B-LAB ESTRADIOL (ESTROGENS)	$17.00	$17.00	$8.93–$17.00	—	—
Lactate (lactic acid) blood test CPT 83605 LAB POC LACTIC ACID	$229.00	$229.00	$9.41–$229.00	62% above	—
Lactate (lactic acid) blood test CPT 83605 LAB LACTIC ACID	$229.00	$229.00	$9.41–$229.00	62% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTIC ACID	$229.00	$229.00	$120.22–$229.00	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 LAB POC LACTIC ACID	$229.00	$229.00	$120.22–$229.00	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH	$179.00	$179.00	$5.37–$179.00	432% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH	$179.00	$179.00	$93.98–$179.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE	$208.00	$208.00	$6.08–$208.00	89% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE	$208.00	$208.00	$109.20–$208.00	—	—
Liver function blood test panel CPT 80076 LAB LIVER PANEL	$559.00	$559.00	$6.38–$559.00	270% above	—
Liver function blood test panel inpatient CPT 80076 LAB LIVER PANEL	$559.00	$559.00	$293.48–$559.00	—	—
Lyme disease antibody test CPT 86618 LYME AB W/RFX BLT(IGG/IGM - LC	$24.00	$24.00	$10.80–$56.37	3% above	—
Lyme disease antibody test CPT 86618 B-LAB LYME DISEASE ANTIBODY (P	$73.00	$73.00	$15.14–$73.00	215% above	—
Lyme disease antibody test inpatient CPT 86618 LYME AB W/RFX BLT(IGG/IGM - LC	$24.00	$24.00	$12.60–$24.00	—	—
Lyme disease antibody test inpatient CPT 86618 B-LAB LYME DISEASE ANTIBODY (P	$73.00	$73.00	$38.33–$73.00	—	—
Magnesium blood test CPT 83735 LAB MAGNESIUM (ELECTROLYTES	$169.00	$169.00	$5.96–$169.00	113% above	—
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM (ELECTROLYTES	$169.00	$169.00	$88.72–$169.00	—	—
Measles (rubeola) antibody test CPT 86765 B-LAB RUBEOLA AB IGG CSF	$43.00	$43.00	$11.45–$43.00	29% above	—
Measles (rubeola) antibody test CPT 86765 B-LAB RUBEOLA AB IGM	$123.00	$123.00	$11.45–$123.00	269% above	—
Measles (rubeola) antibody test CPT 86765 B-LAB RUBEOLA AB	$149.00	$149.00	$11.45–$149.00	347% above	—
Measles (rubeola) antibody test CPT 86765 B-LAB RUBEOLA AB IGM CSF (P)	$149.00	$149.00	$11.45–$149.00	347% above	—
Measles (rubeola) antibody test CPT 86765 B-LAB RUBEOLA AB IGM SERUM (P)	$149.00	$149.00	$11.45–$149.00	347% above	—
Measles (rubeola) antibody test inpatient CPT 86765 B-LAB RUBEOLA AB IGG CSF	$43.00	$43.00	$22.58–$43.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 B-LAB RUBEOLA AB IGM	$123.00	$123.00	$64.58–$123.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 B-LAB RUBEOLA AB IGM SERUM (P)	$149.00	$149.00	$78.23–$149.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 B-LAB RUBEOLA AB	$149.00	$149.00	$78.23–$149.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 B-LAB RUBEOLA AB IGM CSF (P)	$149.00	$149.00	$78.23–$149.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$59.00	$59.00	$4.49–$59.00	44% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 LAB MONO TEST SCREEN	$111.00	$111.00	$4.49–$111.00	6% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$59.00	$59.00	$30.98–$59.00	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LAB MONO TEST SCREEN	$111.00	$111.00	$58.28–$111.00	—	—
Mumps immunity blood test CPT 86735 B-LAB MUMPS AB IGG	$31.00	$31.00	$11.59–$43.20	60% above	—
Mumps immunity blood test CPT 86735 B-LAB MUMPS ANTIBODIES	$43.00	$43.00	$11.59–$43.19	121% above	—
Mumps immunity blood test CPT 86735 B-LAB MUMPS AB IGM	$59.00	$59.00	$11.59–$59.00	204% above	—
Mumps immunity blood test inpatient CPT 86735 B-LAB MUMPS AB IGG	$31.00	$31.00	$16.28–$31.00	—	—
Mumps immunity blood test inpatient CPT 86735 B-LAB MUMPS ANTIBODIES	$43.00	$43.00	$22.58–$43.00	—	—
Mumps immunity blood test inpatient CPT 86735 B-LAB MUMPS AB IGM	$59.00	$59.00	$30.98–$59.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 B-LAB FREE PSA	$79.00	$79.00	$12.87–$79.00	38% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 B-LAB FREE PSA	$79.00	$79.00	$41.48–$79.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PROSTATIC SPECIFIC ANTIGEN TOTAL	$220.00	$220.00	$16.35–$220.00	275% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PROSTATIC SPECIFIC ANTIGEN TOTAL	$220.00	$220.00	$115.50–$220.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$110.00	$110.00	$34.84–$136.64	at median	—
Parathyroid hormone (PTH) blood test CPT 83970 B-LAB PARATHYROID HORMONE	$177.00	$177.00	$34.84–$177.00	61% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$110.00	$110.00	$57.75–$110.00	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 B-LAB PARATHYROID HORMONE	$177.00	$177.00	$92.92–$177.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PART THROMBOPLASTIN TIME	$179.00	$179.00	$5.34–$179.00	169% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PART THROMBOPLASTIN TIME	$179.00	$179.00	$93.98–$179.00	—	—
Phosphorus (phosphate) blood test CPT 84100 LAB PHOSPHORUS INORGANIC	$84.00	$84.00	$4.21–$84.00	11% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 LAB PHOSPHORUS INORGANIC	$84.00	$84.00	$44.10–$84.00	—	—
Potassium blood test CPT 84132 LAB POC POTASSIUM	$99.00	$99.00	$3.44–$99.00	35% above	—
Potassium blood test CPT 84132 LAB POTASSIUM (ELECTROLYTES) SERUM	$99.00	$99.00	$3.44–$99.00	35% above	—
Potassium blood test inpatient CPT 84132 LAB POC POTASSIUM	$99.00	$99.00	$51.98–$99.00	—	—
Potassium blood test inpatient CPT 84132 LAB POTASSIUM (ELECTROLYTES) SERUM	$99.00	$99.00	$51.98–$99.00	—	—
Progesterone blood test CPT 84144 LAB PROGESTERONE	$130.00	$130.00	$18.30–$130.00	52% above	—
Progesterone blood test inpatient CPT 84144 LAB PROGESTERONE	$130.00	$130.00	$68.25–$130.00	—	—
Prolactin blood test CPT 84146 B-LAB PROLACTIN	$171.00	$171.00	$17.11–$171.00	60% above	—
Prolactin blood test inpatient CPT 84146 B-LAB PROLACTIN	$171.00	$171.00	$89.78–$171.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME	$161.00	$161.00	$3.49–$161.00	144% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME	$161.00	$161.00	$84.52–$161.00	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B IA DIR	$41.00	$41.00	$8.85–$54.78	46% below	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A IA DIR	$41.00	$41.00	$8.85–$54.78	46% below	—
Rapid flu test (influenza antigen) CPT 87804 LAB INFLUENZA A B SCRN IMM OPT OBSV	$50.00	$50.00	$8.85–$54.78	34% below	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B IA DIR	$41.00	$41.00	$21.52–$41.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A IA DIR	$41.00	$41.00	$21.52–$41.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 LAB INFLUENZA A B SCRN IMM OPT OBSV	$50.00	$50.00	$26.25–$50.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 LAB STREP A SCREEN DIR OPT OBSV	$50.00	$50.00	$6.99–$54.71	55% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LAB STREP A SCREEN DIR OPT OBSV	$50.00	$50.00	$26.25–$50.00	—	—
