Liberty Hospital
Listed in its price file as “New Liberty Hospital Corporation”.
Liberty Hospital in Liberty, MO publishes cash prices for 271 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Missouri median for 241 of 270 procedures and above it for 26. By typical cash price it ranks #9 of 68 Missouri hospitals and #5 of 24 hospitals in the Kansas City, MO area, cheapest first. Click a procedure to compare it with other hospitals nearby.
2525 Glenn Hendren Dr, Liberty, MO 64068 Collected Sep 29, 2026 Source price file (816) 781-7200
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 260177 · CMS hospital register NPI 1548001464
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY ANKLE 3+ VIEWS | $189.00 | $679.00 | $189.44–$554.06 | 35% below | 72% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY ANKLE 3+ VIEWS | $189.00 | $679.00 | $189.44–$554.06 | — | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 DOPP EXT ART SGL BI | $296.00 | $1,064.00 | $296.86–$868.22 | — | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HBO TCM SGL | $296.00 | $1,064.00 | $296.86–$868.22 | 5% below | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LVLS | $296.00 | $1,064.00 | $296.86–$868.22 | 5% below | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WRIST BRACHIAL INDICES | $296.00 | $1,064.00 | $296.86–$868.22 | 5% below | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPP ABI'S | $296.00 | $1,064.00 | $296.86–$868.22 | 5% below | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 DOPP EXT ART SGL BI | $296.00 | $1,064.00 | $296.86–$868.22 | — | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 DOPP ABI'S | $296.00 | $1,064.00 | $296.86–$868.22 | — | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WRIST BRACHIAL INDICES | $296.00 | $1,064.00 | $296.86–$868.22 | — | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LVLS | $296.00 | $1,064.00 | $296.86–$868.22 | — | 72% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HBO TCM SGL | $296.00 | $1,064.00 | $296.86–$868.22 | — | 72% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRS | $227.00 | $816.00 | $227.66–$665.86 | 47% below | 72% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY XM ESOPHAGUS 1CNTRS | $227.00 | $816.00 | $227.66–$665.86 | — | 72% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT IMAG BODY | $638.00 | $2,290.00 | $638.91–$1,868.64 | 55% below | 72% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT IMAG BODY | $638.00 | $2,290.00 | $638.91–$1,868.64 | — | 72% |
| Breast ultrasound, complete, one breast CPT 76641 MAMM US BREAST COMP | $265.00 | $950.00 | $265.05–$775.20 | 32% below | 72% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 MAMM US BREAST COMP | $265.00 | $950.00 | $265.05–$775.20 | — | 72% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST PULM | $1,037.00 | $3,719.00 | $1,037.60–$3,034.70 | 47% below | 72% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST PULM | $1,037.00 | $3,719.00 | $1,037.60–$3,034.70 | — | 72% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $623.00 | $2,234.00 | $623.29–$1,822.94 | 54% below | 72% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE | $623.00 | $2,234.00 | $623.29–$1,822.94 | — | 72% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $46.00 | $166.00 | $46.31–$135.46 | 46% below | 72% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $46.00 | $166.00 | $46.31–$135.46 | — | 72% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS WO CONTRA | $1,272.00 | $4,562.00 | $1,272.80–$3,722.59 | 44% below | 72% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS LOW DOSE | $1,272.00 | $4,562.00 | $1,272.80–$3,722.59 | 44% below | 72% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS LOW DOSE | $1,272.00 | $4,562.00 | $1,272.80–$3,722.59 | — | 72% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS WO CONTRA | $1,272.00 | $4,562.00 | $1,272.80–$3,722.59 | — | 72% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W CONTRAS | $1,402.00 | $5,028.00 | $1,402.81–$4,102.85 | 46% below | 72% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W CONTRAS | $1,402.00 | $5,028.00 | $1,402.81–$4,102.85 | — | 72% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS W/WO CONT | $1,573.00 | $5,641.00 | $1,573.84–$4,603.06 | 51% below | 72% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS W/WO CONT | $1,573.00 | $5,641.00 | $1,573.84–$4,603.06 | — | 72% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W C | $771.00 | $2,765.00 | $771.44–$2,256.24 | 54% below | 72% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W C | $771.00 | $2,765.00 | $771.44–$2,256.24 | — | 72% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WO | $609.00 | $2,183.00 | $609.06–$1,781.33 | 45% below | 72% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD LOW DOSE | $609.00 | $2,183.00 | $609.06–$1,781.33 | 45% below | 72% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO | $609.00 | $2,183.00 | $609.06–$1,781.33 | — | 72% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD LOW DOSE | $609.00 | $2,183.00 | $609.06–$1,781.33 | — | 72% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FAC WO | $659.00 | $2,365.00 | $659.84–$1,929.84 | 40% below | 72% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT INSTATRACK SINUS | $659.00 | $2,365.00 | $659.84–$1,929.84 | 40% below | 72% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MODIFIED SINUSES | $659.00 | $2,365.00 | $659.84–$1,929.84 | 40% below | 72% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT INSTATRACK SINUS | $659.00 | $2,365.00 | $659.84–$1,929.84 | — | 72% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MODIFIED SINUSES | $659.00 | $2,365.00 | $659.84–$1,929.84 | — | 72% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FAC WO | $659.00 | $2,365.00 | $659.84–$1,929.84 | — | 72% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO | $724.00 | $2,598.00 | $724.84–$2,119.97 | 42% below | 72% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO | $724.00 | $2,598.00 | $724.84–$2,119.97 | — | 72% |
| CT scan of the head with contrast CPT 70460 CT HEAD WC | $797.00 | $2,858.00 | $797.38–$2,332.13 | 46% below | 72% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD WC | $797.00 | $2,858.00 | $797.38–$2,332.13 | — | 72% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WWO | $827.00 | $2,965.00 | $827.24–$2,419.44 | 55% below | 72% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WWO | $827.00 | $2,965.00 | $827.24–$2,419.44 | — | 72% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE WO | $869.00 | $3,117.00 | $869.64–$2,543.47 | 39% below | 72% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE WO | $869.00 | $3,117.00 | $869.64–$2,543.47 | — | 72% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE WO | $836.00 | $2,998.00 | $836.44–$2,446.37 | 48% below | 72% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE WO | $836.00 | $2,998.00 | $836.44–$2,446.37 | — | 72% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W C | $797.00 | $2,859.00 | $797.66–$2,332.94 | 52% below | 72% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W C | $797.00 | $2,859.00 | $797.66–$2,332.94 | — | 72% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN BILAT | $448.00 | $1,608.00 | $448.63–$1,312.13 | — | 72% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DOPP CAROTID | $448.00 | $1,608.00 | $448.63–$1,312.13 | 45% below | 72% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX SCAN BILAT | $448.00 | $1,608.00 | $448.63–$1,312.13 | — | 72% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DOPP CAROTID | $448.00 | $1,608.00 | $448.63–$1,312.13 | — | 72% |
| Chest X-ray, 2 views CPT 71046 CXR 2 VIEWS | $141.00 | $506.00 | $141.17–$412.90 | 43% below | 72% |
| Chest X-ray, 2 views inpatient CPT 71046 CXR 2 VIEWS | $141.00 | $506.00 | $141.17–$412.90 | — | 72% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $127.00 | $457.00 | $127.50–$372.91 | 39% below | 72% |
| Chest X-ray, single view CPT 71045 CXR 1 VIEW | $127.00 | $457.00 | $127.50–$372.91 | 39% below | 72% |
| Chest X-ray, single view inpatient CPT 71045 CXR 1 VIEW | $127.00 | $457.00 | $127.50–$372.91 | — | 72% |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $127.00 | $457.00 | $127.50–$372.91 | — | 72% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA | $364.00 | $1,306.00 | $364.37–$1,065.70 | 37% below | 72% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEYS COMPLETE | $364.00 | $1,306.00 | $364.37–$1,065.70 | 37% below | 72% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA | $364.00 | $1,306.00 | $364.37–$1,065.70 | — | 72% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US KIDNEYS COMPLETE | $364.00 | $1,306.00 | $364.37–$1,065.70 | — | 72% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 MAMM BONE DENS SPINE FEM | $178.00 | $641.00 | $178.84–$523.06 | 44% below | 72% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MAMM BONE DENS SPINE FEM | $178.00 | $641.00 | $178.84–$523.06 | — | 72% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO | $633.00 | $2,271.00 | $633.61–$1,853.14 | 50% below | 72% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAS VERAN | $633.00 | $2,271.00 | $633.61–$1,853.14 | 50% below | 72% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAS VERAN | $633.00 | $2,271.00 | $633.61–$1,853.14 | — | 72% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO | $633.00 | $2,271.00 | $633.61–$1,853.14 | — | 72% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W C | $836.00 | $2,999.00 | $836.72–$2,447.18 | 49% below | 72% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W C | $836.00 | $2,999.00 | $836.72–$2,447.18 | — | 72% |
| Diagnostic mammogram, both breasts CPT 77066 MAMM DIAG BIL W CAD | $153.00 | $550.00 | $153.45–$448.80 | 30% below | 72% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMM DIAG BIL W CAD | $153.00 | $550.00 | $153.45–$448.80 | — | 72% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DOPP LEA IMAGE BI | $408.00 | $1,463.00 | $408.18–$1,193.81 | — | 72% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DPLX LE ART/BPG BIL COMPL | $408.00 | $1,463.00 | $408.18–$1,193.81 | 42% below | 72% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DOPP LEA IMAGE BI | $408.00 | $1,463.00 | $408.18–$1,193.81 | — | 72% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DPLX LE ART/BPG BIL COMPL | $408.00 | $1,463.00 | $408.18–$1,193.81 | — | 72% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DOPP EXT VEINS BI | $585.00 | $2,100.00 | $585.90–$1,713.60 | — | 72% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS BILAT | $585.00 | $2,100.00 | $585.90–$1,713.60 | — | 72% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VEIN W/MAP LEG BIL | $585.00 | $2,100.00 | $585.90–$1,713.60 | 24% below | 72% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DOPP VAR VEIN W SUPER | $585.00 | $2,100.00 | $585.90–$1,713.60 | 24% below | 72% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VEIN W/MAP ARM BIL | $585.00 | $2,100.00 | $585.90–$1,713.60 | 24% below | 72% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEINS BILAT | $585.00 | $2,100.00 | $585.90–$1,713.60 | — | 72% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DOPP EXT VEINS BI | $585.00 | $2,100.00 | $585.90–$1,713.60 | — | 72% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VEIN W/MAP ARM BIL | $585.00 | $2,100.00 | $585.90–$1,713.60 | — | 72% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VEIN W/MAP LEG BIL | $585.00 | $2,100.00 | $585.90–$1,713.60 | — | 72% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DOPP VAR VEIN W SUPER | $585.00 | $2,100.00 | $585.90–$1,713.60 | — | 72% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DPPLR CMPLT W/C | $1,171.00 | $4,199.00 | $1,171.52–$3,426.38 | 25% below | 72% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,171.00 | $4,199.00 | $1,171.52–$3,426.38 | 25% below | 72% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $1,171.00 | $4,199.00 | $1,171.52–$3,426.38 | — | 72% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DPPLR CMPLT W/C | $1,171.00 | $4,199.00 | $1,171.52–$3,426.38 | — | 72% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING | $600.00 | $2,151.00 | $600.13–$1,755.22 | 56% below | 72% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY IMAGING | $600.00 | $2,151.00 | $600.13–$1,755.22 | — | 72% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY UNATTEND | $433.00 | $1,553.00 | $433.29–$1,267.25 | 30% below | 72% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP STUDY UNATTEND | $433.00 | $1,553.00 | $433.29–$1,267.25 | — | 72% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG CPAP TITRATION | $2,398.00 | $8,595.00 | $2,398.00–$7,013.52 | 7% below | 72% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG W CPAP | $2,398.00 | $8,595.00 | $2,398.00–$7,013.52 | 7% below | 72% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG W CPAP | $2,398.00 | $8,595.00 | $2,398.00–$7,013.52 | — | 72% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG CPAP TITRATION | $2,398.00 | $8,595.00 | $2,398.00–$7,013.52 | — | 72% |
| Knee X-ray, 3 views CPT 73562 X-RAY KNEE 3 VIEWS | $168.00 | $603.00 | $168.24–$492.05 | 38% below | 72% |
