SelfPayRates
Hospital Hillsdale, MI

Hillsdale Hospital

Hillsdale Hospital in Hillsdale, MI publishes cash prices for 334 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Michigan median for 225 of 329 procedures and above it for 100. By typical cash price it ranks #28 of 94 Michigan hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

168 South Howell Street Hillsdale, MI 49242 Collected Sep 29, 2026 Source price file (517) 437-4451

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 230037 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs MichiganOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST $1,254.60 $1,476.00 $93.06–$1,402.20 14% below 15%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST $1,254.60 $1,476.00 $93.06–$1,402.20 — 15%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN AP AND ERECT $104.55 $123.00 $28.96–$259.28 50% below 15%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN AP AND ERECT $104.55 $123.00 $28.96–$259.28 — 15%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE MIN 3V BILATERAL $178.50 $210.00 $31.93–$214.68 — 15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3V LT $136.85 $161.00 $31.93–$214.68 28% below 15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3V RT $136.85 $161.00 $31.93–$214.68 28% below 15%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE MIN 3V BILATERAL $178.50 $210.00 $31.93–$214.68 — 15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3V RT $136.85 $161.00 $31.93–$214.68 — 15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3V LT $136.85 $161.00 $31.93–$214.68 — 15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL EXTEMITY STUDY 2 LEVELS $215.05 $253.00 $67.38–$314.28 28% below 15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INVASIVE ABI 2 LEVELS $215.05 $253.00 $67.38–$314.28 28% below 15%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INVASIVE ABI 2 LEVELS $215.05 $253.00 $67.38–$314.28 — 15%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL EXTEMITY STUDY 2 LEVELS $215.05 $253.00 $67.38–$314.28 — 15%
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT BILATERAL UPPER EXTREMITY W/O CONT $1,337.05 $1,573.00 $55.59–$1,494.35 — 15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ZB SHOULDER LT $206.55 $243.00 $55.59–$259.28 78% below 15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ZB SHOULDER RT $206.55 $243.00 $55.59–$259.28 78% below 15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT UPPER EXTREMITY W/O CONT $1,050.60 $1,236.00 $55.59–$1,174.20 12% above 15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT UPPER EXTREMITY W/O CONT $1,050.60 $1,236.00 $55.59–$1,174.20 12% above 15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT BILATERAL UPPER EXTREMITY W/O CONT $1,337.05 $1,573.00 $55.59–$1,494.35 — 15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ZB SHOULDER RT $206.55 $243.00 $55.59–$259.28 — 15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ZB SHOULDER LT $206.55 $243.00 $55.59–$259.28 — 15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT LT UPPER EXTREMITY W/O CONT $1,050.60 $1,236.00 $55.59–$1,174.20 — 15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT RT UPPER EXTREMITY W/O CONT $1,050.60 $1,236.00 $55.59–$1,174.20 — 15%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS $190.40 $224.00 $78.97–$434.05 29% below 15%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS $190.40 $224.00 $78.97–$434.05 — 15%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGINE-TOTAL BODY $600.10 $706.00 $210.06–$979.74 30% below 15%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMAGINE-TOTAL BODY $600.10 $706.00 $210.06–$979.74 — 15%
Breast ultrasound, complete, one breast both sides CPT 76641 US BILATERAL BREAST COMPLETE $389.30 $458.00 $55.59–$435.10 — 15%
Breast ultrasound, complete, one breast one side CPT 76641 US RT BREAST COMPLETE $259.25 $305.00 $55.59–$289.75 13% below 15%
Breast ultrasound, complete, one breast one side CPT 76641 US LT BREAST COMPLETE $259.25 $305.00 $55.59–$289.75 13% below 15%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BILATERAL BREAST COMPLETE $389.30 $458.00 $55.59–$435.10 — 15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US RT BREAST COMPLETE $259.25 $305.00 $55.59–$289.75 — 15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US LT BREAST COMPLETE $259.25 $305.00 $55.59–$289.75 — 15%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BILATERAL BREAST LIMITED $200.60 $236.00 $46.03–$224.20 — 15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US RT BREAST LIMITED $133.45 $157.00 $46.03–$214.68 48% below 15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US LT BREAST LIMITED $133.45 $157.00 $46.03–$214.68 48% below 15%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BILATERAL BREAST LIMITED $200.60 $236.00 $46.03–$224.20 — 15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US RT BREAST LIMITED $133.45 $157.00 $46.03–$214.68 — 15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US LT BREAST LIMITED $133.45 $157.00 $46.03–$214.68 — 15%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS WWO CONTRAST $2,001.75 $2,355.00 $186.69–$2,237.25 19% below 15%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS WWO CONTRAST $2,001.75 $2,355.00 $186.69–$2,237.25 — 15%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CONTRAST $943.50 $1,110.00 $93.06–$1,054.50 32% below 15%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CONTRAST $943.50 $1,110.00 $93.06–$1,054.50 — 15%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONTRAST $960.50 $1,130.00 $93.06–$1,073.50 31% below 15%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONTRAST $960.50 $1,130.00 $93.06–$1,073.50 — 15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST ANGIO $1,177.25 $1,385.00 $93.06–$1,315.75 20% below 15%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST ANGIO $1,177.25 $1,385.00 $93.06–$1,315.75 — 15%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CARDIAC W/CONT STRUCT & MORPH $1,188.30 $1,398.00 $186.69–$1,328.10 8% below 15%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CARDIAC W/CONT STRUCT & MORPH $1,188.30 $1,398.00 $186.69–$1,328.10 — 15%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCREENING $153.00 $180.00 $46.03–$214.68 19% above 15%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCREENING $153.00 $180.00 $46.03–$214.68 — 15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO $1,802.00 $2,120.00 $126.36–$2,014.00 2% above 15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE PROTOCOL $1,802.00 $2,120.00 $126.36–$2,014.00 2% above 15%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT STONE PROTOCOL $1,802.00 $2,120.00 $126.36–$2,014.00 — 15%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO $1,802.00 $2,120.00 $126.36–$2,014.00 — 15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT APPY PROTOCOL W IV CONTRAST $2,444.60 $2,876.00 $186.69–$2,732.20 1% below 15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST $2,444.60 $2,876.00 $186.69–$2,732.20 1% below 15%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT APPY PROTOCOL W IV CONTRAST $2,444.60 $2,876.00 $186.69–$2,732.20 — 15%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/CONTRAST $2,444.60 $2,876.00 $186.69–$2,732.20 — 15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WWO CONTRAST $2,604.40 $3,064.00 $186.69–$2,910.80 1% above 15%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS WWO CONTRAST $2,604.40 $3,064.00 $186.69–$2,910.80 — 15%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST $1,024.25 $1,205.00 $93.06–$1,144.75 30% below 15%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONTRAST $1,024.25 $1,205.00 $93.06–$1,144.75 — 15%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST $839.80 $988.00 $55.59–$938.60 8% below 15%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST $839.80 $988.00 $55.59–$938.60 — 15%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/OUT CONTRAST $937.55 $1,103.00 $55.59–$1,047.85 6% below 15%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CONTRAST $937.55 $1,103.00 $55.59–$1,047.85 6% below 15%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/OUT CONTRAST $937.55 $1,103.00 $55.59–$1,047.85 — 15%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W/O CONTRAST $937.55 $1,103.00 $55.59–$1,047.85 — 15%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST $595.00 $700.00 $55.59–$665.00 29% below 15%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST $595.00 $700.00 $55.59–$665.00 — 15%
CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST $728.45 $857.00 $93.06–$814.15 41% below 15%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST $728.45 $857.00 $93.06–$814.15 — 15%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST $896.75 $1,055.00 $93.06–$1,002.25 32% below 15%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST $896.75 $1,055.00 $93.06–$1,002.25 — 15%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/OUT CONTRAST $918.85 $1,081.00 $55.59–$1,026.95 5% below 15%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/OUT CONTRAST $918.85 $1,081.00 $55.59–$1,026.95 — 15%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 12% above 15%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 — 15%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST $1,337.90 $1,574.00 $93.06–$1,495.30 5% above 15%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST $1,337.90 $1,574.00 $93.06–$1,495.30 — 15%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US NONINVASIVE CAROTID ARTRY/BILATERAL $520.20 $612.00 $126.36–$589.36 — 15%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US NONINVASIVE CAROTID ARTRY/BILATERAL $520.20 $612.00 $126.36–$589.36 — 15%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST $1,056.55 $1,243.00 $93.06–$1,180.85 32% below 15%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST $1,056.55 $1,243.00 $93.06–$1,180.85 — 15%
Chest X-ray, 2 views CPT 71046 CHEST PA AND LAT PORT $119.85 $141.00 $26.00–$214.68 33% below 15%
Chest X-ray, 2 views CPT 71046 TWO VIEW CHEST WITH FLUOROSCOPY $119.85 $141.00 $26.00–$214.68 33% below 15%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW $119.85 $141.00 $26.00–$214.68 33% below 15%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEW $119.85 $141.00 $26.00–$214.68 — 15%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA AND LAT PORT $119.85 $141.00 $26.00–$214.68 — 15%
Chest X-ray, 2 views inpatient CPT 71046 TWO VIEW CHEST WITH FLUOROSCOPY $119.85 $141.00 $26.00–$214.68 — 15%
Chest X-ray, single view CPT 71045 PA OR AP CHEST $102.85 $121.00 $19.33–$214.68 26% below 15%
Chest X-ray, single view CPT 71045 AP OR PA PORTABLE CHEST $102.85 $121.00 $19.33–$214.68 26% below 15%
Chest X-ray, single view inpatient CPT 71045 PA OR AP CHEST $102.85 $121.00 $19.33–$214.68 — 15%
Chest X-ray, single view inpatient CPT 71045 AP OR PA PORTABLE CHEST $102.85 $121.00 $19.33–$214.68 — 15%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE COMPLETE BILAT $157.25 $185.00 $27.11–$214.68 — 15%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE LT $123.25 $145.00 $27.11–$214.68 22% below 15%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE RT $123.25 $145.00 $27.11–$214.68 22% below 15%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE COMPLETE BILAT $157.25 $185.00 $27.11–$214.68 — 15%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE LT $123.25 $145.00 $27.11–$214.68 — 15%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE RT $123.25 $145.00 $27.11–$214.68 — 15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE $176.80 $208.00 $55.59–$259.28 69% below 15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US BLADDER $176.80 $208.00 $55.59–$259.28 69% below 15%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US BLADDER $176.80 $208.00 $55.59–$259.28 — 15%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE $176.80 $208.00 $55.59–$259.28 — 15%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE MINERAL DENSITY $243.95 $287.00 $31.93–$272.65 20% below 15%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE MINERAL DENSITY $243.95 $287.00 $31.93–$272.65 — 15%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB AND DETAILED EVAL SING $578.00 $680.00 $96.22–$646.00 1% above 15%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB AND DETAILED EVAL SING $578.00 $680.00 $96.22–$646.00 — 15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST $937.55 $1,103.00 $55.59–$1,047.85 1% above 15%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST $937.55 $1,103.00 $55.59–$1,047.85 — 15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST $1,013.20 $1,192.00 $93.06–$1,132.40 18% below 15%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ CONTRAST $1,013.20 $1,192.00 $93.06–$1,132.40 — 15%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIAGNOSTIC MAMMOGRAPHY BILATERAL $389.30 $458.00 $0.01–$435.10 — 15%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DX MAMM BILATERAL POST PROCEDURE $389.30 $458.00 $0.01–$435.10 — 15%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM DX MAMM BILATERAL POST PROCEDURE $389.30 $458.00 $0.01–$435.10 — 15%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM DIAGNOSTIC MAMMOGRAPHY BILATERAL $389.30 $458.00 $0.01–$435.10 — 15%
Diagnostic mammogram, one breast one side CPT 77065 MM RT DIAGNOSTIC MAMMOGRAPHY $282.20 $332.00 $0.01–$315.40 6% below 15%
Diagnostic mammogram, one breast one side CPT 77065 MM RT POST PROCEDURE UNILAT $282.20 $332.00 $0.01–$315.40 6% below 15%
Diagnostic mammogram, one breast one side CPT 77065 MM LT POST PROCEDURE UNILAT $282.20 $332.00 $0.01–$315.40 6% below 15%
Diagnostic mammogram, one breast one side CPT 77065 MM LT DIAGNOSTIC MAMMOGRAPHY $282.20 $332.00 $0.01–$315.40 6% below 15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM RT POST PROCEDURE UNILAT $282.20 $332.00 $0.01–$315.40 — 15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM RT DIAGNOSTIC MAMMOGRAPHY $282.20 $332.00 $0.01–$315.40 — 15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM LT POST PROCEDURE UNILAT $282.20 $332.00 $0.01–$315.40 — 15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM LT DIAGNOSTIC MAMMOGRAPHY $282.20 $332.00 $0.01–$315.40 — 15%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DUPLEX LOWER EXTREM BILAT $524.45 $617.00 $126.36–$589.36 — 15%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DUPLEX LOWER EXTREM BILAT $524.45 $617.00 $126.36–$589.36 — 15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX LOWER EXTR BILATERAL $288.15 $339.00 $126.36–$589.36 — 15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX UPPER EXTR BILATERAL $399.50 $470.00 $126.36–$589.36 — 15%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DUPLEX LOWER EXTR BILATERAL $288.15 $339.00 $126.36–$589.36 — 15%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DUPLEX UPPER EXTR BILATERAL $399.50 $470.00 $126.36–$589.36 — 15%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE $887.40 $1,044.00 $160.76–$1,336.87 33% below 15%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM W/ DEFINITY $887.40 $1,044.00 $160.76–$1,336.87 33% below 15%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM COMPLETE $887.40 $1,044.00 $160.76–$1,336.87 — 15%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM W/ DEFINITY $887.40 $1,044.00 $160.76–$1,336.87 — 15%
Elbow X-ray, 2 views both sides CPT 73070 ELBOW BILAT 2V MIN $161.50 $190.00 $23.78–$214.68 — 15%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2 VIEW MIN $119.85 $141.00 $23.78–$214.68 10% below 15%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2V MIN $119.85 $141.00 $23.78–$214.68 10% below 15%
Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW BILAT 2V MIN $161.50 $190.00 $23.78–$214.68 — 15%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2 VIEW MIN $119.85 $141.00 $23.78–$214.68 — 15%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2V MIN $119.85 $141.00 $23.78–$214.68 — 15%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW 3 VIEWS BILATERAL $181.05 $213.00 $27.11–$214.68 — 15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS RT $124.10 $146.00 $27.11–$214.68 25% below 15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS LT $124.10 $146.00 $27.11–$214.68 25% below 15%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW 3 VIEWS BILATERAL $181.05 $213.00 $27.11–$214.68 — 15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS LT $124.10 $146.00 $27.11–$214.68 — 15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS RT $124.10 $146.00 $27.11–$214.68 — 15%
Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMPORAL BONES W/O CONTRAST $1,111.80 $1,308.00 $55.59–$1,242.60 15% above 15%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST $1,111.80 $1,308.00 $55.59–$1,242.60 15% above 15%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONTRAST $1,111.80 $1,308.00 $55.59–$1,242.60 — 15%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMPORAL BONES W/O CONTRAST $1,111.80 $1,308.00 $55.59–$1,242.60 — 15%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3V $151.30 $178.00 $38.59–$259.28 41% below 15%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES MIN 3V $151.30 $178.00 $38.59–$259.28 — 15%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM 2V BILATERAL $150.45 $177.00 $24.15–$214.68 — 15%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2V LT $124.95 $147.00 $24.15–$214.68 25% below 15%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2V RT $124.95 $147.00 $24.15–$214.68 25% below 15%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM 2V BILATERAL $150.45 $177.00 $24.15–$214.68 — 15%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2V LT $124.95 $147.00 $24.15–$214.68 — 15%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2V RT $124.95 $147.00 $24.15–$214.68 — 15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY WO INTERVENTION $935.00 $1,100.00 $210.06–$1,045.00 at median 15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY WO INTERVENTION $935.00 $1,100.00 $210.06–$1,045.00 — 15%
Hand X-ray, 2 views both sides CPT 73120 TWO VIEW HAND BILATERAL $109.65 $129.00 $26.00–$259.28 — 15%
Hand X-ray, 2 views one side CPT 73120 TWO VIEW HAND RT $96.05 $113.00 $26.00–$259.28 34% below 15%
Hand X-ray, 2 views one side CPT 73120 TWO VIEW HAND LT $96.05 $113.00 $26.00–$259.28 34% below 15%
Hand X-ray, 2 views inpatient both sides CPT 73120 TWO VIEW HAND BILATERAL $109.65 $129.00 $26.00–$259.28 — 15%
Hand X-ray, 2 views inpatient one side CPT 73120 TWO VIEW HAND RT $96.05 $113.00 $26.00–$259.28 — 15%
Hand X-ray, 2 views inpatient one side CPT 73120 TWO VIEW HAND LT $96.05 $113.00 $26.00–$259.28 — 15%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 OSCALCIS MIN 2V BILATERAL $126.65 $149.00 $23.41–$214.68 — 15%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALCIS MIN 2V RT $91.80 $108.00 $23.41–$214.68 29% below 15%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALCIS MIN 2V LT $91.80 $108.00 $23.41–$214.68 29% below 15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 OSCALCIS MIN 2V BILATERAL $126.65 $149.00 $23.41–$214.68 — 15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALCIS MIN 2V LT $91.80 $108.00 $23.41–$214.68 — 15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALCIS MIN 2V RT $91.80 $108.00 $23.41–$214.68 — 15%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED $424.15 $499.00 $51.61–$474.05 3% above 15%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED $424.15 $499.00 $51.61–$474.05 — 15%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY/CPAP TITRATION $3,128.85 $3,681.00 $531.84–$3,496.95 5% below 15%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY/CPAP TITRATION $3,128.85 $3,681.00 $531.84–$3,496.95 — 15%
Knee X-ray, 3 views both sides CPT 73562 KNEE THREE VIEWS BILATERAL $211.65 $249.00 $35.26–$236.55 — 15%
Knee X-ray, 3 views one side CPT 73562 KNEE-THREE VIEWS LT $152.15 $179.00 $35.26–$214.68 15% below 15%
Knee X-ray, 3 views one side CPT 73562 KNEE-THREE VIEWS RT $152.15 $179.00 $35.26–$214.68 15% below 15%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE THREE VIEWS BILATERAL $211.65 $249.00 $35.26–$236.55 — 15%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE-THREE VIEWS LT $152.15 $179.00 $35.26–$214.68 — 15%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE-THREE VIEWS RT $152.15 $179.00 $35.26–$214.68 — 15%
Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEE 4 OR MORE VIEWS BILATERAL $165.75 $195.00 $39.71–$259.28 — 15%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE-4 OR MORE VIEWS LT $132.60 $156.00 $39.71–$259.28 33% below 15%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE-4 OR MORE VIEWS RT $132.60 $156.00 $39.71–$259.28 33% below 15%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE 4 OR MORE VIEWS BILATERAL $165.75 $195.00 $39.71–$259.28 — 15%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE-4 OR MORE VIEWS RT $132.60 $156.00 $39.71–$259.28 — 15%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE-4 OR MORE VIEWS LT $132.60 $156.00 $39.71–$259.28 — 15%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT BILATERAL LOWER EXT W/O CONTRAST $1,528.30 $1,798.00 $55.59–$1,708.10 — 15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ZIMMER KNEE LT $382.50 $450.00 $55.59–$427.50 63% below 15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ZIMMER KNEE RT $382.50 $450.00 $55.59–$427.50 63% below 15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT LOWER EXTREMITY W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 8% above 15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT LOWER EXTREMITY W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 8% above 15%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT BILATERAL LOWER EXT W/O CONTRAST $1,528.30 $1,798.00 $55.59–$1,708.10 — 15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ZIMMER KNEE LT $382.50 $450.00 $55.59–$427.50 — 15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ZIMMER KNEE RT $382.50 $450.00 $55.59–$427.50 — 15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LT LOWER EXTREMITY W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 — 15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT RT LOWER EXTREMITY W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 — 15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD SOFT TISSUE $285.60 $336.00 $55.59–$319.20 31% below 15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US ABDOMEN LIMITED LEFT $285.60 $336.00 $55.59–$319.20 31% below 15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US ABDOMEN LIMITED RIGHT $285.60 $336.00 $55.59–$319.20 31% below 15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD SOFT TISSUE $285.60 $336.00 $55.59–$319.20 — 15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US ABDOMEN LIMITED LEFT $285.60 $336.00 $55.59–$319.20 — 15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US ABDOMEN LIMITED RIGHT $285.60 $336.00 $55.59–$319.20 — 15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LD LUNG CA SCREEN $597.55 $703.00 $55.59–$667.85 119% above 15%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LD LUNG CA SCREEN $597.55 $703.00 $55.59–$667.85 — 15%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LOWER LEG 2V BILATERAL $160.65 $189.00 $26.74–$214.68 — 15%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG 2V RT $136.85 $161.00 $26.74–$214.68 23% below 15%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG 2V LT $136.85 $161.00 $26.74–$214.68 23% below 15%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 LOWER LEG 2V BILATERAL $160.65 $189.00 $26.74–$214.68 — 15%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG 2V LT $136.85 $161.00 $26.74–$214.68 — 15%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG 2V RT $136.85 $161.00 $26.74–$214.68 — 15%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WO $988.55 $1,163.00 $126.36–$1,104.85 35% below 15%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO INTRA CRANIAL $1,015.75 $1,195.00 $126.36–$1,135.25 33% below 15%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD WO $988.55 $1,163.00 $126.36–$1,104.85 — 15%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO INTRA CRANIAL $1,015.75 $1,195.00 $126.36–$1,135.25 — 15%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI BILATERAL JT OF LOWER EXT W/OUT $2,231.25 $2,625.00 $126.36–$2,493.75 — 15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR SMITH & NEPHEW KNEE RT $543.15 $639.00 $126.36–$607.05 64% below 15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ZIMMER KNEE LT $543.15 $639.00 $126.36–$607.05 64% below 15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ZIMMER KNEE RT $543.15 $639.00 $126.36–$607.05 64% below 15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR SMITH AND NEPHEW KNEE LT $543.15 $639.00 $126.36–$607.05 64% below 15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT JOINT OF LOWER EXTREMITY W/OUT $1,853.00 $2,180.00 $126.36–$2,071.00 24% above 15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT JOINT OF LOWER EXTREMITY W/OUT $1,853.00 $2,180.00 $126.36–$2,071.00 24% above 15%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI BILATERAL JT OF LOWER EXT W/OUT $2,231.25 $2,625.00 $126.36–$2,493.75 — 15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR SMITH & NEPHEW KNEE RT $543.15 $639.00 $126.36–$607.05 — 15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ZIMMER KNEE LT $543.15 $639.00 $126.36–$607.05 — 15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ZIMMER KNEE RT $543.15 $639.00 $126.36–$607.05 — 15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR SMITH AND NEPHEW KNEE LT $543.15 $639.00 $126.36–$607.05 — 15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT JOINT OF LOWER EXTREMITY W/OUT $1,853.00 $2,180.00 $126.36–$2,071.00 — 15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT JOINT OF LOWER EXTREMITY W/OUT $1,853.00 $2,180.00 $126.36–$2,071.00 — 15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LOWER LT W WO $2,046.80 $2,408.00 $186.69–$2,287.60 at median 15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LOWER RT W WO $2,046.80 $2,408.00 $186.69–$2,287.60 at median 15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LOWER LT W WO $2,046.80 $2,408.00 $186.69–$2,287.60 — 15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LOWER RT W WO $2,046.80 $2,408.00 $186.69–$2,287.60 — 15%
MRI of the abdomen without contrast CPT 74181 MRI MRCP ABDOMEN W/OUT CONTRAST $1,413.55 $1,663.00 $126.36–$1,579.85 7% below 15%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/OUT CONTRAST $1,413.55 $1,663.00 $126.36–$1,579.85 7% below 15%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/OUT CONTRAST $1,413.55 $1,663.00 $126.36–$1,579.85 — 15%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP ABDOMEN W/OUT CONTRAST $1,413.55 $1,663.00 $126.36–$1,579.85 — 15%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/ AND W/O CONTRAST $1,994.95 $2,347.00 $186.69–$2,229.65 31% below 15%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/ AND W/O CONTRAST $1,994.95 $2,347.00 $186.69–$2,229.65 — 15%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/OUT CONTRAST $1,524.05 $1,793.00 $126.36–$1,703.35 2% below 15%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/OUT CONTRAST $1,524.05 $1,793.00 $126.36–$1,703.35 — 15%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W AND W/0 CONTRAST $2,161.55 $2,543.00 $186.69–$2,415.85 10% below 15%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN ACOUSTICS W WO CONTRAST $2,161.55 $2,543.00 $186.69–$2,415.85 10% below 15%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN PITUITARY W WO CONTRAST $2,161.55 $2,543.00 $186.69–$2,415.85 10% below 15%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN ACOUSTICS W WO CONTRAST $2,161.55 $2,543.00 $186.69–$2,415.85 — 15%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN PITUITARY W WO CONTRAST $2,161.55 $2,543.00 $186.69–$2,415.85 — 15%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W AND W/0 CONTRAST $2,161.55 $2,543.00 $186.69–$2,415.85 — 15%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST $1,448.40 $1,704.00 $126.36–$1,618.80 6% below 15%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST $1,448.40 $1,704.00 $126.36–$1,618.80 — 15%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W AND W/O CONTRAST $2,376.60 $2,796.00 $186.69–$2,656.20 10% below 15%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W AND W/O CONTRAST $2,376.60 $2,796.00 $186.69–$2,656.20 — 15%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O $1,337.05 $1,573.00 $126.36–$1,494.35 14% below 15%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O $1,337.05 $1,573.00 $126.36–$1,494.35 — 15%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W WO $3,129.70 $3,682.00 $186.69–$3,497.90 21% above 15%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W WO $3,129.70 $3,682.00 $186.69–$3,497.90 — 15%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O $1,448.40 $1,704.00 $126.36–$1,618.80 6% below 15%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O $1,448.40 $1,704.00 $126.36–$1,618.80 — 15%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W AND W/O CONTRAST $1,994.95 $2,347.00 $186.69–$2,229.65 24% below 15%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W AND W/O CONTRAST $1,994.95 $2,347.00 $186.69–$2,229.65 — 15%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/OUT CONTRAST $1,699.15 $1,999.00 $126.36–$1,899.05 8% above 15%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/OUT CONTRAST $1,699.15 $1,999.00 $126.36–$1,899.05 — 15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT JOINT OF UPPER EXTREMITY W/OUT $1,593.75 $1,875.00 $126.36–$1,781.25 8% below 15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LT JOINT OF UPPER EXTREMITY W/OUT $1,593.75 $1,875.00 $126.36–$1,781.25 8% below 15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT JOINT OF UPPER EXTREMITY W/OUT $1,593.75 $1,875.00 $126.36–$1,781.25 — 15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT JOINT OF UPPER EXTREMITY W/OUT $1,593.75 $1,875.00 $126.36–$1,781.25 — 15%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4 VIEW $247.35 $291.00 $44.89–$276.45 7% above 15%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE W/OBLIQUE 4 OR 5 VIEWS $247.35 $291.00 $44.89–$276.45 7% above 15%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE 4 VIEW $247.35 $291.00 $44.89–$276.45 — 15%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE W/OBLIQUE 4 OR 5 VIEWS $247.35 $291.00 $44.89–$276.45 — 15%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/ CONTRAST $1,534.25 $1,805.00 $93.06–$1,714.75 24% above 15%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/ CONTRAST $1,534.25 $1,805.00 $93.06–$1,714.75 — 15%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O $463.25 $545.00 $55.59–$517.75 52% below 15%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O $463.25 $545.00 $55.59–$517.75 — 15%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE $139.40 $164.00 $25.63–$214.68 6% below 15%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE $139.40 $164.00 $25.63–$214.68 — 15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF/MULT TL 201 $1,761.20 $2,072.00 $403.15–$3,183.02 35% below 15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERFUSION/MULTIPLE $1,761.20 $2,072.00 $403.15–$3,183.02 35% below 15%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF/MULT TL 201 $1,761.20 $2,072.00 $403.15–$3,183.02 — 15%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERFUSION/MULTIPLE $1,761.20 $2,072.00 $403.15–$3,183.02 — 15%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT SKULL BASE PS $2,976.70 $3,502.00 $762.48–$3,556.33 21% below 15%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT SKULL BASE PI $2,976.70 $3,502.00 $762.48–$3,556.33 21% below 15%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W/CT SKULL BASE PI $2,976.70 $3,502.00 $762.48–$3,556.33 — 15%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W/CT SKULL BASE PS $2,976.70 $3,502.00 $762.48–$3,556.33 — 15%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST $685.95 $807.00 $55.59–$766.65 24% below 15%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST $685.95 $807.00 $55.59–$766.65 — 15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS US SCAN LIMITED NON OB $190.40 $224.00 $28.22–$259.28 30% below 15%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS US SCAN LIMITED NON OB $190.40 $224.00 $28.22–$259.28 — 15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NONOBSTETRIC ULTRASOUND SCAN $408.00 $480.00 $55.59–$456.00 24% below 15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB WITH TRANSVAGINAL US $663.85 $781.00 $55.59–$741.95 24% above 15%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NONOBSTETRIC ULTRASOUND SCAN $408.00 $480.00 $55.59–$456.00 — 15%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB WITH TRANSVAGINAL US $663.85 $781.00 $55.59–$741.95 — 15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WKS SNGLE GESTATN $403.75 $475.00 $55.59–$451.25 18% below 15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WKS MULTIPLE GEST $403.75 $475.00 $55.59–$451.25 18% below 15%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB GREATER THAN 14 WKS MULTIPLE GEST $403.75 $475.00 $55.59–$451.25 — 15%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB GREATER THAN 14 WKS SNGLE GESTATN $403.75 $475.00 $55.59–$451.25 — 15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14 WKS MULTIPLE GESTATN $462.40 $544.00 $55.59–$516.80 1% above 15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14 WKS SINGLE GESTATION $462.40 $544.00 $55.59–$516.80 1% above 15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS 14 WKS SGL GEST W TRANSVAGNL $703.80 $828.00 $55.59–$786.60 54% above 15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS THAN 14 WKS SINGLE GESTATION $462.40 $544.00 $55.59–$516.80 — 15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS THAN 14 WKS MULTIPLE GESTATN $462.40 $544.00 $55.59–$516.80 — 15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS 14 WKS SGL GEST W TRANSVAGNL $703.80 $828.00 $55.59–$786.60 — 15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PELVIS LTD US 1 OR MORE FETUS $181.05 $213.00 $55.59–$259.28 42% below 15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB PELVIS LTD US 1 OR MORE FETUS $181.05 $213.00 $55.59–$259.28 — 15%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V RT $153.85 $181.00 $29.33–$214.68 17% below 15%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V LT $153.85 $181.00 $29.33–$214.68 17% below 15%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2V LT $153.85 $181.00 $29.33–$214.68 — 15%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2V RT $153.85 $181.00 $29.33–$214.68 — 15%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ PA CHEST LT $118.15 $139.00 $33.04–$259.28 48% below 15%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ PA CHEST RT $118.15 $139.00 $33.04–$259.28 48% below 15%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ PA CHEST LT $118.15 $139.00 $33.04–$259.28 — 15%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ PA CHEST RT $118.15 $139.00 $33.04–$259.28 — 15%
Screening mammogram, both breasts both sides CPT 77067 MM SCREENING MAMMOGRAPHY DIGITAL BILAT $373.15 $439.00 $0.01–$417.05 — 15%
Screening mammogram, both breasts inpatient both sides CPT 77067 MM SCREENING MAMMOGRAPHY DIGITAL BILAT $373.15 $439.00 $0.01–$417.05 — 15%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER MIN 2V BILATERAL $192.10 $226.00 $28.59–$214.70 — 15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2V RT $153.85 $181.00 $28.59–$214.68 20% below 15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2V LT $153.85 $181.00 $28.59–$214.68 20% below 15%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER MIN 2V BILATERAL $192.10 $226.00 $28.59–$214.70 — 15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2V RT $153.85 $181.00 $28.59–$214.68 — 15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2V LT $153.85 $181.00 $28.59–$214.68 — 15%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3V $181.90 $214.00 $30.44–$214.68 15% below 15%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3V $181.90 $214.00 $30.44–$214.68 — 15%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4V $155.55 $183.00 $30.44–$259.28 17% below 15%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4V $155.55 $183.00 $30.44–$259.28 — 15%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 OR MORE PARAMETER $2,991.15 $3,519.00 $522.07–$3,343.05 3% below 15%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4 OR MORE PARAMETER $2,991.15 $3,519.00 $522.07–$3,343.05 — 15%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US STRESS ECHO W/ EKG $1,194.25 $1,405.00 $188.26–$1,336.87 14% above 15%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US ECHOCARD STRESS COMP W/ CONT $1,194.25 $1,405.00 $188.26–$1,336.87 14% above 15%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US STRESS ECHO W/ EKG $1,194.25 $1,405.00 $188.26–$1,336.87 — 15%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US ECHOCARD STRESS COMP W/ CONT $1,194.25 $1,405.00 $188.26–$1,336.87 — 15%
Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO SWALLOWING FUNCTION $149.60 $176.00 $93.06–$434.05 59% below 15%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 VIDEO SWALLOWING FUNCTION $149.60 $176.00 $93.06–$434.05 — 15%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR MINIMUM 2V BILATERAL $158.10 $186.00 $30.07–$214.68 — 15%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR MINIMUM 2V LT $102.00 $120.00 $30.07–$214.68 49% below 15%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR MINIMUM 2 VIEW RT $102.00 $120.00 $30.07–$214.68 49% below 15%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR MINIMUM 2V BILATERAL $158.10 $186.00 $30.07–$214.68 — 15%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR MINIMUM 2V LT $102.00 $120.00 $30.07–$214.68 — 15%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR MINIMUM 2 VIEW RT $102.00 $120.00 $30.07–$214.68 — 15%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 17% above 15%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST $1,126.25 $1,325.00 $55.59–$1,258.75 — 15%
Toe X-ray, 2 or more views both sides CPT 73660 TOES MIN 2V BILATERAL $131.75 $155.00 $25.63–$214.68 — 15%
Toe X-ray, 2 or more views one side CPT 73660 TOES MIN 2V RT $92.65 $109.00 $25.63–$214.68 23% below 15%
Toe X-ray, 2 or more views one side CPT 73660 TOES MIN 2V LT $92.65 $109.00 $25.63–$214.68 23% below 15%
Toe X-ray, 2 or more views inpatient both sides CPT 73660 TOES MIN 2V BILATERAL $131.75 $155.00 $25.63–$214.68 — 15%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES MIN 2V RT $92.65 $109.00 $25.63–$214.68 — 15%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES MIN 2V LT $92.65 $109.00 $25.63–$214.68 — 15%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB $260.10 $306.00 $55.59–$290.70 42% below 15%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB $260.10 $306.00 $55.59–$290.70 — 15%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB $239.70 $282.00 $55.59–$267.90 31% below 15%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB $239.70 $282.00 $55.59–$267.90 — 15%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE ULTRASOUND SCAN $397.80 $468.00 $55.59–$444.60 33% below 15%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE ULTRASOUND SCAN $397.80 $468.00 $55.59–$444.60 — 15%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR ULTRASOUND SCAN $360.40 $424.00 $55.59–$402.80 27% below 15%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR ULTRASOUND SCAN $360.40 $424.00 $55.59–$402.80 — 15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $259.25 $305.00 $55.59–$289.75 42% below 15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK US $259.25 $305.00 $55.59–$289.75 42% below 15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID $259.25 $305.00 $55.59–$289.75 — 15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK US $259.25 $305.00 $55.59–$289.75 — 15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/O AIR CONTRAST $204.00 $240.00 $93.06–$434.05 44% below 15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/O AIR INCLUDING SMALL BOWEL $204.00 $240.00 $93.06–$434.05 44% below 15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SERIES W KUB GASTROGRAFIN $204.00 $240.00 $93.06–$434.05 44% below 15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SERIES W KUB GASTROGRAFIN $204.00 $240.00 $93.06–$434.05 — 15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/O AIR INCLUDING SMALL BOWEL $204.00 $240.00 $93.06–$434.05 — 15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/O AIR CONTRAST $204.00 $240.00 $93.06–$434.05 — 15%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 HUMERUS MIN 2V BILATERAL $108.80 $128.00 $27.11–$214.68 — 15%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2V RT $108.80 $128.00 $27.11–$214.68 38% below 15%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2V LT $108.80 $128.00 $27.11–$214.68 38% below 15%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HUMERUS MIN 2V BILATERAL $108.80 $128.00 $27.11–$214.68 — 15%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2V RT $108.80 $128.00 $27.11–$214.68 — 15%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2V LT $108.80 $128.00 $27.11–$214.68 — 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX LOWER UNILATERAL LT $297.50 $350.00 $55.59–$332.50 42% below 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX LOWER UNILATERAL RT $297.50 $350.00 $55.59–$332.50 42% below 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX UPPER UNILATERAL LT $304.30 $358.00 $55.59–$340.10 41% below 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX UPPER UNILATERAL RT $304.30 $358.00 $55.59–$340.10 41% below 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX LOWER UNILATERAL LT $297.50 $350.00 $55.59–$332.50 — 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX LOWER UNILATERAL RT $297.50 $350.00 $55.59–$332.50 — 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX UPPER UNILATERAL RT $304.30 $358.00 $55.59–$340.10 — 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX UPPER UNILATERAL LT $304.30 $358.00 $55.59–$340.10 — 15%