Renin blood test CPT 84244 PLASMA RENIN ACTIVITY - LC	$9.00	$9.00	$4.05–$43.98	64% below	—
Renin blood test CPT 84244 B-LAB RENIN	$95.00	$95.00	$19.55–$95.00	284% above	—
Renin blood test inpatient CPT 84244 PLASMA RENIN ACTIVITY - LC	$9.00	$9.00	$4.73–$9.00	—	—
Renin blood test inpatient CPT 84244 B-LAB RENIN	$95.00	$95.00	$49.88–$95.00	—	—
Rh blood typing CPT 86901 BB RH TYPING	$25.00	$25.00	$2.46–$44.68	65% below	—
Rh blood typing CPT 86901 LAB RH	$68.00	$68.00	$2.46–$68.00	4% below	—
Rh blood typing inpatient CPT 86901 BB RH TYPING	$25.00	$25.00	$13.12–$25.00	—	—
Rh blood typing inpatient CPT 86901 LAB RH	$68.00	$68.00	$35.70–$68.00	—	—
Rheumatoid factor (RF) test CPT 86431 LAB RHEUM ARTHR QT	$111.00	$111.00	$5.02–$111.00	741% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 LAB RHEUM ARTHR QT	$111.00	$111.00	$58.28–$111.00	—	—
Rubella antibody test (immunity check) CPT 86762 LAB RUBELLA SCREEN AB	$171.00	$171.00	$12.79–$171.00	204% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 LAB RUBELLA SCREEN AB	$171.00	$171.00	$89.78–$171.00	—	—
Sodium blood test CPT 84295 B-LAB SODIUM (ELECTRO	$67.00	$67.00	$3.51–$67.00	2% above	—
Sodium blood test CPT 84295 LAB POC SODIUM	$99.00	$99.00	$3.51–$99.00	51% above	—
Sodium blood test inpatient CPT 84295 B-LAB SODIUM (ELECTRO	$67.00	$67.00	$35.18–$67.00	—	—
Sodium blood test inpatient CPT 84295 LAB POC SODIUM	$99.00	$99.00	$51.98–$99.00	—	—
Stool ova and parasites exam CPT 87177 C OVA PARASITES DIRECT CONCENTR ID-LC	$6.00	$6.00	$2.70–$19.86	71% below	—
Stool ova and parasites exam CPT 87177 LAB FECES OVA PARASITES	$292.00	$292.00	$7.18–$292.00	1298% above	—
Stool ova and parasites exam inpatient CPT 87177 C OVA PARASITES DIRECT CONCENTR ID-LC	$6.00	$6.00	$3.15–$6.00	—	—
Stool ova and parasites exam inpatient CPT 87177 LAB FECES OVA PARASITES	$292.00	$292.00	$153.30–$292.00	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM TOT ABS FTA - LC	$9.00	$9.00	$4.05–$29.79	60% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 B-LAB MHATP	$57.00	$57.00	$11.40–$57.00	153% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T PALLIDUM TOT ABS FTA - LC	$9.00	$9.00	$4.73–$9.00	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 B-LAB MHATP	$57.00	$57.00	$29.92–$57.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUAL CSF - LC	$5.00	$5.00	$2.25–$14.14	76% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 B-LAB VDRL CSF	$45.00	$45.00	$3.18–$45.00	114% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 B-LAB RAPID PLASMA REAGIN	$53.00	$53.00	$3.18–$53.00	152% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB RPR	$99.00	$99.00	$3.18–$99.00	371% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS AB NON-TREP QL	$105.00	$105.00	$3.18–$105.00	400% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL QUAL CSF - LC	$5.00	$5.00	$2.62–$5.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 B-LAB VDRL CSF	$45.00	$45.00	$23.62–$45.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 B-LAB RAPID PLASMA REAGIN	$53.00	$53.00	$27.83–$53.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB RPR	$99.00	$99.00	$51.98–$99.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS AB NON-TREP QL	$105.00	$105.00	$55.12–$105.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 B-LAB QUANTIFERON	$98.00	$98.00	$43.39–$205.16	1% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 B-LAB QUANTIFERON	$98.00	$98.00	$51.45–$98.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 B-LAB TESTOSTERONE	$111.00	$111.00	$22.80–$111.00	125% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 B-LAB TESTOSTERONE TOTAL (P)	$139.00	$139.00	$22.80–$139.00	182% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 B-LAB TESTOSTERONE	$111.00	$111.00	$58.28–$111.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 B-LAB TESTOSTERONE TOTAL (P)	$139.00	$139.00	$72.98–$139.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 AB IGG - LC	$14.00	$14.00	$6.30–$46.34	39% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 B LAB LIVR KIDNY MICR AB1	$36.00	$36.00	$12.93–$48.16	57% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 B-LAB THYROPEROX	$159.00	$159.00	$12.93–$159.00	595% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 AB IGG - LC	$14.00	$14.00	$7.35–$14.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 B LAB LIVR KIDNY MICR AB1	$36.00	$36.00	$18.90–$36.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 B-LAB THYROPEROX	$159.00	$159.00	$83.48–$159.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NEWBORN SCREENING-THS	$106.00	$106.00	$14.76–$106.00	2% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 B-LAB TSH SENSITIVE	$127.00	$127.00	$14.76–$127.00	17% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB TSH	$338.00	$338.00	$14.76–$338.00	211% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NEWBORN SCREENING-THS	$106.00	$106.00	$55.65–$106.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 B-LAB TSH SENSITIVE	$127.00	$127.00	$66.68–$127.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB TSH	$338.00	$338.00	$177.45–$338.00	—	—
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE - LC	$9.00	$9.00	$4.05–$32.99	86% below	—
Total IgE blood test CPT 82785 B-LAB IGE	$71.00	$71.00	$14.60–$71.00	11% above	—
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE - LC	$9.00	$9.00	$4.73–$9.00	—	—
Total IgE blood test inpatient CPT 82785 B-LAB IGE	$71.00	$71.00	$37.28–$71.00	—	—
Total cholesterol blood test CPT 82465 LAB CHOLESTEROL	$121.00	$121.00	$3.87–$121.00	174% above	—
Total cholesterol blood test inpatient CPT 82465 LAB CHOLESTEROL	$121.00	$121.00	$63.53–$121.00	—	—
Total triiodothyronine (T3) blood test CPT 84480 LAB T3 TOTAL	$251.00	$251.00	$12.59–$251.00	222% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB T3 TOTAL	$251.00	$251.00	$131.78–$251.00	—	—
Transferrin blood test CPT 84466 B-LAB TRANFERIN SERUM	$54.00	$54.00	$11.01–$54.00	14% below	—
Transferrin blood test CPT 84466 TRANSFERRIN	$268.00	$268.00	$11.01–$268.00	327% above	—
Transferrin blood test inpatient CPT 84466 B-LAB TRANFERIN SERUM	$54.00	$54.00	$28.35–$54.00	—	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$268.00	$268.00	$140.70–$268.00	—	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GU INF BIOT	$12.00	$12.00	$5.40–$69.41	88% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GI PARA BIOT	$13.00	$13.00	$5.85–$69.41	87% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE GI BIOT	$15.00	$15.00	$6.75–$69.41	85% below	—
Trichomonas test (NAAT) CPT 87661 TRICHO VAG AMP PROBE UTI HR BIOT	$15.00	$15.00	$6.75–$69.41	85% below	—
Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA - LC	$35.00	$35.00	$15.75–$115.86	65% below	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GU INF BIOT	$12.00	$12.00	$6.30–$12.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GI PARA BIOT	$13.00	$13.00	$6.82–$13.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE UTI HR BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHO VAG AMP PROBE GI BIOT	$15.00	$15.00	$7.88–$15.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA - LC	$35.00	$35.00	$18.38–$35.00	—	—
Troponin test, quantitative CPT 84484 HIGH SENSITIVITY TROPONIN	$52.00	$52.00	$8.47–$52.00	71% below	—
Troponin test, quantitative CPT 84484 LAB TROPONIN I QT	$232.00	$232.00	$8.47–$232.00	28% above	—
Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVITY TROPONIN	$52.00	$52.00	$27.30–$52.00	—	—
Troponin test, quantitative inpatient CPT 84484 LAB TROPONIN I QT	$232.00	$232.00	$121.80–$232.00	—	—
Uric acid blood test CPT 84550 LAB URIC ACID BLOOD	$109.00	$109.00	$4.01–$109.00	67% above	—
Uric acid blood test inpatient CPT 84550 LAB URIC ACID BLOOD	$109.00	$109.00	$57.22–$109.00	—	—
Urinalysis with microscope exam, automated CPT 81001 LAB URINALYSIS AUTO W/MICROSCOPY	$118.00	$118.00	$2.77–$118.00	42% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 LAB URINALYSIS AUTO W/MICROSCOPY	$118.00	$118.00	$61.95–$118.00	—	—
Urinalysis with microscope exam, manual CPT 81000 URINE DIP	$26.00	$26.00	$2.58–$26.00	18% below	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIP	$26.00	$26.00	$13.65–$26.00	—	—
Urinalysis without microscope exam, automated CPT 81003 LAB URINE BILE AUTO W/O MICRO	$27.00	$27.00	$1.96–$27.00	52% below	—
Urinalysis without microscope exam, automated CPT 81003 LAB URINALYSIS COMP AUTO W/O MICRO	$31.00	$31.00	$1.96–$31.00	45% below	—
Urinalysis without microscope exam, automated CPT 81003 LAB URINALYSISAUTO W/O MICROSCOPY	$72.00	$72.00	$1.96–$72.00	29% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB URINE BILE AUTO W/O MICRO	$27.00	$27.00	$14.18–$27.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB URINALYSIS COMP AUTO W/O MICRO	$31.00	$31.00	$16.28–$31.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB URINALYSISAUTO W/O MICROSCOPY	$72.00	$72.00	$37.80–$72.00	—	—
Urinalysis without microscope exam, manual CPT 81002 URINE DIP STICK NON-AUTO WO MIC	$12.00	$12.00	$2.15–$12.00	66% below	—
Urinalysis without microscope exam, manual CPT 81002 ER-URINE DIP STICK NON-AUTO WO MIC	$12.00	$12.00	$2.15–$12.00	66% below	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP STICK NON-AUTO WO MIC	$12.00	$12.00	$6.30–$12.00	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 ER-URINE DIP STICK NON-AUTO WO MIC	$12.00	$12.00	$6.30–$12.00	—	—
Urine culture for bacteria, with colony count CPT 87086 LAB URINE CULTURE COLONY COUNT	$142.00	$142.00	$5.65–$142.00	2% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 LAB URINE CULTURE COLONY COUNT	$142.00	$142.00	$74.55–$142.00	—	—
Urine microalbumin (albumin) test CPT 82043 LAB C MICRO ALBUMIN QT	$38.00	$38.00	$5.08–$38.00	6% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 LAB C MICRO ALBUMIN QT	$38.00	$38.00	$19.95–$38.00	—	—
Urine pregnancy test, read by color change CPT 81025 PREG TEST URINE (SIMPLE)	$46.00	$46.00	$2.80–$46.00	48% below	—
Urine pregnancy test, read by color change CPT 81025 LAB URINE PREGNANCY	$130.00	$130.00	$2.80–$130.00	48% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST URINE (SIMPLE)	$46.00	$46.00	$24.15–$46.00	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 LAB URINE PREGNANCY	$130.00	$130.00	$68.25–$130.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 LAB VIT B-12	$125.00	$125.00	$13.33–$125.00	34% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB VIT B-12	$125.00	$125.00	$65.62–$125.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 1 25-DIHYDROXY	$54.00	$54.00	$20.72–$97.98	17% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 1 25-DIHYDROXY	$54.00	$54.00	$28.35–$54.00	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 ""B-LAB VITAMIN D 125-DIHYDROXY""	$342.00	$342.00	$33.18–$342.00	405% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 ""B-LAB VITAMIN D 125-DIHYDROXY""	$342.00	$342.00	$179.55–$342.00	—	—
Zinc blood test CPT 84630 ZINC - LC	$7.00	$7.00	$3.15–$23.17	50% below	—
Zinc blood test CPT 84630 B-LAB ZINC SERUM	$35.00	$35.00	$10.12–$37.71	151% above	—
Zinc blood test inpatient CPT 84630 ZINC - LC	$7.00	$7.00	$3.68–$7.00	—	—
Zinc blood test inpatient CPT 84630 B-LAB ZINC SERUM	$35.00	$35.00	$18.38–$35.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QUANT	$381.00	$381.00	$13.24–$381.00	113% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QUANT	$381.00	$381.00	$200.02–$381.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 ER-TX DIST FIB FX CL W/O MAN RT	$871.00	$871.00	$158.00–$3,250.00	63% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 ER-TX DIST FIB FX CL W/O MAN LT	$871.00	$871.00	$158.00–$3,250.00	63% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 ER-TX DIST FIB FX CL W/O MAN LT	$871.00	$871.00	$457.28–$871.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 ER-TX DIST FIB FX CL W/O MAN RT	$871.00	$871.00	$457.28–$871.00	—	—
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 ER-TX METATARSAL FX CL W/O MAN EA RT	$871.00	$871.00	$158.00–$3,250.00	63% above	—
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 ER-TX METATARSAL FX CL W/O MAN EA LT	$871.00	$871.00	$158.00–$3,250.00	63% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 ER-TX METATARSAL FX CL W/O MAN EA RT	$871.00	$871.00	$457.28–$871.00	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 ER-TX METATARSAL FX CL W/O MAN EA LT	$871.00	$871.00	$457.28–$871.00	—	—
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$25,910.00	$25,910.00	$950.01–$25,910.00	100% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$25,910.00	$25,910.00	$13,602.75–$25,910.00	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER-CARDIOVERSION EXT	$2,599.00	$2,599.00	$144.50–$3,250.00	39% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION EXT	$2,599.00	$2,599.00	$144.50–$2,599.00	39% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$3,156.00	$3,156.00	$144.50–$3,156.00	68% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION EXT	$2,599.00	$2,599.00	$1,364.48–$2,599.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER-CARDIOVERSION EXT	$2,599.00	$2,599.00	$1,364.48–$2,599.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$3,156.00	$3,156.00	$1,656.90–$3,156.00	—	—
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$44,008.00	$44,008.00	$880.47–$44,008.00	32% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$44,008.00	$44,008.00	$23,104.20–$44,008.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 ER-TX DIST RADL FX CL W/O MAN LT	$871.00	$871.00	$158.00–$3,250.00	48% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 ER-TX DIST RADL FX CL W/O MAN RT	$871.00	$871.00	$158.00–$3,250.00	48% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 ER-TX DIST RADL FX CL W/O MAN LT	$871.00	$871.00	$457.28–$871.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 ER-TX DIST RADL FX CL W/O MAN RT	$871.00	$871.00	$457.28–$871.00	—	—