| Knee X-ray, 3 views inpatient CPT 73562 X-RAY KNEE 3 VIEWS | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $289.00 | $1,037.00 | $289.32–$846.19 | 44% below | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED | $289.00 | $1,037.00 | $289.32–$846.19 | 44% below | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX | $289.00 | $1,037.00 | $289.32–$846.19 | 44% below | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $289.00 | $1,037.00 | $289.32–$846.19 | 44% below | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX | $289.00 | $1,037.00 | $289.32–$846.19 | — | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $289.00 | $1,037.00 | $289.32–$846.19 | — | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED | $289.00 | $1,037.00 | $289.32–$846.19 | — | 72% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $289.00 | $1,037.00 | $289.32–$846.19 | — | 72% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR | $295.00 | $1,059.00 | $295.46–$864.14 | 36% below | 72% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR | $295.00 | $1,059.00 | $295.46–$864.14 | — | 72% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W/WO CON | $658.00 | $2,361.00 | $658.72–$1,926.58 | — | 72% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILAT W/WO CON | $658.00 | $2,361.00 | $658.72–$1,926.58 | — | 72% |
| MRI of the abdomen without contrast CPT 74181 MRI UROGRAM W O | $900.00 | $3,228.00 | $900.61–$2,634.05 | 46% below | 72% |
| MRI of the abdomen without contrast CPT 74181 MRI CHOLANGIO WO | $900.00 | $3,228.00 | $900.61–$2,634.05 | 46% below | 72% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD WO LTD | $900.00 | $3,228.00 | $900.61–$2,634.05 | 46% below | 72% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI CHOLANGIO WO | $900.00 | $3,228.00 | $900.61–$2,634.05 | — | 72% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD WO LTD | $900.00 | $3,228.00 | $900.61–$2,634.05 | — | 72% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI UROGRAM W O | $900.00 | $3,228.00 | $900.61–$2,634.05 | — | 72% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI UROGRAM W O | $1,434.00 | $5,140.00 | $1,434.06–$4,194.24 | 43% below | 72% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD WWO EXTEND | $1,434.00 | $5,140.00 | $1,434.06–$4,194.24 | 43% below | 72% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD WWO | $1,434.00 | $5,140.00 | $1,434.06–$4,194.24 | 43% below | 72% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD WWO EXTEND | $1,434.00 | $5,140.00 | $1,434.06–$4,194.24 | — | 72% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI UROGRAM W O | $1,434.00 | $5,140.00 | $1,434.06–$4,194.24 | — | 72% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD WWO | $1,434.00 | $5,140.00 | $1,434.06–$4,194.24 | — | 72% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO | $936.00 | $3,358.00 | $936.88–$2,740.13 | 40% below | 72% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO | $936.00 | $3,358.00 | $936.88–$2,740.13 | — | 72% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONT | $1,330.00 | $4,770.00 | $1,330.83–$3,892.32 | 47% below | 72% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO EXT | $1,330.00 | $4,770.00 | $1,330.83–$3,892.32 | 47% below | 72% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONT | $1,330.00 | $4,770.00 | $1,330.83–$3,892.32 | — | 72% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO EXT | $1,330.00 | $4,770.00 | $1,330.83–$3,892.32 | — | 72% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SP WO LTD | $977.00 | $3,504.00 | $977.62–$2,859.26 | 48% below | 72% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SP WO LTD | $977.00 | $3,504.00 | $977.62–$2,859.26 | — | 72% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SP WWO | $1,465.00 | $5,251.00 | $1,465.03–$4,284.82 | 41% below | 72% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SP WWO | $1,465.00 | $5,251.00 | $1,465.03–$4,284.82 | — | 72% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SP WO LTD | $975.00 | $3,496.00 | $975.38–$2,852.74 | 46% below | 72% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SP WO LTD | $975.00 | $3,496.00 | $975.38–$2,852.74 | — | 72% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SP WWO | $1,401.00 | $5,025.00 | $1,401.98–$4,100.40 | 44% below | 72% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SP WWO | $1,401.00 | $5,025.00 | $1,401.98–$4,100.40 | — | 72% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SP WO LTD | $997.00 | $3,574.00 | $997.15–$2,916.38 | 49% below | 72% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SP WO LTD | $997.00 | $3,574.00 | $997.15–$2,916.38 | — | 72% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO | $1,327.00 | $4,759.00 | $1,327.76–$3,883.34 | 47% below | 72% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WWO | $1,327.00 | $4,759.00 | $1,327.76–$3,883.34 | — | 72% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO | $1,247.00 | $4,472.00 | $1,247.69–$3,649.15 | 33% below | 72% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO | $1,247.00 | $4,472.00 | $1,247.69–$3,649.15 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI REST/EX | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI THALLIUM | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI ADENOSINE | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI TL EXER W | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI TL DOBUT | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MPI HT MUSCLE IMAGE SPECT | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MUL | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI TL LEXI W | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI LEXISCAN | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HPI HT MULTI DOBUTAMIN | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | 36% below | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI THALLIUM | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MUL | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI TL DOBUT | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI TL EXER W | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI TL LEXI W | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI LEXISCAN | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI REST/EX | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI DOBUTAMIN | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HPI HT MULTI ADENOSINE | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MPI HT MUSCLE IMAGE SPECT | $2,446.00 | $8,768.00 | $2,446.27–$7,154.69 | — | 72% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $207.00 | $743.00 | $207.30–$606.29 | 46% below | 72% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD F UP | $207.00 | $743.00 | $207.30–$606.29 | 46% below | 72% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED | $207.00 | $743.00 | $207.30–$606.29 | — | 72% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD F UP | $207.00 | $743.00 | $207.30–$606.29 | — | 72% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $359.00 | $1,290.00 | $359.91–$1,052.64 | 43% below | 72% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $359.00 | $1,290.00 | $359.91–$1,052.64 | — | 72% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB>1ST TR SNG GE | $213.00 | $767.00 | $213.99–$625.87 | 60% below | 72% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB>1ST TR SNG GE | $213.00 | $767.00 | $213.99–$625.87 | — | 72% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRI SNG GS | $263.00 | $946.00 | $263.93–$771.94 | 49% below | 72% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRI SNG GS | $263.00 | $946.00 | $263.93–$771.94 | — | 72% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $181.00 | $649.00 | $181.07–$529.58 | 52% below | 72% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PHYSC PERFORMED US | $181.00 | $649.00 | $181.07–$529.58 | 52% below | 72% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PHYSC PERFORMED US | $181.00 | $649.00 | $181.07–$529.58 | — | 72% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $181.00 | $649.00 | $181.07–$529.58 | — | 72% |
| Screening mammogram, both breasts CPT 77067 MAMM SCREEN BIL W CAD | $143.00 | $515.00 | $143.68–$420.24 | 9% below | 72% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREEN BIL W CAD | $143.00 | $515.00 | $143.68–$420.24 | — | 72% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY SHOULDER 2+ VIEWS | $210.00 | $756.00 | $210.92–$616.90 | 25% below | 72% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY SHOULDER 2+ VIEWS | $210.00 | $756.00 | $210.92–$616.90 | — | 72% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG COMPLETE | $2,025.00 | $7,261.00 | $2,025.82–$5,924.98 | 9% below | 72% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG COMPLETE | $2,025.00 | $7,261.00 | $2,025.82–$5,924.98 | — | 72% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | 34% below | 72% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DOBUTAMINE STRESS TTE W/C | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | 34% below | 72% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DOBUTAMINE STRESS TTE COM | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | 34% below | 72% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE W CONT ECG MON | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | 34% below | 72% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE CMPLT W/CONTRA | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | 34% below | 72% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | — | 72% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOBUTAMINE STRESS TTE W/C | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | — | 72% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE W CONT ECG MON | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | — | 72% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE CMPLT W/CONTRA | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | — | 72% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOBUTAMINE STRESS TTE COM | $1,174.00 | $4,210.00 | $1,174.59–$3,435.36 | — | 72% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+BA | $296.00 | $1,062.00 | $296.30–$866.59 | 34% below | 72% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-RAY XM SWLNG FUNCJ C+BA | $296.00 | $1,062.00 | $296.30–$866.59 | — | 72% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAG PROBE | $279.00 | $1,002.00 | $279.56–$817.63 | 46% below | 72% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAG PROBE | $279.00 | $1,002.00 | $279.56–$817.63 | — | 72% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAG | $195.00 | $700.00 | $195.30–$571.20 | 55% below | 72% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAG | $195.00 | $700.00 | $195.30–$571.20 | — | 72% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $479.00 | $1,717.00 | $479.04–$1,401.07 | 39% below | 72% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $479.00 | $1,717.00 | $479.04–$1,401.07 | — | 72% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $304.00 | $1,090.00 | $304.11–$889.44 | 47% below | 72% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR | $304.00 | $1,090.00 | $304.11–$889.44 | — | 72% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID NECK | $371.00 | $1,330.00 | $371.07–$1,085.28 | 34% below | 72% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID NECK | $371.00 | $1,330.00 | $371.07–$1,085.28 | — | 72% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTR | $386.00 | $1,385.00 | $386.42–$1,130.16 | 32% below | 72% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTR | $386.00 | $1,385.00 | $386.42–$1,130.16 | — | 72% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS UNIL/LIM | $373.00 | $1,339.00 | $373.58–$1,092.62 | 31% below | 72% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DOPP EXT VEIN UNI LTD | $373.00 | $1,339.00 | $373.58–$1,092.62 | 31% below | 72% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXT VEINS UNIL/LIM | $373.00 | $1,339.00 | $373.58–$1,092.62 | — | 72% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DOPP EXT VEIN UNI LTD | $373.00 | $1,339.00 | $373.58–$1,092.62 | — | 72% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY WRIST 3+ VIEWS | $157.00 | $563.00 | $157.08–$459.41 | 38% below | 72% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY WRIST 3+ VIEWS | $157.00 | $563.00 | $157.08–$459.41 | — | 72% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $167.00 | $601.00 | $167.68–$490.42 | 19% below | 72% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $167.00 | $601.00 | $167.68–$490.42 | — | 72% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY ANKLE 2 VIEWS | $124.00 | $445.00 | $124.16–$363.12 | 33% below | 72% |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY ANKLE 2 VIEWS | $124.00 | $445.00 | $124.16–$363.12 | — | 72% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY FINGER(S) 2+ VIEWS | $127.00 | $457.00 | $127.50–$372.91 | 37% below | 72% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY FINGER(S) 2+ VIEWS | $127.00 | $457.00 | $127.50–$372.91 | — | 72% |
| X-ray of the foot, 2 views CPT 73620 X-RAY FOOT 2 VIEWS | $115.00 | $415.00 | $115.79–$338.64 | 43% below | 72% |