Wrist X-ray, 2 views both sides CPT 73100 TWO VIEW WRIST BILATERAL $147.90 $174.00 $28.96–$214.68 — 15%
Wrist X-ray, 2 views one side CPT 73100 TWO VIEW WRIST RT $75.65 $89.00 $28.96–$214.68 46% below 15%
Wrist X-ray, 2 views one side CPT 73100 TWO VIEW WRIST LT $75.65 $89.00 $28.96–$214.68 46% below 15%
Wrist X-ray, 2 views inpatient both sides CPT 73100 TWO VIEW WRIST BILATERAL $147.90 $174.00 $28.96–$214.68 — 15%
Wrist X-ray, 2 views inpatient one side CPT 73100 TWO VIEW WRIST LT $75.65 $89.00 $28.96–$214.68 — 15%
Wrist X-ray, 2 views inpatient one side CPT 73100 TWO VIEW WRIST RT $75.65 $89.00 $28.96–$214.68 — 15%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST MIN 3V BILATERAL $197.20 $232.00 $36.37–$220.40 — 15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3V RT $135.15 $159.00 $36.37–$214.68 26% below 15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3V LT $135.15 $159.00 $36.37–$214.68 26% below 15%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST MIN 3V BILATERAL $197.20 $232.00 $36.37–$220.40 — 15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3V LT $135.15 $159.00 $36.37–$214.68 — 15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3V RT $135.15 $159.00 $36.37–$214.68 — 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CHILDRENS HIPS 2-3 VIEW $209.95 $247.00 $40.45–$234.65 7% above 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP AP AND LAT 2-3 MIN RT $209.95 $247.00 $40.45–$234.65 7% above 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP AP AND LAT 2-3 MIN LT $209.95 $247.00 $40.45–$234.65 7% above 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS AP AND LT HIP 2-3 VIEWS $209.95 $247.00 $40.45–$234.65 7% above 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP NAILING 2-3 VIEWS LT $209.95 $247.00 $40.45–$234.65 7% above 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP NAILING 2-3 VIEWS RT $209.95 $247.00 $40.45–$234.65 7% above 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS AP AND RT HIP 2-3 VIEWS $209.95 $247.00 $40.45–$234.65 7% above 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CHILDRENS HIPS 2-3 VIEW $209.95 $247.00 $40.45–$234.65 — 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP AP AND LAT 2-3 MIN LT $209.95 $247.00 $40.45–$234.65 — 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PELVIS AP AND RT HIP 2-3 VIEWS $209.95 $247.00 $40.45–$234.65 — 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP NAILING 2-3 VIEWS RT $209.95 $247.00 $40.45–$234.65 — 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP AP AND LAT 2-3 MIN RT $209.95 $247.00 $40.45–$234.65 — 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP NAILING 2-3 VIEWS LT $209.95 $247.00 $40.45–$234.65 — 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PELVIS AP AND LT HIP 2-3 VIEWS $209.95 $247.00 $40.45–$234.65 — 15%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN $74.80 $88.00 $23.78–$214.68 49% below 15%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN $74.80 $88.00 $23.78–$214.68 — 15%
X-ray of the ankle, 2 views both sides CPT 73600 TWO VIEW ANKLE BILATERAL $126.65 $149.00 $27.48–$214.68 — 15%
X-ray of the ankle, 2 views one side CPT 73600 TWO VIEW ANKLE LT $87.55 $103.00 $27.48–$214.68 49% below 15%
X-ray of the ankle, 2 views one side CPT 73600 TWO VIEW ANKLE RT $87.55 $103.00 $27.48–$214.68 49% below 15%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 TWO VIEW ANKLE BILATERAL $126.65 $149.00 $27.48–$214.68 — 15%
X-ray of the ankle, 2 views inpatient one side CPT 73600 TWO VIEW ANKLE RT $87.55 $103.00 $27.48–$214.68 — 15%
X-ray of the ankle, 2 views inpatient one side CPT 73600 TWO VIEW ANKLE LT $87.55 $103.00 $27.48–$214.68 — 15%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGERS BILATERAL MIN 2V $130.90 $154.00 $34.89–$214.68 — 15%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS RT MIN 2V $84.15 $99.00 $34.89–$214.68 30% below 15%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS LT MIN 2V $84.15 $99.00 $34.89–$214.68 30% below 15%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGERS BILATERAL MIN 2V $130.90 $154.00 $34.89–$214.68 — 15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS RT MIN 2V $84.15 $99.00 $34.89–$214.68 — 15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS LT MIN 2V $84.15 $99.00 $34.89–$214.68 — 15%
X-ray of the foot, 2 views both sides CPT 73620 TWO VIEW FOOT BILATERAL $109.65 $129.00 $23.41–$214.68 — 15%
X-ray of the foot, 2 views one side CPT 73620 TWO VIEW FOOT RT $79.90 $94.00 $23.41–$214.68 46% below 15%
X-ray of the foot, 2 views one side CPT 73620 TWO VIEW FOOT LT $79.90 $94.00 $23.41–$214.68 46% below 15%
X-ray of the foot, 2 views inpatient both sides CPT 73620 TWO VIEW FOOT BILATERAL $109.65 $129.00 $23.41–$214.68 — 15%
X-ray of the foot, 2 views inpatient one side CPT 73620 TWO VIEW FOOT LT $79.90 $94.00 $23.41–$214.68 — 15%
X-ray of the foot, 2 views inpatient one side CPT 73620 TWO VIEW FOOT RT $79.90 $94.00 $23.41–$214.68 — 15%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT MIN 3 VIEW BILATERAL $178.50 $210.00 $29.33–$214.68 — 15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3V RT $136.85 $161.00 $29.33–$214.68 20% below 15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3V LT $136.85 $161.00 $29.33–$214.68 20% below 15%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT MIN 3 VIEW BILATERAL $178.50 $210.00 $29.33–$214.68 — 15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3V RT $136.85 $161.00 $29.33–$214.68 — 15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3V LT $136.85 $161.00 $29.33–$214.68 — 15%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND MIN 3 VIEW BILATERAL $189.55 $223.00 $31.93–$214.68 — 15%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3V RT $131.75 $155.00 $31.93–$214.68 22% below 15%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3V LT $131.75 $155.00 $31.93–$214.68 22% below 15%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND MIN 3 VIEW BILATERAL $189.55 $223.00 $31.93–$214.68 — 15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3V RT $131.75 $155.00 $31.93–$214.68 — 15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3V LT $131.75 $155.00 $31.93–$214.68 — 15%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 OR 2 VIEW BILATERAL $137.70 $162.00 $29.33–$214.68 — 15%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS LT $74.80 $88.00 $29.33–$214.68 52% below 15%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS RT $74.80 $88.00 $29.33–$214.68 52% below 15%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1 OR 2 VIEW BILATERAL $137.70 $162.00 $29.33–$214.68 — 15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS LT $74.80 $88.00 $29.33–$214.68 — 15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS RT $74.80 $88.00 $29.33–$214.68 — 15%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSACRAL SPINE 2 OR 3V $211.65 $249.00 $32.67–$259.28 3% above 15%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL SPINE 2 OR 3V $211.65 $249.00 $32.67–$259.28 — 15%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V $218.45 $257.00 $43.41–$259.28 27% below 15%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V $218.45 $257.00 $43.41–$259.28 — 15%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL SPINE 2V $165.75 $195.00 $26.00–$259.28 6% below 15%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DORSAL SPINE 2V $165.75 $195.00 $26.00–$259.28 — 15%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3V $107.95 $127.00 $33.41–$214.68 34% below 15%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3V $107.95 $127.00 $33.41–$214.68 — 15%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS $188.70 $222.00 $32.30–$214.68 3% below 15%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS $188.70 $222.00 $32.30–$214.68 — 15%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP ONLY $96.05 $113.00 $21.92–$259.28 38% below 15%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP ONLY $96.05 $113.00 $21.92–$259.28 — 15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRO-COCCY SPINE MIN 2V $123.25 $145.00 $27.11–$214.68 22% below 15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRO-COCCY SPINE MIN 2V $123.25 $145.00 $27.11–$214.68 — 15%

Lab tests

ProcedureCash price List priceInsurers payvs MichiganOff list
ACTH blood test CPT 82024 ACTH RL $107.95 $127.00 $36.69–$120.65 15% above 15%
ACTH blood test inpatient CPT 82024 ACTH RL $107.95 $127.00 $36.69–$120.65 — 15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 .ALT SGPT 3700326 $7.65 $9.00 $5.04–$8.55 68% below 15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT / ALT $21.25 $25.00 $5.04–$23.75 11% below 15%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 .ALT SGPT 3700326 $7.65 $9.00 $5.04–$8.55 — 15%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT / ALT $21.25 $25.00 $5.04–$23.75 — 15%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT / AST $28.05 $33.00 $4.92–$31.35 28% above 15%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT / AST $28.05 $33.00 $4.92–$31.35 — 15%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PROFILE RL $78.41 $92.25 $45.25–$87.64 54% below 15%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PROFILE RL $78.41 $92.25 $45.25–$87.64 — 15%
Albumin blood test CPT 82040 ALBUMIN FLUID RL $4.25 $5.00 $2.80–$6.19 79% below 15%
Albumin blood test CPT 82040 .ALBUMIN SERUM CHG 3700929 $15.30 $18.00 $4.70–$17.10 24% below 15%
Albumin blood test CPT 82040 ALBUMIN $19.55 $23.00 $4.70–$21.85 2% below 15%
Albumin blood test CPT 82040 IGG INDEX AND SYNTHESIS RATE CSF RL $53.17 $62.55 $4.70–$59.42 166% above 15%
Albumin blood test inpatient CPT 82040 ALBUMIN FLUID RL $4.25 $5.00 $2.80–$6.19 — 15%
Albumin blood test inpatient CPT 82040 .ALBUMIN SERUM CHG 3700929 $15.30 $18.00 $4.70–$17.10 — 15%
Albumin blood test inpatient CPT 82040 ALBUMIN $19.55 $23.00 $4.70–$21.85 — 15%
Albumin blood test inpatient CPT 82040 IGG INDEX AND SYNTHESIS RATE CSF RL $53.17 $62.55 $4.70–$59.42 — 15%
Aldosterone blood test CPT 82088 ALDOSTERONE RENIN RATIO RL $26.67 $31.38 $17.57–$50.94 52% below 15%
Aldosterone blood test CPT 82088 ALDOSTERONE 24 HR URINE RL $211.57 $248.90 $38.71–$236.46 283% above 15%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE RENIN RATIO RL $26.67 $31.38 $17.57–$50.94 — 15%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24 HR URINE RL $211.57 $248.90 $38.71–$236.46 — 15%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE $19.55 $23.00 $4.92–$21.85 7% below 15%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE $19.55 $23.00 $4.92–$21.85 — 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ASPERGILLUS NIGER RL $2.77 $3.26 $1.83–$6.53 58% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY KIDNEY BEAN RL $2.77 $3.26 $1.83–$6.53 58% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOUSE EPITHELIUM RL $3.29 $3.87 $2.17–$6.53 51% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MEADOW FESCUE GRASS RL $3.29 $3.87 $2.17–$6.53 51% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BROME SMOOTH RL $3.29 $3.87 $2.17–$6.53 51% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY EPICOCCUM PURPUR RL $3.29 $3.87 $2.17–$6.53 51% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SPINACH RL $3.29 $3.87 $2.17–$6.53 51% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BROCCOLI RL $3.29 $3.87 $2.17–$6.53 51% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PINE WHITE RL $3.29 $3.87 $2.17–$6.53 51% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OVOMUCOID RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OYSTER RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SOYBEAN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TIMOTHY GRASS IGE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY LENTIL RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GERMAN COCKROACH RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COCKROACH AMERICAN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FOOD LABCORP JHC PLUS IGE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RESPIRATORY LABCORP JHC RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHITE HICKORY RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BUCKWHEAT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FLEA RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PEAR RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DERMATOPHAGOIDES FARINAE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PENICILLIUM CHRYSOGEN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CLAM RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PECAN NUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CASHEW NUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RAGWEED GIANT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MILK COW RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CANDIDA ALBICANS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RED TOP BENTGRASS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ASH WHITE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHICKEN FEATHERS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COCONUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OAT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PINTO BEAN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BEECH AMERICAN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SYCAMORE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CANARY FEATHERS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TURKEY FEATHERS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MANGO RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MARSHELDER ROUGH RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY LIMA BEAN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TUNA RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SALMON RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BLACK BEAN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GREEN PEA RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SHEEP SORREL RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WALNUT POLLEN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PENICILLOYL V RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ALMOND RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COCKLEBUR RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CINNAMON RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FUSARIUM PROLIFERATUM RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY APRICOT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HOUSE DUST RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WEED PANEL RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BARLEY RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SCALLOP RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PLANTAIN ENGLISH RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ELM AMERICAN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PEANUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SHRIMP RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOUSE URINE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MILK PROFILE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MACADAMIA NUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHICK PEA RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GLUTEN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WALNUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OAK WHITE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PEACH RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ORANGE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GRAPE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY STACHYBOTRYS ATRA RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY JOHNSON GRASS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CLADOSPORIUM HERBARUM RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BIRCH SILVER RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DOCKWEED YELLOW RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CARELESS WEED RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY STRAWBERRY RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY AVOCADO RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COTTONWOOD TREE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ORCHARD GRASS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SESAME SEED RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CORN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ALTERNARIA ALTERNATA RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ASPERGILLUS FUMIGATUS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY KIWI RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OVALBUMIN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GOLDENROD RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BRAZIL NUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DERMATOPHAGOID PTERNONYSSINUS RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DOG EPITHELIUM RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 LACTALBUMIN ALPHA IGE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 LACTOGLOBULIN BETA IGE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GUINEA PIG EPITHELIUM RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOSQUITO RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY NUTS PROFILE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CASEIN RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PISTACHIO NUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SWEET CHESTNUT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CAULIFLOWER RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CRAB RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BLUEGRASS KENTUCKY RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MAPLE BOX ELDER RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RAGWEED SHORT COMMON RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHEAT RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CAT HAIR RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHITE POTATO RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PHOMA BETAE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY YEAST RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY NETTLE RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ONION RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BLUEBERRY RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY LOBSTER RL $3.40 $4.00 $2.24–$6.53 49% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 AREA 7 ALLERGEN w/TOTAL IGE RL $3.48 $4.09 $2.29–$6.53 48% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGY CHG 4300607 $3.49 $4.10 $2.30–$6.53 48% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 MLABS RESPIRATORY ALLERGY PANEL RL $3.51 $4.13 $2.31–$6.53 47% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OREGANO RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY STEMPHYLIUM HERBARUM RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY LEMON RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WALLEYE PIKE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY POTATO WHITE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY YELLOW WASP RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HOP RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SWEET POTATO RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SOLE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PLUM RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SHELLFISH PROFILE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HORSE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BANANA RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PORK RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GOOSE FEATHERS RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FERRET RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PIGWEED COMMON RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WORMWOOD RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MUSSELL RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RYE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OLIVE GREEN RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MUSTARD RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY AUREOBASIDI PULLULANS RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MUCOR RACEMOSUS RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CATFISH RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TROUT RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GREEN BEAN RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RYE GRASS RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GREEN BELL PEPPER RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HONEYBEE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MUGWORT RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COTTONSEED RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TURKEY RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SWEET VERNAL RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CEDAR RED RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DUCK FEATHERS RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OYSTER MUSHROOM RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHOCOLATE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HORNET YELLOW RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PAPER WASP RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CARROT RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY LINSEED RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BLACK PEPPER RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HORNET WHITE FACE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHICKEN RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CEDAR MOUNTAIN RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HAMSTER RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WILLOW BLACK RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MUSHROOM RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BEEF RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SETOMELANOMMA ROSTRAT RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RHIZOPUS NIGRICANS RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GRAPEFRUIT RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TOMATO RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BERMUDA GRASS RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PINEAPPLE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CODFISH RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY YELLOW FOOD DYE RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WILLOW PUSSY RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CUCUMBER RL $3.57 $4.20 $2.35–$6.53 46% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOLD PROFILE RL $4.04 $4.75 $2.66–$6.53 39% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RABBIT HAIR RL $4.85 $5.70 $3.19–$6.53 27% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGY IGE RL $6.50 $7.65 $4.28–$7.27 2% below 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PISTACHIO SPARROW RL $7.65 $9.00 $4.96–$8.55 15% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CRANBERRY RL $8.29 $9.75 $4.96–$9.26 25% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 .IGE LABCORP 4300610 $8.50 $10.00 $4.96–$9.50 28% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RED BEET RL $8.59 $10.10 $4.96–$9.60 29% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHESTNUT SWEET RL $10.68 $12.57 $4.96–$11.94 61% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HOUSE PANEL SPARROW RL $11.26 $13.25 $4.96–$12.59 69% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHEESE COTTAGE RL $11.80 $13.88 $4.96–$13.19 77% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY YOGURT RL $11.80 $13.88 $4.96–$13.19 77% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHEESE SWISS RL $11.80 $13.88 $4.96–$13.19 77% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 RETICULAN AB RL $16.32 $19.20 $4.96–$18.24 145% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PENICILLOYL G RL $16.36 $19.25 $4.96–$18.29 146% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GRAIN PANEL RL $16.63 $19.56 $4.96–$18.58 150% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC ALLERGY PANEL 0 TO 3 YEARS RL $16.79 $19.75 $4.96–$18.76 152% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ASCARIS IGE RL $17.34 $20.40 $4.96–$19.38 161% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BUDGERIGAR FEATHER RL $19.96 $23.48 $4.96–$22.31 200% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FINCH FEATHERS RL $19.96 $23.48 $4.96–$22.31 200% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PIGEON FEATHERS RL $19.96 $23.48 $4.96–$22.31 200% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MEAT PANEL RL $20.61 $24.25 $4.96–$23.04 210% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN SPEC IGE CHG 4300558 4300680 $21.25 $25.00 $4.96–$23.75 220% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MINT RL $21.64 $25.46 $4.96–$24.19 225% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SWINE EPITHELIA RL $21.64 $25.46 $4.96–$24.19 225% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GERBIL EPITHELIUM RL $21.64 $25.46 $4.96–$24.19 225% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CANARY REED GRASS RL $21.64 $25.46 $4.96–$24.19 225% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 MLABS FOOD ALLERGY PANEL PLUS IGE RL $23.47 $27.61 $4.96–$26.23 253% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ZONE 5 ALLERGEN RESPIRATORY PANEL RL $24.34 $28.63 $4.96–$27.20 266% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SPRING TREE PANEL RL $33.25 $39.12 $4.96–$37.16 400% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ANNATTO SEED RL $33.53 $39.45 $4.96–$37.48 404% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CARMINE RED DYE RL $35.28 $41.50 $4.96–$39.43 431% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY LADY BEETLE ASIAN RL $41.23 $48.50 $4.96–$46.08 520% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ZONE 9 ALLERGEN LABCORP RL $78.20 $92.00 $4.96–$87.40 1076% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DAIRY PANEL SPARROW RL $78.84 $92.75 $4.96–$88.11 1086% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GRASS PANEL SPARROW RL $78.84 $92.75 $4.96–$88.11 1086% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOLD PANEL SPARROW RL $78.84 $92.75 $4.96–$88.11 1086% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FOOD PANEL SPARROW RL $144.29 $169.75 $4.96–$161.26 2070% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHILDHOOD PANEL SPARROW RL $178.08 $209.50 $4.96–$199.03 2578% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 HYMENOPTERA PROFILE ALLERGY RL $211.39 $248.69 $4.96–$236.26 3079% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 HYMENOPTERA PROFILE 2 ALLERGY RL $212.56 $250.07 $4.96–$237.57 3096% above 15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RESPIRATORY PANEL SPARROW RL $267.14 $314.28 $4.96–$298.57 3917% above 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ASPERGILLUS NIGER RL $2.77 $3.26 $1.83–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY KIDNEY BEAN RL $2.77 $3.26 $1.83–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BROCCOLI RL $3.29 $3.87 $2.17–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PINE WHITE RL $3.29 $3.87 $2.17–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MEADOW FESCUE GRASS RL $3.29 $3.87 $2.17–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BROME SMOOTH RL $3.29 $3.87 $2.17–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY EPICOCCUM PURPUR RL $3.29 $3.87 $2.17–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOUSE EPITHELIUM RL $3.29 $3.87 $2.17–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SPINACH RL $3.29 $3.87 $2.17–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RESPIRATORY LABCORP JHC RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CAULIFLOWER RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WHITE HICKORY RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SWEET CHESTNUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BUCKWHEAT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PISTACHIO NUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PLANTAIN ENGLISH RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CASEIN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY FLEA RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY LOBSTER RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ELM AMERICAN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BIRCH SILVER RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GRAPE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY NUTS PROFILE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PEAR RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DERMATOPHAGOIDES FARINAE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PENICILLIUM CHRYSOGEN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CLAM RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOSQUITO RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PECAN NUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ORANGE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CASHEW NUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RAGWEED GIANT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MILK COW RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BARLEY RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PEANUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CANDIDA ALBICANS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RED TOP BENTGRASS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HOUSE DUST RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ASH WHITE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ONION RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHICKEN FEATHERS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PEACH RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY APRICOT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY COCONUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY FUSARIUM PROLIFERATUM RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SHRIMP RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOUSE URINE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LACTALBUMIN ALPHA IGE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OAK WHITE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CLADOSPORIUM HERBARUM RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OAT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CINNAMON RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WALNUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CARELESS WEED RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY COCKLEBUR RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY STRAWBERRY RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY AVOCADO RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY COTTONWOOD TREE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GLUTEN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ALMOND RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PINTO BEAN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PENICILLOYL V RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MILK PROFILE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ORCHARD GRASS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WALNUT POLLEN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CANARY FEATHERS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHICK PEA RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SHEEP SORREL RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GREEN PEA RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BLACK BEAN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TURKEY FEATHERS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SALMON RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TUNA RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MACADAMIA NUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY LIMA BEAN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MARSHELDER ROUGH RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MANGO RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY NETTLE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SESAME SEED RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CORN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ALTERNARIA ALTERNATA RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ASPERGILLUS FUMIGATUS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY KIWI RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LACTOGLOBULIN BETA IGE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OVALBUMIN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DOCKWEED YELLOW RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY JOHNSON GRASS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WEED PANEL RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GOLDENROD RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GUINEA PIG EPITHELIUM RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BRAZIL NUT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DERMATOPHAGOID PTERNONYSSINUS RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BLUEBERRY RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DOG EPITHELIUM RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY YEAST RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OVOMUCOID RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PHOMA BETAE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OYSTER RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WHITE POTATO RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SOYBEAN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CAT HAIR RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TIMOTHY GRASS IGE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY STACHYBOTRYS ATRA RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WHEAT RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RAGWEED SHORT COMMON RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY LENTIL RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MAPLE BOX ELDER RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GERMAN COCKROACH RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BLUEGRASS KENTUCKY RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY COCKROACH AMERICAN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CRAB RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SCALLOP RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY FOOD LABCORP JHC PLUS IGE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BEECH AMERICAN RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SYCAMORE RL $3.40 $4.00 $2.24–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AREA 7 ALLERGEN w/TOTAL IGE RL $3.48 $4.09 $2.29–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGY CHG 4300607 $3.49 $4.10 $2.30–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MLABS RESPIRATORY ALLERGY PANEL RL $3.51 $4.13 $2.31–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MUSSELL RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY POTATO WHITE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY YELLOW WASP RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HOP RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SWEET POTATO RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SOLE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PLUM RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SHELLFISH PROFILE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HORSE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BANANA RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PORK RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GOOSE FEATHERS RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY FERRET RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PIGWEED COMMON RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WORMWOOD RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RYE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OLIVE GREEN RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MUSTARD RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY AUREOBASIDI PULLULANS RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MUCOR RACEMOSUS RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OREGANO RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CATFISH RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TROUT RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GREEN BEAN RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RYE GRASS RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GREEN BELL PEPPER RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HONEYBEE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MUGWORT RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY COTTONSEED RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TURKEY RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SWEET VERNAL RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CEDAR RED RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DUCK FEATHERS RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OYSTER MUSHROOM RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHOCOLATE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HORNET YELLOW RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PAPER WASP RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CARROT RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY LINSEED RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BLACK PEPPER RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HORNET WHITE FACE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHICKEN RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WILLOW PUSSY RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CEDAR MOUNTAIN RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HAMSTER RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WILLOW BLACK RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MUSHROOM RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BEEF RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SETOMELANOMMA ROSTRAT RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RHIZOPUS NIGRICANS RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GRAPEFRUIT RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TOMATO RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CUCUMBER RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BERMUDA GRASS RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PINEAPPLE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CODFISH RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY YELLOW FOOD DYE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY STEMPHYLIUM HERBARUM RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY LEMON RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WALLEYE PIKE RL $3.57 $4.20 $2.35–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOLD PROFILE RL $4.04 $4.75 $2.66–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RABBIT HAIR RL $4.85 $5.70 $3.19–$6.53 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGY IGE RL $6.50 $7.65 $4.28–$7.27 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PISTACHIO SPARROW RL $7.65 $9.00 $4.96–$8.55 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CRANBERRY RL $8.29 $9.75 $4.96–$9.26 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .IGE LABCORP 4300610 $8.50 $10.00 $4.96–$9.50 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RED BEET RL $8.59 $10.10 $4.96–$9.60 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHESTNUT SWEET RL $10.68 $12.57 $4.96–$11.94 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY HOUSE PANEL SPARROW RL $11.26 $13.25 $4.96–$12.59 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHEESE SWISS RL $11.80 $13.88 $4.96–$13.19 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHEESE COTTAGE RL $11.80 $13.88 $4.96–$13.19 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY YOGURT RL $11.80 $13.88 $4.96–$13.19 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RETICULAN AB RL $16.32 $19.20 $4.96–$18.24 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PENICILLOYL G RL $16.36 $19.25 $4.96–$18.29 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GRAIN PANEL RL $16.63 $19.56 $4.96–$18.58 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC ALLERGY PANEL 0 TO 3 YEARS RL $16.79 $19.75 $4.96–$18.76 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASCARIS IGE RL $17.34 $20.40 $4.96–$19.38 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PIGEON FEATHERS RL $19.96 $23.48 $4.96–$22.31 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BUDGERIGAR FEATHER RL $19.96 $23.48 $4.96–$22.31 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY FINCH FEATHERS RL $19.96 $23.48 $4.96–$22.31 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MEAT PANEL RL $20.61 $24.25 $4.96–$23.04 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN SPEC IGE CHG 4300558 4300680 $21.25 $25.00 $4.96–$23.75 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GERBIL EPITHELIUM RL $21.64 $25.46 $4.96–$24.19 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CANARY REED GRASS RL $21.64 $25.46 $4.96–$24.19 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SWINE EPITHELIA RL $21.64 $25.46 $4.96–$24.19 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MINT RL $21.64 $25.46 $4.96–$24.19 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MLABS FOOD ALLERGY PANEL PLUS IGE RL $23.47 $27.61 $4.96–$26.23 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZONE 5 ALLERGEN RESPIRATORY PANEL RL $24.34 $28.63 $4.96–$27.20 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SPRING TREE PANEL RL $33.25 $39.12 $4.96–$37.16 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ANNATTO SEED RL $33.53 $39.45 $4.96–$37.48 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CARMINE RED DYE RL $35.28 $41.50 $4.96–$39.43 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY LADY BEETLE ASIAN RL $41.23 $48.50 $4.96–$46.08 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZONE 9 ALLERGEN LABCORP RL $78.20 $92.00 $4.96–$87.40 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DAIRY PANEL SPARROW RL $78.84 $92.75 $4.96–$88.11 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOLD PANEL SPARROW RL $78.84 $92.75 $4.96–$88.11 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GRASS PANEL SPARROW RL $78.84 $92.75 $4.96–$88.11 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY FOOD PANEL SPARROW RL $144.29 $169.75 $4.96–$161.26 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHILDHOOD PANEL SPARROW RL $178.08 $209.50 $4.96–$199.03 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HYMENOPTERA PROFILE ALLERGY RL $211.39 $248.69 $4.96–$236.26 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HYMENOPTERA PROFILE 2 ALLERGY RL $212.56 $250.07 $4.96–$237.57 — 15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RESPIRATORY PANEL SPARROW RL $267.14 $314.28 $4.96–$298.57 — 15%