Colonoscopy with polyp removal CPT 45385 POLYPECTOMY COLONOSCOPY	$5,364.00	$5,364.00	$472.26–$5,364.00	134% above	—
Colonoscopy with polyp removal inpatient CPT 45385 POLYPECTOMY COLONOSCOPY	$5,364.00	$5,364.00	$2,816.10–$5,364.00	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY	$5,364.00	$5,364.00	$389.67–$5,364.00	158% above	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY	$5,364.00	$5,364.00	$2,816.10–$5,364.00	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAG FLEXIBLE	$5,364.00	$5,364.00	$348.37–$5,364.00	158% above	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAG FLEXIBLE	$5,364.00	$5,364.00	$2,816.10–$5,364.00	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 ER-REM IMPACTD EAR WAX W/IRGTN/LVG UNLAT	$378.00	$378.00	$11.54–$3,250.00	113% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 ED-REMOVE CERUMEN IRRIG/LVGE RT	$194.00	$194.00	$11.54–$3,250.00	9% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 ED-REMOVE CERUMEN IRRIG/LVGE LT	$194.00	$194.00	$11.54–$3,250.00	9% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ER-REM IMPACTD EAR WAX W/IRGTN/LVG UNLAT	$378.00	$378.00	$198.45–$378.00	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 ED-REMOVE CERUMEN IRRIG/LVGE RT	$194.00	$194.00	$101.85–$194.00	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 ED-REMOVE CERUMEN IRRIG/LVGE LT	$194.00	$194.00	$101.85–$194.00	—	—
Earwax removal with instruments, one ear CPT 69210 ER-REM IMPACTED EAR WAX INSTRUMENT	$213.00	$213.00	$36.03–$3,250.00	21% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 ER-REM IMPACTED EAR WAX INSTRUMENT	$213.00	$213.00	$111.82–$213.00	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$3,261.00	$3,261.00	$64.58–$3,261.00	102% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEXIBLE SIGMOIDOSCOPY	$3,261.00	$3,261.00	$1,712.02–$3,261.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 ER-DRAINAGE OF SKIN ABSCESS SIMPLE	$660.00	$660.00	$50.08–$3,250.00	41% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPLE	$660.00	$660.00	$50.08–$660.00	41% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPLE	$660.00	$660.00	$346.50–$660.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ER-DRAINAGE OF SKIN ABSCESS SIMPLE	$660.00	$660.00	$346.50–$660.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ER-INJ TENDON SHEATH/LIGAMENT	$860.00	$860.00	$54.03–$3,250.00	30% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ER-INJ TENDON SHEATH/LIGAMENT	$860.00	$860.00	$451.50–$860.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INJ MAJOR JOINT/BURSA	$860.00	$860.00	$54.03–$1,267.00	10% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER-DRAIN INJ MAJOR JOINT/BURSA	$860.00	$860.00	$54.03–$3,250.00	10% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CR INJECTION OF MAJOR JOINT OR BURSA W/	$860.00	$860.00	$54.03–$1,267.00	10% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN INJ MAJOR JOINT/BURSA	$860.00	$860.00	$451.50–$860.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CR INJECTION OF MAJOR JOINT OR BURSA W/	$860.00	$860.00	$451.50–$860.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ER-DRAIN INJ MAJOR JOINT/BURSA	$860.00	$860.00	$451.50–$860.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ER-ART ASP INJ INTE JNT/BURSA	$860.00	$860.00	$44.80–$3,250.00	41% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ART ASP INJ INTE JNT/BURSA	$860.00	$860.00	$44.80–$1,267.00	41% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN INJECT INTERMED JOINT BURSA	$1,202.00	$1,202.00	$44.80–$1,267.00	98% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ER-ART ASP INJ INTE JNT/BURSA	$860.00	$860.00	$451.50–$860.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ART ASP INJ INTE JNT/BURSA	$860.00	$860.00	$451.50–$860.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN INJECT INTERMED JOINT BURSA	$1,202.00	$1,202.00	$631.05–$1,202.00	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ART ASP INJ SML JNT/BURSA	$860.00	$860.00	$38.22–$1,267.00	18% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ER-ART ASP INJ SML JNT/BURSA	$860.00	$860.00	$38.22–$3,250.00	18% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ER-ART ASP INJ SML JNT/BURSA	$860.00	$860.00	$451.50–$860.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ART ASP INJ SML JNT/BURSA	$860.00	$860.00	$451.50–$860.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER-INT WOUND<2.5CM TRUNK/SCLP/AXIL	$895.00	$895.00	$99.72–$3,250.00	3% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ER-INT WOUND<2.5CM TRUNK/SCLP/AXIL	$895.00	$895.00	$469.88–$895.00	—	—
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGR	$25,910.00	$25,910.00	$762.86–$25,910.00	162% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGR	$25,910.00	$25,910.00	$13,602.75–$25,910.00	—	—
Nail removal (partial or complete), one nail CPT 11730 ER-REMOVAL OF NAIL PLATE	$595.00	$595.00	$37.78–$3,250.00	23% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 ER-REMOVAL OF NAIL PLATE	$595.00	$595.00	$312.38–$595.00	—	—
Pacemaker implant (dual chamber) CPT 33208 INSERT PM SYS A V/DDD	$81,108.00	$81,108.00	$878.63–$81,108.00	396% above	—
Pacemaker implant (dual chamber) CPT 33208 IN/REP PER PM ELEC AT/VEN	$81,108.00	$81,108.00	$878.63–$81,108.00	396% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 IN/REP PER PM ELEC AT/VEN	$81,108.00	$81,108.00	$42,581.70–$81,108.00	—	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PM SYS A V/DDD	$81,108.00	$81,108.00	$42,581.70–$81,108.00	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDED IMAGE	$1,993.00	$1,993.00	$89.72–$1,993.00	9% above	—
Paracentesis with imaging guidance CPT 49083 ER-ABD PARACENTESIS W GUIDED IMAGE	$1,993.00	$1,993.00	$89.72–$3,250.00	9% above	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/IMAGING GUIDANC	$3,257.00	$3,257.00	$89.72–$3,257.00	77% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDED IMAGE	$1,993.00	$1,993.00	$1,046.32–$1,993.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ER-ABD PARACENTESIS W GUIDED IMAGE	$1,993.00	$1,993.00	$1,046.32–$1,993.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/IMAGING GUIDANC	$3,257.00	$3,257.00	$1,709.93–$3,257.00	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER-REMOVAL OF NAIL BED	$1,541.00	$1,541.00	$99.72–$3,250.00	19% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ER-REMOVAL OF NAIL BED	$1,541.00	$1,541.00	$809.03–$1,541.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 ER-REM FOREIGN BDY SIMPLE	$1,153.00	$1,153.00	$61.06–$3,250.00	18% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 ER-REM FOREIGN BDY SIMPLE	$1,153.00	$1,153.00	$605.33–$1,153.00	—	—