| X-ray of the foot, 2 views inpatient CPT 73620 X-RAY FOOT 2 VIEWS | $115.00 | $415.00 | $115.79–$338.64 | — | 72% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY FOOT 3+ VIEWS | $127.00 | $457.00 | $127.50–$372.91 | 54% below | 72% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY FOOT 3+ VIEWS | $127.00 | $457.00 | $127.50–$372.91 | — | 72% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY HAND 3+ VIEWS | $189.00 | $678.00 | $189.16–$553.25 | 25% below | 72% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY HAND 3+ VIEWS | $189.00 | $678.00 | $189.16–$553.25 | — | 72% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY KNEE 1 OR 2 VIEWS | $128.00 | $462.00 | $128.90–$376.99 | 45% below | 72% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY KNEE 1 OR 2 VIEWS | $128.00 | $462.00 | $128.90–$376.99 | — | 72% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE PART 2-3VWS | $140.00 | $502.00 | $140.06–$409.63 | 52% below | 72% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY LOWER SPINE 2-3 VIE | $140.00 | $502.00 | $140.06–$409.63 | 52% below | 72% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L SPINE PART 2-3VWS | $140.00 | $502.00 | $140.06–$409.63 | — | 72% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY LOWER SPINE 2-3 VIE | $140.00 | $502.00 | $140.06–$409.63 | — | 72% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY LOWER SPINE 4+ VIEW | $194.00 | $698.00 | $194.74–$569.57 | 54% below | 72% |
| X-ray of the lower back, 4 or more views CPT 72110 L SPINE COMP 4 VWS | $194.00 | $698.00 | $194.74–$569.57 | 54% below | 72% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 L SPINE COMP 4 VWS | $194.00 | $698.00 | $194.74–$569.57 | — | 72% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY LOWER SPINE 4+ VIEW | $194.00 | $698.00 | $194.74–$569.57 | — | 72% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RAD EX SPINE THORC 2 VIEW | $140.00 | $502.00 | $140.06–$409.63 | 46% below | 72% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T SPINE PART | $140.00 | $502.00 | $140.06–$409.63 | 46% below | 72% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RAD EX SPINE THORC 2 VIEW | $140.00 | $502.00 | $140.06–$409.63 | — | 72% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T SPINE PART | $140.00 | $502.00 | $140.06–$409.63 | — | 72% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY NASAL BONES 3+ VIEW | $117.00 | $421.00 | $117.46–$343.54 | 53% below | 72% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE | $117.00 | $421.00 | $117.46–$343.54 | 53% below | 72% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE | $117.00 | $421.00 | $117.46–$343.54 | — | 72% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY NASAL BONES 3+ VIEW | $117.00 | $421.00 | $117.46–$343.54 | — | 72% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY NECK SPINE 2-3 VIEW | $157.00 | $564.00 | $157.36–$460.22 | 48% below | 72% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE PART | $157.00 | $564.00 | $157.36–$460.22 | 48% below | 72% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE PART | $157.00 | $564.00 | $157.36–$460.22 | — | 72% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY NECK SPINE 2-3 VIEW | $157.00 | $564.00 | $157.36–$460.22 | — | 72% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1-2 VIEWS | $140.00 | $502.00 | $140.06–$409.63 | 37% below | 72% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP ONLY | $140.00 | $502.00 | $140.06–$409.63 | 37% below | 72% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1-2 VIEWS | $140.00 | $502.00 | $140.06–$409.63 | — | 72% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP ONLY | $140.00 | $502.00 | $140.06–$409.63 | — | 72% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY TAILBONE 2+ VIEWS | $191.00 | $687.00 | $191.67–$560.59 | 27% below | 72% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX | $191.00 | $687.00 | $191.67–$560.59 | 27% below | 72% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY TAILBONE 2+ VIEWS | $191.00 | $687.00 | $191.67–$560.59 | — | 72% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX | $191.00 | $687.00 | $191.67–$560.59 | — | 72% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT | $19.00 | $70.00 | $19.53–$57.12 | 61% below | 73% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT | $19.00 | $70.00 | $19.53–$57.12 | — | 73% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT | $19.00 | $71.00 | $19.81–$57.94 | 59% below | 73% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST SGOT | $19.00 | $71.00 | $19.81–$57.94 | — | 73% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PROFILE | $99.00 | $357.00 | $99.60–$291.31 | 58% below | 72% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PROFILE | $99.00 | $357.00 | $99.60–$291.31 | — | 72% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGY TEST | $10.00 | $37.00 | $10.32–$30.19 | 53% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $10.00 | $37.00 | $10.32–$30.19 | 53% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE PIG | $10.00 | $37.00 | $10.32–$30.19 | 53% below | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE PIG | $10.00 | $37.00 | $10.32–$30.19 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGY TEST | $10.00 | $37.00 | $10.32–$30.19 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $10.00 | $37.00 | $10.32–$30.19 | — | 73% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT | $39.00 | $140.00 | $39.06–$114.24 | 51% below | 72% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB IGG | $39.00 | $140.00 | $39.06–$114.24 | 51% below | 72% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT | $39.00 | $140.00 | $39.06–$114.24 | — | 72% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP AB IGG | $39.00 | $140.00 | $39.06–$114.24 | — | 72% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $41.00 | $148.00 | $41.29–$120.77 | 40% below | 72% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $41.00 | $148.00 | $41.29–$120.77 | 40% below | 72% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN | $41.00 | $148.00 | $41.29–$120.77 | — | 72% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $41.00 | $148.00 | $41.29–$120.77 | — | 72% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTID | $76.00 | $274.00 | $76.45–$223.58 | 39% below | 72% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NATRIURETIC PEPTID | $76.00 | $274.00 | $76.45–$223.58 | — | 72% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PNL BASIC | $71.00 | $257.00 | $71.70–$209.71 | 40% below | 72% |
| Basic metabolic panel (blood test) CPT 80048 LAB METABOLIC PANEL TOTAL | $71.00 | $257.00 | $71.70–$209.71 | 40% below | 72% |
| Basic metabolic panel (blood test) inpatient CPT 80048 LAB METABOLIC PANEL TOTAL | $71.00 | $257.00 | $71.70–$209.71 | — | 72% |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PNL BASIC | $71.00 | $257.00 | $71.70–$209.71 | — | 72% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURGICAL PATHOLO | $138.00 | $495.00 | $138.11–$403.92 | 32% below | 72% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV SURGICAL PATHOLO | $138.00 | $495.00 | $138.11–$403.92 | — | 72% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $78.00 | $283.00 | $78.96–$230.93 | 30% below | 72% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $78.00 | $283.00 | $78.96–$230.93 | — | 72% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $8.00 | $32.00 | $8.93–$26.11 | 51% below | 75% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $8.00 | $32.00 | $8.93–$26.11 | — | 75% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 1HPP | $18.00 | $67.00 | $18.69–$54.67 | 42% below | 73% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2HRPP | $18.00 | $67.00 | $18.69–$54.67 | 42% below | 73% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $18.00 | $67.00 | $18.69–$54.67 | 42% below | 73% |
| Blood glucose (sugar) test CPT 82947 LAB GLUCOSE QUAN BLOOD | $18.00 | $67.00 | $18.69–$54.67 | 42% below | 73% |
| Blood glucose (sugar) test CPT 82947 PERF GLUCOSE | $18.00 | $67.00 | $18.69–$54.67 | 42% below | 73% |
| Blood glucose (sugar) test inpatient CPT 82947 PERF GLUCOSE | $18.00 | $67.00 | $18.69–$54.67 | — | 73% |
| Blood glucose (sugar) test inpatient CPT 82947 LAB GLUCOSE QUAN BLOOD | $18.00 | $67.00 | $18.69–$54.67 | — | 73% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $18.00 | $67.00 | $18.69–$54.67 | — | 73% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 1HPP | $18.00 | $67.00 | $18.69–$54.67 | — | 73% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2HRPP | $18.00 | $67.00 | $18.69–$54.67 | — | 73% |
| Blood lead test CPT 83655 LEAD BLOOD | $32.00 | $117.00 | $32.64–$95.47 | 41% below | 73% |
| Blood lead test CPT 83655 LEAD URINE | $32.00 | $117.00 | $32.64–$95.47 | 41% below | 73% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $32.00 | $117.00 | $32.64–$95.47 | — | 73% |
| Blood lead test inpatient CPT 83655 LEAD URINE | $32.00 | $117.00 | $32.64–$95.47 | — | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 OR URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | 12% below | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | 12% below | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PM URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | 12% below | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LH OPS URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | 12% below | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 ED URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | 12% below | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG BETA QUAL | $47.00 | $171.00 | $47.71–$139.54 | 12% below | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG BETA QUAL | $47.00 | $171.00 | $47.71–$139.54 | — | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 OR URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | — | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PM URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | — | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LH OPS URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | — | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 ED URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | — | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE PREGNANCY | $47.00 | $171.00 | $47.71–$139.54 | — | 73% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO | $38.00 | $138.00 | $38.50–$112.61 | 38% below | 72% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE ABO | $38.00 | $138.00 | $38.50–$112.61 | — | 72% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REATIVE PROTEIN | $22.00 | $79.00 | $22.04–$64.46 | 63% below | 72% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP 86140 | $22.00 | $79.00 | $22.04–$64.46 | 63% below | 72% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REATIVE PROTEIN | $22.00 | $79.00 | $22.04–$64.46 | — | 72% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP 86140 | $22.00 | $79.00 | $22.04–$64.46 | — | 72% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOST DIFF TOXIN AMP PRO | $60.00 | $216.00 | $60.26–$176.26 | 58% below | 72% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIF BY AMPL PROBE | $60.00 | $216.00 | $60.26–$176.26 | 58% below | 72% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLST DIFF BY AMP PROB TEC | $60.00 | $216.00 | $60.26–$176.26 | 58% below | 72% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLST DIFF BY AMP PROB TEC | $60.00 | $216.00 | $60.26–$176.26 | — | 72% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOST DIFF TOXIN AMP PRO | $60.00 | $216.00 | $60.26–$176.26 | — | 72% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIF BY AMPL PROBE | $60.00 | $216.00 | $60.26–$176.26 | — | 72% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9 | $44.00 | $161.00 | $44.92–$131.38 | 60% below | 73% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE AG 19-9 | $44.00 | $161.00 | $44.92–$131.38 | — | 73% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER AG 125 | $62.00 | $223.00 | $62.22–$181.97 | 43% below | 72% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER AG 125 | $62.00 | $223.00 | $62.22–$181.97 | — | 72% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 VIRAL RESP PATHOGEN SARS | $51.00 | $183.00 | $51.06–$149.33 | 47% below | 72% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID 19 AMPL | $51.00 | $183.00 | $51.06–$149.33 | 47% below | 72% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 VIRAL RESP PATHOGEN SARS | $51.00 | $183.00 | $51.06–$149.33 | — | 72% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID 19 AMPL | $51.00 | $183.00 | $51.06–$149.33 | — | 72% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMP | $37.00 | $133.00 | $37.11–$108.53 | 59% below | 72% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA THROAT | $37.00 | $133.00 | $37.11–$108.53 | 59% below | 72% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA RNA THROAT | $37.00 | $133.00 | $37.11–$108.53 | — | 72% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AMP | $37.00 | $133.00 | $37.11–$108.53 | — | 72% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $44.00 | $160.00 | $44.64–$130.56 | 57% below | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB LIPID PANEL | $44.00 | $160.00 | $44.64–$130.56 | 57% below | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $44.00 | $160.00 | $44.64–$130.56 | — | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB LIPID PANEL | $44.00 | $160.00 | $44.64–$130.56 | — | 73% |
