Lady of the Sea General Hospital
Listed in its price file as “Lafourche Parish Hospital Service District No. 1”.
Lady of the Sea General Hospital in Cut Off, LA publishes cash prices for 208 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 above the Louisiana median for 188 of 203 procedures and below it for 12. By typical cash price it ranks #37 of 40 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
200 W 134th Place, Cut Off, LA 70345 Collected Sep 29, 2026 Source price file (985) 632-6401
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 191325 · CMS hospital register NPI 1407883341
The price file shows no self-pay discount
For 1429 of the 1429 prices listed here, the cash price in Lady of the Sea General Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW ESOPHAGRAM | $305.91 | $305.91 | $20.17–$288.11 | 19% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW | $411.59 | $411.59 | $20.17–$288.11 | 60% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW ESOPHAGRAM | $305.91 | $305.91 | $20.17–$288.11 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW | $411.59 | $411.59 | $20.17–$288.11 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W AND WO CONTR | $2,600.75 | $2,600.75 | $84.52–$1,820.53 | 132% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W AND WO CONTR | $2,600.75 | $2,600.75 | $84.52–$1,820.53 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO | $2,678.00 | $2,678.00 | $79.71–$1,874.60 | 79% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE WO CT ABD AND PELVIS WO | $2,678.00 | $2,678.00 | $79.71–$1,874.60 | 79% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO | $2,678.00 | $2,678.00 | $79.71–$1,874.60 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT RENAL STONE WO CT ABD AND PELVIS WO | $2,678.00 | $2,678.00 | $79.71–$1,874.60 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W | $3,296.00 | $3,296.00 | $83.51–$2,307.20 | 85% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W | $3,296.00 | $3,296.00 | $83.51–$2,307.20 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELV WWO 1 OR BOTH REGIONS | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | 131% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT RENAL STONE W AND WO CT ABD PELV WWO | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | 131% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD WWO PELVIS W | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | 131% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD W PELVIS WWO | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | 131% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELV WWO 1 OR BOTH REGIONS | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT RENAL STONE W AND WO CT ABD PELV WWO | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD WWO PELVIS W | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD W PELVIS WWO | $4,145.75 | $4,145.75 | $92.53–$2,902.03 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $1,854.00 | $1,854.00 | $56.02–$1,297.80 | 91% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST | $1,854.00 | $1,854.00 | $56.02–$1,297.80 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONTRAST | $1,339.00 | $1,339.00 | $52.15–$937.30 | 65% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONTRAST | $1,339.00 | $1,339.00 | $52.15–$937.30 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL SINUS WO CONTRAST | $1,339.00 | $1,339.00 | $49.93–$937.30 | 101% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLO FACIAL SINUS WO CONTRAST | $1,339.00 | $1,339.00 | $49.93–$937.30 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $1,442.00 | $1,442.00 | $37.46–$1,009.40 | 111% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $1,442.00 | $1,442.00 | $37.46–$1,009.40 | — | — |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $1,957.00 | $1,957.00 | $49.61–$1,369.90 | 146% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST | $1,957.00 | $1,957.00 | $49.61–$1,369.90 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W AND WO CONTRAST | $2,266.00 | $2,266.00 | $56.03–$1,586.20 | 134% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W AND WO CONTRAST | $2,266.00 | $2,266.00 | $56.03–$1,586.20 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE TRAUMA REFORMATTED FROM ABDOM | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | 79% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE WO CONTRAST | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | 79% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE WO CONTRAST | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE TRAUMA REFORMATTED FROM ABDOM | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE WO CONTRAST | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | 80% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE WO CONTRAST | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $1,957.00 | $1,957.00 | $50.87–$1,369.90 | 126% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $1,957.00 | $1,957.00 | $50.87–$1,369.90 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID COMPLETE AND BILATERAL | $669.50 | $669.50 | $31.31–$476.55 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID COMPLETE AND BILATERAL | $669.50 | $669.50 | $31.31–$476.55 | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST OBLIQUES ONLY 2 VIEWS | $166.86 | $166.86 | $9.91–$216.73 | 17% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $166.86 | $166.86 | $9.91–$216.73 | 17% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST DECUBITUS 2 VIEW | $166.86 | $166.86 | $9.91–$216.73 | 17% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST W FLOURO 2 VIEWS | $309.62 | $309.62 | $9.91–$216.73 | 118% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $166.86 | $166.86 | $9.91–$216.73 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST OBLIQUES ONLY 2 VIEWS | $166.86 | $166.86 | $9.91–$216.73 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST DECUBITUS 2 VIEW | $166.86 | $166.86 | $9.91–$216.73 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST W FLOURO 2 VIEWS | $309.62 | $309.62 | $9.91–$216.73 | — | — |
| Chest X-ray, single view CPT 71045 CHEST OBLIQUES ONLY 1 VIEW | $127.93 | $127.93 | $8.31–$89.55 | 4% above | — |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $127.93 | $127.93 | $8.31–$89.55 | 4% above | — |
| Chest X-ray, single view CPT 71045 CHEST DECUBITUS 1 VIEW | $127.93 | $127.93 | $8.31–$89.55 | 4% above | — |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW LORDOTIC ONLY | $127.93 | $127.93 | $8.31–$89.55 | 4% above | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $127.93 | $127.93 | $8.31–$89.55 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST DECUBITUS 1 VIEW | $127.93 | $127.93 | $8.31–$89.55 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW LORDOTIC ONLY | $127.93 | $127.93 | $8.31–$89.55 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST OBLIQUES ONLY 1 VIEW | $127.93 | $127.93 | $8.31–$89.55 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE | $437.75 | $437.75 | $32.31–$306.43 | 47% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMPLETE | $437.75 | $437.75 | $32.31–$306.43 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY STUDY AXIAL 1 OR MORE | $412.00 | $412.00 | $7.56–$288.40 | 108% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY STUDY AXIAL 1 OR MORE | $412.00 | $412.00 | $7.56–$288.40 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY STUDY APPENDICULAR | $103.00 | $103.00 | $7.79–$72.10 | at median | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY STUDY APPENDICULAR | $103.00 | $103.00 | $7.79–$72.10 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | 86% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST | $1,442.00 | $1,442.00 | $50.87–$1,009.40 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $1,957.00 | $1,957.00 | $54.37–$1,369.90 | 98% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST | $1,957.00 | $1,957.00 | $54.37–$1,369.90 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO 3D BILATERAL DX W ICAD | $437.75 | $437.75 | $44.28–$306.43 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO 3D BILATERAL DX W ICAD | $437.75 | $437.75 | $44.28–$306.43 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXTREMITY BILATERAL ARTERIAL | $772.50 | $772.50 | $30.57–$540.75 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LOWER EXTREMITY BILATERAL ARTERIAL | $772.50 | $772.50 | $30.57–$540.75 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LEGS BILATERAL VENOUS | $772.50 | $772.50 | $36.26–$540.75 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US ARMS BILATERAL VENOUS | $772.50 | $772.50 | $36.26–$540.75 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US ARMS BILATERAL VENOUS | $772.50 | $772.50 | $36.26–$540.75 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LEGS BILATERAL VENOUS | $772.50 | $772.50 | $36.26–$540.75 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D-MM WITH DOPPLER & COLOR FLOW | $1,666.95 | $1,666.95 | $317.37–$1,352.34 | 105% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D-MM WITH DOPPLER & COLOR FLOW | $1,666.95 | $1,666.95 | $317.37–$1,352.34 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIMITED SNGL ORGN QUADRANT FOL UP | $463.50 | $463.50 | $25.95–$324.45 | 46% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $463.50 | $463.50 | $25.95–$324.45 | 46% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $463.50 | $463.50 | $25.95–$324.45 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIMITED SNGL ORGN QUADRANT FOL UP | $463.50 | $463.50 | $25.95–$324.45 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING WO CONTRAST | $1,442.00 | $1,442.00 | $48.30–$1,009.40 | 829% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING WO CONTRAST | $1,442.00 | $1,442.00 | $48.30–$1,009.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER RT EXT JNT ANKLE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | 83% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER LT EXT JNT ANKLE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | 83% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER LT EXT JNT HIP WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | 83% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER LT EXT JNT KNEE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | 83% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER RT EXT JNT HIP WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | 83% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER RT EXT JNT KNEE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | 83% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER LT EXT JNT HIP WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER RT EXT JNT KNEE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER LT EXT JNT ANKLE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER LT EXT JNT KNEE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER RT EXT JNT ANKLE WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER RT EXT JNT HIP WO CONTRAS | $1,985.84 | $1,985.84 | $59.21–$1,390.09 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER RT EXT JNT HIP W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | 85% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER RT EXT JNT ANKLE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | 85% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER LT EXT JNT ANKLE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | 85% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER RT EXT JNT KNEE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | 85% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER LT EXT JNT KNEE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | 85% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER LT EXT JNT HIP W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | 85% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER RT EXT JNT HIP W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER LT EXT JNT KNEE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER LT EXT JNT HIP W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER LT EXT JNT ANKLE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER RT EXT JNT KNEE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER RT EXT JNT ANKLE W AND WO CON | $2,508.05 | $2,508.05 | $887.45–$1,755.64 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $1,768.51 | $1,768.51 | $63.97–$1,237.96 | 66% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST | $1,768.51 | $1,768.51 | $63.97–$1,237.96 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W AND WO CONTRAST | $2,703.75 | $2,703.75 | $99.20–$1,892.63 | 100% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W AND WO CONTRAST | $2,703.75 | $2,703.75 | $99.20–$1,892.63 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $2,065.15 | $2,065.15 | $65.31–$1,445.61 | 83% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $2,065.15 | $2,065.15 | $65.31–$1,445.61 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W AND WO CONTRAST | $2,584.27 | $2,584.27 | $103.65–$1,808.99 | 79% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W AND WO CONTRAST | $2,584.27 | $2,584.27 | $103.65–$1,808.99 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $1,755.12 | $1,755.12 | $65.31–$1,228.58 | 39% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $1,755.12 | $1,755.12 | $65.31–$1,228.58 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W AND WO CONTRAST | $2,513.20 | $2,513.20 | $103.65–$1,759.24 | 80% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W AND WO CONTRAST | $2,513.20 | $2,513.20 | $103.65–$1,759.24 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-T-SPINE W/O CONTRAST | $1,706.00 | $1,706.00 | $70.40–$1,230.03 | 44% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST | $1,757.18 | $1,757.18 | $70.40–$1,230.03 | 49% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-T-SPINE W/O CONTRAST | $1,706.00 | $1,706.00 | $70.40–$1,230.03 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE WO CONTRAST | $1,757.18 | $1,757.18 | $70.40–$1,230.03 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W AND WO CONTRAST | $2,522.47 | $2,522.47 | $112.93–$1,765.73 | 40% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W AND WO CONTRAST | $2,522.47 | $2,522.47 | $112.93–$1,765.73 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE WO CONTRAST | $1,755.12 | $1,755.12 | $70.39–$1,228.58 | 46% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE WO CONTRAST | $1,755.12 | $1,755.12 | $70.39–$1,228.58 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W AND WO CONTRAST | $2,694.48 | $2,694.48 | $894.99–$1,886.14 | 105% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W AND WO CONTRAST | $2,694.48 | $2,694.48 | $894.99–$1,886.14 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT CONTRAST | $2,044.55 | $2,044.55 | $63.97–$1,431.19 | 93% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WITHOUT CONTRAST | $2,044.55 | $2,044.55 | $63.97–$1,431.19 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER RT EXTREMITY JOINT WO CONTRAS | $1,930.22 | $1,930.22 | $59.21–$1,351.15 | 79% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER LT EXTREMITY JOINT WO CONTRAS | $1,930.22 | $1,930.22 | $59.21–$1,351.15 | 79% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER LT EXTREMITY JOINT WO CONTRAS | $1,930.22 | $1,930.22 | $59.21–$1,351.15 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER RT EXTREMITY JOINT WO CONTRAS | $1,930.22 | $1,930.22 | $59.21–$1,351.15 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR FUP | $566.50 | $566.50 | $16.67–$396.55 | 162% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED OR FUP | $566.50 | $566.50 | $16.67–$396.55 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMPLETE | $618.00 | $618.00 | $30.40–$432.60 | 79% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB COMPLETE | $618.00 | $618.00 | $30.40–$432.60 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >1ST TRI SGL OR 1ST GEST | $566.50 | $566.50 | $43.79–$396.55 | 91% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >1ST TRI SGL OR 1ST GEST | $566.50 | $566.50 | $43.79–$396.55 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRI SGL OR 1ST GEST | $463.50 | $463.50 | $43.79–$324.45 | 71% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRI SGL OR 1ST GEST | $463.50 | $463.50 | $43.79–$324.45 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $437.75 | $437.75 | $29.10–$306.43 | 146% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $437.75 | $437.75 | $29.10–$306.43 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO 3D BILATERAL SCREENING W ICAD | $412.00 | $412.00 | $33.64–$288.40 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO 3D BILATERAL SCREENING W ICAD | $412.00 | $412.00 | $33.64–$288.40 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW | $349.48 | $349.48 | $23.03–$244.64 | 44% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BARIUM SWALLOW | $349.48 | $349.48 | $23.03–$244.64 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL | $618.00 | $618.00 | $30.40–$432.60 | 148% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAGINAL | $618.00 | $618.00 | $30.40–$432.60 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $489.25 | $489.25 | $33.24–$342.48 | 135% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $489.25 | $489.25 | $33.24–$342.48 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $540.75 | $540.75 | $35.86–$378.53 | 53% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $540.75 | $540.75 | $35.86–$378.53 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $463.50 | $463.50 | $28.17–$324.45 | 83% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $463.50 | $463.50 | $28.17–$324.45 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK THYROID | $463.50 | $463.50 | $24.29–$324.45 | 59% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK THYROID | $463.50 | $463.50 | $24.29–$324.45 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $135.34 | $135.34 | $8.32–$94.74 | 12% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $135.34 | $135.34 | $8.32–$94.74 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE 2 OR 3 VIEWS | $192.82 | $192.82 | $9.61–$134.97 | 13% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L SPINE 2 OR 3 VIEWS | $192.82 | $192.82 | $9.61–$134.97 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 L SPINE MINIMUM 4 VIEWS | $268.83 | $268.83 | $13.42–$188.18 | 11% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 L SPINE MINIMUM 4 VIEWS | $268.83 | $268.83 | $13.42–$188.18 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T SPINE 2 VIEWS | $176.13 | $176.13 | $9.61–$123.29 | 4% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T SPINE 2 VIEWS | $176.13 | $176.13 | $9.61–$123.29 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NOSE COMPLETE | $155.74 | $155.74 | $7.69–$109.02 | 22% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE COMPLETE | $155.74 | $155.74 | $7.69–$109.02 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 2 OR 3 VIEWS | $183.55 | $183.55 | $9.61–$128.49 | 17% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 2 OR 3 VIEWS | $183.55 | $183.55 | $9.61–$128.49 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS | $137.20 | $137.20 | $7.69–$96.04 | 19% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS | $137.20 | $137.20 | $7.69–$96.04 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX | $153.88 | $153.88 | $7.70–$107.72 | 12% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX | $153.88 | $153.88 | $7.70–$107.72 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT | $62.83 | $62.83 | $3.11–$43.98 | 132% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT | $62.83 | $62.83 | $3.11–$43.98 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT | $58.71 | $58.71 | $3.03–$41.10 | 108% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST SGOT | $58.71 | $58.71 | $3.03–$41.10 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL 4 ACUTE A+B+C | $437.75 | $437.75 | $27.95–$306.43 | 171% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL SCREEN A+B+C | $437.75 | $437.75 | $27.95–$306.43 | 171% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL SCREEN A+B+C | $437.75 | $437.75 | $27.95–$306.43 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL 4 ACUTE A+B+C | $437.75 | $437.75 | $27.95–$306.43 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .BALD CYPRESS TREE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .WILLOW TREE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .WHITE BEAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .WALNUT TREE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .TURKEY FOOD | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .SWORDFISH | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .SWEET CHESTNUT | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .RHIZOPUS NIGRICANS | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .RAGWEED FALSE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .PUMPKIN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .POTATO SWEET | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .PINTO BEAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .PINE AUSTRALIAN TREE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .PEPPERCORN GREEN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .PEPPER CAYENNE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .PENICILLIUM BREVICOM | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .PARSLEY | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .OYSTER MUSHROOM IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .OVOMUCOID | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .OVALBUMIN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .OLIVE TREE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .OLIVE BLACK | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .OAK LIVE VIRGINIA | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .MANGO IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .MALT FOOD | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .LIME F306-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .LIMA BEAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .LENTIL | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .LAMB FOOD IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .KOCHIA | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .KIDNEY BEAN RED BEAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .HORSE EPITHELIA DANDAR | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .HORMODENDRUM HORDEI | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .HOP FOOD | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .HELMINTHOSPORIUM HALODES | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .GUINEA PIG EPITHELIA | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .GREEN PEA | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .GREEN BEAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .GOLDEN HAMSTER EPITHELIAL | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .GLUTEN IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .FUSARIUM MONILIFORME | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .FORMALDEHYDE IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .FISH SHELL MIX | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .EGG YOLK | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .DERMATOPHAGOIDES PTERONYSSINUS | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .DERMATOPHAGOIDES FARINAE MITE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .CURRY FOOD | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .CUMIN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .COW DANDER | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .COFFEE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .COCKROACH GERMAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .COCKLEBUR | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .CHICKEN FEATHERS | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .CHEDDAR CHEESE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .CANTALOUPE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .BUCKWHEAT FOOD IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .BLUE CHEESE MOLD | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .BIRCH COMMON SILVER | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .BEECH AMERICAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GINGER F270-1GE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ASPARAGUS | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ARATH | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN PROFILE NUTS | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN PROFILE FALL WEED | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 YEAST F045-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW TREE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH F384-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE T016-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BEAN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT F004-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON F329-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WASP, PAPER 1004-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT F256-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALLEYE PIKE F415-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 W5-GLIADIN (TRI-19) OR (RTRI A 19) | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA F234-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY FOOD | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY FEATHERS E089-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA F040-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TROUT F204-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO F025-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS G006-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA F414-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 THISTLE RUSSIAN | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TANGERINE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWORDFISH | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM TREE T211-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET CHESTNUT | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE F044 | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM HERBARUM M010-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYS ATRA M024-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN F014-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP F024-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL W018-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SETOMELANOMMA ROSTRAT M008-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED F010-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP F338-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON F041-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS PERENNIAL G005-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RYE F005-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE F009-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED SNAPPER IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED FIRE ANT IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY IGE F044 | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED SHORT W001-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED GIANT W003-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED FALSE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT EPITHELIA E082-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 POTATO WHITE F035-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 POTATO SWEET | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK F026-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PLUM F255 | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN ENGLISH W009-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO NUT F203-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINTO BEAN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT PIGNOLES F253-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE AUSTRALIAN TREE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED COMMON W014-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE M013-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEPPERCORN GREEN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER CAYENNE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM CHRYSOGEN M001-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM BREVICOM | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G C001-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT F201-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN HICKORY T022-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEAR F094-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT F013-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEACH F095-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA/SWEET PEPPER F218-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER MUSHROOM IGE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER F290-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OVOMUCOID | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OVALBUMIN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS G003-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE F033 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ONION F048 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE BLACK | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT F007-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK WHITE T007-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK LIVE/VIRGINIA T218-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK LIVE VIRGINIA | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE W020 | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSSEL F037-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM F212-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY T070-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT W006-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSIS M004-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE E072-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM E071-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK F002-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELON F087 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MARSH ELDER W016-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE LEAF SYCAMORE T011-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE BOX ELDER T001-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MANGO IGE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MANGO F091 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MALT FOOD | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL F050-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT F345-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER F080-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIME F306-IGE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIMA BEAN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE F215-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LENTIL | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LEMON F208-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX K082-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS W010-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB FOOD IGE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 KOCHIA | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 KIWI FRUIT F084-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 KIDNEY BEAN RED BEAN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS G010-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST HOLLISTER H002-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE EPITHELIA DANDAR | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORMODENDRUM HORDEI | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOP FOOD | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY T041-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM HALODES | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT FILBERT F017-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAMSTER EPITHELIUM E084-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT F303-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HACKBERRY T044-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GUINEA PIG EPITHELIA | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEA | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE F259-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS E070-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOLDEN HAMSTER EPITHELIAL | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IGE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN F079-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACACIA GUM F297-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALDER GREY T002-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FALL WEED | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE NUTS | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE SPRING TREE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE SUMMER GRASS | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, PEANUT, IGE W REFLEX | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND F020-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA M006-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLOYL C006-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 APPLE IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT F237 | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ARATH | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASH WHITE T015-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPARAGUS | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS M003-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDI PULLULANS M012-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO F096-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS G017-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BALD CYPRESS T037-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BALD CYPRESS TREE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA F092-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY F006 - IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEECH AMERICAN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF F027-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEET F319 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BELL PEPER GREEN F263 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS G002-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH COMMON SILVER | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH T003-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER F280-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUE CHEESE MOLD | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY F288-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEGRASS KENTUCKY G008-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT F018-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT FOOD IGE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE F216 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS M005-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOUPE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARELESS WEED W082-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARROT F031-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT F202-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER E001-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH F369-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR MOUNTAIN T006-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR RED T057-IgE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEFACLOR C007-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CELERY F085-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY F242 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN F083-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS E085-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER F279-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE CACAO F093-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON F220 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM M002-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM F207-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH AMERICAN I206-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH GERMAN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT F036-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH F003-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN CULTIVATED G202-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN F008-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD T014-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB F023-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH FRESHWATER F320-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER F244-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CURRY FOOD | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CYPRESS ITALIAN T023-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE D002-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS D001-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DATE F289 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE MITE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER E005-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS E086-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE F001-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE F245-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT F262 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM AMERICAN T008-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPUR M014-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIG F328 IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FISH SHELL MIX | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FLOUNDER F147-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FORMALDEHYDE IGE | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME | $62.83 | $62.83 | — | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM PROLIFERATUM M009-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC F047-IGE | $62.83 | $62.83 | $3.07–$659.72 | 401% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOCKWEED YELLOW W023-IGE | $83.28 | $83.28 | $3.07–$659.72 | 565% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PRIVET LUGUSTRUM T210-IGE | $87.55 | $87.55 | $3.07–$659.72 | 599% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .SULFAMETHOXAZOLE IGE | $106.48 | $106.48 | $3.07–$659.72 | 750% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SULFAMETHOXAZOLE IGE | $106.48 | $106.48 | — | 750% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BASS | $142.82 | $142.82 | — | 1040% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .BASS | $142.82 | $142.82 | $3.07–$659.72 | 1040% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 POMEGRANATE IGE | $175.33 | $175.33 | $3.07–$659.72 | 1299% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER SPINY LANGUST IGE | $225.94 | $225.94 | $3.07–$659.72 | 1703% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERSIMMON IGE | $229.56 | $229.56 | $3.07–$659.72 | 1732% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN PROFILE RESP ZONE 6 PART 2 | $565.47 | $565.47 | $3.07–$659.72 | 4413% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE RESP ZONE 6 PART 2 | $565.47 | $565.47 | — | 4413% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE RESP ZONE 6 PART 1 | $942.45 | $942.45 | — | 7422% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN PROFILE RESP ZONE 6 PART 1 | $942.45 | $942.45 | $3.07–$659.72 | 7422% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH FRESHWATER F320-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINTO BEAN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLOYL C006-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM MONILIFORME | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT PIGNOLES F253-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE AUSTRALIAN TREE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS E085-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED COMMON W014-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .COCKLEBUR | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .CHICKEN FEATHERS | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .CHEDDAR CHEESE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT F031-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .CANTALOUPE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM HALODES | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .BUCKWHEAT FOOD IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIG F328 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .BLUE CHEESE MOLD | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT FILBERT F017-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .BIRCH COMMON SILVER | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT F202-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .BEECH AMERICAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAMSTER EPITHELIUM E084-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .BALD CYPRESS TREE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB F023-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ASPARAGUS | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT F303-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ARATH | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER E001-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN PROFILE NUTS | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HACKBERRY T044-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN PROFILE FALL WEED | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE F001-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST F045-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUINEA PIG EPITHELIA | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW TREE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH F369-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH F384-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEA | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE T016-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO NUT F203-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE BEAN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT F004-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON F329-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WASP, PAPER 1004-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM PROLIFERATUM M009-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE F259-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT F256-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR MOUNTAIN T006-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALLEYE PIKE F415-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS E070-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W5-GLIADIN (TRI-19) OR (RTRI A 19) | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER F244-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA F234-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDEN HAMSTER EPITHELIAL | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY FOOD | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR RED T057-IgE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY FEATHERS E089-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IGE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA F040-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHOLE F245-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT F204-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN F079-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO F025-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEFACLOR C007-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS G006-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GINGER F270-1GE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA F414-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THISTLE RUSSIAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TANGERINE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWORDFISH | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM TREE T211-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET CHESTNUT | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE F044 | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STEMPHYLIUM HERBARUM M010-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STACHYBOTRYS ATRA M024-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN F014-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP F024-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL W018-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUMIN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SETOMELANOMMA ROSTRAT M008-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACACIA GUM F297-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED F010-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY F085-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP F338-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALDER GREY T002-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON F041-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FISH SHELL MIX | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE GRASS PERENNIAL G005-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FALL WEED | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE F005-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE F009-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE NUTS | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZOPUS NIGRICANS | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED SNAPPER IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED FIRE ANT IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY IGE F044 | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED SHORT W001-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CURRY FOOD | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED GIANT W003-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE SPRING TREE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED FALSE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY F242 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT EPITHELIA E082-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE SUMMER GRASS | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO WHITE F035-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE, PEANUT, IGE W REFLEX | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO SWEET | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN F083-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK F026-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND F020-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM F255 | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CYPRESS ITALIAN T023-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLANTAIN ENGLISH W009-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA M006-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT F237 | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PHOMA BETAE M013-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D FARINAE D002-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPERCORN GREEN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARATH | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPER CAYENNE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER F279-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM CHRYSOGEN M001-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASH WHITE T015-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM BREVICOM | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT F262 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G C001-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPARAGUS | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT F201-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE CACAO F093-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN HICKORY T022-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS M003-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR F094-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D PTERONYSSINUS D001-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT F013-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDI PULLULANS M012-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH F095-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON F220 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO F096-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA/SWEET PEPPER F218-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLOUNDER F147-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER MUSHROOM IGE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS G017-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER F290-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM M002-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OVOMUCOID | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BALD CYPRESS T037-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OVALBUMIN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DATE F289 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD GRASS G003-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BALD CYPRESS TREE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE F033 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM F207-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION F048 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA F092-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE TREE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM AMERICAN T008-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE BLACK | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY F006 - IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT F007-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK WHITE T007-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK LIVE/VIRGINIA T218-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK LIVE VIRGINIA | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEECH AMERICAN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE W020 | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE MITE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSSEL F037-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF F027-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM F212-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH AMERICAN I206-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY T070-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEET F319 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT W006-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC F047-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSIS M004-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BELL PEPER GREEN F263 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE E072-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH GERMAN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM E071-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS G002-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK F002-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELON F087 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH COMMON SILVER | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MARSH ELDER W016-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT F036-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE LEAF SYCAMORE T011-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH T003-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE BOX ELDER T001-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .WILLOW TREE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .WHITE BEAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO IGE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .WALNUT TREE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER F280-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .TURKEY FOOD | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO F091 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .SWORDFISH | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH F003-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .SWEET CHESTNUT | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT FOOD | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .RHIZOPUS NIGRICANS | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE CHEESE MOLD | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .RAGWEED FALSE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL F050-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .PUMPKIN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .POTATO SWEET | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT F345-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .PINTO BEAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY F288-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .PINE AUSTRALIAN TREE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .PEPPERCORN GREEN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .PEPPER CAYENNE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER F080-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .PENICILLIUM BREVICOM | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .PARSLEY | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME F306-IGE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .OYSTER MUSHROOM IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEGRASS KENTUCKY G008-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .OVOMUCOID | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA BEAN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .OVALBUMIN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM PURPUR M014-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .OLIVE TREE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE F215-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .OLIVE BLACK | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT F018-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .OAK LIVE VIRGINIA | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTIL | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .MANGO IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN CULTIVATED G202-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .MALT FOOD | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON F208-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .LIME F306-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .LIMA BEAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX K082-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .LENTIL | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER E005-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .LAMB FOOD IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTERS W010-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .KOCHIA | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT FOOD IGE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .KIDNEY BEAN RED BEAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB FOOD IGE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .HORSE EPITHELIA DANDAR | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN F008-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .HORMODENDRUM HORDEI | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KOCHIA | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .HOP FOOD | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE F216 IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .HELMINTHOSPORIUM HALODES | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI FRUIT F084-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .GUINEA PIG EPITHELIA | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FORMALDEHYDE IGE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .GREEN PEA | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIDNEY BEAN RED BEAN | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .GREEN BEAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS M005-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .GOLDEN HAMSTER EPITHELIAL | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS G010-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .GLUTEN IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD T014-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .FUSARIUM MONILIFORME | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST HOLLISTER H002-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .FORMALDEHYDE IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANTALOUPE | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .FISH SHELL MIX | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE EPITHELIA DANDAR | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .EGG YOLK | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS E086-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .DERMATOPHAGOIDES PTERONYSSINUS | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORMODENDRUM HORDEI | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .DERMATOPHAGOIDES FARINAE MITE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARELESS WEED W082-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .CURRY FOOD | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOP FOOD | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .CUMIN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW DANDER | $62.83 | $62.83 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .COW DANDER | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY T041-IGE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .COFFEE | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .COCKROACH GERMAN | $62.83 | $62.83 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOCKWEED YELLOW W023-IGE | $83.28 | $83.28 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PRIVET LUGUSTRUM T210-IGE | $87.55 | $87.55 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SULFAMETHOXAZOLE IGE | $106.48 | $106.48 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .SULFAMETHOXAZOLE IGE | $106.48 | $106.48 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BASS | $142.82 | $142.82 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .BASS | $142.82 | $142.82 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POMEGRANATE IGE | $175.33 | $175.33 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER SPINY LANGUST IGE | $225.94 | $225.94 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERSIMMON IGE | $229.56 | $229.56 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN PROFILE RESP ZONE 6 PART 2 | $565.47 | $565.47 | $3.07–$659.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE RESP ZONE 6 PART 2 | $565.47 | $565.47 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE RESP ZONE 6 PART 1 | $942.45 | $942.45 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .ALLERGEN PROFILE RESP ZONE 6 PART 1 | $942.45 | $942.45 | $3.07–$659.72 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA | $124.63 | $124.63 | $7.60–$87.24 | 162% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IGG/IGA | $124.63 | $124.63 | $7.60–$87.24 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W REFLEX TO 5 BIOMARKER IF POS | $167.89 | $167.89 | $7.09–$117.52 | 227% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $167.89 | $167.89 | $7.09–$117.52 | 227% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA W REFLEX TO TITER & PATTERN | $167.89 | $167.89 | $7.09–$117.52 | 227% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 .ANA IFA | $167.89 | $167.89 | $7.09–$117.52 | 227% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA | $167.89 | $167.89 | — | 227% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA | $167.89 | $167.89 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W REFLEX TO 5 BIOMARKER IF POS | $167.89 | $167.89 | $7.09–$117.52 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA W REFLEX TO TITER & PATTERN | $167.89 | $167.89 | $7.09–$117.52 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 .ANA IFA | $167.89 | $167.89 | $7.09–$117.52 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA QUAL SCREEN | $167.89 | $167.89 | $7.09–$117.52 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP TRIAGE | $349.17 | $349.17 | $19.92–$244.42 | 292% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $349.17 | $349.17 | $19.92–$244.42 | 292% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP | $349.17 | $349.17 | $19.92–$244.42 | 292% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP | $349.17 | $349.17 | $19.92–$244.42 | 292% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $349.17 | $349.17 | $19.92–$244.42 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP | $349.17 | $349.17 | $19.92–$244.42 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP | $349.17 | $349.17 | $19.92–$244.42 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP TRIAGE | $349.17 | $349.17 | $19.92–$244.42 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $231.75 | $231.75 | $4.97–$162.23 | 289% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP PICCOLO | $231.75 | $231.75 | $4.97–$162.23 | 289% above | — |