Alpha-fetoprotein (AFP) blood test CPT 82105 .ALPHA FETOPROTEIN CHG 3500109 $8.76 $10.30 $5.77–$20.96 83% below 15%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SINGLE MARKER SCREEN RL $20.40 $24.00 $13.44–$22.80 60% below 15%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN RL $45.01 $52.95 $15.93–$50.30 12% below 15%
Alpha-fetoprotein (AFP) blood test CPT 82105 SERUM INTEGRATED 2 RL $95.03 $111.80 $15.93–$106.21 86% above 15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 .ALPHA FETOPROTEIN CHG 3500109 $8.76 $10.30 $5.77–$20.96 — 15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL SINGLE MARKER SCREEN RL $20.40 $24.00 $13.44–$22.80 — 15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN RL $45.01 $52.95 $15.93–$50.30 — 15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 SERUM INTEGRATED 2 RL $95.03 $111.80 $15.93–$106.21 — 15%
Ammonia blood test CPT 82140 AMMONIA $45.05 $53.00 $13.84–$50.35 31% below 15%
Ammonia blood test inpatient CPT 82140 AMMONIA $45.05 $53.00 $13.84–$50.35 — 15%
Amylase blood test CPT 82150 AMYLASE FLUID RL $17.17 $20.20 $6.16–$19.19 12% below 15%
Amylase blood test CPT 82150 AMYLASE $22.10 $26.00 $6.16–$24.70 13% above 15%
Amylase blood test CPT 82150 AMYLASE PANCREATIC RL $32.09 $37.75 $6.16–$35.86 65% above 15%
Amylase blood test inpatient CPT 82150 AMYLASE FLUID RL $17.17 $20.20 $6.16–$19.19 — 15%
Amylase blood test inpatient CPT 82150 AMYLASE $22.10 $26.00 $6.16–$24.70 — 15%
Amylase blood test inpatient CPT 82150 AMYLASE PANCREATIC RL $32.09 $37.75 $6.16–$35.86 — 15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATE PEP IGG IGA RL $8.50 $10.00 $5.60–$16.19 83% below 15%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATE PEP IGG IGA RL $8.50 $10.00 $5.60–$16.19 — 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR AB ANA RL $8.08 $9.50 $5.32–$15.11 85% below 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA HEP2 SUBSTRATE RL $10.54 $12.40 $6.94–$15.11 80% below 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CONNECTIVE TISSUE DISEASE CASCADE RL $21.25 $25.00 $11.49–$23.75 59% below 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA PROFILE 12 RL $142.50 $167.65 $11.49–$159.27 173% above 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE LIVER DISEASE PROFILE RL $187.00 $220.00 $11.49–$209.00 258% above 15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR AB ANA RL $8.08 $9.50 $5.32–$15.11 — 15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA HEP2 SUBSTRATE RL $10.54 $12.40 $6.94–$15.11 — 15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CONNECTIVE TISSUE DISEASE CASCADE RL $21.25 $25.00 $11.49–$23.75 — 15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA PROFILE 12 RL $142.50 $167.65 $11.49–$159.27 — 15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE LIVER DISEASE PROFILE RL $187.00 $220.00 $11.49–$209.00 — 15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP RL $41.85 $49.24 $27.57–$49.08 40% below 15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP $150.45 $177.00 $37.30–$168.15 115% above 15%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO BNP RL $41.85 $49.24 $27.57–$49.08 — 15%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP $150.45 $177.00 $37.30–$168.15 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM with GRAM STAIN $21.25 $25.00 $8.19–$23.75 60% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE $23.55 $27.70 $8.19–$26.32 56% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR $28.90 $34.00 $8.19–$32.30 45% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF with GRAM STAIN $28.90 $34.00 $8.19–$32.30 45% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURGICAL with GRAM STAIN $34.00 $40.00 $8.19–$38.00 36% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID with GRAM STAIN $34.00 $40.00 $8.19–$38.00 36% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND W ANAEROBE $34.00 $40.00 $8.19–$38.00 36% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TRE $37.40 $44.00 $8.19–$41.80 29% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND with GRAM STAIN $37.40 $44.00 $8.19–$41.80 29% below 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL $55.25 $65.00 $8.19–$61.75 4% above 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM with GRAM STAIN $21.25 $25.00 $8.19–$23.75 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE $23.55 $27.70 $8.19–$26.32 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF with GRAM STAIN $28.90 $34.00 $8.19–$32.30 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EAR $28.90 $34.00 $8.19–$32.30 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND W ANAEROBE $34.00 $40.00 $8.19–$38.00 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SURGICAL with GRAM STAIN $34.00 $40.00 $8.19–$38.00 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID with GRAM STAIN $34.00 $40.00 $8.19–$38.00 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TRE $37.40 $44.00 $8.19–$41.80 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND with GRAM STAIN $37.40 $44.00 $8.19–$41.80 — 15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL $55.25 $65.00 $8.19–$61.75 — 15%
Basic metabolic panel (blood test) CPT 80048 BASIC CHEMISTRY PANEL $42.50 $50.00 $8.04–$47.50 27% below 15%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC CHEMISTRY PANEL $42.50 $50.00 $8.04–$47.50 — 15%
Bilirubin blood test, total CPT 82247 .BILIRUBIN TOTAL 3700326 $20.91 $24.60 $4.77–$23.37 6% below 15%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL $22.10 $26.00 $4.77–$24.70 1% below 15%
Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID TOTAL RL $36.86 $43.36 $4.77–$41.19 66% above 15%
Bilirubin blood test, total inpatient CPT 82247 .BILIRUBIN TOTAL 3700326 $20.91 $24.60 $4.77–$23.37 — 15%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL $22.10 $26.00 $4.77–$24.70 — 15%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BODY FLUID TOTAL RL $36.86 $43.36 $4.77–$41.19 — 15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY LEVEL IV 88305 RL $35.79 $42.10 $23.58–$83.76 60% below 15%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY LEVEL IV 88305 RL $35.79 $42.10 $23.58–$83.76 — 15%
Blood culture for bacteria CPT 87040 BLOOD CULTURE $40.80 $48.00 $9.80–$45.60 35% below 15%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE $40.80 $48.00 $9.80–$45.60 — 15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 QUEST LAB COLLECTION FEE $6.80 $8.00 $4.48–$12.75 47% below 15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LAB COLLECTION FEE $13.39 $15.75 $8.14–$14.96 5% above 15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $15.30 $18.00 $8.14–$17.10 20% above 15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 QUEST LAB COLLECTION FEE $6.80 $8.00 $4.48–$12.75 — 15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LAB COLLECTION FEE $13.39 $15.75 $8.14–$14.96 — 15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $15.30 $18.00 $8.14–$17.10 — 15%
Blood glucose (sugar) test CPT 82947 .GLUCOSE CHG 3700577 3700779 $5.61 $6.60 $3.70–$6.27 77% below 15%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM $19.55 $23.00 $3.73–$21.85 19% below 15%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING $19.55 $23.00 $3.73–$21.85 19% below 15%
Blood glucose (sugar) test inpatient CPT 82947 .GLUCOSE CHG 3700577 3700779 $5.61 $6.60 $3.70–$6.27 — 15%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING $19.55 $23.00 $3.73–$21.85 — 15%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM $19.55 $23.00 $3.73–$21.85 — 15%
Blood lead test CPT 83655 LEAD ADULT RL $7.01 $8.25 $4.62–$15.14 33% below 15%
Blood lead test inpatient CPT 83655 LEAD ADULT RL $7.01 $8.25 $4.62–$15.14 — 15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY QUALITATIVE $56.10 $66.00 $7.14–$62.70 52% above 15%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM PREGNANCY QUALITATIVE $56.10 $66.00 $7.14–$62.70 — 15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .BB BLOOD GROUP 4300217 4300220 $8.50 $10.00 $2.84–$157.14 75% below 15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD GROUP $21.25 $25.00 $2.84–$157.14 37% below 15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO TYPE RL $23.80 $28.00 $2.84–$157.14 30% below 15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 .BB BLOOD GROUP 4300217 4300220 $8.50 $10.00 $2.84–$157.14 — 15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD GROUP $21.25 $25.00 $2.84–$157.14 — 15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO TYPE RL $23.80 $28.00 $2.84–$157.14 — 15%
Blood urea nitrogen (BUN) test CPT 84520 BUN BODY FLUID RL $3.60 $4.24 $2.37–$4.94 79% below 15%
Blood urea nitrogen (BUN) test CPT 84520 BUN $19.55 $23.00 $3.75–$21.85 12% above 15%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN BODY FLUID RL $3.60 $4.24 $2.37–$4.94 — 15%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN $19.55 $23.00 $3.75–$21.85 — 15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 .PROMETHEUS CRP 4300498 $10.46 $12.30 $4.92–$11.69 68% below 15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN CRP $18.70 $22.00 $4.92–$20.90 43% below 15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 .PROMETHEUS CRP 4300498 $10.46 $12.30 $4.92–$11.69 — 15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN CRP $18.70 $22.00 $4.92–$20.90 — 15%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN PCR RL $17.85 $21.00 $11.76–$46.59 83% below 15%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN PCR RL $17.85 $21.00 $11.76–$46.59 — 15%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 RL $120.70 $142.00 $19.77–$134.90 50% above 15%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9 RL $120.70 $142.00 $19.77–$134.90 — 15%
CA-125 blood test (ovarian cancer marker) CPT 86304 .TSH CHRONIC UTICARIA PANEL 4300557 $60.50 $71.18 $19.77–$67.62 27% below 15%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 RL $88.28 $103.86 $19.77–$98.67 7% above 15%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 XP $117.30 $138.00 $19.77–$131.10 42% above 15%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 .TSH CHRONIC UTICARIA PANEL 4300557 $60.50 $71.18 $19.77–$67.62 — 15%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 RL $88.28 $103.86 $19.77–$98.67 — 15%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 XP $117.30 $138.00 $19.77–$131.10 — 15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 NOVEL CORONAVIRUS NAA LABCORP RL $43.61 $51.31 $28.73–$64.14 50% below 15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CORONAVIRUS PCR SPARROW RL $43.61 $51.31 $28.73–$64.14 50% below 15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LHC VERITOR RAPID SARS COV2 FLU $87.55 $103.00 $48.74–$97.85 at median 15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HHW VERITOR RAPID SARS COV2 FLU $87.55 $103.00 $48.74–$97.85 at median 15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RHC VERITOR RAPID SARS COV2 FLU $87.55 $103.00 $48.74–$97.85 at median 15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 NOVEL CORONAVIRUS NAA LABCORP RL $43.61 $51.31 $28.73–$64.14 — 15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CORONAVIRUS PCR SPARROW RL $43.61 $51.31 $28.73–$64.14 — 15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LHC VERITOR RAPID SARS COV2 FLU $87.55 $103.00 $48.74–$97.85 — 15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HHW VERITOR RAPID SARS COV2 FLU $87.55 $103.00 $48.74–$97.85 — 15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RHC VERITOR RAPID SARS COV2 FLU $87.55 $103.00 $48.74–$97.85 — 15%
Calcium blood test, total CPT 82310 CALCIUM BLOOD TOTAL $19.55 $23.00 $4.90–$21.85 2% below 15%
Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD TOTAL $19.55 $23.00 $4.90–$21.85 — 15%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA XP $34.85 $41.00 $18.01–$38.95 58% below 15%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA XP $34.85 $41.00 $18.01–$38.95 — 15%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IgM QUAL RL $14.10 $16.59 $9.29–$16.10 65% below 15%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM CSF RL $21.89 $25.75 $12.24–$24.46 46% below 15%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IgM QUAL RL $14.10 $16.59 $9.29–$16.10 — 15%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM CSF RL $21.89 $25.75 $12.24–$24.46 — 15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA PROBE RL $42.50 $50.00 $28.00–$47.50 43% below 15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA URINE RNA RL $42.50 $50.00 $28.00–$47.50 43% below 15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA URINE MLABS RL $69.70 $82.00 $33.34–$77.90 6% below 15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA RNA PROBE RL $42.50 $50.00 $28.00–$47.50 — 15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA URINE RNA RL $42.50 $50.00 $28.00–$47.50 — 15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA URINE MLABS RL $69.70 $82.00 $33.34–$77.90 — 15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE W APOLIPOPROTEIN A & B RL $9.56 $11.25 $6.30–$16.74 81% below 15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 .LDL PARTICLE SIZE LIPID PANEL 3700812 $27.72 $32.61 $12.72–$30.98 46% below 15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $73.95 $87.00 $12.72–$82.65 45% above 15%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE W APOLIPOPROTEIN A & B RL $9.56 $11.25 $6.30–$16.74 — 15%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 .LDL PARTICLE SIZE LIPID PANEL 3700812 $27.72 $32.61 $12.72–$30.98 — 15%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $73.95 $87.00 $12.72–$82.65 — 15%
Complete blood count (CBC) with differential CPT 85025 SYSMEX CBC W AUTO DIF $33.15 $39.00 $7.38–$37.05 19% below 15%
Complete blood count (CBC) with differential CPT 85025 .CBC W/AUTO DIFF CHARGE $33.15 $39.00 $7.38–$37.05 19% below 15%
Complete blood count (CBC) with differential CPT 85025 .CBC W/SMEAR AND AUTO DIFF CHARGE $51.85 $61.00 $7.38–$57.95 26% above 15%
Complete blood count (CBC) with differential inpatient CPT 85025 SYSMEX CBC W AUTO DIF $33.15 $39.00 $7.38–$37.05 — 15%
Complete blood count (CBC) with differential inpatient CPT 85025 .CBC W/AUTO DIFF CHARGE $33.15 $39.00 $7.38–$37.05 — 15%
Complete blood count (CBC) with differential inpatient CPT 85025 .CBC W/SMEAR AND AUTO DIFF CHARGE $51.85 $61.00 $7.38–$57.95 — 15%
Complete blood count (CBC), no differential CPT 85027 SYSMEX CBC W MANUAL DIFF $41.65 $49.00 $6.15–$46.55 44% above 15%
Complete blood count (CBC), no differential CPT 85027 CBC W MAN DIFF $41.65 $49.00 $6.15–$46.55 44% above 15%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W MAN DIFF $41.65 $49.00 $6.15–$46.55 — 15%
Complete blood count (CBC), no differential inpatient CPT 85027 SYSMEX CBC W MANUAL DIFF $41.65 $49.00 $6.15–$46.55 — 15%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $74.80 $88.00 $10.03–$83.60 at median 15%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $74.80 $88.00 $10.03–$83.60 — 15%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL RL $25.33 $29.80 $15.49–$28.31 26% below 15%
Cortisol blood test, total CPT 82533 CORTISOL SALIVARY MS TOTAL RL $39.10 $46.00 $15.49–$43.70 15% above 15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL RL $25.33 $29.80 $15.49–$28.31 — 15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVARY MS TOTAL RL $39.10 $46.00 $15.49–$43.70 — 15%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL $21.25 $25.00 $6.18–$23.75 29% below 15%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL $21.25 $25.00 $6.18–$23.75 — 15%
Creatinine blood test CPT 82565 CREATININE SERUM $19.55 $23.00 $4.86–$21.85 16% below 15%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM $19.55 $23.00 $4.86–$21.85 — 15%
Cytomegalovirus (CMV) antibody test CPT 86644 HOMOCYSTEINE PLASMA RL $14.96 $17.60 $9.86–$17.99 63% below 15%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTO MEGALOVIRUS IGG RL $17.53 $20.62 $11.55–$19.59 57% below 15%
Cytomegalovirus (CMV) antibody test CPT 86644 .CMV ANTIBODY 4300569 $18.02 $21.20 $11.87–$20.14 56% below 15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HOMOCYSTEINE PLASMA RL $14.96 $17.60 $9.86–$17.99 — 15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTO MEGALOVIRUS IGG RL $17.53 $20.62 $11.55–$19.59 — 15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 .CMV ANTIBODY 4300569 $18.02 $21.20 $11.87–$20.14 — 15%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE $316.20 $372.00 $9.67–$353.40 712% above 15%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE $316.20 $372.00 $9.67–$353.40 — 15%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS IM $47.60 $56.00 $21.12–$53.20 26% below 15%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS IM $47.60 $56.00 $21.12–$53.20 — 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL SCREEN URINE RL $17.00 $20.00 $11.20–$77.68 71% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE URINE RL $24.09 $28.34 $15.87–$77.68 59% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE SCREEN URINE RL $29.75 $35.00 $19.60–$77.68 49% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXY BUTYRATE RL $41.99 $49.40 $27.66–$77.68 28% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD 10 PANEL RL $45.80 $53.88 $30.17–$77.68 21% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ANABOLIC STEROID URINE RL $47.60 $56.00 $31.36–$77.68 18% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE MASS SPEC RL $48.58 $57.15 $32.00–$77.68 17% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE URINE RL $49.30 $58.00 $32.48–$77.68 15% below 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE LSD RL $80.71 $94.95 $53.17–$90.20 39% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG SCRN URINE 12 PNL W/METHAQUALONE RL $87.98 $103.50 $57.96–$98.33 51% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 .ToxASSURE SCREENING $97.75 $115.00 $59.03–$109.25 68% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE SCREEN URINE RL $102.85 $121.00 $59.03–$114.95 77% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OCC HEALTH EXL DRUG SCREEN AUTOMATED $105.40 $124.00 $59.03–$117.80 81% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRIAGE EXL URINE DRUG SCREEN AUTOMATED $108.80 $128.00 $59.03–$121.60 87% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 1,3 DIMETHYLAMYLAMINE URINE RL $111.56 $131.25 $59.03–$124.69 92% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN RL $139.83 $164.50 $59.03–$156.28 140% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL RL $142.72 $167.90 $59.03–$159.51 145% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD 7 PANEL RL $161.50 $190.00 $59.03–$180.50 177% above 15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CORD TISSUE RL $183.60 $216.00 $59.03–$205.20 215% above 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL SCREEN URINE RL $17.00 $20.00 $11.20–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE URINE RL $24.09 $28.34 $15.87–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHAQUALONE SCREEN URINE RL $29.75 $35.00 $19.60–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXY BUTYRATE RL $41.99 $49.40 $27.66–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD 10 PANEL RL $45.80 $53.88 $30.17–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ANABOLIC STEROID URINE RL $47.60 $56.00 $31.36–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE MASS SPEC RL $48.58 $57.15 $32.00–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE URINE RL $49.30 $58.00 $32.48–$77.68 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE LSD RL $80.71 $94.95 $53.17–$90.20 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG SCRN URINE 12 PNL W/METHAQUALONE RL $87.98 $103.50 $57.96–$98.33 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .ToxASSURE SCREENING $97.75 $115.00 $59.03–$109.25 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE SCREEN URINE RL $102.85 $121.00 $59.03–$114.95 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OCC HEALTH EXL DRUG SCREEN AUTOMATED $105.40 $124.00 $59.03–$117.80 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRIAGE EXL URINE DRUG SCREEN AUTOMATED $108.80 $128.00 $59.03–$121.60 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 1,3 DIMETHYLAMYLAMINE URINE RL $111.56 $131.25 $59.03–$124.69 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN RL $139.83 $164.50 $59.03–$156.28 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL RL $142.72 $167.90 $59.03–$159.51 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD 7 PANEL RL $161.50 $190.00 $59.03–$180.50 — 15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN CORD TISSUE RL $183.60 $216.00 $59.03–$205.20 — 15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $53.55 $63.00 $6.66–$59.85 53% above 15%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL $53.55 $63.00 $6.66–$59.85 — 15%