| Complete blood count (CBC) with differential CPT 85025 LAB COMPL CBC W PLT W AUT | $44.00 | $161.00 | $44.92–$131.38 | 14% below | 73% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTOMATED DIFF | $44.00 | $161.00 | $44.92–$131.38 | 14% below | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTOMATED DIFF | $44.00 | $161.00 | $44.92–$131.38 | — | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB COMPL CBC W PLT W AUT | $44.00 | $161.00 | $44.92–$131.38 | — | 73% |
| Complete blood count (CBC), no differential CPT 85027 HEMAGRAM CBC NO DIFF | $39.00 | $141.00 | $39.34–$115.06 | 27% below | 72% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMAGRAM CBC NO DIFF | $39.00 | $141.00 | $39.34–$115.06 | — | 72% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $119.00 | $430.00 | $119.97–$350.88 | 5% below | 72% |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PNL COMP | $119.00 | $430.00 | $119.97–$350.88 | 5% below | 72% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $119.00 | $430.00 | $119.97–$350.88 | — | 72% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PNL COMP | $119.00 | $430.00 | $119.97–$350.88 | — | 72% |
| D-dimer blood test (blood clot marker) CPT 85379 DIMER QUANTITATIVE | $75.00 | $272.00 | $75.89–$221.95 | 40% below | 72% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 DIMER QUANTITATIVE | $75.00 | $272.00 | $75.89–$221.95 | — | 72% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA S | $56.00 | $203.00 | $56.64–$165.65 | 58% below | 72% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA S | $56.00 | $203.00 | $56.64–$165.65 | — | 72% |
| Estradiol blood test CPT 82670 ESTRADIOL | $46.00 | $168.00 | $46.87–$137.09 | 68% below | 73% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $46.00 | $168.00 | $46.87–$137.09 | — | 73% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $42.00 | $152.00 | $42.41–$124.03 | 59% below | 72% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE FSH | $42.00 | $152.00 | $42.41–$124.03 | 59% below | 72% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $42.00 | $152.00 | $42.41–$124.03 | — | 72% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE FSH | $42.00 | $152.00 | $42.41–$124.03 | — | 72% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN | $65.00 | $236.00 | $65.84–$192.58 | 65% below | 72% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN | $65.00 | $236.00 | $65.84–$192.58 | — | 72% |
| Ferritin blood test (iron stores) CPT 82728 FERRTIN | $41.00 | $149.00 | $41.57–$121.58 | 53% below | 72% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRTIN | $41.00 | $149.00 | $41.57–$121.58 | — | 72% |
| Folate (folic acid) blood test CPT 82746 FOLATE SER | $34.00 | $122.00 | $34.04–$99.55 | 58% below | 72% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SER | $34.00 | $122.00 | $34.04–$99.55 | — | 72% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $30.00 | $111.00 | $30.97–$90.58 | 69% below | 73% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE ASSAY | $30.00 | $111.00 | $30.97–$90.58 | 69% below | 73% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE ASSAY | $30.00 | $111.00 | $30.97–$90.58 | — | 73% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $30.00 | $111.00 | $30.97–$90.58 | — | 73% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE FT4 | $34.00 | $125.00 | $34.88–$102.00 | 54% below | 73% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE FT4 | $34.00 | $125.00 | $34.88–$102.00 | — | 73% |
| Free testosterone test CPT 84402 TESTOST FREE | $51.00 | $186.00 | $51.89–$151.78 | 59% below | 73% |
| Free testosterone test inpatient CPT 84402 TESTOST FREE | $51.00 | $186.00 | $51.89–$151.78 | — | 73% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE | $18.00 | $67.00 | $18.69–$54.67 | 58% below | 73% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE | $18.00 | $67.00 | $18.69–$54.67 | — | 73% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR | $34.00 | $125.00 | $34.88–$102.00 | 63% below | 73% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 1 HOUR | $34.00 | $125.00 | $34.88–$102.00 | — | 73% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHEAE RNA THROAT | $37.00 | $134.00 | $37.39–$109.34 | 54% below | 72% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP | $37.00 | $134.00 | $37.39–$109.34 | 54% below | 72% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHEAE RNA THROAT | $37.00 | $134.00 | $37.39–$109.34 | — | 72% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP | $37.00 | $134.00 | $37.39–$109.34 | — | 72% |
| H. pylori antibody blood test CPT 86677 H PYLORI AR IGG | $39.00 | $141.00 | $39.34–$115.06 | 50% below | 72% |
| H. pylori antibody blood test CPT 86677 LAB AB HELICOBACTER PYLOR | $39.00 | $141.00 | $39.34–$115.06 | 50% below | 72% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AR IGG | $39.00 | $141.00 | $39.34–$115.06 | — | 72% |
| H. pylori antibody blood test inpatient CPT 86677 LAB AB HELICOBACTER PYLOR | $39.00 | $141.00 | $39.34–$115.06 | — | 72% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG | $58.00 | $210.00 | $58.59–$171.36 | 52% below | 72% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG | $58.00 | $210.00 | $58.59–$171.36 | — | 72% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR QNT <400 | $132.00 | $474.00 | $132.25–$386.78 | 62% below | 72% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR QNT <400 | $132.00 | $474.00 | $132.25–$386.78 | — | 72% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN | $35.00 | $127.00 | $35.43–$103.63 | 68% below | 72% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREEN | $35.00 | $127.00 | $35.43–$103.63 | — | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/AG SCREEN | $40.00 | $144.00 | $40.18–$117.50 | 54% below | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB DIFF W REFLEX | $40.00 | $144.00 | $40.18–$117.50 | 54% below | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV EXPOSURE | $40.00 | $144.00 | $40.18–$117.50 | 54% below | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AB DIFF W REFLEX | $40.00 | $144.00 | $40.18–$117.50 | — | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV EXPOSURE | $40.00 | $144.00 | $40.18–$117.50 | — | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AB/AG SCREEN | $40.00 | $144.00 | $40.18–$117.50 | — | 72% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $20.00 | $74.00 | $20.65–$60.38 | 82% below | 73% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES | $20.00 | $74.00 | $20.65–$60.38 | — | 73% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN | $25.00 | $90.00 | $25.11–$73.44 | 59% below | 72% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB GLYCOSYLATED HEMOGLOB | $25.00 | $90.00 | $25.11–$73.44 | 59% below | 72% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB GLYCOSYLATED HEMOGLOB | $25.00 | $90.00 | $25.11–$73.44 | — | 72% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN | $25.00 | $90.00 | $25.11–$73.44 | — | 72% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBV SURFACE ANTIBODY | $34.00 | $125.00 | $34.88–$102.00 | 49% below | 73% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBV SURFACE ANTIBODY | $34.00 | $125.00 | $34.88–$102.00 | — | 73% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG | $32.00 | $116.00 | $32.36–$94.66 | 49% below | 72% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBV SURFACE ANTIGEN | $32.00 | $116.00 | $32.36–$94.66 | 49% below | 72% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBV SURFACE ANTIGEN | $32.00 | $116.00 | $32.36–$94.66 | — | 72% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG | $32.00 | $116.00 | $32.36–$94.66 | — | 72% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY | $28.00 | $103.00 | $28.74–$84.05 | 66% below | 73% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBODY | $28.00 | $103.00 | $28.74–$84.05 | — | 73% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C ULTRA PCR | $114.00 | $410.00 | $114.39–$334.56 | 59% below | 72% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C ULTRA PCR | $114.00 | $410.00 | $114.39–$334.56 | — | 72% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLX 1 IGG | $32.00 | $118.00 | $32.92–$96.29 | 50% below | 73% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM SCREEN | $32.00 | $118.00 | $32.92–$96.29 | 50% below | 73% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER | $32.00 | $118.00 | $32.92–$96.29 | 50% below | 73% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM TITER | $32.00 | $118.00 | $32.92–$96.29 | — | 73% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLX 1 IGG | $32.00 | $118.00 | $32.92–$96.29 | — | 73% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM SCREEN | $32.00 | $118.00 | $32.92–$96.29 | — | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 V 2 INHIBITION | $32.00 | $118.00 | $32.92–$96.29 | 47% below | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 IGM TITER | $32.00 | $118.00 | $32.92–$96.29 | 47% below | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLX 2 IGG | $32.00 | $118.00 | $32.92–$96.29 | 47% below | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 IGM SCREEN | $32.00 | $118.00 | $32.92–$96.29 | 47% below | 73% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 IGM TITER | $32.00 | $118.00 | $32.92–$96.29 | — | 73% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLX 2 IGG | $32.00 | $118.00 | $32.92–$96.29 | — | 73% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 IGM SCREEN | $32.00 | $118.00 | $32.92–$96.29 | — | 73% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 V 2 INHIBITION | $32.00 | $118.00 | $32.92–$96.29 | — | 73% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SEN CRP | $36.00 | $130.00 | $36.27–$106.08 | 50% below | 72% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HS CRP CARDIAC | $36.00 | $130.00 | $36.27–$106.08 | 50% below | 72% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS CRP CARDIAC | $36.00 | $130.00 | $36.27–$106.08 | — | 72% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SEN CRP | $36.00 | $130.00 | $36.27–$106.08 | — | 72% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $73.00 | $263.00 | $73.38–$214.61 | 33% below | 72% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $73.00 | $263.00 | $73.38–$214.61 | — | 72% |
| Insulin blood test CPT 83525 INSULIN TOLERANCE | $28.00 | $101.00 | $28.18–$82.42 | 53% below | 72% |
| Insulin blood test CPT 83525 INSULIN RESPONSE TO GLUCO | $28.00 | $101.00 | $28.18–$82.42 | 53% below | 72% |
| Insulin blood test CPT 83525 INSULIN | $28.00 | $101.00 | $28.18–$82.42 | 53% below | 72% |
| Insulin blood test inpatient CPT 83525 INSULIN RESPONSE TO GLUCO | $28.00 | $101.00 | $28.18–$82.42 | — | 72% |
| Insulin blood test inpatient CPT 83525 INSULIN TOLERANCE | $28.00 | $101.00 | $28.18–$82.42 | — | 72% |
| Insulin blood test inpatient CPT 83525 INSULIN | $28.00 | $101.00 | $28.18–$82.42 | — | 72% |
| Iron blood test (serum iron) CPT 83540 IRON TISSUE | $22.00 | $80.00 | $22.32–$65.28 | 52% below | 73% |
| Iron blood test (serum iron) CPT 83540 IRON, LIVER TISSUE | $22.00 | $80.00 | $22.32–$65.28 | 52% below | 73% |
| Iron blood test (serum iron) CPT 83540 IRON | $22.00 | $80.00 | $22.32–$65.28 | 52% below | 73% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $22.00 | $80.00 | $22.32–$65.28 | — | 73% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON TISSUE | $22.00 | $80.00 | $22.32–$65.28 | — | 73% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, LIVER TISSUE | $22.00 | $80.00 | $22.32–$65.28 | — | 73% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $25.00 | $91.00 | $25.39–$74.26 | 63% below | 73% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $25.00 | $91.00 | $25.39–$74.26 | — | 73% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANL | $59.00 | $214.00 | $59.71–$174.62 | 45% below | 72% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANL | $59.00 | $214.00 | $59.71–$174.62 | — | 72% |
| LH (luteinizing hormone) test CPT 83002 LEUT HORMONE | $28.00 | $103.00 | $28.74–$84.05 | 73% below | 73% |
| LH (luteinizing hormone) test inpatient CPT 83002 LEUT HORMONE | $28.00 | $103.00 | $28.74–$84.05 | — | 73% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $46.00 | $165.00 | $46.04–$134.64 | 29% below | 72% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $46.00 | $165.00 | $46.04–$134.64 | — | 72% |
| Liver function blood test panel CPT 80076 LAB HEPATIC FUNCTION PANE | $52.00 | $188.00 | $52.45–$153.41 | 58% below | 72% |
| Liver function blood test panel CPT 80076 LIVER PANEL | $52.00 | $188.00 | $52.45–$153.41 | 58% below | 72% |
| Liver function blood test panel inpatient CPT 80076 LAB HEPATIC FUNCTION PANE | $52.00 | $188.00 | $52.45–$153.41 | — | 72% |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL | $52.00 | $188.00 | $52.45–$153.41 | — | 72% |
| Lyme disease antibody test CPT 86618 LYMES DIS AB | $44.00 | $160.00 | $44.64–$130.56 | 52% below | 73% |
| Lyme disease antibody test inpatient CPT 86618 LYMES DIS AB | $44.00 | $160.00 | $44.64–$130.56 | — | 73% |
| Magnesium blood test CPT 83735 STONE RISK MG | $34.00 | $123.00 | $34.32–$100.37 | 29% below | 72% |