| Basic metabolic panel (blood test) CPT 80048 .BASIC METABOLIC PANEL CRITICAL | $231.75 | $231.75 | $4.97–$162.23 | 289% above | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL ER | $231.75 | $231.75 | $4.97–$162.23 | 289% above | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL DAILY | $231.75 | $231.75 | $4.97–$162.23 | 289% above | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CRITICAL | $231.75 | $231.75 | — | 289% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 .BASIC METABOLIC PANEL CRITICAL | $231.75 | $231.75 | $4.97–$162.23 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $231.75 | $231.75 | $4.97–$162.23 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL CRITICAL | $231.75 | $231.75 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL DAILY | $231.75 | $231.75 | $4.97–$162.23 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL ER | $231.75 | $231.75 | $4.97–$162.23 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP PICCOLO | $231.75 | $231.75 | $4.97–$162.23 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 .PATH LEVEL IV | $504.70 | $504.70 | $60.04–$353.29 | 522% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV | $504.70 | $504.70 | — | 522% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL IV | $504.70 | $504.70 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 .PATH LEVEL IV | $504.70 | $504.70 | $60.04–$353.29 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD 1 | $136.99 | $136.99 | $6.06–$95.89 | 136% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD 1 | $136.99 | $136.99 | $6.06–$95.89 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $16.48 | $16.48 | $1.26–$11.54 | 80% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CLINIC VENIPUNCTURE | $16.48 | $16.48 | — | 80% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED-VENIPUNCTURE ROUTINE | $16.48 | $16.48 | $1.26–$11.54 | 80% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 .CLINIC VENIPUNCTURE | $16.48 | $16.48 | $1.26–$11.54 | 80% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $16.48 | $16.48 | $1.26–$11.54 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CLINIC VENIPUNCTURE | $16.48 | $16.48 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 .CLINIC VENIPUNCTURE | $16.48 | $16.48 | $1.26–$11.54 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM | $50.47 | $50.47 | $3.29–$35.33 | 199% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE DAILY QUANT | $50.47 | $50.47 | $3.29–$35.33 | 199% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM | $50.47 | $50.47 | $3.29–$35.33 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE DAILY QUANT | $50.47 | $50.47 | $3.29–$35.33 | — | — |
| Blood lead test CPT 83655 LEAD BLOOD PEDIATRIC | $160.68 | $160.68 | $7.10–$112.48 | 296% above | — |
| Blood lead test CPT 83655 .LEAD URINE QUANT | $160.68 | $160.68 | $7.10–$112.48 | 296% above | — |
| Blood lead test CPT 83655 LEAD BLOOD ADULT | $160.68 | $160.68 | $7.10–$112.48 | 296% above | — |
| Blood lead test CPT 83655 LEAD URINE QUANT | $160.68 | $160.68 | — | 296% above | — |
| Blood lead test inpatient CPT 83655 LEAD URINE QUANT | $160.68 | $160.68 | — | — | — |
| Blood lead test inpatient CPT 83655 LEAD BLOOD ADULT | $160.68 | $160.68 | $7.10–$112.48 | — | — |
| Blood lead test inpatient CPT 83655 LEAD BLOOD PEDIATRIC | $160.68 | $160.68 | $7.10–$112.48 | — | — |
| Blood lead test inpatient CPT 83655 .LEAD URINE QUANT | $160.68 | $160.68 | $7.10–$112.48 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST URINE | $114.33 | $114.33 | $4.41–$80.03 | 155% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST URINE | $114.33 | $114.33 | $4.41–$80.03 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .BLOOD GROUP ABO | $53.56 | $53.56 | $1.75–$37.49 | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP ABO | $53.56 | $53.56 | — | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD GROUP ABO | $53.56 | $53.56 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 .BLOOD GROUP ABO | $53.56 | $53.56 | $1.75–$37.49 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $70.04 | $70.04 | $3.04–$49.03 | 115% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $70.04 | $70.04 | $3.04–$49.03 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN PCR | $159.65 | $159.65 | $21.11–$111.76 | 81% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN PCR | $159.65 | $159.65 | $21.11–$111.76 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $259.56 | $259.56 | $12.21–$181.69 | 291% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $259.56 | $259.56 | $12.21–$181.69 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN CA 125 | $256.47 | $256.47 | $12.21–$179.53 | 262% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN CA 125 | $256.47 | $256.47 | $12.21–$179.53 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 .CLINIC COVID 19 TESTING | $180.25 | $180.25 | $30.79–$126.18 | 131% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR LOSGH | $180.25 | $180.25 | $30.79–$126.18 | 131% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CLINIC COVID 19 TESTING | $180.25 | $180.25 | — | 131% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 ABBOTT | $180.25 | $180.25 | $30.79–$126.18 | 131% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 94500-6 | $180.25 | $180.25 | $30.79–$126.18 | 131% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 ABBOTT | $180.25 | $180.25 | $30.79–$126.18 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 94500-6 | $180.25 | $180.25 | $30.79–$126.18 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CLINIC COVID 19 TESTING | $180.25 | $180.25 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 .CLINIC COVID 19 TESTING | $180.25 | $180.25 | $30.79–$126.18 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 PCR LOSGH | $180.25 | $180.25 | $30.79–$126.18 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NAA | $220.42 | $220.42 | — | 276% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA NAAT | $220.42 | $220.42 | $20.60–$154.29 | 276% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA NAA | $220.42 | $220.42 | $20.60–$154.29 | 276% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NAAT | $220.42 | $220.42 | — | 276% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .CHLAMYDIA NAAT | $220.42 | $220.42 | $20.60–$154.29 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA NAA | $220.42 | $220.42 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA NAAT | $220.42 | $220.42 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .CHLAMYDIA NAA | $220.42 | $220.42 | $20.60–$154.29 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $180.25 | $180.25 | $7.01–$126.18 | 161% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $180.25 | $180.25 | $7.01–$126.18 | — | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD COUNT | $103.00 | $103.00 | $3.80–$72.10 | 164% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD COUNT ER | $103.00 | $103.00 | $3.80–$72.10 | 164% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC DAILY | $103.00 | $103.00 | $3.80–$72.10 | 164% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE BLOOD COUNT ER | $103.00 | $103.00 | $3.80–$72.10 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC DAILY | $103.00 | $103.00 | $3.80–$72.10 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE BLOOD COUNT | $103.00 | $103.00 | $3.80–$72.10 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL DAILY | $309.00 | $309.00 | $6.20–$216.30 | 176% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $309.00 | $309.00 | $6.20–$216.30 | 176% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL DAILY | $309.00 | $309.00 | $6.20–$216.30 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $309.00 | $309.00 | $6.20–$216.30 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HS D-DIMER TEST | $180.25 | $180.25 | $5.97–$126.18 | 147% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HS D-DIMER TEST | $180.25 | $180.25 | $5.97–$126.18 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $288.40 | $288.40 | $13.05–$201.88 | 292% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $288.40 | $288.40 | $13.05–$201.88 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $334.75 | $334.75 | $16.40–$234.33 | 284% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $334.75 | $334.75 | $16.40–$234.33 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM | $224.54 | $224.54 | $10.91–$157.18 | 256% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM | $224.54 | $224.54 | $10.91–$157.18 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $842.54 | $842.54 | $11.52–$589.78 | 478% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $842.54 | $842.54 | $11.52–$589.78 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL | $202.91 | $202.91 | $7.99–$142.04 | 261% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL | $202.91 | $202.91 | $7.99–$142.04 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE LEVEL | $178.19 | $178.19 | $8.63–$124.73 | 259% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM LC | $178.19 | $178.19 | $8.63–$124.73 | 259% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM LC | $178.19 | $178.19 | $8.63–$124.73 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL | $178.19 | $178.19 | $8.63–$124.73 | — | — |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE SERUM | $276.04 | $276.04 | $5.79–$193.23 | 379% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE SERUM | $276.04 | $276.04 | $5.79–$193.23 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $136.99 | $136.99 | $5.29–$95.89 | 151% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE | $136.99 | $136.99 | $5.29–$95.89 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT | $286.34 | $286.34 | $14.94–$200.44 | 273% above | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE DIRECT | $286.34 | $286.34 | $14.94–$200.44 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $417.15 | $417.15 | — | 116% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 .GENERAL HEALTH PANEL | $417.15 | $417.15 | $17.17–$292.01 | 116% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 .GENERAL HEALTH PANEL | $417.15 | $417.15 | $17.17–$292.01 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $417.15 | $417.15 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GLUCOSE 2HR PC | $64.89 | $64.89 | $3.98–$90.85 | 204% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PC | $64.89 | $64.89 | — | 204% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1 HR | $129.78 | $129.78 | $3.98–$90.85 | 507% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOL FASTING BLOOD | $129.78 | $129.78 | $3.98–$90.85 | 507% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PC | $64.89 | $64.89 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GLUCOSE 2HR PC | $64.89 | $64.89 | $3.98–$90.85 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE 1 HR | $129.78 | $129.78 | $3.98–$90.85 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOL FASTING BLOOD | $129.78 | $129.78 | $3.98–$90.85 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HR | $129.78 | $129.78 | $10.79–$90.85 | 166% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 4 HR | $129.78 | $129.78 | $10.79–$90.85 | 166% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 5 HR | $129.78 | $129.78 | $10.79–$90.85 | 166% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HR | $129.78 | $129.78 | $10.79–$90.85 | 166% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 5 HR | $129.78 | $129.78 | $10.79–$90.85 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 HR | $129.78 | $129.78 | $10.79–$90.85 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2 HR | $129.78 | $129.78 | $10.79–$90.85 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 4 HR | $129.78 | $129.78 | $10.79–$90.85 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY NAAT | $291.49 | $291.49 | $20.60–$212.70 | 406% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GONORRHOEAE NAA | $303.85 | $303.85 | $20.60–$212.70 | 428% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE NAA | $303.85 | $303.85 | — | 428% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY NAAT | $291.49 | $291.49 | $20.60–$212.70 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHOEAE NAA | $303.85 | $303.85 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .GONORRHOEAE NAA | $303.85 | $303.85 | $20.60–$212.70 | — | — |
| H. pylori antibody blood test CPT 86677 .CLINIC H PYLORIC | $77.25 | $77.25 | $6.82–$136.27 | 2% above | — |
| H. pylori antibody blood test CPT 86677 CLINIC H PYLORIC | $77.25 | $77.25 | — | 2% above | — |
| H. pylori antibody blood test CPT 86677 .H PYLORI AB IGM | $194.67 | $194.67 | $6.82–$136.27 | 157% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB EACH | $194.67 | $194.67 | — | 157% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB IGA | $194.67 | $194.67 | — | 157% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB IGG | $194.67 | $194.67 | — | 157% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB IGM | $194.67 | $194.67 | — | 157% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM IGG IGA ANTIBODIES | $194.67 | $194.67 | — | 157% above | — |
| H. pylori antibody blood test CPT 86677 .H PYLORI AB EACH | $194.67 | $194.67 | $6.82–$136.27 | 157% above | — |
| H. pylori antibody blood test CPT 86677 .H PYLORI AB IGA | $194.67 | $194.67 | $6.82–$136.27 | 157% above | — |
| H. pylori antibody blood test CPT 86677 .H PYLORI AB IGG | $194.67 | $194.67 | $6.82–$136.27 | 157% above | — |
| H. pylori antibody blood test CPT 86677 .H PYLORI IGM IGG IGA ANTIBODIES | $194.67 | $194.67 | $6.82–$136.27 | 157% above | — |
| H. pylori antibody blood test inpatient CPT 86677 CLINIC H PYLORIC | $77.25 | $77.25 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 .CLINIC H PYLORIC | $77.25 | $77.25 | $6.82–$136.27 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 .H PYLORI AB IGM | $194.67 | $194.67 | $6.82–$136.27 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB EACH | $194.67 | $194.67 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGA | $194.67 | $194.67 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGG | $194.67 | $194.67 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGM | $194.67 | $194.67 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM IGG IGA ANTIBODIES | $194.67 | $194.67 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 .H PYLORI AB EACH | $194.67 | $194.67 | $6.82–$136.27 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 .H PYLORI AB IGA | $194.67 | $194.67 | $6.82–$136.27 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 .H PYLORI AB IGG | $194.67 | $194.67 | $6.82–$136.27 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 .H PYLORI IGM IGG IGA ANTIBODIES | $194.67 | $194.67 | $6.82–$136.27 | — | — |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG EIA | $167.89 | $167.89 | $2.73–$117.52 | 155% above | — |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG EIA | $167.89 | $167.89 | $2.73–$117.52 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 QUANT NA +RT | $825.03 | $825.03 | $49.93–$577.52 | 321% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 QUANT RT PCR ONE TIME NO SM | $354.32 | $354.32 | $49.93–$577.52 | 81% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 QUANT RT PCR FOR SERIAL MONITORING | $354.32 | $354.32 | $49.93–$577.52 | 81% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 QUANT NA +RT | $825.03 | $825.03 | $49.93–$577.52 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV 1 QUANT RT PCR ONE TIME NO SM | $354.32 | $354.32 | $49.93–$577.52 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV 1 QUANT RT PCR FOR SERIAL MONITORING | $354.32 | $354.32 | $49.93–$577.52 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID SCREEN | $302.82 | $302.82 | $6.20–$211.97 | 478% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID SCREEN | $302.82 | $302.82 | $6.20–$211.97 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB ABBOTT | $96.27 | $96.27 | $13.37–$112.48 | 76% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV P24 AG/AB & 1+2 SCREEN W RFLX | $160.68 | $160.68 | $13.37–$112.48 | 193% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB ABBOTT | $96.27 | $96.27 | $13.37–$112.48 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV P24 AG/AB & 1+2 SCREEN W RFLX | $160.68 | $160.68 | $13.37–$112.48 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA | $302.82 | $302.82 | $20.06–$211.97 | 487% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV APTIMA | $302.82 | $302.82 | $20.06–$211.97 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 .CLINIC HGB A1C | $128.75 | $128.75 | $5.70–$90.13 | 161% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CLINIC HGB A1C | $128.75 | $128.75 | — | 161% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C | $128.75 | $128.75 | $5.70–$90.13 | 161% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C | $128.75 | $128.75 | $5.70–$90.13 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CLINIC HGB A1C | $128.75 | $128.75 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 .CLINIC HGB A1C | $128.75 | $128.75 | $5.70–$90.13 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $133.90 | $133.90 | $6.30–$93.73 | 237% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB QUAL | $133.90 | $133.90 | $6.30–$93.73 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP BS AG SCREEN | $124.63 | $124.63 | $6.06–$87.24 | 199% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP BS AG SCREEN | $124.63 | $124.63 | $6.06–$87.24 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C QUAL W REFLEX | $161.71 | $161.71 | — | 176% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 .HEP C QUAL W REFLEX | $161.71 | $161.71 | $8.37–$113.20 | 176% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY | $161.71 | $161.71 | $8.37–$113.20 | 176% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBODY | $161.71 | $161.71 | $8.37–$113.20 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C QUAL W REFLEX | $161.71 | $161.71 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 .HEP C QUAL W REFLEX | $161.71 | $161.71 | $8.37–$113.20 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HEP C VIRAL LOAD QUANT +RT | $556.20 | $556.20 | $25.14–$389.34 | 235% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C ACCUQUANT +RT | $556.20 | $556.20 | — | 235% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV QUANTASURE NGI +RT | $556.20 | $556.20 | $25.14–$389.34 | 235% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HEP C RNA QUANT +RT W REFLEX GENO | $556.20 | $556.20 | $25.14–$389.34 | 235% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD QUANT +RT | $556.20 | $556.20 | — | 235% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HEP C ACCUQUANT +RT | $556.20 | $556.20 | $25.14–$389.34 | 235% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANTASURE NGI +RT | $556.20 | $556.20 | — | 235% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QUANT +RT W REFLEX GENO | $556.20 | $556.20 | — | 235% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR GRAPH | $556.20 | $556.20 | $25.14–$389.34 | 235% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANTASURE NGI +RT | $556.20 | $556.20 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HEP C VIRAL LOAD QUANT +RT | $556.20 | $556.20 | $25.14–$389.34 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV QUANTASURE NGI +RT | $556.20 | $556.20 | $25.14–$389.34 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD QUANT +RT | $556.20 | $556.20 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA QUANT +RT W REFLEX GENO | $556.20 | $556.20 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HEP C ACCUQUANT +RT | $556.20 | $556.20 | $25.14–$389.34 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HEP C RNA QUANT +RT W REFLEX GENO | $556.20 | $556.20 | $25.14–$389.34 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C ACCUQUANT +RT | $556.20 | $556.20 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT PCR GRAPH | $556.20 | $556.20 | $25.14–$389.34 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 .HSV TYPE 1 DNA PCR | $170.98 | $170.98 | $7.74–$159.34 | 308% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 DNA PCR | $170.98 | $170.98 | — | 308% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 SPECIFIC AB IGG | $170.98 | $170.98 | $7.74–$159.34 | 308% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I | $227.63 | $227.63 | — | 443% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 .HERPES SIMPLEX TYPE I | $227.63 | $227.63 | $7.74–$159.34 | 443% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 DNA PCR | $170.98 | $170.98 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 SPECIFIC AB IGG | $170.98 | $170.98 | $7.74–$159.34 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 .HSV TYPE 1 DNA PCR | $170.98 | $170.98 | $7.74–$159.34 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I | $227.63 | $227.63 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 .HERPES SIMPLEX TYPE I | $227.63 | $227.63 | $7.74–$159.34 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $227.63 | $227.63 | — | 378% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 SPECIFIC AB IGG | $227.63 | $227.63 | $11.36–$159.34 | 378% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 .HERPES SIMPLEX TYPE 2 | $227.63 | $227.63 | $11.36–$159.34 | 378% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $227.63 | $227.63 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HERPES SIMPLEX TYPE 2 | $227.63 | $227.63 | $11.36–$159.34 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 SPECIFIC AB IGG | $227.63 | $227.63 | $11.36–$159.34 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN CARDIAC | $144.20 | $144.20 | $7.60–$100.94 | 225% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN CARDIAC | $144.20 | $144.20 | $7.60–$100.94 | — | — |
| Homocysteine blood test CPT 83090 .HOMOCYSTEINE URINE | $373.89 | $373.89 | $9.90–$353.29 | 490% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE URINE | $373.89 | $373.89 | — | 490% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA | $373.89 | $373.89 | $9.90–$353.29 | 490% above | — |
| Homocysteine blood test CPT 83090 .HOMOCYSTEINE PLASMA QUAL V T PROFILE | $504.70 | $504.70 | $9.90–$353.29 | 697% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA QUAL V T PROFILE | $504.70 | $504.70 | — | 697% above | — |
| Homocysteine blood test inpatient CPT 83090 .HOMOCYSTEINE URINE | $373.89 | $373.89 | $9.90–$353.29 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE URINE | $373.89 | $373.89 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA | $373.89 | $373.89 | $9.90–$353.29 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA QUAL V T PROFILE | $504.70 | $504.70 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 .HOMOCYSTEINE PLASMA QUAL V T PROFILE | $504.70 | $504.70 | $9.90–$353.29 | — | — |
| Insulin blood test CPT 83525 .INSULIN TOTAL | $136.99 | $136.99 | $6.71–$95.89 | 251% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $136.99 | $136.99 | — | 251% above | — |
| Insulin blood test CPT 83525 INSULIN | $136.99 | $136.99 | $6.71–$95.89 | 251% above | — |
| Insulin blood test inpatient CPT 83525 .INSULIN TOTAL | $136.99 | $136.99 | $6.71–$95.89 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN | $136.99 | $136.99 | $6.71–$95.89 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $136.99 | $136.99 | — | — | — |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $99.91 | $99.91 | $3.15–$69.94 | 192% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $99.91 | $99.91 | $3.15–$69.94 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $123.60 | $123.60 | $5.13–$86.52 | 189% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY | $123.60 | $123.60 | $5.13–$86.52 | — | — |
| Kidney function blood test panel CPT 80069 RENAL PROFILE | $180.25 | $180.25 | $5.09–$126.18 | 169% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE | $180.25 | $180.25 | $5.09–$126.18 | — | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE LH S | $226.60 | $226.60 | $10.87–$158.62 | 265% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE LH S | $226.60 | $226.60 | $10.87–$158.62 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $114.33 | $114.33 | $4.04–$80.03 | 182% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE DAILY | $114.33 | $114.33 | $4.04–$80.03 | 182% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $114.33 | $114.33 | $4.04–$80.03 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE DAILY | $114.33 | $114.33 | $4.04–$80.03 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PROFILE DAILY | $180.25 | $180.25 | — | 148% above | — |
| Liver function blood test panel CPT 80076 LIVER PANEL PICCOLO | $180.25 | $180.25 | $4.80–$126.18 | 148% above | — |
| Liver function blood test panel CPT 80076 .HEPATIC FUNCTION PROFILE DAILY | $180.25 | $180.25 | $4.80–$126.18 | 148% above | — |
| Liver function blood test panel CPT 80076 LIVER FUNCTION PROFILE | $180.25 | $180.25 | $4.80–$126.18 | 148% above | — |
| Liver function blood test panel inpatient CPT 80076 .HEPATIC FUNCTION PROFILE DAILY | $180.25 | $180.25 | $4.80–$126.18 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PROFILE DAILY | $180.25 | $180.25 | — | — | — |
| Liver function blood test panel inpatient CPT 80076 LIVER FUNCTION PROFILE | $180.25 | $180.25 | $4.80–$126.18 | — | — |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL PICCOLO | $180.25 | $180.25 | $4.80–$126.18 | — | — |
| Lyme disease antibody test CPT 86618 .LYME DISEASE IGG/IGM AB | $232.78 | $232.78 | $10.00–$162.95 | 291% above | — |
| Lyme disease antibody test CPT 86618 .LYME DISEASE ABM IGM | $232.78 | $232.78 | $10.00–$162.95 | 291% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE IGG/IGM AB | $232.78 | $232.78 | — | 291% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ABM IGM | $232.78 | $232.78 | — | 291% above | — |
| Lyme disease antibody test CPT 86618 LYME ANTIBODIES SERUM REFL TO IGG & IGM | $232.78 | $232.78 | $10.00–$162.95 | 291% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODIES SERUM REFL TO IGG & IGM | $232.78 | $232.78 | $10.00–$162.95 | — | — |
| Lyme disease antibody test inpatient CPT 86618 .LYME DISEASE IGG/IGM AB | $232.78 | $232.78 | $10.00–$162.95 | — | — |
| Lyme disease antibody test inpatient CPT 86618 .LYME DISEASE ABM IGM | $232.78 | $232.78 | $10.00–$162.95 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ABM IGM | $232.78 | $232.78 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGG/IGM AB | $232.78 | $232.78 | — | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $87.55 | $87.55 | $3.93–$303.69 | 197% above | — |
| Magnesium blood test CPT 83735 .MAGNESIUM URINE | $87.55 | $87.55 | $3.93–$303.69 | 197% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $87.55 | $87.55 | — | 197% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM ER | $87.55 | $87.55 | $3.93–$303.69 | 197% above | — |
| Magnesium blood test CPT 83735 CHEM 8 ER | $87.55 | $87.55 | $3.93–$303.69 | 197% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE | $135.90 | $135.90 | $3.93–$303.69 | 360% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $135.90 | $135.90 | $3.93–$303.69 | 360% above | — |
| Magnesium blood test CPT 83735 .MAGNESIUM RANDOM URINE | $433.84 | $433.84 | $3.93–$303.69 | 1370% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE | $433.84 | $433.84 | — | 1370% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM ER | $87.55 | $87.55 | $3.93–$303.69 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $87.55 | $87.55 | — | — | — |
| Magnesium blood test inpatient CPT 83735 CHEM 8 ER | $87.55 | $87.55 | $3.93–$303.69 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM | $87.55 | $87.55 | $3.93–$303.69 | — | — |
| Magnesium blood test inpatient CPT 83735 .MAGNESIUM URINE | $87.55 | $87.55 | $3.93–$303.69 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $135.90 | $135.90 | $3.93–$303.69 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE | $135.90 | $135.90 | $3.93–$303.69 | — | — |
| Magnesium blood test inpatient CPT 83735 .MAGNESIUM RANDOM URINE | $433.84 | $433.84 | $3.93–$303.69 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDOM URINE | $433.84 | $433.84 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES IGG | $139.05 | $139.05 | $7.56–$97.34 | 259% above | — |
| Measles (rubeola) antibody test CPT 86765 .RUBEOLA VIRUS IGM ANTIBODY | $139.05 | $139.05 | $7.56–$97.34 | 259% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS IGM ANTIBODY | $139.05 | $139.05 | — | 259% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 .RUBEOLA VIRUS IGM ANTIBODY | $139.05 | $139.05 | $7.56–$97.34 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA VIRUS IGM ANTIBODY | $139.05 | $139.05 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES IGG | $139.05 | $139.05 | $7.56–$97.34 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST 5213-4 | $70.04 | $70.04 | $4.34–$49.03 | 99% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $70.04 | $70.04 | $4.34–$49.03 | 99% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $70.04 | $70.04 | $4.34–$49.03 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST 5213-4 | $70.04 | $70.04 | $4.34–$49.03 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $217.33 | $217.33 | $10.79–$152.13 | 250% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $217.33 | $217.33 | $10.79–$152.13 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $217.33 | $217.33 | $10.79–$152.13 | 251% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN | $217.33 | $217.33 | $10.79–$152.13 | 251% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL LC | $217.33 | $217.33 | $10.79–$152.13 | 251% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREEN | $217.33 | $217.33 | $10.79–$152.13 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA | $217.33 | $217.33 | $10.79–$152.13 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL LC | $217.33 | $217.33 | $10.79–$152.13 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IG RFX HPV ASCU | $195.70 | $195.70 | $15.42–$136.99 | 302% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IG IMAGE GUIDED | $195.70 | $195.70 | $15.42–$136.99 | 302% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP IG RFX HPV ASCU | $195.70 | $195.70 | $15.42–$136.99 | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP IG IMAGE GUIDED | $195.70 | $195.70 | $15.42–$136.99 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY CERVICAL OR VAGINAL SPECIMEN | $161.71 | $161.71 | — | 502% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 .CYTOLOGY CERVICAL OR VAGINAL SPECIMEN | $161.71 | $161.71 | $11.53–$113.20 | 502% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 .CYTOLOGY CERVICAL OR VAGINAL SPECIMEN | $161.71 | $161.71 | $11.53–$113.20 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGY CERVICAL OR VAGINAL SPECIMEN | $161.71 | $161.71 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C TERMINAL | $499.55 | $499.55 | — | 311% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 .PTH C TERMINAL | $499.55 | $499.55 | $24.22–$349.69 | 311% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 .PTH N TERMINAL | $499.55 | $499.55 | $24.22–$349.69 | 311% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $499.55 | $499.55 | $24.22–$349.69 | 311% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N TERMINAL | $499.55 | $499.55 | — | 311% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH C TERMINAL | $499.55 | $499.55 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH N TERMINAL | $499.55 | $499.55 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 .PTH C TERMINAL | $499.55 | $499.55 | $24.22–$349.69 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 .PTH N TERMINAL | $499.55 | $499.55 | $24.22–$349.69 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $499.55 | $499.55 | $24.22–$349.69 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .PTT Q12H DAILY | $82.40 | $82.40 | $3.52–$77.87 | 181% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT ER | $82.40 | $82.40 | $3.52–$77.87 | 181% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT ACTIVATED | $82.40 | $82.40 | $3.52–$77.87 | 181% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT DAILY | $82.40 | $82.40 | $3.52–$77.87 | 181% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT Q12H DAILY | $82.40 | $82.40 | — | 181% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT V T PROFILE | $111.24 | $111.24 | — | 279% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .PTT V T PROFILE | $111.24 | $111.24 | $3.52–$77.87 | 279% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT DAILY | $82.40 | $82.40 | $3.52–$77.87 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT ACTIVATED | $82.40 | $82.40 | $3.52–$77.87 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT ER | $82.40 | $82.40 | $3.52–$77.87 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .PTT Q12H DAILY | $82.40 | $82.40 | $3.52–$77.87 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Q12H DAILY | $82.40 | $82.40 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT V T PROFILE | $111.24 | $111.24 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .PTT V T PROFILE | $111.24 | $111.24 | $3.52–$77.87 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $210.12 | $210.12 | $12.24–$542.91 | 198% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $210.12 | $210.12 | $12.24–$542.91 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $217.33 | $217.33 | $11.37–$227.16 | 196% above | — |