Short arm cast (elbow to hand) one side CPT 29075 ER-CAST ELBOW TO FINGER RT	$909.00	$909.00	$97.53–$3,250.00	82% above	—
Short arm cast (elbow to hand) one side CPT 29075 ER-CAST ELBOW TO FINGER LT	$909.00	$909.00	$97.53–$3,250.00	82% above	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 ER-CAST ELBOW TO FINGER RT	$909.00	$909.00	$477.22–$909.00	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 ER-CAST ELBOW TO FINGER LT	$909.00	$909.00	$477.22–$909.00	—	—
Short arm splint (forearm and hand) one side CPT 29125 ER-SPLINT SHORT ARM LT	$536.00	$536.00	$62.39–$3,250.00	32% above	—
Short arm splint (forearm and hand) one side CPT 29125 ER-SPLINT SHORT ARM RT	$536.00	$536.00	$62.39–$3,250.00	32% above	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 ER-SPLINT SHORT ARM RT	$536.00	$536.00	$281.40–$536.00	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 ER-SPLINT SHORT ARM LT	$536.00	$536.00	$281.40–$536.00	—	—
Short leg cast (below the knee) one side CPT 29405 ER-CAST SHORT LEG RT	$909.00	$909.00	$100.61–$3,250.00	82% above	—
Short leg cast (below the knee) one side CPT 29405 ER-CAST SHORT LEG LT	$909.00	$909.00	$100.61–$3,250.00	82% above	—
Short leg cast (below the knee) inpatient one side CPT 29405 ER-CAST SHORT LEG LT	$909.00	$909.00	$477.22–$909.00	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 ER-CAST SHORT LEG RT	$909.00	$909.00	$477.22–$909.00	—	—
Short leg splint (calf to foot) one side CPT 29515 SPLINT SHORT LEG LT	$521.00	$521.00	$66.78–$521.00	5% above	—
Short leg splint (calf to foot) one side CPT 29515 ER-SPLINT SHORT LEG RT	$521.00	$521.00	$66.78–$3,250.00	5% above	—
Short leg splint (calf to foot) one side CPT 29515 ER-SPLINT SHORT LEG LT	$521.00	$521.00	$66.78–$3,250.00	5% above	—
Short leg splint (calf to foot) one side CPT 29515 SPLINT SHORT LEG RT	$521.00	$521.00	$66.78–$521.00	5% above	—
Short leg splint (calf to foot) inpatient one side CPT 29515 ER-SPLINT SHORT LEG RT	$521.00	$521.00	$273.53–$521.00	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 SPLINT SHORT LEG LT	$521.00	$521.00	$273.53–$521.00	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 SPLINT SHORT LEG RT	$521.00	$521.00	$273.53–$521.00	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 ER-SPLINT SHORT LEG LT	$521.00	$521.00	$273.53–$521.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER-RPR SUPFISCIAL WND<2.5CM/TRUNK EXTR	$401.00	$401.00	$82.59–$3,250.00	27% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ER-RPR SUPFISCIAL WND<2.5CM/TRUNK EXTR	$401.00	$401.00	$210.52–$401.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER-SPINAL TAP DIAGNOSTIC	$1,518.00	$1,518.00	$96.65–$3,250.00	15% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP DIAGNOSTIC	$1,518.00	$1,518.00	$96.65–$1,518.00	15% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$2,304.00	$2,304.00	$96.65–$2,304.00	74% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG	$2,541.00	$2,541.00	$96.65–$2,541.00	92% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP DIAGNOSTIC	$1,518.00	$1,518.00	$796.95–$1,518.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ER-SPINAL TAP DIAGNOSTIC	$1,518.00	$1,518.00	$796.95–$1,518.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$2,304.00	$2,304.00	$1,209.60–$2,304.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG	$2,541.00	$2,541.00	$1,334.02–$2,541.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SUPFICIAL WND/2.6-7.5/TRNK(SCLP	$401.00	$401.00	$81.00–$401.00	46% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER-RPR SUPFICIAL WND/2.6-7.5/TRNK(SCLP	$401.00	$401.00	$87.86–$3,250.00	46% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ER-RPR SUPFICIAL WND/2.6-7.5/TRNK(SCLP	$401.00	$401.00	$210.52–$401.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR SUPFICIAL WND/2.6-7.5/TRNK(SCLP	$401.00	$401.00	$210.52–$401.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER-WOUND<2.5CM/FACE/EAR	$401.00	$401.00	$86.10–$3,250.00	39% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER-WOUND<2.5CM/FACE/EAR	$401.00	$401.00	$210.52–$401.00	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS ASPIRATION W GUIDANCE	$1,993.00	$1,993.00	$92.33–$1,993.00	2% below	—
Thoracentesis with imaging guidance CPT 32555 ER-THORACENTESIS ASPIRATION W GUIDANCE	$1,993.00	$1,993.00	$92.33–$3,250.00	2% below	—
Thoracentesis with imaging guidance inpatient CPT 32555 ER-THORACENTESIS ASPIRATION W GUIDANCE	$1,993.00	$1,993.00	$1,046.32–$1,993.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS ASPIRATION W GUIDANCE	$1,993.00	$1,993.00	$1,046.32–$1,993.00	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 ER-INJ SIGL/MULT TRIG PNT 1 OR 2	$860.00	$860.00	$52.49–$3,250.00	38% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ER-INJ SIGL/MULT TRIG PNT 1 OR 2	$860.00	$860.00	$451.50–$860.00	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD WITH BALLOON DILATATION	$7,190.00	$7,190.00	$263.15–$7,190.00	202% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD WITH BALLOON DILATATION	$7,190.00	$7,190.00	$3,774.75–$7,190.00	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY	$4,837.00	$4,837.00	$276.33–$4,837.00	174% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY	$4,837.00	$4,837.00	$2,539.43–$4,837.00	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD WITH SNARE	$7,190.00	$7,190.00	$71.90–$7,190.00	119% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD WITH SNARE	$7,190.00	$7,190.00	$3,774.75–$7,190.00	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ESOPHAGEAL DILATION	$4,837.00	$4,837.00	$174.40–$4,837.00	191% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 ESOPHAGEAL DILATION	$4,837.00	$4,837.00	$2,539.43–$4,837.00	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY EGD	$4,837.00	$4,837.00	$264.46–$4,837.00	158% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ESOPHAGOGASTRODUODENOSCOPY EGD	$4,837.00	$4,837.00	$2,539.43–$4,837.