Estradiol blood test CPT 82670 .ESTRADIOL 3700545 $25.50 $30.00 $16.80–$34.93 64% below 15%
Estradiol blood test CPT 82670 ESTRADIOL FREE w TOTAL ESTRADIOL RL $55.57 $65.38 $26.54–$62.11 22% below 15%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL RL $94.52 $111.20 $26.54–$105.64 33% above 15%
Estradiol blood test CPT 82670 ESTRADIOL IM $127.50 $150.00 $26.54–$142.50 79% above 15%
Estradiol blood test inpatient CPT 82670 .ESTRADIOL 3700545 $25.50 $30.00 $16.80–$34.93 — 15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE w TOTAL ESTRADIOL RL $55.57 $65.38 $26.54–$62.11 — 15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL RL $94.52 $111.20 $26.54–$105.64 — 15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL IM $127.50 $150.00 $26.54–$142.50 — 15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM RL $51.47 $60.55 $17.65–$57.52 35% below 15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH IM $69.70 $82.00 $17.65–$77.90 12% below 15%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM RL $51.47 $60.55 $17.65–$57.52 — 15%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH IM $69.70 $82.00 $17.65–$77.90 — 15%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL RL $23.36 $27.48 $15.39–$26.11 62% below 15%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL RL $23.36 $27.48 $15.39–$26.11 — 15%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $39.95 $47.00 $12.95–$44.65 34% below 15%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $39.95 $47.00 $12.95–$44.65 — 15%
Fibrinogen blood test CPT 85384 FIBRINOGEN $22.95 $27.00 $9.23–$25.65 16% below 15%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN $22.95 $27.00 $9.23–$25.65 — 15%
Folate (folic acid) blood test CPT 82746 FOLATE RL $39.95 $47.00 $13.97–$44.65 42% below 15%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE RL $39.95 $47.00 $13.97–$44.65 — 15%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE RL $20.26 $23.83 $13.34–$22.64 69% below 15%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE RL $20.26 $23.83 $13.34–$22.64 — 15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE LABCORP RL $59.16 $69.60 $8.57–$66.12 85% above 15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $76.50 $90.00 $8.57–$85.50 140% above 15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE LABCORP RL $59.16 $69.60 $8.57–$66.12 — 15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $76.50 $90.00 $8.57–$85.50 — 15%
Free testosterone test CPT 84402 FREE TESTOSTERONE RL $14.88 $17.50 $9.80–$31.84 68% below 15%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE RL $14.88 $17.50 $9.80–$31.84 — 15%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 .GGT RL 3700326 $10.54 $12.40 $6.84–$11.78 65% below 15%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP XP $21.25 $25.00 $6.84–$23.75 30% below 15%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 .GGT RL 3700326 $10.54 $12.40 $6.84–$11.78 — 15%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP XP $21.25 $25.00 $6.84–$23.75 — 15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOLA 2HR $29.75 $35.00 $4.51–$33.25 34% above 15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR POST-PRANDIAL $30.60 $36.00 $4.51–$34.20 37% above 15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOLA 1HR $34.85 $41.00 $4.51–$38.95 56% above 15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOLA 2HR $29.75 $35.00 $4.51–$33.25 — 15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR POST-PRANDIAL $30.60 $36.00 $4.51–$34.20 — 15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOLA 1HR $34.85 $41.00 $4.51–$38.95 — 15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 1 HR $32.30 $38.00 $12.23–$36.10 44% below 15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 2 HR $32.30 $38.00 $12.23–$36.10 44% below 15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 4 HR $34.00 $40.00 $12.23–$38.00 41% below 15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 5 HR $35.70 $42.00 $12.23–$39.90 38% below 15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3 HR $35.70 $42.00 $12.23–$39.90 38% below 15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 2 HR $32.30 $38.00 $12.23–$36.10 — 15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 1 HR $32.30 $38.00 $12.23–$36.10 — 15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 4 HR $34.00 $40.00 $12.23–$38.00 — 15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 5 HR $35.70 $42.00 $12.23–$39.90 — 15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 3 HR $35.70 $42.00 $12.23–$39.90 — 15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEA RNA PROBE RL $42.50 $50.00 $28.00–$47.50 56% below 15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEA URINE RNA RL $42.50 $50.00 $28.00–$47.50 56% below 15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GONORRHOEAE CHG 4500100 $43.61 $51.31 $28.73–$48.74 55% below 15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEA URINE RNA RL $42.50 $50.00 $28.00–$47.50 — 15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEA RNA PROBE RL $42.50 $50.00 $28.00–$47.50 — 15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .GONORRHOEAE CHG 4500100 $43.61 $51.31 $28.73–$48.74 — 15%
H. pylori antibody blood test CPT 86677 H PYLORI IGG RL $8.50 $10.00 $5.60–$21.06 85% below 15%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG RL $8.50 $10.00 $5.60–$21.06 — 15%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN RL $125.04 $147.10 $13.66–$139.75 97% above 15%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN RL $125.04 $147.10 $13.66–$139.75 — 15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR QUANTITATIVE RL $129.20 $152.00 $80.85–$144.40 3% below 15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA RL $169.41 $199.30 $80.85–$189.34 27% above 15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 GENOSURE W REFLEX RL $328.10 $386.00 $80.85–$366.70 147% above 15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA PCR QUANTITATIVE RL $129.20 $152.00 $80.85–$144.40 — 15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA RL $169.41 $199.30 $80.85–$189.34 — 15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 GENOSURE W REFLEX RL $328.10 $386.00 $80.85–$366.70 — 15%
HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN QUALITATIVE RL $13.60 $16.00 $8.96–$17.14 72% below 15%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 HIV 2 DONOR ANTIBODY RL $57.72 $67.90 $13.02–$64.51 17% above 15%
HIV-1 and HIV-2 antibody test CPT 86703 HTLV I/II ABS QUALITATIVE RL $69.45 $81.70 $13.02–$77.62 41% above 15%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREEN QUALITATIVE RL $13.60 $16.00 $8.96–$17.14 — 15%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 HIV 2 DONOR ANTIBODY RL $57.72 $67.90 $13.02–$64.51 — 15%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HTLV I/II ABS QUALITATIVE RL $69.45 $81.70 $13.02–$77.62 — 15%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV NEEDLESTICK STAT $20.30 $23.88 $13.37–$30.10 55% below 15%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV NEEDLESTICK STAT $20.30 $23.88 $13.37–$30.10 — 15%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRUS RECTAL RL $59.50 $70.00 $33.34–$66.50 20% below 15%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMA VIRUS RECTAL RL $59.50 $70.00 $33.34–$66.50 — 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN $31.45 $37.00 $9.22–$35.15 18% below 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RHC GLYCOSYLATED HEMOGLOBIN A1C $41.65 $49.00 $9.22–$46.55 9% above 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HHW GLYCOSYLATED HEMOGLOBIN $41.65 $49.00 $9.22–$46.55 9% above 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LHC GLYCOSYLATED HEMOGLOBIN $41.65 $49.00 $9.22–$46.55 9% above 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN $31.45 $37.00 $9.22–$35.15 — 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LHC GLYCOSYLATED HEMOGLOBIN $41.65 $49.00 $9.22–$46.55 — 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RHC GLYCOSYLATED HEMOGLOBIN A1C $41.65 $49.00 $9.22–$46.55 — 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HHW GLYCOSYLATED HEMOGLOBIN $41.65 $49.00 $9.22–$46.55 — 15%
Hepatitis B core antibody test (total) CPT 86704 IGG IGM HEP B CORE AB RL $73.31 $86.25 $11.45–$81.94 66% above 15%
Hepatitis B core antibody test (total) inpatient CPT 86704 IGG IGM HEP B CORE AB RL $73.31 $86.25 $11.45–$81.94 — 15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B VIRUS SCREEN AND DIAGNOSIS RL $11.47 $13.49 $7.55–$13.43 72% below 15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY QUAL RL $42.25 $49.70 $10.20–$47.22 3% above 15%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B VIRUS SCREEN AND DIAGNOSIS RL $11.47 $13.49 $7.55–$13.43 — 15%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY QUAL RL $42.25 $49.70 $10.20–$47.22 — 15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN MLABS RL $67.15 $79.00 $9.81–$75.05 66% above 15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B AG SURFACE RL $78.03 $91.80 $9.81–$87.21 93% above 15%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN MLABS RL $67.15 $79.00 $9.81–$75.05 — 15%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B AG SURFACE RL $78.03 $91.80 $9.81–$87.21 — 15%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB HEALTH DEPT RL $18.79 $22.10 $12.38–$21.00 61% below 15%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB HEALTH DEPT RL $18.79 $22.10 $12.38–$21.00 — 15%
Hepatitis C viral load (HCV RNA) test CPT 87522 .HEP C REFLEX PCR CHG 3703001 $97.68 $114.92 $40.70–$109.17 9% above 15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT W/GRAPH RL $153.72 $180.85 $40.70–$171.81 71% above 15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT RFLX GENOTYPE RL $318.16 $374.30 $40.70–$355.59 254% above 15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANTITATIVE AB RL $550.59 $647.75 $40.70–$615.36 512% above 15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HEP C REFLEX PCR CHG 3703001 $97.68 $114.92 $40.70–$109.17 — 15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANT W/GRAPH RL $153.72 $180.85 $40.70–$171.81 — 15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT RFLX GENOTYPE RL $318.16 $374.30 $40.70–$355.59 — 15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANTITATIVE AB RL $550.59 $647.75 $40.70–$615.36 — 15%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS IGG I/II QUAL RL $9.91 $11.66 $6.53–$16.49 76% below 15%
Herpes blood test, HSV-1 antibody CPT 86695 HSV I IGG RL $10.20 $12.00 $6.72–$16.49 75% below 15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES VIRUS IGG I/II QUAL RL $9.91 $11.66 $6.53–$16.49 — 15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV I IGG RL $10.20 $12.00 $6.72–$16.49 — 15%
Herpes blood test, HSV-2 antibody CPT 86696 HSV II IGG RL $10.20 $12.00 $6.72–$24.19 75% below 15%
Herpes blood test, HSV-2 antibody CPT 86696 .AB HERPES SMPLX TYPE II CHG 4300623 $15.22 $17.90 $10.02–$24.19 63% below 15%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES VIRUS IGM I/II RL $52.33 $61.56 $18.38–$58.48 26% above 15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV II IGG RL $10.20 $12.00 $6.72–$24.19 — 15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .AB HERPES SMPLX TYPE II CHG 4300623 $15.22 $17.90 $10.02–$24.19 — 15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES VIRUS IGM I/II RL $52.33 $61.56 $18.38–$58.48 — 15%
Homocysteine blood test CPT 83090 HOMOCYSTEINE URINE RL $61.84 $72.75 $17.02–$69.11 16% below 15%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE URINE RL $61.84 $72.75 $17.02–$69.11 — 15%
Insulin blood test CPT 83525 INSULIN TOTAL RL $8.42 $9.90 $5.54–$14.29 78% below 15%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL RL $8.42 $9.90 $5.54–$14.29 — 15%
Iron blood test (serum iron) CPT 83540 IRON TOTAL XP $28.05 $33.00 $6.15–$31.35 4% below 15%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL XP $28.05 $33.00 $6.15–$31.35 — 15%
Iron-binding capacity (TIBC) test CPT 83550 TIBC ONLY XP $35.70 $42.00 $8.30–$39.90 10% below 15%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC ONLY XP $35.70 $42.00 $8.30–$39.90 — 15%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $51.85 $61.00 $8.25–$57.95 16% below 15%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $51.85 $61.00 $8.25–$57.95 — 15%
LH (luteinizing hormone) test CPT 83002 LH IM $47.60 $56.00 $17.59–$53.20 37% below 15%
LH (luteinizing hormone) test inpatient CPT 83002 LH IM $47.60 $56.00 $17.59–$53.20 — 15%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $28.90 $34.00 $10.99–$32.30 36% below 15%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID $28.90 $34.00 $10.99–$32.30 — 15%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID RL $5.53 $6.50 $3.64–$7.55 77% below 15%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH XP $19.55 $23.00 $5.74–$21.85 19% below 15%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID RL $5.53 $6.50 $3.64–$7.55 — 15%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH XP $19.55 $23.00 $5.74–$21.85 — 15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $21.25 $25.00 $6.55–$23.75 24% below 15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID RL $46.50 $54.70 $6.55–$51.97 66% above 15%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $21.25 $25.00 $6.55–$23.75 — 15%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID RL $46.50 $54.70 $6.55–$51.97 — 15%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $57.80 $68.00 $7.76–$64.60 18% above 15%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $57.80 $68.00 $7.76–$64.60 — 15%
Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W/REFLEX RL $13.85 $16.29 $9.12–$21.29 47% below 15%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY W/REFLEX RL $13.85 $16.29 $9.12–$21.29 — 15%
Magnesium blood test CPT 83735 MAGNESIUM URINE RL $23.63 $27.80 $6.37–$26.41 12% above 15%
Magnesium blood test CPT 83735 MAGNESIUM $38.25 $45.00 $6.37–$42.75 81% above 15%
Magnesium blood test CPT 83735 MAGNESIUM RBC RL $60.01 $70.60 $6.37–$67.07 184% above 15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE RL $23.63 $27.80 $6.37–$26.41 — 15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $38.25 $45.00 $6.37–$42.75 — 15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC RL $60.01 $70.60 $6.37–$67.07 — 15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG QUANTITATIVE RL $6.70 $7.88 $4.41–$16.10 73% below 15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM RL $19.18 $22.57 $12.24–$21.44 22% below 15%
Measles (rubeola) antibody test CPT 86765 CSF RUBEOLA AB IgG RL $40.59 $47.75 $12.24–$45.36 65% above 15%
Measles (rubeola) antibody test CPT 86765 CSF RUBEOLA AB IgM RL $45.48 $53.50 $12.24–$50.83 84% above 15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG QUALITATIVE RL $54.70 $64.35 $12.24–$61.13 122% above 15%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG QUANTITATIVE RL $6.70 $7.88 $4.41–$16.10 — 15%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM RL $19.18 $22.57 $12.24–$21.44 — 15%
Measles (rubeola) antibody test inpatient CPT 86765 CSF RUBEOLA AB IgG RL $40.59 $47.75 $12.24–$45.36 — 15%
Measles (rubeola) antibody test inpatient CPT 86765 CSF RUBEOLA AB IgM RL $45.48 $53.50 $12.24–$50.83 — 15%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG QUALITATIVE RL $54.70 $64.35 $12.24–$61.13 — 15%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN SERUM SPARROW RL $5.95 $7.00 $3.92–$6.65 85% below 15%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN INHOUSE $30.60 $36.00 $4.92–$34.20 24% below 15%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN SERUM SPARROW RL $5.95 $7.00 $3.92–$6.65 — 15%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN INHOUSE $30.60 $36.00 $4.92–$34.20 — 15%
Mumps immunity blood test CPT 86735 MUMPS IGG QUANT RL $12.50 $14.71 $8.24–$16.31 50% below 15%
Mumps immunity blood test CPT 86735 MUMPS IGM RL $52.28 $61.50 $12.40–$58.43 109% above 15%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG QUANT RL $12.50 $14.71 $8.24–$16.31 — 15%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM RL $52.28 $61.50 $12.40–$58.43 — 15%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE and TOTAL RL $11.27 $13.26 $7.43–$22.99 80% below 15%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE and TOTAL RL $11.27 $13.26 $7.43–$22.99 — 15%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE RL $25.68 $30.21 $16.92–$28.70 49% below 15%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA RL $83.30 $98.00 $17.47–$93.10 66% above 15%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE RL $25.68 $30.21 $16.92–$28.70 — 15%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA RL $83.30 $98.00 $17.47–$93.10 — 15%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT RL $88.27 $103.85 $39.22–$98.66 31% below 15%
Parathyroid hormone (PTH) blood test CPT 83970 PTHI XP $117.30 $138.00 $39.22–$131.10 9% below 15%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT RL $88.27 $103.85 $39.22–$98.66 — 15%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTHI XP $117.30 $138.00 $39.22–$131.10 — 15%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $22.10 $26.00 $5.71–$24.70 27% below 15%
Partial thromboplastin time (PTT) clotting test CPT 85730 .THROMBOPLASTIN TIME PTT 4100077 $32.90 $38.70 $5.71–$36.77 8% above 15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $22.10 $26.00 $5.71–$24.70 — 15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .THROMBOPLASTIN TIME PTT 4100077 $32.90 $38.70 $5.71–$36.77 — 15%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS $15.30 $18.00 $4.50–$17.10 27% below 15%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS $15.30 $18.00 $4.50–$17.10 — 15%
Potassium blood test CPT 84132 POTASSIUM SERUM $15.30 $18.00 $4.52–$17.10 31% below 15%
Potassium blood test CPT 84132 POTASSIUM RBC RL $68.85 $81.00 $4.52–$76.95 212% above 15%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM $15.30 $18.00 $4.52–$17.10 — 15%
Potassium blood test inpatient CPT 84132 POTASSIUM RBC RL $68.85 $81.00 $4.52–$76.95 — 15%
Progesterone blood test CPT 84144 PROGESTERONE IM $87.55 $103.00 $19.82–$97.85 37% above 15%
Progesterone blood test CPT 84144 PROGESTERONE FREE AND TOTAL RL $116.66 $137.25 $19.82–$130.39 83% above 15%
Progesterone blood test inpatient CPT 84144 PROGESTERONE IM $87.55 $103.00 $19.82–$97.85 — 15%
Progesterone blood test inpatient CPT 84144 PROGESTERONE FREE AND TOTAL RL $116.66 $137.25 $19.82–$130.39 — 15%
Prolactin blood test CPT 84146 PROLACTIN IM $44.20 $52.00 $18.41–$49.40 39% below 15%
Prolactin blood test CPT 84146 MACROPROLACTIN RL $61.62 $72.49 $18.41–$68.87 15% below 15%
Prolactin blood test inpatient CPT 84146 PROLACTIN IM $44.20 $52.00 $18.41–$49.40 — 15%
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN RL $61.62 $72.49 $18.41–$68.87 — 15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME INR $17.85 $21.00 $4.08–$19.95 at median 15%
Prothrombin time (PT/INR) clotting test CPT 85610 HHW INR FINGERSTICK $17.85 $21.00 $4.08–$19.95 at median 15%
Prothrombin time (PT/INR) clotting test CPT 85610 .PROTHOMBIN TIME 4100077 $32.90 $38.70 $4.08–$36.77 84% above 15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HHW INR FINGERSTICK $17.85 $21.00 $4.08–$19.95 — 15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME INR $17.85 $21.00 $4.08–$19.95 — 15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .PROTHOMBIN TIME 4100077 $32.90 $38.70 $4.08–$36.77 — 15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HHW DRUG SCREEN PANEL $87.55 $103.00 $11.97–$97.85 147% above 15%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HHW DRUG SCREEN PANEL $87.55 $103.00 $11.97–$97.85 — 15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HHW STREP SCREEN EIA $44.20 $52.00 $15.70–$49.40 7% below 15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RHC STREP SCREEN EIA $44.20 $52.00 $15.70–$49.40 7% below 15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 LHC STREP EIA $44.20 $52.00 $15.70–$49.40 7% below 15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN EIA $47.60 $56.00 $15.70–$53.20 at median 15%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HHW STREP SCREEN EIA $44.20 $52.00 $15.70–$49.40 — 15%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LHC STREP EIA $44.20 $52.00 $15.70–$49.40 — 15%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RHC STREP SCREEN EIA $44.20 $52.00 $15.70–$49.40 — 15%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN EIA $47.60 $56.00 $15.70–$53.20 — 15%