| Magnesium blood test CPT 83735 MAGNESIUM | $34.00 | $123.00 | $34.32–$100.37 | 29% below | 72% |
| Magnesium blood test CPT 83735 MAGNESIUM FECES | $34.00 | $123.00 | $34.32–$100.37 | 29% below | 72% |
| Magnesium blood test CPT 83735 RBC MAGNESIUM | $34.00 | $123.00 | $34.32–$100.37 | 29% below | 72% |
| Magnesium blood test inpatient CPT 83735 RBC MAGNESIUM | $34.00 | $123.00 | $34.32–$100.37 | — | 72% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM FECES | $34.00 | $123.00 | $34.32–$100.37 | — | 72% |
| Magnesium blood test inpatient CPT 83735 STONE RISK MG | $34.00 | $123.00 | $34.32–$100.37 | — | 72% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $34.00 | $123.00 | $34.32–$100.37 | — | 72% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ACUTE | $24.00 | $87.00 | $24.27–$70.99 | 59% below | 72% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ACUTE | $24.00 | $87.00 | $24.27–$70.99 | — | 72% |
| Mono test (heterophile antibody, Monospot) CPT 86308 LAB QUAL HETEROPHILE AB | $30.00 | $108.00 | $30.13–$88.13 | 27% below | 72% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $30.00 | $108.00 | $30.13–$88.13 | 27% below | 72% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LAB QUAL HETEROPHILE AB | $30.00 | $108.00 | $30.13–$88.13 | — | 72% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN | $30.00 | $108.00 | $30.13–$88.13 | — | 72% |
| Obstetric blood test panel CPT 80055 LAB OBSTETRIC PANEL | $80.00 | $289.00 | $80.63–$235.82 | 73% below | 72% |
| Obstetric blood test panel inpatient CPT 80055 LAB OBSTETRIC PANEL | $80.00 | $289.00 | $80.63–$235.82 | — | 72% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $44.00 | $161.00 | $44.92–$131.38 | 45% below | 73% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $44.00 | $161.00 | $44.92–$131.38 | — | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROST SPEC AGN CANCER | $37.00 | $136.00 | $37.94–$110.98 | 53% below | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENSITIVE | $37.00 | $136.00 | $37.94–$110.98 | 53% below | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL | $37.00 | $136.00 | $37.94–$110.98 | 53% below | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $37.00 | $136.00 | $37.94–$110.98 | 53% below | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $37.00 | $136.00 | $37.94–$110.98 | — | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROST SPEC AGN CANCER | $37.00 | $136.00 | $37.94–$110.98 | — | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL | $37.00 | $136.00 | $37.94–$110.98 | — | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENSITIVE | $37.00 | $136.00 | $37.94–$110.98 | — | 73% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY | $22.00 | $80.00 | $22.32–$65.28 | 70% below | 73% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY | $22.00 | $80.00 | $22.32–$65.28 | — | 73% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LAB CP CERV/VAG AT MANUAL | $38.00 | $138.00 | $38.50–$112.61 | 48% below | 72% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LAB CP CERV/VAG AT MANUAL | $38.00 | $138.00 | $38.50–$112.61 | — | 72% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH MIDREGION | $78.00 | $282.00 | $78.68–$230.11 | 54% below | 72% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH MIDREGION | $78.00 | $282.00 | $78.68–$230.11 | — | 72% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $41.00 | $150.00 | $41.85–$122.40 | 26% below | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME | $41.00 | $150.00 | $41.85–$122.40 | 26% below | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT LA MX STD | $41.00 | $150.00 | $41.85–$122.40 | 26% below | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME | $41.00 | $150.00 | $41.85–$122.40 | — | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $41.00 | $150.00 | $41.85–$122.40 | — | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT LA MX STD | $41.00 | $150.00 | $41.85–$122.40 | — | 73% |
| Progesterone blood test CPT 84144 PROGESTERONE | $38.00 | $137.00 | $38.22–$111.79 | 65% below | 72% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $38.00 | $137.00 | $38.22–$111.79 | — | 72% |
| Prolactin blood test CPT 84146 PROLACTIN | $52.00 | $189.00 | $52.73–$154.22 | 53% below | 72% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $52.00 | $189.00 | $52.73–$154.22 | — | 72% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME MX STD | $27.00 | $99.00 | $27.62–$80.78 | 7% below | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME | $27.00 | $99.00 | $27.62–$80.78 | 7% below | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $27.00 | $99.00 | $27.62–$80.78 | 7% below | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PERF PROTHROMBIN TIME | $27.00 | $99.00 | $27.62–$80.78 | 7% below | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME | $27.00 | $99.00 | $27.62–$80.78 | 7% below | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PERF PROTHROMBIN TIME | $27.00 | $99.00 | $27.62–$80.78 | — | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME MX STD | $27.00 | $99.00 | $27.62–$80.78 | — | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $27.00 | $99.00 | $27.62–$80.78 | — | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME | $27.00 | $99.00 | $27.62–$80.78 | — | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME | $27.00 | $99.00 | $27.62–$80.78 | — | 73% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TCA DRUG SCREEN | $48.00 | $175.00 | $48.82–$142.80 | 29% below | 73% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG OF ABUSE SCREEN | $48.00 | $175.00 | $48.82–$142.80 | 29% below | 73% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CRL STAT DRG TESTING | $48.00 | $175.00 | $48.82–$142.80 | 29% below | 73% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CRL STAT DRG TESTING | $48.00 | $175.00 | $48.82–$142.80 | — | 73% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG OF ABUSE SCREEN | $48.00 | $175.00 | $48.82–$142.80 | — | 73% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TCA DRUG SCREEN | $48.00 | $175.00 | $48.82–$142.80 | — | 73% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA AG A & B-VERITO | $12.00 | $46.00 | $12.83–$37.54 | 80% below | 74% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO | $12.00 | $46.00 | $12.83–$37.54 | 80% below | 74% |
| Rapid flu test (influenza antigen) CPT 87804 LAB INFLUENZA IA W DO | $12.00 | $46.00 | $12.83–$37.54 | 80% below | 74% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 LAB INFLUENZA IA W DO | $12.00 | $46.00 | $12.83–$37.54 | — | 74% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA AG A & B-VERITO | $12.00 | $46.00 | $12.83–$37.54 | — | 74% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA W DO | $12.00 | $46.00 | $12.83–$37.54 | — | 74% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCR GRP A | $40.00 | $144.00 | $40.18–$117.50 | 2% below | 72% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 LAB STREP A ASSAY W/OPTIC | $40.00 | $144.00 | $40.18–$117.50 | 2% below | 72% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCR GRP A | $40.00 | $144.00 | $40.18–$117.50 | — | 72% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LAB STREP A ASSAY W/OPTIC | $40.00 | $144.00 | $40.18–$117.50 | — | 72% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $28.00 | $102.00 | $28.46–$83.23 | 43% below | 73% |
| Rheumatoid factor (RF) test CPT 86431 RHEMATOID FACTOR QUANT | $28.00 | $102.00 | $28.46–$83.23 | 43% below | 73% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR | $28.00 | $102.00 | $28.46–$83.23 | — | 73% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEMATOID FACTOR QUANT | $28.00 | $102.00 | $28.46–$83.23 | — | 73% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $28.00 | $101.00 | $28.18–$82.42 | 45% below | 72% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB | $28.00 | $101.00 | $28.18–$82.42 | 45% below | 72% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ANTIBODY | $28.00 | $101.00 | $28.18–$82.42 | — | 72% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB | $28.00 | $101.00 | $28.18–$82.42 | — | 72% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ISED | $12.00 | $44.00 | $12.28–$35.90 | 65% below | 73% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE ISED | $12.00 | $44.00 | $12.28–$35.90 | — | 73% |
| Stool ova and parasites exam CPT 87177 X OVA & PARASITE BILLING | $43.00 | $157.00 | $43.80–$128.11 | 25% below | 73% |
| Stool ova and parasites exam inpatient CPT 87177 X OVA & PARASITE BILLING | $43.00 | $157.00 | $43.80–$128.11 | — | 73% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT SCREEN COLOR | $15.00 | $54.00 | $15.07–$44.06 | 30% below | 72% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 LAB OCCULT BLOOD FECES 3 | $15.00 | $54.00 | $15.07–$44.06 | 30% below | 72% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LAB OCCULT BLOOD FECES 3 | $15.00 | $54.00 | $15.07–$44.06 | — | 72% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT SCREEN COLOR | $15.00 | $54.00 | $15.07–$44.06 | — | 72% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL GLOBIN | $18.00 | $67.00 | $18.69–$54.67 | 65% below | 73% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL GLOBIN | $18.00 | $67.00 | $18.69–$54.67 | — | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $19.00 | $71.00 | $19.81–$57.94 | 36% below | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $19.00 | $71.00 | $19.81–$57.94 | 36% below | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PRP MONITOR | $19.00 | $71.00 | $19.81–$57.94 | 36% below | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITITATIVE | $19.00 | $71.00 | $19.81–$57.94 | 36% below | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL | $19.00 | $71.00 | $19.81–$57.94 | — | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $19.00 | $71.00 | $19.81–$57.94 | — | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITITATIVE | $19.00 | $71.00 | $19.81–$57.94 | — | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 PRP MONITOR | $19.00 | $71.00 | $19.81–$57.94 | — | 73% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB | $77.00 | $276.00 | $77.00–$225.22 | 60% below | 72% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB | $77.00 | $276.00 | $77.00–$225.22 | — | 72% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $47.00 | $169.00 | $47.15–$137.90 | 61% below | 72% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $47.00 | $169.00 | $47.15–$137.90 | 61% below | 72% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $47.00 | $169.00 | $47.15–$137.90 | — | 72% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $47.00 | $169.00 | $47.15–$137.90 | — | 72% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSOMAL | $34.00 | $124.00 | $34.60–$101.18 | 56% below | 73% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTIMICROSOMAL | $34.00 | $124.00 | $34.60–$101.18 | — | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NMP TSH | $46.00 | $165.00 | $46.04–$134.64 | 3% above | 72% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING H | $46.00 | $165.00 | $46.04–$134.64 | 3% above | 72% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $46.00 | $165.00 | $46.04–$134.64 | 3% above | 72% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING H | $46.00 | $165.00 | $46.04–$134.64 | — | 72% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $46.00 | $165.00 | $46.04–$134.64 | — | 72% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NMP TSH | $46.00 | $165.00 | $46.04–$134.64 | — | 72% |
| Uric acid blood test CPT 84550 URIC ACID | $22.00 | $79.00 | $22.04–$64.46 | 48% below | 72% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $22.00 | $79.00 | $22.04–$64.46 | — | 72% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W MICRO | $28.00 | $102.00 | $28.46–$83.23 | 20% below | 73% |
| Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W MICROSC | $28.00 | $102.00 | $28.46–$83.23 | 20% below | 73% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $28.00 | $102.00 | $28.46–$83.23 | 20% below | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W MICROSC | $28.00 | $102.00 | $28.46–$83.23 | — | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO | $28.00 | $102.00 | $28.46–$83.23 | — | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W MICRO | $28.00 | $102.00 | $28.46–$83.23 | — | 73% |
| Urinalysis with microscope exam, manual CPT 81000 URINE DIP | $9.00 | $33.00 | $9.21–$26.93 | 67% below | 73% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIP | $9.00 | $33.00 | $9.21–$26.93 | — | 73% |
| Urinalysis without microscope exam, automated CPT 81003 URINE MYOGLOBIN QUAL | $15.00 | $57.00 | $15.90–$46.51 | 33% below | 74% |
| Urinalysis without microscope exam, automated CPT 81003 OB VGB | $15.00 | $57.00 | $15.90–$46.51 | 33% below | 74% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $15.00 | $57.00 | $15.90–$46.51 | 33% below | 74% |