| Prolactin blood test CPT 84146 MACROPROLACTIN | $324.51 | $324.51 | $11.37–$227.16 | 342% above | — |
| Prolactin blood test CPT 84146 .MACROPROLACTIN | $324.51 | $324.51 | $11.37–$227.16 | 342% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $217.33 | $217.33 | $11.37–$227.16 | — | — |
| Prolactin blood test inpatient CPT 84146 .MACROPROLACTIN | $324.51 | $324.51 | $11.37–$227.16 | — | — |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN | $324.51 | $324.51 | $11.37–$227.16 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT DAILY | $77.25 | $77.25 | $3.29–$54.08 | 258% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME / INR ER | $77.25 | $77.25 | $3.29–$54.08 | 258% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT & INR | $77.25 | $77.25 | $3.29–$54.08 | 258% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT WITH INR DAILY | $77.25 | $77.25 | $3.29–$54.08 | 258% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT DAILY | $77.25 | $77.25 | $3.29–$54.08 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME / INR ER | $77.25 | $77.25 | $3.29–$54.08 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT & INR | $77.25 | $77.25 | $3.29–$54.08 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT WITH INR DAILY | $77.25 | $77.25 | $3.29–$54.08 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CLINIC URINE DRUG SCREEN | $20.60 | $20.60 | — | 10% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 .CLINIC URINE DRUG SCREEN | $20.60 | $20.60 | $6.28–$46.60 | 10% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CLINIC URINE DRUG SCREEN | $20.60 | $20.60 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 .CLINIC URINE DRUG SCREEN | $20.60 | $20.60 | $6.28–$46.60 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 .CLINIC FLU SWAB | $51.50 | $51.50 | $14.00–$36.05 | 38% above | — |
| Rapid flu test (influenza antigen) CPT 87804 CLINIC FLU SWAB | $51.50 | $51.50 | — | 38% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 CLINIC FLU SWAB | $51.50 | $51.50 | — | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 .CLINIC FLU SWAB | $51.50 | $51.50 | $14.00–$36.05 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A AG RAPID STREP | $101.97 | $101.97 | — | 248% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 .STREP A AG RAPID STREP | $101.97 | $101.97 | $10.06–$71.38 | 248% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 .STREP A AG RAPID STREP | $101.97 | $101.97 | $10.06–$71.38 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A AG RAPID STREP | $101.97 | $101.97 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 .RHEUMATOID FACTOR IGM | $85.49 | $85.49 | $3.33–$59.84 | 217% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGM | $85.49 | $85.49 | — | 217% above | — |
| Rheumatoid factor (RF) test CPT 86431 .RHEUMATOID FACTOR TITER + S ONLY | $85.49 | $85.49 | $3.33–$59.84 | 217% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER + S ONLY | $85.49 | $85.49 | — | 217% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR RF | $85.49 | $85.49 | $3.33–$59.84 | 217% above | — |
| Rheumatoid factor (RF) test CPT 86431 .RHEUMATOID FACTOR IGA | $85.49 | $85.49 | $3.33–$59.84 | 217% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGA | $85.49 | $85.49 | — | 217% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGG | $85.49 | $85.49 | $3.33–$59.84 | 217% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER + S ONLY | $85.49 | $85.49 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR RF | $85.49 | $85.49 | $3.33–$59.84 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR IGM | $85.49 | $85.49 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR IGG | $85.49 | $85.49 | $3.33–$59.84 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR IGA | $85.49 | $85.49 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 .RHEUMATOID FACTOR TITER + S ONLY | $85.49 | $85.49 | $3.33–$59.84 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 .RHEUMATOID FACTOR IGM | $85.49 | $85.49 | $3.33–$59.84 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 .RHEUMATOID FACTOR IGA | $85.49 | $85.49 | $3.33–$59.84 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGM | $160.68 | $160.68 | $8.45–$112.48 | 269% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG | $160.68 | $160.68 | $8.45–$112.48 | 269% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGM | $160.68 | $160.68 | $8.45–$112.48 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGG | $160.68 | $160.68 | $8.45–$112.48 | — | — |
| Stool ova and parasites exam CPT 87177 OCP STOOL | $101.97 | $101.97 | — | 174% above | — |
| Stool ova and parasites exam CPT 87177 .OCP STOOL | $101.97 | $101.97 | $5.13–$71.38 | 174% above | — |
| Stool ova and parasites exam CPT 87177 OVA + PARASITE URINE ONLY | $101.97 | $101.97 | $5.13–$71.38 | 174% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA + PARASITE URINE ONLY | $101.97 | $101.97 | $5.13–$71.38 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OCP STOOL | $101.97 | $101.97 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 .OCP STOOL | $101.97 | $101.97 | $5.13–$71.38 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 CLINIC HEMOCCULT | $15.45 | $15.45 | — | 7% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 .CLINIC HEMOCCULT | $15.45 | $15.45 | $2.72–$31.72 | 7% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD COLON CANCER SCRN FECAL IA | $45.32 | $45.32 | $2.72–$31.72 | 174% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CLINIC HEMOCCULT | $15.45 | $15.45 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .CLINIC HEMOCCULT | $15.45 | $15.45 | $2.72–$31.72 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD COLON CANCER SCRN FECAL IA | $45.32 | $45.32 | $2.72–$31.72 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, RFX QN RPR/CONFIRM TP | $11.30 | $11.30 | $2.50–$49.03 | 43% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W REFLEX TO TITER | $70.04 | $70.04 | $2.50–$49.03 | 256% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $70.04 | $70.04 | $2.50–$49.03 | 256% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, RFX QN RPR/CONFIRM TP | $11.30 | $11.30 | $2.50–$49.03 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $70.04 | $70.04 | $2.50–$49.03 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W REFLEX TO TITER | $70.04 | $70.04 | $2.50–$49.03 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 .TB QUANTIFERON | $489.25 | $489.25 | $36.37–$342.48 | 194% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB QUANTIFERON | $489.25 | $489.25 | — | 194% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 .TB QUANTIFERON | $489.25 | $489.25 | $36.37–$342.48 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB QUANTIFERON | $489.25 | $489.25 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $318.27 | $318.27 | $15.15–$222.79 | 315% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LC/MS | $318.27 | $318.27 | $15.15–$222.79 | 315% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LC/MS | $318.27 | $318.27 | $15.15–$222.79 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $318.27 | $318.27 | $15.15–$222.79 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 .LIVER KIDNEY AB MICROSOMAL | $50.18 | $50.18 | $8.54–$129.78 | 2% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY AB MICROSOMAL | $50.18 | $50.18 | — | 2% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL LKM ANTOBODIES | $88.51 | $88.51 | $8.54–$129.78 | 80% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODIES | $185.40 | $185.40 | — | 278% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE TPO AB | $185.40 | $185.40 | $8.54–$129.78 | 278% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 .THYROID MICROSOMAL ANTIBODIES | $185.40 | $185.40 | $8.54–$129.78 | 278% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES | $185.40 | $185.40 | $8.54–$129.78 | 278% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 .LIVER KIDNEY AB MICROSOMAL | $50.18 | $50.18 | $8.54–$129.78 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY AB MICROSOMAL | $50.18 | $50.18 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL LKM ANTOBODIES | $88.51 | $88.51 | $8.54–$129.78 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES | $185.40 | $185.40 | $8.54–$129.78 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 .THYROID MICROSOMAL ANTIBODIES | $185.40 | $185.40 | $8.54–$129.78 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE TPO AB | $185.40 | $185.40 | $8.54–$129.78 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBODIES | $185.40 | $185.40 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $187.46 | $187.46 | $9.86–$131.22 | 255% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE | $187.46 | $187.46 | $9.86–$131.22 | 255% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W REFLEX TO FT4 | $187.46 | $187.46 | $9.86–$131.22 | 255% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE | $187.46 | $187.46 | $9.86–$131.22 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $187.46 | $187.46 | $9.86–$131.22 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W REFLEX TO FT4 | $187.46 | $187.46 | $9.86–$131.22 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA | $323.42 | $323.42 | $20.11–$226.39 | 430% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA | $323.42 | $323.42 | $20.11–$226.39 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $71.07 | $71.07 | $2.65–$49.75 | 177% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $71.07 | $71.07 | $2.65–$49.75 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 CLINIC UA DIPSTICK AUTO W MICRO | $51.50 | $51.50 | — | 47% above | — |
| Urinalysis with microscope exam, automated CPT 81001 .CLINIC UA DIPSTICK AUTO W MICRO | $51.50 | $51.50 | $2.66–$43.98 | 47% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W REFLEX TO MICROSCOPIC | $62.83 | $62.83 | $2.66–$43.98 | 79% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W REFLEX TO CULTURE | $62.83 | $62.83 | $2.66–$43.98 | 79% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CLINIC UA DIPSTICK AUTO W MICRO | $51.50 | $51.50 | — | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .CLINIC UA DIPSTICK AUTO W MICRO | $51.50 | $51.50 | $2.66–$43.98 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W REFLEX TO CULTURE | $62.83 | $62.83 | $2.66–$43.98 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W REFLEX TO MICROSCOPIC | $62.83 | $62.83 | $2.66–$43.98 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 .CLINIC UA DIPSTICK NONAUTO W MICRO | $51.50 | $51.50 | $2.66–$36.05 | 473% above | — |
| Urinalysis with microscope exam, manual CPT 81000 CLINIC UA DIPSTICK NONAUTO W MICRO | $51.50 | $51.50 | — | 473% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 CLINIC UA DIPSTICK NONAUTO W MICRO | $51.50 | $51.50 | — | — | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .CLINIC UA DIPSTICK NONAUTO W MICRO | $51.50 | $51.50 | $2.66–$36.05 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W REFLEX TO MICROSCOPIC | $36.05 | $36.05 | $1.88–$25.24 | 227% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MICROSCOPIC ONLY | $36.05 | $36.05 | $1.88–$25.24 | 227% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W REFLEX TO MICROSCOPIC | $36.05 | $36.05 | $1.88–$25.24 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MICROSCOPIC ONLY | $36.05 | $36.05 | $1.88–$25.24 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 .CLINIC UA DIPSTICK NONAUTO WO MICRO | $36.05 | $36.05 | $2.14–$27.40 | 378% above | — |
| Urinalysis without microscope exam, manual CPT 81002 CLINIC UA DIPSTICK NONAUTO WO MICRO | $36.05 | $36.05 | — | 378% above | — |
| Urinalysis without microscope exam, manual CPT 81002 .KETONES URINE | $39.14 | $39.14 | $2.14–$27.40 | 419% above | — |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST | $39.14 | $39.14 | — | 419% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HEMASTIX URINE | $39.14 | $39.14 | — | 419% above | — |
| Urinalysis without microscope exam, manual CPT 81002 KETONES URINE | $39.14 | $39.14 | — | 419% above | — |
| Urinalysis without microscope exam, manual CPT 81002 .HEMASTIX URINE | $39.14 | $39.14 | $2.14–$27.40 | 419% above | — |
| Urinalysis without microscope exam, manual CPT 81002 .CLINITEST | $39.14 | $39.14 | $2.14–$27.40 | 419% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .CLINIC UA DIPSTICK NONAUTO WO MICRO | $36.05 | $36.05 | $2.14–$27.40 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINIC UA DIPSTICK NONAUTO WO MICRO | $36.05 | $36.05 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HEMASTIX URINE | $39.14 | $39.14 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .HEMASTIX URINE | $39.14 | $39.14 | $2.14–$27.40 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 KETONES URINE | $39.14 | $39.14 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .KETONES URINE | $39.14 | $39.14 | $2.14–$27.40 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .CLINITEST | $39.14 | $39.14 | $2.14–$27.40 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST | $39.14 | $39.14 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE LC | $96.82 | $96.82 | $4.74–$67.77 | 109% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE ROUTINE | $96.82 | $96.82 | $4.74–$67.77 | 109% above | — |
| Urine culture for bacteria, with colony count CPT 87086 ID & SUSCEPTIBILITY URINE LC | $96.82 | $96.82 | $4.74–$67.77 | 109% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE LC | $96.82 | $96.82 | $4.74–$67.77 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 ID & SUSCEPTIBILITY URINE LC | $96.82 | $96.82 | $4.74–$67.77 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE ROUTINE | $96.82 | $96.82 | $4.74–$67.77 | — | — |
| Urine pregnancy test, read by color change CPT 81025 .CLINIC UPT COLOR COMPARE | $38.11 | $38.11 | $5.30–$26.68 | 19% above | — |
| Urine pregnancy test, read by color change CPT 81025 CLINIC UPT COLOR COMPARE | $38.11 | $38.11 | — | 19% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 .CLINIC UPT COLOR COMPARE | $38.11 | $38.11 | $5.30–$26.68 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 CLINIC UPT COLOR COMPARE | $38.11 | $38.11 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $195.70 | $195.70 | $8.85–$136.99 | 224% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $195.70 | $195.70 | $8.85–$136.99 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH | $283.25 | $283.25 | $17.37–$430.22 | 184% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY D2+D3 | $614.60 | $614.60 | $17.37–$430.22 | 515% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH | $283.25 | $283.25 | $17.37–$430.22 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY D2+D3 | $614.60 | $614.60 | $17.37–$430.22 | — | — |
| Zinc blood test CPT 84630 ZINC PLASMA OR SERUM | $156.56 | $156.56 | $6.68–$234.10 | 280% above | — |
| Zinc blood test CPT 84630 ZINC WHOLE BLOOD | $334.43 | $334.43 | $6.68–$234.10 | 712% above | — |
| Zinc blood test CPT 84630 ZINC RBC | $334.43 | $334.43 | $6.68–$234.10 | 712% above | — |
| Zinc blood test inpatient CPT 84630 ZINC PLASMA OR SERUM | $156.56 | $156.56 | $6.68–$234.10 | — | — |
| Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD | $334.43 | $334.43 | $6.68–$234.10 | — | — |
| Zinc blood test inpatient CPT 84630 ZINC RBC | $334.43 | $334.43 | $6.68–$234.10 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER BHCG | $208.06 | $208.06 | — | 234% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 .HCG TUMOR MARKER BHCG | $208.06 | $208.06 | $12.62–$145.64 | 234% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM | $208.06 | $208.06 | $12.62–$145.64 | 234% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM | $208.06 | $208.06 | $12.62–$145.64 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER BHCG | $208.06 | $208.06 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 .HCG TUMOR MARKER BHCG | $208.06 | $208.06 | $12.62–$145.64 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 OBS-CARDIOVERSION EXTERNAL | $1,339.00 | $1,339.00 | $106.85–$1,274.34 | 134% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED-CARDIOVERSION EXTERNAL | $1,339.00 | $1,339.00 | $106.85–$1,274.34 | 134% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 ED- REMOVAL OF IMPACTED CERUMEN USING IR | $123.60 | $123.60 | $14.82–$217.83 | 125% above | — |
| Earwax removal with instruments, one ear CPT 69210 ED- REMOVAL OF IMPACTED CERUMEN REQUIRIN | $148.32 | $148.32 | $19.47–$142.21 | 131% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 ED-I&D-ABCESS-SIMPLE OR SINGLE | $515.00 | $515.00 | $111.79–$458.83 | 182% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 OBS-INCISION & DRAINAGE OF ABCESS-SIMPL | $515.00 | $515.00 | $111.79–$458.83 | 182% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED-LAC INTERM-SCALP/AXILLAE/TRUNK-<25CM | $1,030.00 | $1,030.00 | — | 193% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED-LAC INTERM-SCALP/AXILLAE/TRUNK-<2.5CM | $1,030.00 | $1,030.00 | $205.55–$979.26 | 193% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 ED-INJECTION(S) LUMBAR OR SACRAL | $824.00 | $824.00 | $245.71–$797.15 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 ED-AVULSION NAIL PLATE PART/COMPL SIMPLE | $309.00 | $309.00 | $87.39–$245.72 | 101% above | — |
| Paracentesis with imaging guidance CPT 49083 SUR PARACENTESIS ABD W IMAGE GUIDE | $1,570.75 | $1,570.75 | $527.39–$1,501.22 | 167% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 SUR PARACENTESIS ABD W IMAGE GUIDE | $1,570.75 | $1,570.75 | $527.39–$1,501.22 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED-EXCISION OF NAIL PART/COMPLETE PERMAN | $1,030.00 | $1,030.00 | $189.92–$961.27 | 299% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 ED-FB REM SUBQ TISSUE SIMPLE | $927.00 | $927.00 | $138.00–$878.30 | 276% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 OBS-INCISION & REMOVAL OF FB SUB/SIMPLE | $927.00 | $927.00 | $138.00–$878.30 | 276% above | — |
| Short arm cast (elbow to hand) CPT 29075 ED-APPL; CAST-SHORT ARM | $772.50 | $772.50 | $105.99–$736.51 | 333% above | — |
| Short arm splint (forearm and hand) CPT 29125 ED-SPLNT APPL-SHORT ARM-4ARM TO HAND-STA | $386.25 | $386.25 | $64.46–$368.13 | 232% above | — |
| Short leg cast (below the knee) CPT 29405 ED-APPL; CAST-SHORT LEG | $824.00 | $824.00 | $109.02–$736.51 | 287% above | — |
| Short leg splint (calf to foot) CPT 29515 ED-SPLINT APPL SHORT LEG CALF TO FOOT | $386.25 | $386.25 | $75.27–$368.13 | 179% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED-LAC SIMPLE-SCALP/NECK/TRUNK<2.5CM | $360.50 | $360.50 | $151.41–$333.91 | 84% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED-LAC SIMPLE-SCALP/NECK/TRUNK<25CM | $360.50 | $360.50 | — | 84% above | — |
| Skin tag removal, up to 15 tags CPT 11200 ED-SKIN TAG REMOVAL; UP TO 15 LESIONS | $309.00 | $309.00 | $81.94–$245.72 | 124% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 OBS-SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $775.59 | $775.59 | $139.73–$542.91 | 57% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ED-SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $775.59 | $775.59 | $139.73–$542.91 | 57% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED-LAC SIMPLE-SCALP NECK TRUNK-2 6CM<7 5 | $386.25 | $386.25 | $162.23–$333.91 | 106% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED-LAC SIMPLE-FACE/EARS/NOSE/LIPS<2.5CM | $412.00 | $412.00 | $166.98–$333.91 | 126% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED-LAC SIMPLE-FACE/EARS/NOSE/LIPS<25CM | $412.00 | $412.00 | — | 126% above | — |
| Thoracentesis with imaging guidance CPT 32555 OBS-THORACENTESIS W/TUBE INSERTION | $1,673.75 | $1,673.75 | $221.49–$1,605.85 | 159% above | — |
| Thoracentesis with imaging guidance CPT 32555 ED-THORACENTESIS W/TUBE INSERTION | $1,673.75 | $1,673.75 | $221.49–$1,605.85 | 159% above | — |
| Thoracentesis with imaging guidance CPT 32555 SUR THORACENTESIS W TUBE INSERTION | $1,673.75 | $1,673.75 | $221.49–$1,605.85 | 159% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 SUR THORACENTESIS W TUBE INSERTION | $1,673.75 | $1,673.75 | $221.49–$1,605.85 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED-DEBRIDE SKIN &SUBQ TISSUE; 1ST 20 SQ | $875.50 | $875.50 | $99.74–$816.37 | 131% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 OBS-TRANSFUSION BLOOD OR BLOOD COMPONENT | $875.50 | $875.50 | $64.00–$843.94 | 84% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 ED-TRANSFUSION BLOOD OR BLOOD COMPONENTS | $875.50 | $875.50 | $64.00–$843.94 | 84% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED-TRANSFUSION BLOOD OR BLOOD COMPONENTS | $875.50 | $875.50 | $64.00–$843.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBS-TRANSFUSION BLOOD OR BLOOD COMPONENT | $875.50 | $875.50 | $64.00–$843.94 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CLINIC BREATHING TREATMENT | $72.10 | $72.10 | $11.51–$90.13 | 35% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENTIVE SPIROMETER TREAT VIT CAP | $128.75 | $128.75 | $11.51–$90.13 | 16% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV | $128.75 | $128.75 | $11.51–$90.13 | 16% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT | $128.75 | $128.75 | $11.51–$90.13 | 16% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT ADMIN | $128.75 | $128.75 | $11.51–$90.13 | 16% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT NEBULIZER INIT | $128.75 | $128.75 | $11.51–$90.13 | 16% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CLINIC BREATHING TREATMENT | $72.10 | $72.10 | $11.51–$90.13 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TREATMENT | $128.75 | $128.75 | $11.51–$90.13 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INCENTIVE SPIROMETER TREAT VIT CAP | $128.75 | $128.75 | $11.51–$90.13 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV | $128.75 | $128.75 | $11.51–$90.13 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT NEBULIZER INIT | $128.75 | $128.75 | $11.51–$90.13 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT ADMIN | $128.75 | $128.75 | $11.51–$90.13 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 ED-CRITICAL CARE | $1,596.50 | $1,596.50 | $250.00–$1,497.69 | 130% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 CLINIC EKG W/INTERP AND READING | $82.40 | $82.40 | $25.75–$151.92 | 57% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG W INTERP AND READING | $180.25 | $180.25 | $25.75–$151.92 | 243% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG W INTERP AND READING | $180.25 | $180.25 | $25.75–$151.92 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CLINIC EKG TRACING ONLY | $51.50 | $51.50 | $16.82–$72.10 | 43% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $103.00 | $103.00 | $16.82–$72.10 | 13% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY | $103.00 | $103.00 | $16.82–$72.10 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-ACUITY LEVEL I | $257.50 | $257.50 | $20.35–$250.00 | 328% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-ACUITY LEVEL II | $334.75 | $334.75 | $33.85–$250.00 | 119% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-ACUITY LEVEL III | $437.75 | $437.75 | $76.06–$404.98 | 86% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-ACUITY LEVEL IV | $746.75 | $746.75 | $118.75–$704.68 | 97% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-ACUITY LEVEL V | $875.50 | $875.50 | $186.15–$704.68 | 74% above | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER MONITOR REC/SCAN/ANALYSIS/TERP | $1,106.96 | $1,106.96 | $186.99–$919.88 | 1510% above | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLTER MONITOR REC/SCAN/ANALYSIS/TERP | $1,106.96 | $1,106.96 | $186.99–$919.88 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV INFUSION HYDRATION INITIAL 31MIN-1 | $234.84 | $234.84 | $60.09–$164.39 | 28% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBS-IV INFUSION HYDRATION INITIAL 31MIN- | $234.84 | $234.84 | $60.09–$164.39 | 28% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OBS-IV INFUSION HYDRATION INITIAL 31MIN- | $234.84 | $234.84 | $60.09–$164.39 | — | — |
| IV infusion of a medicine, first hour CPT 96365 OBS-IV INF THERAPY PROPHYLAXIS INITIAL; | $392.43 | $392.43 | $73.27–$274.70 | 103% above | — |
| IV infusion of a medicine, first hour CPT 96365 ED-IV INF THERAPY PROPHYLAXIS; INITIAL; | $392.43 | $392.43 | $73.27–$274.70 | 103% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 OBS-IV INF THERAPY PROPHYLAXIS INITIAL; | $392.43 | $392.43 | $73.27–$274.70 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJECTION THERAPEUTIC PROPHYLACTIC DX | $80.34 | $80.34 | $17.78–$56.24 | 41% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBS-INJECTION THERAPEUTIC PROPHYLACTIC D | $80.34 | $80.34 | $17.78–$56.24 | 41% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OBS-INJECTION THERAPEUTIC PROPHYLACTIC D | $80.34 | $80.34 | $17.78–$56.24 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ED-OP TREATMENT LEVEL TWO | $206.00 | $206.00 | $33.00–$164.18 | 405% above | — |
| Spirometry (breathing test) CPT 94010 CLINIC PFT | $77.25 | $77.25 | $31.41–$178.51 | 51% below | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY BEFORE/AFTER | $206.00 | $206.00 | $31.41–$178.51 | 31% above | — |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION BASIC | $206.00 | $206.00 | $31.41–$178.51 | 31% above | — |
| Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION BASIC | $206.00 | $206.00 | $31.41–$178.51 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY BEFORE/AFTER | $206.00 | $206.00 | $31.41–$178.51 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION COMPLETE | $251.32 | $251.32 | $52.59–$178.51 | 20% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCTION COMPLETE | $251.32 | $251.32 | $52.59–$178.51 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $123.60 | $123.60 | — | 4% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 ED-THERAPEUTIC PHLEBOTOMY | $123.60 | $123.60 | $16.46–$104.12 | 4% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 .THERAPEUTIC PHLEBOTOMY | $123.60 | $123.60 | $16.46–$104.12 | 4% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $123.60 | $123.60 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 .THERAPEUTIC PHLEBOTOMY | $123.60 | $123.60 | $16.46–$104.12 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACC (FLUAD) 65YR & UP SYR | $98.15 | $98.15 | $41.22–$111.53 | 59% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACC (FLUAD) 65YR & UP SYR | $98.15 | $98.15 | $41.22–$111.53 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA (FLUZONE) TRIVALENT 24-25 SYRG | $30.00 | $30.00 | $12.60–$25.09 | at median | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA (FLUZONE) TRIVALENT 24-25 SYRG | $30.00 | $30.00 | $12.60–$25.09 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA (FLUZONE HD) TRIVAL 24-25 SYRG | $67.50 | $67.50 | $28.35–$128.97 | 20% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA (FLUZONE HD) TRIVAL 24-25 SYRG | $67.50 | $67.50 | $28.35–$128.97 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VACC (PCV20) 05ML SYRINGE | $1,436.50 | $1,436.50 | — | 698% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VACC (PCV20) 0.5ML SYRINGE | $1,436.50 | $1,436.50 | $312.09–$1,005.55 | 698% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL VACC (PCV20) 0.5ML SYRINGE | $1,436.50 | $1,436.50 | $312.09–$1,005.55 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL VACC (PCV20) 05ML SYRINGE | $1,436.50 | $1,436.50 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACC (PPSV23) 0.5ML SYRINGE | $562.00 | $562.00 | $140.50–$393.40 | 403% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACC (PPSV23) 05ML SYRINGE | $562.00 | $562.00 | — | 403% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACC (PPSV23) 05ML SYRINGE | $562.00 | $562.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACC (PPSV23) 0.5ML SYRINGE | $562.00 | $562.00 | $140.50–$393.40 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT) 1ML KIT | $2,086.15 | $2,086.15 | $383.38–$1,460.31 | 140% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (RABAVERT) 1ML KIT | $2,086.15 | $2,086.15 | $383.38–$1,460.31 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td 7YO+ (TENIVAC) 0.5ML SYRINGE | $220.40 | $220.40 | $30.81–$154.28 | 425% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td 7YO+ (TENIVAC) 05ML SYRINGE | $220.40 | $220.40 | — | 425% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td 7YO+ (TENIVAC) 0.5ML SYRINGE | $220.40 | $220.40 | $30.81–$154.28 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td 7YO+ (TENIVAC) 05ML SYRINGE | $220.40 | $220.40 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CLINIC ADACEL (TDAP) | $56.65 | $56.65 | $23.79–$168.49 | at median | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 10YO+ (BOOSTRIX) 05ML SYRINGE | $240.70 | $240.70 | — | 325% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 10YO+ (BOOSTRIX) 0.5ML SYRINGE | $240.70 | $240.70 | $23.79–$168.49 | 325% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap 10YO+ (BOOSTRIX) 05ML SYRINGE | $240.70 | $240.70 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap 10YO+ (BOOSTRIX) 0.5ML SYRINGE | $240.70 | $240.70 | $23.79–$168.49 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CLINIC ADMIN OF VACCINE | $28.84 | $28.84 | $12.11–$56.24 | 34% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED-IMM/VACC; ADMIN-1 VACCINE (SINGLE/COM | $80.34 | $80.34 | $12.11–$56.24 | 84% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS-ADMIN OF PNEUMO VACCINE | $80.34 | $80.34 | $12.11–$56.24 | 84% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS-IMM/VAC ADMIN; 1 VACCINE (SINGLE/COM | $80.34 | $80.34 | $12.11–$56.24 | 84% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS-ADMIN OF FLU VACCINE | $80.34 | $80.34 | $12.11–$56.24 | 84% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED-IMM/VACC ADMIN; EA ADD VACCINE | $80.34 | $80.34 | $10.66–$56.24 | 187% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OBS-IMMUNIZ/VACCINE; EA ADD'L VACCINE | $80.34 | $80.34 | $10.66–$56.24 | 187% above | — |