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER-DEBRIDE SKIN/TISSUE 1ST 20 OR<	$1,153.00	$1,153.00	$103.87–$3,250.00	69% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ER-DEBRIDE SKIN/TISSUE 1ST 20 OR<	$1,153.00	$1,153.00	$605.33–$1,153.00	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ER-TRANSFUSION BLOOD/BLOOD COMP	$1,211.00	$1,211.00	$242.20–$1,211.00	39% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMP	$1,211.00	$1,211.00	$242.20–$1,211.00	39% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSF 1-3 HRS	$1,546.00	$1,546.00	$309.20–$1,546.00	77% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSFUSION 1-3 HRS	$1,546.00	$1,546.00	$309.20–$1,546.00	77% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ER-ADMIN BLOOD TRANSFUSION > 2YRS	$1,782.00	$1,782.00	$356.40–$1,782.00	104% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSFUSION	$1,782.00	$1,782.00	$356.40–$1,782.00	104% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSFUSION 4-6 HRS	$1,965.00	$1,965.00	$393.00–$1,965.00	125% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSF 4-5 HRS	$1,965.00	$1,965.00	$393.00–$1,965.00	125% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOD TRANSFUSION	$2,057.00	$2,057.00	$411.40–$2,057.00	135% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSF 6-8 HRS	$2,059.00	$2,059.00	$411.80–$2,059.00	136% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD TRANSF > 8 HRS	$2,170.00	$2,170.00	$434.00–$2,170.00	148% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/BLOOD COMP	$1,211.00	$1,211.00	$635.78–$1,211.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ER-TRANSFUSION BLOOD/BLOOD COMP	$1,211.00	$1,211.00	$635.78–$1,211.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSF 1-3 HRS	$1,546.00	$1,546.00	$811.65–$1,546.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSFUSION 1-3 HRS	$1,546.00	$1,546.00	$811.65–$1,546.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSFUSION	$1,782.00	$1,782.00	$935.55–$1,782.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ER-ADMIN BLOOD TRANSFUSION > 2YRS	$1,782.00	$1,782.00	$935.55–$1,782.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSF 4-5 HRS	$1,965.00	$1,965.00	$1,031.62–$1,965.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSFUSION 4-6 HRS	$1,965.00	$1,965.00	$1,031.62–$1,965.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOD TRANSFUSION	$2,057.00	$2,057.00	$1,079.92–$2,057.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSF 6-8 HRS	$2,059.00	$2,059.00	$1,080.98–$2,059.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD TRANSF > 8 HRS	$2,170.00	$2,170.00	$1,139.25–$2,170.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT INITIAL	$183.00	$183.00	$13.81–$370.00	43% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$183.00	$183.00	$13.81–$370.00	43% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$183.00	$183.00	$13.81–$370.00	43% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT	$183.00	$183.00	$96.08–$183.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$183.00	$183.00	$96.08–$183.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT INITIAL	$183.00	$183.00	$96.08–$183.00	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR DISTINCT SERV	$1,161.00	$1,161.00	$28.59–$1,161.00	33% above	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$1,161.00	$1,161.00	$28.59–$1,161.00	33% above	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1ST HOUR	$1,251.00	$1,251.00	$28.59–$1,251.00	43% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$1,161.00	$1,161.00	$609.52–$1,161.00	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR DISTINCT SERV	$1,161.00	$1,161.00	$609.52–$1,161.00	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION 1ST HOUR	$1,251.00	$1,251.00	$656.78–$1,251.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 ER-CRITICAL CARE 1ST 30 TO 74 MIN	$4,547.00	$4,547.00	$143.49–$4,547.00	2% below	—
Critical care, first 30 to 74 minutes CPT 99291 ER-CRITICAL CARE 30-74 MIN	$4,547.00	$4,547.00	$143.49–$4,547.00	2% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER-CRITICAL CARE 30-74 MIN	$4,547.00	$4,547.00	$2,387.18–$4,547.00	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER-CRITICAL CARE 1ST 30 TO 74 MIN	$4,547.00	$4,547.00	$2,387.18–$4,547.00	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG ROUTINE STUDY	$1,085.00	$1,085.00	$89.18–$1,085.00	6% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG ROUTINE STUDY	$1,085.00	$1,085.00	$569.62–$1,085.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER-EKG TRACE ONLY	$320.00	$320.00	$19.35–$320.00	5% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$320.00	$320.00	$19.35–$320.00	5% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER-EKG ROUTINE	$431.00	$431.00	$19.35–$431.00	28% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REGULAR	$431.00	$431.00	$19.35–$431.00	28% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 1T3 EKG REGULAR	$431.00	$431.00	$19.35–$431.00	28% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RECV-EKG REGULAR	$431.00	$431.00	$19.35–$431.00	28% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER EKG REGULAR	$431.00	$431.00	$19.35–$431.00	28% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ER-EKG TRACE ONLY	$320.00	$320.00	$168.00–$320.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY	$320.00	$320.00	$168.00–$320.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RECV-EKG REGULAR	$431.00	$431.00	$226.28–$431.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 1T3 EKG REGULAR	$431.00	$431.00	$226.28–$431.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG REGULAR	$431.00	$431.00	$226.28–$431.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ER-EKG ROUTINE	$431.00	$431.00	$226.28–$431.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ER EKG REGULAR	$431.00	$431.00	$226.28–$431.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER-LEVEL 1	$390.00	$390.00	$17.91–$3,250.00	7% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER-LEVEL 1 SEPARATE SERVICE	$390.00	$390.00	$17.91–$3,250.00	7% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER-LEVEL 1 SEPARATE SERVICE	$390.00	$390.00	$204.75–$390.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER-LEVEL 1	$390.00	$390.00	$204.75–$390.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER-LEVEL 2	$1,022.00	$1,022.00	$28.77–$3,250.00	17% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER-LEVEL 2 SEPARATE SERVICE	$1,022.00	$1,022.00	$28.77–$3,250.00	17% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER-LEVEL 2	$1,022.00	$1,022.00	$536.55–$1,022.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER-LEVEL 2 SEPARATE SERVICE	$1,022.00	$1,022.00	$536.55–$1,022.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER-LEVEL 3 SEPARATE SERVICE	$1,669.00	$1,669.00	$52.63–$3,250.00	9% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER-LEVEL 3	$1,669.00	$1,669.00	$52.63–$3,250.00	9% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER-LEVEL 3 SEPARATE SERVICE	$1,669.00	$1,669.00	$876.22–$1,669.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER-LEVEL 3	$1,669.00	$1,669.00	$876.22–$1,669.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER-LEVEL 4	$2,925.00	$2,925.00	$80.65–$3,250.00	8% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER-LEVEL 4 SEPARATE SERVICE	$2,925.00	$2,925.00	$80.65–$3,250.00	8% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER-LEVEL 4	$2,925.00	$2,925.00	$1,535.62–$2,925.