| Urinalysis without microscope exam, automated CPT 81003 LAB AUTOM URINALYSIS WO M | $15.00 | $57.00 | $15.90–$46.51 | 33% below | 74% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WO MICRO | $15.00 | $57.00 | $15.90–$46.51 | 33% below | 74% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE MYOGLOBIN QUAL | $15.00 | $57.00 | $15.90–$46.51 | — | 74% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $15.00 | $57.00 | $15.90–$46.51 | — | 74% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WO MICRO | $15.00 | $57.00 | $15.90–$46.51 | — | 74% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB AUTOM URINALYSIS WO M | $15.00 | $57.00 | $15.90–$46.51 | — | 74% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 OB VGB | $15.00 | $57.00 | $15.90–$46.51 | — | 74% |
| Urinalysis without microscope exam, manual CPT 81002 URINE HEMOGLOBIN QUAL | $10.00 | $36.00 | $10.04–$29.38 | 26% below | 72% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP | $10.00 | $36.00 | $10.04–$29.38 | 26% below | 72% |
| Urinalysis without microscope exam, manual CPT 81002 ACETONE URINE | $10.00 | $36.00 | $10.04–$29.38 | 26% below | 72% |
| Urinalysis without microscope exam, manual CPT 81002 PROTEIN UR QUL | $10.00 | $36.00 | $10.04–$29.38 | 26% below | 72% |
| Urinalysis without microscope exam, manual CPT 81002 SPECIF GRAVTY | $10.00 | $36.00 | $10.04–$29.38 | 26% below | 72% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE URINE | $10.00 | $36.00 | $10.04–$29.38 | — | 72% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIF GRAVTY | $10.00 | $36.00 | $10.04–$29.38 | — | 72% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP | $10.00 | $36.00 | $10.04–$29.38 | — | 72% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE HEMOGLOBIN QUAL | $10.00 | $36.00 | $10.04–$29.38 | — | 72% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 PROTEIN UR QUL | $10.00 | $36.00 | $10.04–$29.38 | — | 72% |
| Urine culture for bacteria, with colony count CPT 87086 LAB BACT CULTR URINE QUAN | $40.00 | $145.00 | $40.46–$118.32 | 40% below | 72% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $40.00 | $145.00 | $40.46–$118.32 | 40% below | 72% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 LAB BACT CULTR URINE QUAN | $40.00 | $145.00 | $40.46–$118.32 | — | 72% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $40.00 | $145.00 | $40.46–$118.32 | — | 72% |
| Urine pregnancy test, read by color change CPT 81025 LAB URINE PREG VISUAL COL | $24.00 | $89.00 | $24.83–$72.62 | 51% below | 73% |
| Urine pregnancy test, read by color change inpatient CPT 81025 LAB URINE PREG VISUAL COL | $24.00 | $89.00 | $24.83–$72.62 | — | 73% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B12 ASSAY | $33.00 | $121.00 | $33.76–$98.74 | 57% below | 73% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 ASSAY | $33.00 | $121.00 | $33.76–$98.74 | — | 73% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH | $54.00 | $195.00 | $54.41–$159.12 | 63% below | 72% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH | $54.00 | $195.00 | $54.41–$159.12 | — | 72% |
| Zinc blood test CPT 84630 ZINC BLD | $31.00 | $113.00 | $31.53–$92.21 | 49% below | 73% |
| Zinc blood test inpatient CPT 84630 ZINC BLD | $31.00 | $113.00 | $31.53–$92.21 | — | 73% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG AFP MATERNL SCREEN | $40.00 | $145.00 | $40.46–$118.32 | 53% below | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QUAN | $40.00 | $145.00 | $40.46–$118.32 | 53% below | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $40.00 | $145.00 | $40.46–$118.32 | 53% below | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QUANT | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QUAN | $40.00 | $145.00 | $40.46–$118.32 | — | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG AFP MATERNL SCREEN | $40.00 | $145.00 | $40.46–$118.32 | — | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT | $40.00 | $145.00 | $40.46–$118.32 | — | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QUANT | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRA | $558.00 | $2,000.00 | $558.00–$1,632.00 | 109% above | 72% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRA | $558.00 | $2,000.00 | $558.00–$1,632.00 | — | 72% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRT | $1,728.00 | $6,194.00 | $1,728.13–$5,054.30 | 32% below | 72% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRT | $1,728.00 | $6,194.00 | $1,728.13–$5,054.30 | — | 72% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 CV LT HRT ARTRY/VNTRCL AN | $5,607.00 | $20,099.00 | $5,607.62–$16,400.78 | 42% below | 72% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CV LT HRT ARTRY/VNTRCL AN | $5,607.00 | $20,099.00 | $5,607.62–$16,400.78 | — | 72% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED CARDIOVERSION | $685.00 | $2,458.00 | $685.78–$2,005.73 | 11% below | 72% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CV CARDIOVERSION | $685.00 | $2,458.00 | $685.78–$2,005.73 | 11% below | 72% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - EKG | $685.00 | $2,458.00 | $685.78–$2,005.73 | 11% below | 72% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION (ICU ONLY) | $685.00 | $2,458.00 | $685.78–$2,005.73 | 11% below | 72% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $685.00 | $2,458.00 | $685.78–$2,005.73 | 11% below | 72% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CV CARDIOVERSION | $685.00 | $2,458.00 | $685.78–$2,005.73 | — | 72% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $685.00 | $2,458.00 | $685.78–$2,005.73 | — | 72% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION | $685.00 | $2,458.00 | $685.78–$2,005.73 | — | 72% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION (ICU ONLY) | $685.00 | $2,458.00 | $685.78–$2,005.73 | — | 72% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION - EKG | $685.00 | $2,458.00 | $685.78–$2,005.73 | — | 72% |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN I | $20,254.00 | $72,596.00 | $20,254.28–$59,238.34 | 21% below | 72% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN I | $20,254.00 | $72,596.00 | $20,254.28–$59,238.34 | — | 72% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $370.00 | $1,329.00 | $370.79–$1,084.46 | 40% below | 72% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX | $370.00 | $1,329.00 | $370.79–$1,084.46 | — | 72% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD RED DISTAL RAD FX | $166.00 | $598.00 | $166.84–$487.97 | 71% below | 72% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD RED DISTAL RAD FX | $166.00 | $598.00 | $166.84–$487.97 | — | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | 23% below | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | 23% below | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 3S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | 23% below | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 4S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | 23% below | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 6S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | 23% below | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 3E CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | 23% below | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 7S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | 23% below | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 3E CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | — | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 7S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | — | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 4S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | — | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 3S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | — | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | — | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | — | 72% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 6S CYSTOURETHROSCOPY | $773.00 | $2,772.00 | $773.39–$2,261.95 | — | 72% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C DIAG OR THERAP NOT OB | $1,055.00 | $3,782.00 | $1,055.18–$3,086.11 | 70% below | 72% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C DIAG OR THERAP NOT OB | $1,055.00 | $3,782.00 | $1,055.18–$3,086.11 | — | 72% |
| Earwax removal with instruments, one ear CPT 69210 REM CERUMEN | $58.00 | $208.00 | $58.03–$169.73 | 37% below | 72% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REM CERUMEN | $58.00 | $208.00 | $58.03–$169.73 | — | 72% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 3S ENDOME TRIAL BX WO CER | $225.00 | $810.00 | $225.99–$660.96 | 12% below | 72% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX WO CERVICA | $225.00 | $810.00 | $225.99–$660.96 | 12% below | 72% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 7S ENDOMETRIAL BX WO CERV | $225.00 | $810.00 | $225.99–$660.96 | 12% below | 72% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 7S ENDOMETRIAL BX WO CERV | $225.00 | $810.00 | $225.99–$660.96 | — | 72% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 3S ENDOME TRIAL BX WO CER | $225.00 | $810.00 | $225.99–$660.96 | — | 72% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX WO CERVICA | $225.00 | $810.00 | $225.99–$660.96 | — | 72% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR NJX INTERLAMINAR CRV/T | $929.00 | $3,331.00 | $929.35–$2,718.10 | 15% below | 72% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR NJX INTERLAMINAR CRV/T | $929.00 | $3,331.00 | $929.35–$2,718.10 | — | 72% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PV INJ PARAVERT F JNT 1 | $1,287.00 | $4,614.00 | $1,287.31–$3,765.02 | 19% above | 72% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PV INJ PARAVERT F JNT 1 | $1,287.00 | $4,614.00 | $1,287.31–$3,765.02 | — | 72% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPIN INJ | $142.00 | $510.00 | $142.29–$416.16 | 44% below | 72% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPIN INJ | $142.00 | $510.00 | $142.29–$416.16 | — | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 2E I&D ABSCESS/SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 7S I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 6S I&D ABSC; SMPL OR SGLB | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ICU I&D ABSCESS/SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 OB I&D ADSC; SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 3E I&D ABSCESS/SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 4S I&D ADSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 3S I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 BSC I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PV I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 CV I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | 23% above | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PV I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 3E I&D ABSCESS/SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OB I&D ADSC; SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ICU I&D ABSCESS/SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 6S I&D ABSC; SMPL OR SGLB | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 3S I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 2E I&D ABSCESS/SIMPLE | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 7S I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 BSC I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 4S I&D ADSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CV I&D ABSC SMPL OR SGL | $277.00 | $994.00 | $277.33–$811.10 | — | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 US INJ SGL TEND SHTH LIG | $409.00 | $1,469.00 | $409.85–$1,198.70 | 82% above | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TEND SHTH LIG | $409.00 | $1,469.00 | $409.85–$1,198.70 | 82% above | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PV INJ SGL TENDON SHTH OR | $409.00 | $1,469.00 | $409.85–$1,198.70 | 82% above | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TENDON INJ | $409.00 | $1,469.00 | $409.85–$1,198.70 | 82% above | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 RHEUM CLN-TENDON INJECTIO | $409.00 | $1,469.00 | $409.85–$1,198.70 | 82% above | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 RHEUM CLN-TENDON INJECTIO | $409.00 | $1,469.00 | $409.85–$1,198.70 | — | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TEND SHTH LIG | $409.00 | $1,469.00 | $409.85–$1,198.70 | — | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TENDON INJ | $409.00 | $1,469.00 | $409.85–$1,198.70 | — | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PV INJ SGL TENDON SHTH OR | $409.00 | $1,469.00 | $409.85–$1,198.70 | — | 72% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 US INJ SGL TEND SHTH LIG | $409.00 | $1,469.00 | $409.85–$1,198.70 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTHROCENT HIP KNEE | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 KNEE ASPIRATION | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RHEUM CLN DRAIN/INJ BURSA | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 US ARTHROC HIP KNEE | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 7S DRAIN INJ MJR JOINT | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 3S DRAIN/INJ MJR JOINT | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 6S DRAIN/INJ MJR JNT/BRSA | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 4S DRAIN/INJ MAJ JOINT/BU | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 3E DRAIN INJ MJR JOINT | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MJR JOINT/BURSA | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MJR JNT | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PV ARTHROC HIPKNEE | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 2E DRAIN INJ MAJ JNT | $770.00 | $2,761.00 | $770.32–$2,252.98 | 195% above | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 KNEE ASPIRATION | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 2E DRAIN INJ MAJ JNT | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 7S DRAIN INJ MJR JOINT | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 3S DRAIN/INJ MJR JOINT | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 6S DRAIN/INJ MJR JNT/BRSA | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 4S DRAIN/INJ MAJ JOINT/BU | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 3E DRAIN INJ MJR JOINT | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MJR JOINT/BURSA | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MJR JNT | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PV ARTHROC HIPKNEE | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 US ARTHROC HIP KNEE | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTHROCENT HIP KNEE | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RHEUM CLN DRAIN/INJ BURSA | $770.00 | $2,761.00 | $770.32–$2,252.98 | — | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 US DRAIN/INK INTRM JNT/BU | $343.00 | $1,231.00 | $343.45–$1,004.50 | 39% above | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT DRAIN/INJ INTERM JNT/B | $343.00 | $1,231.00 | $343.45–$1,004.50 | 39% above | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTR JNT W/O US | $343.00 | $1,231.00 | $343.45–$1,004.50 | 39% above | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 RHEUM CLN-BURSA/JNT INTER | $343.00 | $1,231.00 | $343.45–$1,004.50 | 39% above | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 7S DRAIN/INJ INTERM JNT/B | $343.00 | $1,231.00 | $343.45–$1,004.50 | 39% above | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JNT/BURSA | $343.00 | $1,231.00 | $343.45–$1,004.50 | 39% above | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PV JOINT ASPIRATION | $343.00 | $1,231.00 | $343.45–$1,004.50 | 39% above | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 US DRAIN/INK INTRM JNT/BU | $343.00 | $1,231.00 | $343.45–$1,004.50 | — | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 RHEUM CLN-BURSA/JNT INTER | $343.00 | $1,231.00 | $343.45–$1,004.50 | — | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTR JNT W/O US | $343.00 | $1,231.00 | $343.45–$1,004.50 | — | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CT DRAIN/INJ INTERM JNT/B | $343.00 | $1,231.00 | $343.45–$1,004.50 | — | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PV JOINT ASPIRATION | $343.00 | $1,231.00 | $343.45–$1,004.50 | — | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JNT/BURSA | $343.00 | $1,231.00 | $343.45–$1,004.50 | — | 72% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 7S DRAIN/INJ INTERM JNT/B | $343.00 | $1,231.00 | $343.45–$1,004.50 | — | 72% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PV DRAIN/INJ SM JNT/BURSA | $247.00 | $887.00 | $247.47–$723.79 | 6% above | 72% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SM JNT/BURSA | $247.00 | $887.00 | $247.47–$723.79 | 6% above | 72% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 RHEUM CLN-BURSA/JOINT-SML | $247.00 | $887.00 | $247.47–$723.79 | 6% above | 72% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 US DRAIN/INJ SM JNT/BURSA | $247.00 | $887.00 | $247.47–$723.79 | 6% above | 72% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PV DRAIN/INJ SM JNT/BURSA | $247.00 | $887.00 | $247.47–$723.79 | — | 72% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 RHEUM CLN-BURSA/JOINT-SML | $247.00 | $887.00 | $247.47–$723.79 | — | 72% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 US DRAIN/INJ SM JNT/BURSA | $247.00 | $887.00 | $247.47–$723.79 | — | 72% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT SM JNT/BURSA | $247.00 | $887.00 | $247.47–$723.79 | — | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 7S REPAIR INTERMEDIATE S/ | $470.00 | $1,687.00 | $470.67–$1,376.59 | 24% above | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 4S INTMD WND REPAIR S/A/T | $470.00 | $1,687.00 | $470.67–$1,376.59 | 24% above | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC LAYER CIOS | $470.00 | $1,687.00 | $470.67–$1,376.59 | 24% above | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 7S REPAIR INTERMEDIATE S/ | $470.00 | $1,687.00 | $470.67–$1,376.59 | — | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC LAYER CIOS | $470.00 | $1,687.00 | $470.67–$1,376.59 | — | 72% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 4S INTMD WND REPAIR S/A/T | $470.00 | $1,687.00 | $470.67–$1,376.59 | — | 72% |
| Left heart catheterization, diagnostic one side CPT 93452 CV RT HRT CATH W/VNTRCLGR | $4,643.00 | $16,643.00 | $4,643.40–$13,580.69 | 30% below | 72% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CV RT HRT CATH W/VNTRCLGR | $4,643.00 | $16,643.00 | $4,643.40–$13,580.69 | — | 72% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR NJX INTERLAMINAR LMBR/ | $879.00 | $3,153.00 | $879.69–$2,572.85 | 15% below | 72% |
| Lower-back epidural injection, with imaging guidance CPT 62323 CT INJ LMBR/SAC W/GUIDANC | $879.00 | $3,153.00 | $879.69–$2,572.85 | 15% below | 72% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT INJ LMBR/SAC W/GUIDANC | $879.00 | $3,153.00 | $879.69–$2,572.85 | — | 72% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR NJX INTERLAMINAR LMBR/ | $879.00 | $3,153.00 | $879.69–$2,572.85 | — | 72% |
| Lower-back epidural injection, without imaging guidance CPT 62322 CT INJ LMBR/SAC WO/GUIDAN | $442.00 | $1,585.00 | $442.22–$1,293.36 | 59% below | 72% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 CT INJ LMBR/SAC WO/GUIDAN | $442.00 | $1,585.00 | $442.22–$1,293.36 | — | 72% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PV INJ FORAMEN EPIDUR L/S | $1,138.00 | $4,079.00 | $1,138.04–$3,328.46 | 23% below | 72% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PV INJ FORAMEN EPIDUR L/S | $1,138.00 | $4,079.00 | $1,138.04–$3,328.46 | — | 72% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL | $165.00 | $593.00 | $165.45–$483.89 | 13% below | 72% |
| Nail removal (partial or complete), one nail CPT 11730 3E REMOVAL OF NAIL PLATE | $165.00 | $593.00 | $165.45–$483.89 | 13% below | 72% |
| Nail removal (partial or complete), one nail CPT 11730 2E REMOVAL OF NAIL PLATE | $165.00 | $593.00 | $165.45–$483.89 | 13% below | 72% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 3E REMOVAL OF NAIL PLATE | $165.00 | $593.00 | $165.45–$483.89 | — | 72% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL | $165.00 | $593.00 | $165.45–$483.89 | — | 72% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 2E REMOVAL OF NAIL PLATE | $165.00 | $593.00 | $165.45–$483.89 | — | 72% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $350.00 | $1,255.00 | $350.15–$1,024.08 | 6% below | 72% |
| Occipital nerve block (injection for headaches) CPT 64405 PV INJ ANES GRTR OCCIPITA | $350.00 | $1,255.00 | $350.15–$1,024.08 | 6% below | 72% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 PV INJ ANES GRTR OCCIPITA | $350.00 | $1,255.00 | $350.15–$1,024.08 | — | 72% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV | $350.00 | $1,255.00 | $350.15–$1,024.08 | — | 72% |
| Pacemaker implant (dual chamber) CPT 33208 CV PERM PACEMKR ATRIAL+VE | $13,028.00 | $46,696.00 | $13,028.18–$38,103.94 | 21% below | 72% |
| Pacemaker implant (dual chamber) CPT 33208 EV INS/REPL PERM PACEMAKE | $13,028.00 | $46,696.00 | $13,028.18–$38,103.94 | 21% below | 72% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 EV INS/REPL PERM PACEMAKE | $13,028.00 | $46,696.00 | $13,028.18–$38,103.94 | — | 72% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CV PERM PACEMKR ATRIAL+VE | $13,028.00 | $46,696.00 | $13,028.18–$38,103.94 | — | 72% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGIN | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | 24% above | 72% |
| Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS W/IMAGING | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | 24% above | 72% |
| Paracentesis with imaging guidance CPT 49083 US ABD PARACENTESIS W/IMA | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | 24% above | 72% |
| Paracentesis with imaging guidance CPT 49083 CT ABD PARACENTESIS W/IMA | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | 24% above | 72% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGIN | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | — | 72% |
| Paracentesis with imaging guidance inpatient CPT 49083 US ABD PARACENTESIS W/IMA | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | — | 72% |
| Paracentesis with imaging guidance inpatient CPT 49083 CT ABD PARACENTESIS W/IMA | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | — | 72% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR PARACENTESIS W/IMAGING | $1,041.00 | $3,733.00 | $1,041.51–$3,046.13 | — | 72% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX | $172.00 | $617.00 | $172.14–$503.47 | 62% below | 72% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL MATRIX | $172.00 | $617.00 | $172.14–$503.47 | — | 72% |
| Prostate biopsy CPT 55700 US BIOPSY PROSTATE | $1,052.00 | $3,772.00 | $1,052.39–$3,077.95 | 56% below | 72% |
| Prostate biopsy inpatient CPT 55700 US BIOPSY PROSTATE | $1,052.00 | $3,772.00 | $1,052.39–$3,077.95 | — | 72% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PV DESTROY LUMB/SAC FACET | $2,402.00 | $8,610.00 | $2,402.19–$7,025.76 | 62% above | 72% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PV DESTROY LUMB/SAC FACET | $2,402.00 | $8,610.00 | $2,402.19–$7,025.76 | — | 72% |
| Removal of a breast lump, open surgery CPT 19120 MAMM BRST EXC CYST TUMOR | $2,611.00 | $9,359.00 | $2,611.16–$7,636.94 | 145% above | 72% |
| Removal of a breast lump, open surgery inpatient CPT 19120 MAMM BRST EXC CYST TUMOR | $2,611.00 | $9,359.00 | $2,611.16–$7,636.94 | — | 72% |
| Removal of a foreign object under the skin, simple CPT 10120 US I&D REM FB | $376.00 | $1,349.00 | $376.37–$1,100.78 | 28% above | 72% |
| Removal of a foreign object under the skin, simple CPT 10120 PV INC & REM RB, SQ; SMPL | $376.00 | $1,349.00 | $376.37–$1,100.78 | 28% above | 72% |
| Removal of a foreign object under the skin, simple CPT 10120 CV INC & REM FB SQ SMPL | $376.00 | $1,349.00 | $376.37–$1,100.78 | 28% above | 72% |
| Removal of a foreign object under the skin, simple CPT 10120 I&D REM FB | $376.00 | $1,349.00 | $376.37–$1,100.78 | 28% above | 72% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 CV INC & REM FB SQ SMPL | $376.00 | $1,349.00 | $376.37–$1,100.78 | — | 72% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D REM FB | $376.00 | $1,349.00 | $376.37–$1,100.78 | — | 72% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 PV INC & REM RB, SQ; SMPL | $376.00 | $1,349.00 | $376.37–$1,100.78 | — | 72% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 US I&D REM FB | $376.00 | $1,349.00 | $376.37–$1,100.78 | — | 72% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY SHOCK WAVE | $4,380.00 | $15,701.00 | $4,380.58–$12,812.02 | 31% below | 72% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY SHOCK WAVE | $4,380.00 | $15,701.00 | $4,380.58–$12,812.02 | — | 72% |
| Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST | $147.00 | $528.00 | $147.31–$430.85 | 40% below | 72% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST | $147.00 | $528.00 | $147.31–$430.85 | — | 72% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM | $196.00 | $704.00 | $196.42–$574.46 | 33% above | 72% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM | $196.00 | $704.00 | $196.42–$574.46 | — | 72% |
| Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG | $212.00 | $763.00 | $212.88–$622.61 | 28% above | 72% |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG | $212.00 | $763.00 | $212.88–$622.61 | — | 72% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMPLE EXT | $227.00 | $817.00 | $227.94–$666.67 | 1% above | 72% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 4S SREP S/N/A/G/TR/E 2.5C | $227.00 | $817.00 | $227.94–$666.67 | 1% above | 72% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 4S SREP S/N/A/G/TR/E 2.5C | $227.00 | $817.00 | $227.94–$666.67 | — | 72% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC SIMPLE EXT | $227.00 | $817.00 | $227.94–$666.67 | — | 72% |
| Skin biopsy, punch, one lesion CPT 11104 2E PUNCH BX SKIN SINGLE L | $342.00 | $1,227.00 | $342.33–$1,001.23 | 30% above | 72% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY, FIRST SKIN | $342.00 | $1,227.00 | $342.33–$1,001.23 | 30% above | 72% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESI | $342.00 | $1,227.00 | $342.33–$1,001.23 | 30% above | 72% |
| Skin biopsy, punch, one lesion CPT 11104 3E PUNCH BIOPSY SKIN SING | $342.00 | $1,227.00 | $342.33–$1,001.23 | 30% above | 72% |
| Skin biopsy, punch, one lesion CPT 11104 4S PUNCH BX SKIN SNGL LES | $342.00 | $1,227.00 | $342.33–$1,001.23 | 30% above | 72% |