Renin blood test CPT 84244 RENIN RL $78.50 $92.35 $20.89–$87.73 107% above 15%
Renin blood test inpatient CPT 84244 RENIN RL $78.50 $92.35 $20.89–$87.73 — 15%
Rh blood typing CPT 86901 .BB RH TYPE 4300217 4300220 $11.05 $13.00 $2.84–$47.85 60% below 15%
Rh blood typing CPT 86901 ARC Rh TYPE RL $18.06 $21.25 $2.84–$47.85 34% below 15%
Rh blood typing CPT 86901 BB RH TYPE $19.55 $23.00 $2.84–$47.85 29% below 15%
Rh blood typing inpatient CPT 86901 .BB RH TYPE 4300217 4300220 $11.05 $13.00 $2.84–$47.85 — 15%
Rh blood typing inpatient CPT 86901 ARC Rh TYPE RL $18.06 $21.25 $2.84–$47.85 — 15%
Rh blood typing inpatient CPT 86901 BB RH TYPE $19.55 $23.00 $2.84–$47.85 — 15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITIVE FLUID RL $142.50 $167.65 $5.39–$159.27 330% above 15%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITIVE FLUID RL $142.50 $167.65 $5.39–$159.27 — 15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM RL $8.93 $10.51 $5.89–$17.99 79% below 15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA RL $51.00 $60.00 $13.67–$57.00 23% above 15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM RL $8.93 $10.51 $5.89–$17.99 — 15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA RL $51.00 $60.00 $13.67–$57.00 — 15%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 .SED RATE ERYTHROCYRE AUTO CHG 4300498 $10.46 $12.30 $2.57–$11.69 56% below 15%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 .SED RATE ERYTHROCYRE AUTO CHG 4300498 $10.46 $12.30 $2.57–$11.69 — 15%
Sodium blood test CPT 84295 SODIUM SERUM NA $19.55 $23.00 $4.57–$21.85 6% below 15%
Sodium blood test inpatient CPT 84295 SODIUM SERUM NA $19.55 $23.00 $4.57–$21.85 — 15%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE STOOL RL $9.35 $11.00 $6.16–$11.13 76% below 15%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE STOOL RL $9.35 $11.00 $6.16–$11.13 — 15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 RHC OCCULT BLOOD SCRN GUAIAC $12.75 $15.00 $4.16–$14.25 27% below 15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 READING OCCULT SCRN BLOOD MULTI GUAIAC $12.75 $15.00 $4.16–$14.25 27% below 15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LHC OCCULT BLOOD SCREENING GUIAC $12.75 $15.00 $4.16–$14.25 27% below 15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN GUAIAC MULTI SPEC $40.80 $48.00 $4.16–$45.60 132% above 15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LHC OCCULT BLOOD SCREENING GUIAC $12.75 $15.00 $4.16–$14.25 — 15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 RHC OCCULT BLOOD SCRN GUAIAC $12.75 $15.00 $4.16–$14.25 — 15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 READING OCCULT SCRN BLOOD MULTI GUAIAC $12.75 $15.00 $4.16–$14.25 — 15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN GUAIAC MULTI SPEC $40.80 $48.00 $4.16–$45.60 — 15%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD DIAGNOSTIC 82274 $49.30 $58.00 $15.12–$55.10 32% above 15%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD DIAGNOSTIC 82274 $49.30 $58.00 $15.12–$55.10 — 15%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDIUM ANTIBODIES RL $6.58 $7.74 $4.33–$16.55 86% below 15%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDIUM CASCADE RL $7.44 $8.75 $4.90–$16.55 84% below 15%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS AB WITH REFLEX RL $18.87 $22.20 $12.43–$21.09 59% below 15%
Syphilis antibody test (Treponema pallidum) CPT 86780 FLUORESCENT TREP AB RL $38.97 $45.85 $12.58–$43.56 16% below 15%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDIUM ANTIBODIES RL $6.58 $7.74 $4.33–$16.55 — 15%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDIUM CASCADE RL $7.44 $8.75 $4.90–$16.55 — 15%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS AB WITH REFLEX RL $18.87 $22.20 $12.43–$21.09 — 15%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FLUORESCENT TREP AB RL $38.97 $45.85 $12.58–$43.56 — 15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .REFLEX RPR POSITIVE CHG 4300169 $9.98 $11.74 $4.06–$11.15 43% below 15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR VDRL CSF RL $17.34 $20.40 $4.06–$19.38 at median 15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .REFLEX RPR POSITIVE CHG 4300169 $9.98 $11.74 $4.06–$11.15 — 15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR VDRL CSF RL $17.34 $20.40 $4.06–$19.38 — 15%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS RL $46.92 $55.20 $30.91–$77.48 63% below 15%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS RL $46.92 $55.20 $30.91–$77.48 — 15%
Testosterone blood test, total (not free testosterone) CPT 84403 .TESTOSTERONE TOTAL CHG 3700565 $23.80 $28.00 $15.68–$32.26 64% below 15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL RL $47.13 $55.45 $24.52–$52.68 28% below 15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL IM $63.75 $75.00 $24.52–$71.25 3% below 15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 .TESTOSTERONE TOTAL CHG 3700565 $23.80 $28.00 $15.68–$32.26 — 15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL RL $47.13 $55.45 $24.52–$52.68 — 15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL IM $63.75 $75.00 $24.52–$71.25 — 15%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY RL $11.90 $14.00 $7.84–$18.19 73% below 15%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL AB RL $69.87 $82.20 $13.82–$78.09 58% above 15%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER CYTOSOL PROTEIN 1 AB RL $90.03 $105.92 $13.82–$100.62 104% above 15%
Thyroid peroxidase (TPO) antibody test CPT 86376 .MICROSOMAL AB EA CHG 4500170 $142.50 $167.65 $13.82–$159.27 222% above 15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY RL $11.90 $14.00 $7.84–$18.19 — 15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL AB RL $69.87 $82.20 $13.82–$78.09 — 15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVER CYTOSOL PROTEIN 1 AB RL $90.03 $105.92 $13.82–$100.62 — 15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 .MICROSOMAL AB EA CHG 4500170 $142.50 $167.65 $13.82–$159.27 — 15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $37.40 $44.00 $15.96–$41.80 42% below 15%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $37.40 $44.00 $15.96–$41.80 — 15%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE CHG RL 4300552 $71.96 $84.66 $15.64–$80.43 62% above 15%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE CHG RL 4300552 $71.96 $84.66 $15.64–$80.43 — 15%
Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID RL $20.40 $24.00 $4.13–$22.80 3% above 15%
Total cholesterol blood test CPT 82465 CHOLESTEROL $39.10 $46.00 $4.13–$43.70 98% above 15%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL FLUID RL $20.40 $24.00 $4.13–$22.80 — 15%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL $39.10 $46.00 $4.13–$43.70 — 15%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL XP $38.25 $45.00 $6.53–$42.75 1% above 15%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL XP $38.25 $45.00 $6.53–$42.75 — 15%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL XP $77.35 $91.00 $13.47–$86.45 61% above 15%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL XP $77.35 $91.00 $13.47–$86.45 — 15%
Trichomonas test (NAAT) CPT 87661 NUSWAB BV YEAST NAA RL $31.79 $37.40 $20.94–$43.86 55% below 15%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS URINE RNA RL $42.50 $50.00 $28.00–$47.50 39% below 15%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA PROBE RL $42.50 $50.00 $28.00–$47.50 39% below 15%
Trichomonas test (NAAT) inpatient CPT 87661 NUSWAB BV YEAST NAA RL $31.79 $37.40 $20.94–$43.86 — 15%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS URINE RNA RL $42.50 $50.00 $28.00–$47.50 — 15%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS RNA PROBE RL $42.50 $50.00 $28.00–$47.50 — 15%
Triglycerides blood test CPT 84478 .TRIGLYCERIDES CHG 3700577 $5.61 $6.60 $3.70–$7.18 69% below 15%
Triglycerides blood test CPT 84478 TRIGLYCERIDES SERUM $17.00 $20.00 $5.45–$19.00 6% below 15%
Triglycerides blood test CPT 84478 .TRIGLYCERIDES CHG 3700573 $19.21 $22.60 $5.45–$21.47 7% above 15%
Triglycerides blood test inpatient CPT 84478 .TRIGLYCERIDES CHG 3700577 $5.61 $6.60 $3.70–$7.18 — 15%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES SERUM $17.00 $20.00 $5.45–$19.00 — 15%
Triglycerides blood test inpatient CPT 84478 .TRIGLYCERIDES CHG 3700573 $19.21 $22.60 $5.45–$21.47 — 15%
Troponin test, quantitative CPT 84484 TROPONIN I SPARROW RL $14.84 $17.46 $9.78–$16.59 59% below 15%
Troponin test, quantitative CPT 84484 TROPONIN HIGH SENS $34.85 $41.00 $11.85–$38.95 4% below 15%
Troponin test, quantitative CPT 84484 TROPONIN T QUANT RL $61.63 $72.50 $11.85–$68.88 70% above 15%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I SPARROW RL $14.84 $17.46 $9.78–$16.59 — 15%
Troponin test, quantitative inpatient CPT 84484 TROPONIN HIGH SENS $34.85 $41.00 $11.85–$38.95 — 15%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T QUANT RL $61.63 $72.50 $11.85–$68.88 — 15%
Uric acid blood test CPT 84550 URIC ACID SERUM $19.55 $23.00 $4.29–$21.85 13% below 15%
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM $19.55 $23.00 $4.29–$21.85 — 15%
Urinalysis with microscope exam, automated CPT 81001 HHW URINE CHEMICAL $17.00 $20.00 $3.01–$19.00 15% below 15%
Urinalysis with microscope exam, automated CPT 81001 LHC URINE CHEMICAL $17.00 $20.00 $3.01–$19.00 15% below 15%
Urinalysis with microscope exam, automated CPT 81001 RHC URINE CHEMICAL $17.00 $20.00 $3.01–$19.00 15% below 15%
Urinalysis with microscope exam, automated CPT 81001 .URINALYSIS MICROSCOPIC $33.15 $39.00 $3.01–$37.05 66% above 15%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS $34.85 $41.00 $3.01–$38.95 74% above 15%
Urinalysis with microscope exam, automated inpatient CPT 81001 HHW URINE CHEMICAL $17.00 $20.00 $3.01–$19.00 — 15%
Urinalysis with microscope exam, automated inpatient CPT 81001 RHC URINE CHEMICAL $17.00 $20.00 $3.01–$19.00 — 15%
Urinalysis with microscope exam, automated inpatient CPT 81001 LHC URINE CHEMICAL $17.00 $20.00 $3.01–$19.00 — 15%
Urinalysis with microscope exam, automated inpatient CPT 81001 .URINALYSIS MICROSCOPIC $33.15 $39.00 $3.01–$37.05 — 15%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS $34.85 $41.00 $3.01–$38.95 — 15%
Urinalysis without microscope exam, automated CPT 81003 DNU URINALYSIS TESTING $17.00 $20.00 $2.14–$19.00 34% above 15%
Urinalysis without microscope exam, automated inpatient CPT 81003 DNU URINALYSIS TESTING $17.00 $20.00 $2.14–$19.00 — 15%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $27.20 $32.00 $7.67–$30.40 50% below 15%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $27.20 $32.00 $7.67–$30.40 — 15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM XP $85.00 $100.00 $5.49–$95.00 227% above 15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HR URINE QUANT $89.25 $105.00 $5.49–$99.75 243% above 15%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM XP $85.00 $100.00 $5.49–$95.00 — 15%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24 HR URINE QUANT $89.25 $105.00 $5.49–$99.75 — 15%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY $63.75 $75.00 $8.18–$71.25 139% above 15%
Urine pregnancy test, read by color change CPT 81025 HHW PREGNANCY URINE $63.75 $75.00 $8.18–$71.25 139% above 15%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY $63.75 $75.00 $8.18–$71.25 — 15%
Urine pregnancy test, read by color change inpatient CPT 81025 HHW PREGNANCY URINE $63.75 $75.00 $8.18–$71.25 — 15%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $39.95 $47.00 $14.33–$44.65 31% below 15%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $39.95 $47.00 $14.33–$44.65 — 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25 OH+D2 D3 RL $23.62 $27.79 $15.56–$37.00 70% below 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH $121.55 $143.00 $28.12–$135.85 55% above 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH- DO NOT USE RL $150.66 $177.25 $28.12–$168.39 92% above 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25 OH+D2 D3 RL $23.62 $27.79 $15.56–$37.00 — 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH $121.55 $143.00 $28.12–$135.85 — 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH- DO NOT USE RL $150.66 $177.25 $28.12–$168.39 — 15%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 DIHYDROXY RL $15.30 $18.00 $10.08–$48.13 81% below 15%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25 DIHYDROXY RL $15.30 $18.00 $10.08–$48.13 — 15%
Zinc blood test CPT 84630 ZINC RBC RL $104.55 $123.00 $10.82–$116.85 469% above 15%
Zinc blood test inpatient CPT 84630 ZINC RBC RL $104.55 $123.00 $10.82–$116.85 — 15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 .GONADOTROPIN CHORIONIC 3700844 $49.73 $58.50 $14.30–$55.58 at median 15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B HCG QUANTITATIVE $115.60 $136.00 $14.30–$129.20 132% above 15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 .GONADOTROPIN CHORIONIC 3700844 $49.73 $58.50 $14.30–$55.58 — 15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B HCG QUANTITATIVE $115.60 $136.00 $14.30–$129.20 — 15%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MichiganOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $1,242.70 $1,462.00 $142.37–$1,595.51 28% above 15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $1,242.70 $1,462.00 $142.37–$1,595.51 — 15%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NON NEWBORN CIRCUMCISION $3,581.90 $4,214.00 $123.64–$4,994.68 182% above 15%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NON NEWBORN CIRCUMCISION $3,581.90 $4,214.00 $123.64–$4,994.68 — 15%
Circumcision, surgical, older than a newborn CPT 54160 NEWBORN CIRCUMCISION $4,383.45 $5,157.00 $184.67–$4,899.15 1020% above 15%
Circumcision, surgical, older than a newborn inpatient CPT 54160 NEWBORN CIRCUMCISION $4,383.45 $5,157.00 $184.67–$4,899.15 — 15%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DIAG THER SUB W/NEEDLE PL W/FLURO/CT $1,267.35 $1,491.00 $135.44–$1,688.50 64% above 15%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ DIAG THER SUB W/NEEDLE PL W/FLURO/CT $1,267.35 $1,491.00 $135.44–$1,688.50 — 15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L/S PARAVERL FAC JT DIAG/THAPUTC W/CT/FL $1,559.75 $1,835.00 $114.35–$2,170.71 33% above 15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L/S PARAVERL FAC JT DX/THAP W/CT/FL BILA $3,117.80 $3,668.00 $114.35–$3,484.60 165% above 15%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L/S PARAVERL FAC JT DIAG/THAPUTC W/CT/FL $1,559.75 $1,835.00 $114.35–$2,170.71 — 15%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L/S PARAVERL FAC JT DX/THAP W/CT/FL BILA $3,117.80 $3,668.00 $114.35–$3,484.60 — 15%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC HYSTEO $247.35 $291.00 $67.47–$276.45 35% below 15%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC HYSTEO $247.35 $291.00 $67.47–$276.45 — 15%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE $532.10 $626.00 $103.87–$594.70 97% above 15%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE $532.10 $626.00 $103.87–$594.70 — 15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ(S) 1 TENDON SHEATH/LIGAMENT APONEEUO $408.00 $480.00 $50.22–$719.73 7% above 15%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ(S) 1 TENDON SHEATH/LIGAMENT APONEEUO $408.00 $480.00 $50.22–$719.73 — 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MR JNT OR BURSA W/O US $521.05 $613.00 $57.75–$719.73 37% above 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MJR JNT OR BURSA BIL W/O US $816.85 $961.00 $57.75–$912.95 114% above 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ MR JNT OR BURSA W/O US $521.05 $613.00 $57.75–$719.73 — 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ MJR JNT OR BURSA BIL W/O US $816.85 $961.00 $57.75–$912.95 — 15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INT JNT OR BURSA W/O US $492.15 $579.00 $47.54–$719.73 51% above 15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ INT JNT OR BURSA W/O US $492.15 $579.00 $47.54–$719.73 — 15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ SMALL JNT OR BURSA W/O US $492.15 $579.00 $45.31–$719.73 32% above 15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION/INJ OF SMALL JNT/BURSA W/O US $492.15 $579.00 $45.31–$719.73 32% above 15%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJ SMALL JNT OR BURSA W/O US $492.15 $579.00 $45.31–$719.73 — 15%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIRATION/INJ OF SMALL JNT/BURSA W/O US $492.15 $579.00 $45.31–$719.73 — 15%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ DX THER SUB W/NDLE PL L/S W FLUOR/CT $1,267.35 $1,491.00 $125.55–$1,688.50 31% above 15%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DX THER SUB W/NDLE PL L/S W FLUOR/CT $1,267.35 $1,491.00 $125.55–$1,688.50 — 15%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX THER SUB W/NDLE PL L/S W/O FLU/CT $1,483.25 $1,745.00 $102.90–$2,170.71 58% above 15%
Lower-back epidural injection, without imaging guidance CPT 62322 L/S INJ(S) OF DIAG OR THERAPEUTIC SUB(S) $1,483.25 $1,745.00 $102.90–$2,170.71 58% above 15%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 L/S INJ(S) OF DIAG OR THERAPEUTIC SUB(S) $1,483.25 $1,745.00 $102.90–$2,170.71 — 15%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX THER SUB W/NDLE PL L/S W/O FLU/CT $1,483.25 $1,745.00 $102.90–$2,170.71 — 15%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L/S INJ(S) TRANSFORMINAL EPI W/CT OR FLU $2,572.95 $3,027.00 $139.99–$2,875.65 143% above 15%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L/S INJ(S) TRANSFORMINAL EPI W/CT OR FLU $2,572.95 $3,027.00 $139.99–$2,875.65 — 15%
Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PLATE $411.40 $484.00 $58.09–$484.47 104% above 15%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVE NAIL PLATE $411.40 $484.00 $58.09–$484.47 — 15%
Occipital nerve block (injection for headaches) both sides CPT 64405 INJ ANES AGT GREATER OCCIPITAL NER BILAT $1,042.95 $1,227.00 $68.29–$1,165.65 — 15%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTHETIC AGT GREATER OCCIPITAL NER $408.00 $480.00 $68.29–$719.73 3% below 15%
Occipital nerve block (injection for headaches) inpatient both sides CPT 64405 INJ ANES AGT GREATER OCCIPITAL NER BILAT $1,042.95 $1,227.00 $68.29–$1,165.65 — 15%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTHETIC AGT GREATER OCCIPITAL NER $408.00 $480.00 $68.29–$719.73 — 15%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS WITH IMAGING $1,235.90 $1,454.00 $134.44–$2,285.96 15% above 15%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS WITH IMAGING $1,235.90 $1,454.00 $134.44–$2,285.96 — 15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT NAIL REMOVAL $959.65 $1,129.00 $107.52–$1,072.55 93% above 15%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PERMANENT NAIL REMOVAL $959.65 $1,129.00 $107.52–$1,072.55 — 15%
Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 DSTR NROLYTIC AGT PARV FCT 1 LS W/IMG BI $7,003.15 $8,239.00 $242.35–$7,827.05 — 15%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTR NROLYTIC AGNT PARV FCT 1 L/S W/IMAG $3,572.55 $4,203.00 $242.35–$4,761.24 93% above 15%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient both sides CPT 64635 DSTR NROLYTIC AGT PARV FCT 1 LS W/IMG BI $7,003.15 $8,239.00 $242.35–$7,827.05 — 15%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTR NROLYTIC AGNT PARV FCT 1 L/S W/IMAG $3,572.55 $4,203.00 $242.35–$4,761.24 — 15%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL OF FOREIGN BODY SIMPL $959.65 $1,129.00 $121.88–$1,072.55 168% above 15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL OF FOREIGN BODY SIMPL $959.65 $1,129.00 $121.88–$1,072.55 — 15%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG CAST $392.70 $462.00 $62.66–$438.90 147% above 15%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT LEG CAST $392.70 $462.00 $62.66–$438.90 — 15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND 2.5 CM OR LESS $498.95 $587.00 $53.82–$557.65 138% above 15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFICIAL WOUND 2.5 CM OR LESS $498.95 $587.00 $53.82–$557.65 — 15%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN 1 LESION $792.20 $932.00 $55.17–$974.13 150% above 15%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN 1 LESION $792.20 $932.00 $55.17–$974.13 — 15%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC $1,203.60 $1,416.00 $81.10–$1,688.50 48% above 15%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC $1,203.60 $1,416.00 $81.10–$1,688.50 — 15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICAL WOUND 2.6CM - 7.5CM $498.95 $587.00 $70.43–$557.65 107% above 15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPERFICAL WOUND 2.6CM - 7.5CM $498.95 $587.00 $70.43–$557.65 — 15%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN 1 LESION $411.40 $484.00 $44.35–$484.47 58% above 15%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN 1 LESION $411.40 $484.00 $44.35–$484.47 — 15%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS NEEDLE OR CATH W IMAGIN $579.70 $682.00 $139.18–$1,507.44 43% below 15%
Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS NEEDLE OR CATH W IMAGIN $579.70 $682.00 $139.18–$1,507.44 43% below 15%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS NEEDLE OR CATH W IMAGIN $579.70 $682.00 $139.18–$1,507.44 — 15%
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS NEEDLE OR CATH W IMAGIN $579.70 $682.00 $139.18–$1,507.44 — 15%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ(S) SINGLE/MULT TRIG PT 1 OR 2 MUSCLE $1,042.95 $1,227.00 $47.32–$1,165.65 179% above 15%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ(S) SINGLE/MULT TRIG PT 1 OR 2 MUSCLE $1,042.95 $1,227.00 $47.32–$1,165.65 — 15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE 1ST 20 SQ CM $1,010.65 $1,189.00 $70.03–$1,129.55 81% above 15%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE 1ST 20 SQ CM $1,010.65 $1,189.00 $70.03–$1,129.55 — 15%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MichiganOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI ASSIST MED 2 $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NMT X 1 $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI ASSIST MED 1 $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NMT $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI X1 $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI ASSIST MED 4 $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI ASSIST MED 3 $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NMT ER $135.15 $159.00 $10.07–$495.91 17% below 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 1 HOUR MEDICATION NEBULIZER $217.60 $256.00 $10.07–$495.91 34% above 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI ASSIST MED 3 $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NMT X 1 $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI ASSIST MED 1 $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NMT ER $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NMT $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI X1 $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI ASSIST MED 4 $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI ASSIST MED 2 $135.15 $159.00 $10.07–$495.91 — 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 1 HOUR MEDICATION NEBULIZER $217.60 $256.00 $10.07–$495.91 — 15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES $1,471.35 $1,731.00 $0.01–$2,054.45 17% below 15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN MOD 25 $1,982.20 $2,332.00 $0.01–$2,215.40 11% above 15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MINUTES $1,471.35 $1,731.00 $0.01–$2,054.45 — 15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MIN MOD 25 $1,982.20 $2,332.00 $0.01–$2,215.40 — 15%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $909.50 $1,070.00 $162.78–$1,016.50 31% above 15%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY $909.50 $1,070.00 $162.78–$1,016.50 — 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PEDIATRIC EKG $80.75 $95.00 $7.99–$144.83 28% below 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG COMPLETED BY ER STAFF $80.75 $95.00 $7.99–$144.83 28% below 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG BY RT STAFF $80.75 $95.00 $7.99–$144.83 28% below 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG BY RT STAFF WITH MAGNET $80.75 $95.00 $7.99–$144.83 28% below 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG COMPLETED BY RT STAFF IN ER $80.75 $95.00 $7.99–$144.83 28% below 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG COMPLETED BY ER STAFF $80.75 $95.00 $7.99–$144.83 — 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PEDIATRIC EKG $80.75 $95.00 $7.99–$144.83 — 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 EKG BY RT STAFF WITH MAGNET $80.75 $95.00 $7.99–$144.83 — 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 EKG BY RT STAFF $80.75 $95.00 $7.99–$144.83 — 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 EKG COMPLETED BY RT STAFF IN ER $80.75 $95.00 $7.99–$144.83 — 15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM 1 $164.90 $194.00 $12.37–$214.68 2% above 15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ROOM 1 MOD 25 $164.90 $194.00 $12.37–$214.68 2% above 15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM 1 $164.90 $194.00 $12.37–$214.68 — 15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER ROOM 1 MOD 25 $164.90 $194.00 $12.37–$214.68 — 15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM 2 $241.40 $284.00 $43.73–$386.11 27% below 15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ROOM 2 MOD 25 $241.40 $284.00 $43.73–$386.11 27% below 15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER ROOM 2 MOD 25 $241.40 $284.00 $43.73–$386.11 — 15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM 2 $241.40 $284.00 $43.73–$386.11 — 15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ROOM 3 MOD 25 $437.75 $515.00 $75.17–$675.11 20% below 15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM 3 $437.75 $515.00 $75.17–$675.11 20% below 15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM 3 $437.75 $515.00 $75.17–$675.11 — 15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER ROOM 3 MOD 25 $437.75 $515.00 $75.17–$675.11 — 15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM 4 $747.15 $879.00 $126.31–$1,038.23 25% below 15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ROOM 4 MOD 25 $747.15 $879.00 $126.31–$1,038.23 25% below 15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM 4 $747.15 $879.00 $126.31–$1,038.23 — 15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER ROOM 4 MOD 25 $747.15 $879.00 $126.31–$1,038.23 — 15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ROOM 5 MOD 25 $1,039.55 $1,223.00 $184.01–$1,494.86 29% below 15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM 5 $1,039.55 $1,223.00 $184.01–$1,494.86 29% below 15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM 5 $1,039.55 $1,223.00 $184.01–$1,494.86 — 15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER ROOM 5 MOD 25 $1,039.55 $1,223.00 $184.01–$1,494.86 — 15%
Exercise stress test, tracing only, the hospital charge CPT 93017 GXT-CARDIAC $700.40 $824.00 $44.74–$782.80 6% below 15%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 GXT-CARDIAC $700.40 $824.00 $44.74–$782.80 — 15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CT HYDRATION INITIAL HOUR $224.40 $264.00 $36.62–$513.70 11% below 15%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CT HYDRATION INITIAL HOUR $224.40 $264.00 $36.62–$513.70 — 15%
IV push of a medicine, first drug CPT 96374 INJECTION IVP INITIAL DRUG $197.20 $232.00 $41.91–$513.70 8% above 15%
IV push of a medicine, first drug CPT 96374 INJECTION IVP INITIAL DRUG $197.20 $232.00 $41.91–$513.70 8% above 15%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IVP INITIAL DRUG $197.20 $232.00 $41.91–$513.70 — 15%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IVP INITIAL DRUG $197.20 $232.00 $41.91–$513.70 — 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHOGAM INJECTION 4300225 $62.05 $73.00 $16.24–$173.53 28% below 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION $62.05 $73.00 $16.24–$173.53 28% below 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OUTPATIENT - INJECTION $62.05 $73.00 $16.24–$173.53 28% below 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM $62.05 $73.00 $16.24–$173.53 28% below 15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ/IM $62.05 $73.00 $16.24–$173.53 — 15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OUTPATIENT - INJECTION $62.05 $73.00 $16.24–$173.53 — 15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION $62.05 $73.00 $16.24–$173.53 — 15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RHOGAM INJECTION 4300225 $62.05 $73.00 $16.24–$173.53 — 15%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCL RE ED OF MOVE BAL X 15 MIN $54.40 $64.00 $0.01–$135.00 31% below 15%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCL RE ED OF MOVE BAL X 15 MIN $54.40 $64.00 $0.01–$135.00 31% below 15%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCL RE ED OF MOVE BAL X 15 MIN $54.40 $64.00 $0.01–$135.00 — 15%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCL RE ED OF MOVE BAL X 15 MIN $54.40 $64.00 $0.01–$135.00 — 15%
New patient office visit, about 30 minutes CPT 99203 E/M NEW PATIENT LEVEL 3 $323.00 $380.00 $0.01–$361.00 194% above 15%
New patient office visit, about 30 minutes CPT 99203 E/M NEW PATIENT VISIT LEVEL 3 $346.80 $408.00 $0.01–$387.60 215% above 15%
New patient office visit, about 45 minutes CPT 99204 E/M NEW PATIENT VISIT LEVEL 4 $346.80 $408.00 $0.01–$387.60 155% above 15%
New patient office visit, about 45 minutes CPT 99204 E/M NEW PATIENT LEVEL 4 $409.70 $482.00 $0.01–$457.90 201% above 15%
New patient office visit, about 60 minutes CPT 99205 E/M NEW PATIENT VISIT LEVEL 5 $346.80 $408.00 $0.01–$387.60 122% above 15%
New patient office visit, about 60 minutes CPT 99205 E/M NEW PATIENT LEVEL 5 $479.40 $564.00 $0.01–$535.80 207% above 15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E/M NEW PATIENT LEVEL 2 $260.95 $307.00 $0.01–$291.65 248% above 15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E/M NEW PATIEN VISIT LEVEL 2 $330.65 $389.00 $0.01–$369.55 341% above 15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL INDIVIDUAL ASSESS 15MIN $59.50 $70.00 $0.01–$66.50 39% above 15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL INDIVIDUAL ASSESS 15MIN $59.50 $70.00 $0.01–$66.50 — 15%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY $78.20 $92.00 $0.01–$135.00 61% below 15%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY $78.20 $92.00 $0.01–$135.00 — 15%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY $198.90 $234.00 $0.01–$222.30 8% below 15%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY $198.90 $234.00 $0.01–$222.30 — 15%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY $94.35 $111.00 $0.01–$135.00 51% below 15%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY $94.35 $111.00 $0.01–$135.00 — 15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEXITY $132.60 $156.00 $0.01–$148.20 41% below 15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEXITY $132.60 $156.00 $0.01–$148.20 — 15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MAN'L THRP MYOFASCIAL JNT MBL 15 MIN $50.15 $59.00 $0.01–$135.00 40% below 15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MAN'L THRP MYOFASCIAL JNT MBL 15 MIN $50.15 $59.00 $0.01–$135.00 40% below 15%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MAN'L THRP MYOFASCIAL JNT MBL 15 MIN $50.15 $59.00 $0.01–$135.00 — 15%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MAN'L THRP MYOFASCIAL JNT MBL 15 MIN $50.15 $59.00 $0.01–$135.00 — 15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXCERCISE X 15 MIN $144.50 $170.00 $0.01–$161.50 76% above 15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE X 15 MIN $144.50 $170.00 $0.01–$161.50 76% above 15%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXCERCISE X 15 MIN $144.50 $170.00 $0.01–$161.50 — 15%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE X 15 MIN $144.50 $170.00 $0.01–$161.50 — 15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT SMOKING CESSATION COUNSELING 3-10 MIN $56.95 $67.00 $12.46–$72.63 79% above 15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 ER SMOKING CESSATION COUNSELING 3-10 MIN $56.95 $67.00 $12.46–$72.63 79% above 15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 ER SMOKING CESSATION COUNSELING >10 MINS $69.70 $82.00 $12.46–$77.90 119% above 15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESS CNSING 3-10 MIN RISK FA $73.95 $87.00 $0.01–$82.65 132% above 15%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ER SMOKING CESSATION COUNSELING 3-10 MIN $56.95 $67.00 $12.46–$72.63 — 15%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT SMOKING CESSATION COUNSELING 3-10 MIN $56.95 $67.00 $12.46–$72.63 — 15%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ER SMOKING CESSATION COUNSELING >10 MINS $69.70 $82.00 $12.46–$77.90 — 15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M ESTABLISHED PATIENT VISIT LEVEL 5 $346.80 $408.00 $0.01–$387.60 194% above 15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M EST PATIENT LEVEL 5 $481.10 $566.00 $0.01–$537.70 307% above 15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E/M EST PATIENT LEVEL 3 $295.80 $348.00 $0.01–$330.60 259% above 15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E/M ESTABLISHED PATIENT VISIT LEVEL 3 $346.80 $408.00 $0.01–$387.60 321% above 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E/M ESTABLISHED PATIENT VISIT LEVEL 4 $346.80 $408.00 $0.01–$387.60 194% above 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E/M EST PATIENT LEVEL 4 $382.50 $450.00 $0.01–$427.50 224% above 15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E/M EST PATIENT LEVEL 2 $246.50 $290.00 $0.01–$275.50 451% above 15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E/M ESTABLISHED PATIENT VISIT LEVEL 2 $346.80 $408.00 $0.01–$387.60 675% above 15%
Speech and language evaluation CPT 92523 ST EVAL SP SOUND PRODUCT W LANG COMPREH $425.00 $500.00 $0.01–$475.00 25% above 15%
Speech and language evaluation inpatient CPT 92523 ST EVAL SP SOUND PRODUCT W LANG COMPREH $425.00 $500.00 $0.01–$475.00 — 15%
Speech therapy session, individual CPT 92507 ST TRTMNT OF SPEECH AUDITORY DISORDER $169.15 $199.00 $0.01–$189.05 18% below 15%
Speech therapy session, individual inpatient CPT 92507 ST TRTMNT OF SPEECH AUDITORY DISORDER $169.15 $199.00 $0.01–$189.05 — 15%
Spirometry (breathing test) CPT 94010 SPIROMETRY $279.65 $329.00 $20.81–$381.48 38% above 15%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $279.65 $329.00 $20.81–$381.48 — 15%
Spirometry before and after a bronchodilator CPT 94060 PRE AND POST BRONCHODILATION $365.50 $430.00 $31.56–$759.26 7% below 15%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE AND POST BRONCHODILATION $365.50 $430.00 $31.56–$759.26 — 15%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY DYNAMIC X 15 MIN $55.25 $65.00 $0.01–$135.00 28% below 15%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY DYNAMIC X 15 MIN $55.25 $65.00 $0.01–$135.00 28% below 15%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY DYNAMIC X 15 MIN $55.25 $65.00 $0.01–$135.00 — 15%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY DYNAMIC X 15 MIN $55.25 $65.00 $0.01–$135.00 — 15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY $177.65 $209.00 $67.38–$314.28 15% below 15%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY $177.65 $209.00 $67.38–$314.28 — 15%

Vaccines

ProcedureCash price List priceInsurers payvs MichiganOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX 2023-2024 IM SUSP 50MCG/0.5ML $154.58 $181.86 $101.84–$172.77 44% below 15%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX 2023-2024 IM SUSP 50MCG/0.5ML $154.58 $181.86 $101.84–$172.77 — 15%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 BOOSTRIX INJ 0.5ML UNDER 7YRS (DPT) $178.08 $209.50 $30.35–$199.03 387% above 15%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 BOOSTRIX INJ 0.5ML UNDER 7YRS (DPT) $178.08 $209.50 $30.35–$199.03 — 15%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE(FLUARIX) INJ 25 $61.38 $72.21 $22.35–$68.60 169% above 15%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACCINE(FLUARIX) INJ 25 $61.38 $72.21 $22.35–$68.60 — 15%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT IM $51.94 $61.10 $34.22–$70.39 52% below 15%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Adult Vacc (Havrix A Adult) $175.95 $207.00 $70.39–$196.65 61% above 15%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT IM $51.94 $61.10 $34.22–$70.39 — 15%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Adult Vacc (Havrix A Adult) $175.95 $207.00 $70.39–$196.65 — 15%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B ADULT VACCINE 3 DOSE REGIMEN $42.76 $50.30 $28.17–$70.38 47% below 15%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Adult Vacc (Engerix B Adult) $284.33 $334.50 $70.38–$317.78 254% above 15%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B ADULT VACCINE 3 DOSE REGIMEN $42.76 $50.30 $28.17–$70.38 — 15%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Adult Vacc (Engerix B Adult) $284.33 $334.50 $70.38–$317.78 — 15%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAX HIB SOLN 7.5MCG $61.71 $72.60 $30.53–$68.97 54% above 15%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 PEDVAX HIB SOLN 7.5MCG $61.71 $72.60 $30.53–$68.97 — 15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 INJECTION $344.08 $404.80 $226.69–$384.56 51% above 15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 20 IM VACCINE $715.46 $841.72 $257.99–$799.63 214% above 15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 13 INJECTION $344.08 $404.80 $226.69–$384.56 — 15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 20 IM VACCINE $715.46 $841.72 $257.99–$799.63 — 15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 INJ 25MCG 0.5ML [Pneumoco $199.24 $234.40 $131.26–$222.68 38% above 15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX *IFC* 23 INJ 25MCG $199.24 $234.40 $131.26–$222.68 38% above 15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX *IFC* 23 INJ 25MCG $199.24 $234.40 $131.26–$222.68 — 15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 INJ 25MCG 0.5ML [Pneumoco $199.24 $234.40 $131.26–$222.68 — 15%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL INJECTION 80 D ANTIGEN U/0.5ML $1,353.20 $1,592.00 $45.41–$1,512.40 2316% above 15%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL INJECTION 80 D ANTIGEN U/0.5ML $1,353.20 $1,592.00 $45.41–$1,512.40 — 15%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE *IFC* $358.11 $421.30 $168.13–$784.20 31% below 15%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE $984.03 $1,157.68 $168.13–$1,099.80 91% above 15%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE *IFC* $358.11 $421.30 $168.13–$784.20 — 15%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE $984.03 $1,157.68 $168.13–$1,099.80 — 15%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus/Diphtheria INJ (TENIVAC) Td $158.53 $186.50 $27.82–$177.18 247% above 15%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus/Diphtheria INJ (TENIVAC) Td $158.53 $186.50 $27.82–$177.18 — 15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX INJ 0.5ML OVER 7YRS (Tdap) $122.96 $144.66 $38.29–$137.43 86% above 15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX *IFC* INJ 0.5ML DTAP $178.08 $209.50 $38.29–$199.03 170% above 15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL INJ 1DOSE [DIPTH/PERTUS/TETANUS] $178.08 $209.50 $38.29–$199.03 170% above 15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX INJ 0.5ML OVER 7YRS (Tdap) $122.96 $144.66 $38.29–$137.43 — 15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX *IFC* INJ 0.5ML DTAP $178.08 $209.50 $38.29–$199.03 — 15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL INJ 1DOSE [DIPTH/PERTUS/TETANUS] $178.08 $209.50 $38.29–$199.03 — 15%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 VIVOTIF BERNA TYPHOID VACCINE EC CAP 1EA $49.13 $57.80 $32.37–$108.80 132% above 15%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 VIVOTIF BERNA TYPHOID VACCINE EC CAP 1EA $49.13 $57.80 $32.37–$108.80 — 15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION: ONE VACCINE $123.25 $145.00 $12.00–$173.53 435% above 15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE $123.25 $145.00 $12.00–$173.53 435% above 15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION ONE VACCINE $123.25 $145.00 $12.00–$173.53 435% above 15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION ONE VACCINE $123.25 $145.00 $12.00–$173.53 — 15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION: ONE VACCINE $123.25 $145.00 $12.00–$173.53 — 15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE $123.25 $145.00 $12.00–$173.53 — 15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADDT'L VACC $62.05 $73.00 $7.00–$69.35 217% above 15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN ADDTL VACCINE $62.05 $73.00 $7.00–$69.35 217% above 15%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN ADDTL VACCINE $62.05 $73.00 $7.00–$69.35 — 15%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADDT'L VACC $62.05 $73.00 $7.00–$69.35 — 15%

Source file: https://www.hillsdalehospital.com/wp-content/uploads/2022/06/2026-386005550_Hillsdale-Hospital_standardcharges.csv