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER-LEVEL 4 SEPARATE SERVICE	$2,925.00	$2,925.00	$1,535.62–$2,925.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER-LEVEL 5 SEPARATE SERVICE	$3,552.00	$3,552.00	$127.53–$3,552.00	at median	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER-LEVEL 5	$3,552.00	$3,552.00	$127.53–$3,552.00	at median	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER-LEVEL 5	$3,552.00	$3,552.00	$1,864.80–$3,552.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER-LEVEL 5 SEPARATE SERVICE	$3,552.00	$3,552.00	$1,864.80–$3,552.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CD NUCLEAR STRESS TEST	$1,681.00	$1,681.00	$57.96–$1,681.00	25% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CD CARDIAC STRESS TEST	$1,681.00	$1,681.00	$57.96–$1,681.00	25% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 PHARM NM STRESS TEST	$1,681.00	$1,681.00	$57.96–$1,681.00	25% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CD CARDIAC STRESS TEST	$1,681.00	$1,681.00	$882.53–$1,681.00	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARM NM STRESS TEST	$1,681.00	$1,681.00	$882.53–$1,681.00	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CD NUCLEAR STRESS TEST	$1,681.00	$1,681.00	$882.53–$1,681.00	—	—
Group psychotherapy session CPT 90853 INTENSIVE OP	$319.00	$319.00	$4.09–$675.00	15% above	—
Group psychotherapy session CPT 90853 IOP WB	$319.00	$319.00	$4.09–$675.00	15% above	—
Group psychotherapy session CPT 90853 CD PARTIAL HOSP FULL DAY-ALCOHOL	$383.00	$383.00	$4.09–$675.00	38% above	—
Group psychotherapy session CPT 90853 CD PARTIAL HOSP FULL DAY (SAGE)	$383.00	$383.00	$4.09–$675.00	38% above	—
Group psychotherapy session CPT 90853 PARTIAL HOSPITALIZATION-LESS INTENSIVE	$398.00	$398.00	$4.09–$875.00	43% above	—
Group psychotherapy session CPT 90853 PARTIAL HOSPITALIZATION-MORE INTENSIVE	$398.00	$398.00	$4.09–$447.00	43% above	—
Group psychotherapy session inpatient CPT 90853 INTENSIVE OP	$319.00	$319.00	$167.48–$319.00	—	—
Group psychotherapy session inpatient CPT 90853 IOP WB	$319.00	$319.00	$167.48–$319.00	—	—
Group psychotherapy session inpatient CPT 90853 CD PARTIAL HOSP FULL DAY (SAGE)	$383.00	$383.00	$201.08–$383.00	—	—
Group psychotherapy session inpatient CPT 90853 CD PARTIAL HOSP FULL DAY-ALCOHOL	$383.00	$383.00	$201.08–$383.00	—	—
Group psychotherapy session inpatient CPT 90853 PARTIAL HOSPITALIZATION-MORE INTENSIVE	$398.00	$398.00	$208.95–$398.00	—	—
Group psychotherapy session inpatient CPT 90853 PARTIAL HOSPITALIZATION-LESS INTENSIVE	$398.00	$398.00	$208.95–$398.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER-IV HYDRATION 31 MIN TO 1 HR	$268.00	$268.00	$51.30–$3,250.00	46% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER-IV INF HYD INIT 31MIN-1HR DISTINT SER	$441.00	$441.00	$51.30–$3,250.00	11% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD INIT 31MIN-1HR DISTINT SER	$441.00	$441.00	$51.30–$441.00	11% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD INIT 31MIN-1HR	$441.00	$441.00	$51.30–$441.00	11% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER-IV INF HYD INIT 31MIN-1HR	$441.00	$441.00	$51.30–$3,250.00	11% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INIT >31 MIN	$670.00	$670.00	$51.30–$670.00	36% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER-IV HYDRATION 31 MIN TO 1 HR	$268.00	$268.00	$140.70–$268.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER-IV INF HYD INIT 31MIN-1HR	$441.00	$441.00	$231.52–$441.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER-IV INF HYD INIT 31MIN-1HR DISTINT SER	$441.00	$441.00	$231.52–$441.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYD INIT 31MIN-1HR	$441.00	$441.00	$231.52–$441.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYD INIT 31MIN-1HR DISTINT SER	$441.00	$441.00	$231.52–$441.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INIT >31 MIN	$670.00	$670.00	$351.75–$670.00	—	—
IV infusion of a medicine, first hour CPT 96365 THROMBOLYTIC AGENT INF 1ST HR	$670.00	$670.00	$62.60–$670.00	14% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL 1ST HOUR	$670.00	$670.00	$62.60–$670.00	14% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HOUR	$670.00	$670.00	$62.60–$670.00	14% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF TX INIT< 1HR DISTINCT SERV	$707.00	$707.00	$62.60–$707.00	20% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF TX INIT< 1HR	$707.00	$707.00	$62.60–$707.00	20% above	—
IV infusion of a medicine, first hour CPT 96365 ER-IV INF TX INIT< 1HR	$707.00	$707.00	$62.60–$3,250.00	20% above	—
IV infusion of a medicine, first hour CPT 96365 ER-IV INF TX INIT< 1HR DISTINCT SERV	$707.00	$707.00	$62.60–$3,250.00	20% above	—
IV infusion of a medicine, first hour CPT 96365 ER-IV THERAPYPROPHYLAXISDIAG 1HR	$825.00	$825.00	$62.60–$3,250.00	40% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL 1ST HOUR	$670.00	$670.00	$351.75–$670.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1 HOUR	$670.00	$670.00	$351.75–$670.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 THROMBOLYTIC AGENT INF 1ST HR	$670.00	$670.00	$351.75–$670.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX INIT< 1HR DISTINCT SERV	$707.00	$707.00	$371.18–$707.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX INIT< 1HR	$707.00	$707.00	$371.18–$707.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 ER-IV INF TX INIT< 1HR DISTINCT SERV	$707.00	$707.00	$371.18–$707.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 ER-IV INF TX INIT< 1HR	$707.00	$707.00	$371.18–$707.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 ER-IV THERAPYPROPHYLAXISDIAG 1HR	$825.00	$825.00	$433.12–$825.00	—	—
IV push of a medicine, first drug CPT 96374 ER-IV PUSH SINGLE/INITIAL	$268.00	$268.00	$49.82–$268.00	24% below	—
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE/INITIAL	$268.00	$268.00	$49.82–$268.00	24% below	—
IV push of a medicine, first drug CPT 96374 ER-INJ TX/PROPH/DX IVP INIT DISTINCT SER	$441.00	$441.00	$49.82–$441.00	25% above	—
IV push of a medicine, first drug CPT 96374 ER-INJ TX/PROPH/DX IVP INIT	$441.00	$441.00	$49.82–$441.00	25% above	—
IV push of a medicine, first drug CPT 96374 INJ TX/PROPH/DX IVP INIT	$441.00	$441.00	$49.82–$441.00	25% above	—
IV push of a medicine, first drug CPT 96374 INJ TX/PROPH/DX IVP INIT DISTINCT SER	$441.00	$441.00	$49.82–$441.00	25% above	—
IV push of a medicine, first drug inpatient CPT 96374 ER-IV PUSH SINGLE/INITIAL	$268.00	$268.00	$140.70–$268.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE/INITIAL	$268.00	$268.00	$140.70–$268.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PROPH/DX IVP INIT DISTINCT SER	$441.00	$441.00	$231.52–$441.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 ER-INJ TX/PROPH/DX IVP INIT	$441.00	$441.00	$231.52–$441.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 ER-INJ TX/PROPH/DX IVP INIT DISTINCT SER	$441.00	$441.00	$231.52–$441.00	—	—
IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PROPH/DX IVP INIT	$441.00	$441.00	$231.52–$441.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-PROCEDURE IM ANTIBIOTIC	$210.00	$210.00	$18.75–$210.00	17% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-ADMIN INJ IM/SQ TXPROPHDX	$210.00	$210.00	$18.75–$3,250.00	17% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB Q OR IM INJECTION	$210.00	$210.00	$18.75–$210.00	17% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ OR IM INJECTION	$210.00	$210.00	$18.75–$210.00	17% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/PROPH/DX SQ/IM	$218.00	$218.00	$18.75–$218.00	22% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-INJ TX/PROPH/DX SQ/IM	$218.00	$218.00	$18.75–$218.00	22% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-INJ TX/PROPH/DX SQ/IM DISTINC SERV	$218.00	$218.00	$18.75–$218.00	22% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/PROPH/DX SQ/IM DISTINC SERV	$218.00	$218.00	$18.75–$218.00	22% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-PROCEDURE IM ANTIBIOTIC	$210.00	$210.00	$110.25–$210.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ OR IM INJECTION	$210.00	$210.00	$110.25–$210.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-ADMIN INJ IM/SQ TXPROPHDX	$210.00	$210.00	$110.25–$210.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUB Q OR IM INJECTION	$210.00	$210.00	$110.25–$210.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/PROPH/DX SQ/IM DISTINC SERV	$218.00	$218.00	$114.45–$218.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-INJ TX/PROPH/DX SQ/IM DISTINC SERV	$218.00	$218.00	$114.45–$218.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-INJ TX/PROPH/DX SQ/IM	$218.00	$218.00	$114.45–$218.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/PROPH/DX SQ/IM	$218.00	$218.00	$114.45–$218.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 F/UP NUTR ASSESS IND 15MIN	$38.00	$38.00	$16.30–$200.00	62% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 F/UP NUTR ASSESS IND 15MIN	$38.00	$38.00	$19.95–$38.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 RANGE OF MOTION 15 MIN	$167.00	$167.00	$12.93–$315.00	29% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 RANGE OF MOTION 15 MIN	$167.00	$167.00	$87.68–$167.00	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 ER-TOBACCO USE CESSATION INTER 3-10MIN	$106.00	$106.00	$10.41–$200.00	44% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO COUNSELING 3-10 MIN	$159.00	$159.00	$10.41–$200.00	117% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ER-TOBACCO USE CESSATION INTER 3-10MIN	$106.00	$106.00	$55.65–$106.00	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACCO COUNSELING 3-10 MIN	$159.00	$159.00	$83.48–$159.00	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$292.00	$292.00	$29.03–$322.00	18% below	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$292.00	$292.00	$153.30–$292.00	—	—
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY-PRE/POST DILATOR	$487.00	$487.00	$53.14–$487.00	39% below	—
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY-PRE/POST DILATOR	$487.00	$487.00	$255.68–$487.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$321.00	$321.00	$19.35–$774.00	1% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB THERAPEUTIC PHLEB	$322.00	$322.00	$19.35–$774.00	1% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEOBOTOMY	$538.00	$538.00	$19.35–$774.00	66% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 ""BB THERAPEUTIC PHLEB AFTER HR""	$639.00	$639.00	$19.35–$774.00	97% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$321.00	$321.00	$168.52–$321.00	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB THERAPEUTIC PHLEB	$322.00	$322.00	$169.05–$322.00	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEOBOTOMY	$538.00	$538.00	$282.45–$538.00	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 ""BB THERAPEUTIC PHLEB AFTER HR""	$639.00	$639.00	$335.48–$639.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE 2025-2026 > 3YEARS OLD	$30.00	$30.00	$4.50–$30.00	27% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE 2025-2026 > 3YEARS OLD	$30.00	$30.00	$15.75–$30.00	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VALPS VACCINE	$30.00	$30.00	$4.50–$137.93	81% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VALPS VACCINE	$30.00	$30.00	$15.75–$30.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF)	$30.00	$30.00	$5.88–$38.75	63% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF)	$30.00	$30.00	$15.75–$30.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHPERTUS(ACEL)TET PED (PF)	$30.00	$30.00	$5.88–$42.77	74% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHPERTUSS(ACEL)TET VAC(PF)	$166.00	$166.00	$27.64–$166.00	43% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHPERTUS(ACEL)TET PED (PF)	$30.00	$30.00	$15.75–$30.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHPERTUSS(ACEL)TET VAC(PF)	$166.00	$166.00	$87.15–$166.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INJ 1 VACCINE	$145.00	$145.00	$4.46–$145.00	39% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER-ADMIN INJ TETANUS/DIPHTHERIA>7YR	$154.00	$154.00	$4.46–$154.00	48% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SINGLE/COMBO VACC	$218.00	$218.00	$4.46–$218.00	110% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER-IMM ADMIN SINGLE/COMBO VACC	$218.00	$218.00	$4.46–$218.00	110% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN INJ 1 VACCINE	$145.00	$145.00	$76.12–$145.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ER-ADMIN INJ TETANUS/DIPHTHERIA>7YR	$154.00	$154.00	$80.85–$154.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADMIN SINGLE/COMBO VACC	$218.00	$218.00	$114.45–$218.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ER-IMM ADMIN SINGLE/COMBO VACC	$218.00	$218.00	$114.45–$218.00	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADMIN EA ADDL VACCINE	$51.00	$51.00	$4.46–$51.00	34% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER-IMM ADMIN EA ADDL VACCINE	$51.00	$51.00	$4.46–$3,250.00	34% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ER-IMM ADMIN EA ADDL VACCINE	$51.00	$51.00	$26.78–$51.00	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADMIN EA ADDL VACCINE	$51.00	$51.00	$26.78–$51.00	—	—

Source file: https://www.hemetglobalmedicalcenter.com/csv/v2/270636387_hemet-global-medical-center_standardcharges.csv