| Skin biopsy, punch, one lesion CPT 11104 6S PUNCH BX SKIN SINGLE L | $342.00 | $1,227.00 | $342.33–$1,001.23 | 30% above | 72% |
| Skin biopsy, punch, one lesion CPT 11104 7S PUNCH BX SKIN SINGLE L | $342.00 | $1,227.00 | $342.33–$1,001.23 | 30% above | 72% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 2E PUNCH BX SKIN SINGLE L | $342.00 | $1,227.00 | $342.33–$1,001.23 | — | 72% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 4S PUNCH BX SKIN SNGL LES | $342.00 | $1,227.00 | $342.33–$1,001.23 | — | 72% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 6S PUNCH BX SKIN SINGLE L | $342.00 | $1,227.00 | $342.33–$1,001.23 | — | 72% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 7S PUNCH BX SKIN SINGLE L | $342.00 | $1,227.00 | $342.33–$1,001.23 | — | 72% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY, FIRST SKIN | $342.00 | $1,227.00 | $342.33–$1,001.23 | — | 72% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESI | $342.00 | $1,227.00 | $342.33–$1,001.23 | — | 72% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 3E PUNCH BIOPSY SKIN SING | $342.00 | $1,227.00 | $342.33–$1,001.23 | — | 72% |
| Skin tag removal, up to 15 tags CPT 11200 REM OF SKIN TAGS | $91.00 | $329.00 | $91.79–$268.46 | 36% below | 72% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM OF SKIN TAGS | $91.00 | $329.00 | $91.79–$268.46 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 7S DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DIAG LUMBAR SPINAL PUNCTU | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PV DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DIAGNOSTIC LUMBAR SPINAL | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 3E DIAG LUMBAR PUNCTURE | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 6S DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 OB DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ICU DIAG LUMBAR SPINAL PU | $789.00 | $2,828.00 | $789.01–$2,307.65 | 52% above | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DIAGNOSTIC LUMBAR SPINAL | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 6S DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 OB DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 3E DIAG LUMBAR PUNCTURE | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ICU DIAG LUMBAR SPINAL PU | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 7S DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DIAG LUMBAR SPINAL PUNCTU | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PV DIAG LUMBAR SPINAL PUN | $789.00 | $2,828.00 | $789.01–$2,307.65 | — | 72% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SIMPLE EXT | $227.00 | $817.00 | $227.94–$666.67 | 16% below | 72% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC SIMPLE EXT | $227.00 | $817.00 | $227.94–$666.67 | — | 72% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 4S SREP F/E/N/L/MM; 2.5CM | $227.00 | $817.00 | $227.94–$666.67 | 11% below | 72% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED RPR F/E/E/N/L/M 2.5 CM | $227.00 | $817.00 | $227.94–$666.67 | 11% below | 72% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 3S SREP F/E/N/L/MM; 2.5CM | $227.00 | $817.00 | $227.94–$666.67 | 11% below | 72% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED RPR F/E/E/N/L/M 2.5 CM | $227.00 | $817.00 | $227.94–$666.67 | — | 72% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 4S SREP F/E/N/L/MM; 2.5CM | $227.00 | $817.00 | $227.94–$666.67 | — | 72% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 3S SREP F/E/N/L/MM; 2.5CM | $227.00 | $817.00 | $227.94–$666.67 | — | 72% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 6S TANGNTL BX SKIN SINGLE | $312.00 | $1,120.00 | $312.48–$913.92 | 60% above | 72% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 6S TANGNTL BX SKIN SINGLE | $312.00 | $1,120.00 | $312.48–$913.92 | — | 72% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 2E ASPIRATE PLEURA W/IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 6S ASPIRATE PLEURA W IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 ICU THORACENTESIS | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 ICU ASPIRATE PLEURA W IMA | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 7S ASPIRATE PLEURA W/ IMA | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 3S THORACENTESIS NEEDLE/C | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 3E ASPIR PLEURA W/IMAGING | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 IR THORACENTESIS W/IMAGIN | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 US ASPIRATE PLEURA W/IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance CPT 32555 CT ASPIRATE PLEURA W/IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | 1% above | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US ASPIRATE PLEURA W/IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ICU THORACENTESIS | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ICU ASPIRATE PLEURA W IMA | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGING | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR THORACENTESIS W/IMAGIN | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 6S ASPIRATE PLEURA W IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT ASPIRATE PLEURA W/IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 2E ASPIRATE PLEURA W/IMAG | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 7S ASPIRATE PLEURA W/ IMA | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 3S THORACENTESIS NEEDLE/C | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Thoracentesis with imaging guidance inpatient CPT 32555 3E ASPIR PLEURA W/IMAGING | $859.00 | $3,080.00 | $859.32–$2,513.28 | — | 72% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PV TRIGGER POINT INJ 1-2 | $409.00 | $1,467.00 | $409.29–$1,197.07 | 100% above | 72% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUS | $409.00 | $1,467.00 | $409.29–$1,197.07 | 100% above | 72% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PV TRIGGER POINT INJ 1-2 | $409.00 | $1,467.00 | $409.29–$1,197.07 | — | 72% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2 MUS | $409.00 | $1,467.00 | $409.29–$1,197.07 | — | 72% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PERC DEV BREAST 1ST LESIO | $1,728.00 | $6,194.00 | $1,728.13–$5,054.30 | 1% below | 72% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PERC DEV BREAST 1ST LESIO | $1,728.00 | $6,194.00 | $1,728.13–$5,054.30 | — | 72% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ED EGD DIAG BRUSH WASH | $598.00 | $2,145.00 | $598.46–$1,750.32 | 42% below | 72% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ICU EGD DIAG BRUSH WASH | $598.00 | $2,145.00 | $598.46–$1,750.32 | 42% below | 72% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ED EGD DIAG BRUSH WASH | $598.00 | $2,145.00 | $598.46–$1,750.32 | — | 72% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ICU EGD DIAG BRUSH WASH | $598.00 | $2,145.00 | $598.46–$1,750.32 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CV DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSU 20 SQ CM/< | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN SQ TISSU | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 3S DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQC | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 2E DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 7S DEBRIDE SKIN TO SQ TIS | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 2W DBRDMT SUBQ TIS 1ST 20 | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ICU DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 6S DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 3E DEBRIDE SKIN TO SQ TIS | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 4S DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | 28% above | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 2E DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 3E DEBRIDE SKIN TO SQ TIS | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 4S DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 7S DEBRIDE SKIN TO SQ TIS | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 2W DBRDMT SUBQ TIS 1ST 20 | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT SUBQ TIS 1ST 20SQC | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ICU DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 6S DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSU 20 SQ CM/< | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 3S DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN SQ TISSU | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 CV DEB SUBQ TISSUE 20 SQ | $494.00 | $1,772.00 | $494.39–$1,445.95 | — | 72% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $565.00 | $2,028.00 | $565.81–$1,654.85 | 6% below | 72% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $565.00 | $2,028.00 | $565.81–$1,654.85 | — | 72% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TRTMNT | $109.00 | $393.00 | $109.65–$320.69 | 22% below | 72% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMNT | $109.00 | $393.00 | $109.65–$320.69 | 22% below | 72% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMNT | $109.00 | $393.00 | $109.65–$320.69 | — | 72% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TRTMNT | $109.00 | $393.00 | $109.65–$320.69 | — | 72% |
| Critical care, first 30 to 74 minutes CPT 99291 ED VI CRITICAL CARE | $1,268.00 | $4,548.00 | $1,268.89–$3,711.17 | 7% below | 72% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED VI CRITICAL CARE | $1,268.00 | $4,548.00 | $1,268.89–$3,711.17 | — | 72% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY | $479.00 | $1,719.00 | $479.60–$1,402.70 | 31% below | 72% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY | $479.00 | $1,719.00 | $479.60–$1,402.70 | — | 72% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLET | $13.00 | $48.00 | $13.39–$39.17 | 78% below | 73% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLET | $13.00 | $48.00 | $13.39–$39.17 | — | 73% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 1 HOUR | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 30 MINUTES | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 6 HOUR | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 2 HOUR | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG TRACING ONLY | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-PREOP | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PACU EKG | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PST EKG | $168.00 | $603.00 | $168.24–$492.05 | 12% below | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-PREOP | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 2 HOUR | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 6 HOUR | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 30 MINUTES | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 1 HOUR | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PST EKG | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG TRACING ONLY | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PACU EKG | $168.00 | $603.00 | $168.24–$492.05 | — | 72% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED I | $145.00 | $522.00 | $145.64–$425.95 | at median | 72% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED I | $145.00 | $522.00 | $145.64–$425.95 | — | 72% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED II | $201.00 | $722.00 | $201.44–$589.15 | 28% below | 72% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED II | $201.00 | $722.00 | $201.44–$589.15 | — | 72% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MODPS SAFE EXAM | $386.00 | $1,385.00 | $386.42–$1,130.16 | 20% below | 72% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED III | $386.00 | $1,385.00 | $386.42–$1,130.16 | 20% below | 72% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED III | $386.00 | $1,385.00 | $386.42–$1,130.16 | — | 72% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MODPS SAFE EXAM | $386.00 | $1,385.00 | $386.42–$1,130.16 | — | 72% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED IV | $581.00 | $2,083.00 | $581.16–$1,699.73 | 22% below | 72% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED IV | $581.00 | $2,083.00 | $581.16–$1,699.73 | — | 72% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED V | $868.00 | $3,113.00 | $868.53–$2,540.21 | 24% below | 72% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED V | $868.00 | $3,113.00 | $868.53–$2,540.21 | — | 72% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG NM STRESS | $587.00 | $2,104.00 | $587.02–$1,716.86 | 24% below | 72% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE STRESS | $587.00 | $2,104.00 | $587.02–$1,716.86 | 24% below | 72% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST TRACING | $587.00 | $2,104.00 | $587.02–$1,716.86 | 24% below | 72% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG NM STRESS | $587.00 | $2,104.00 | $587.02–$1,716.86 | — | 72% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSLR STRESS TEST TRACING | $587.00 | $2,104.00 | $587.02–$1,716.86 | — | 72% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE STRESS | $587.00 | $2,104.00 | $587.02–$1,716.86 | — | 72% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUS-HYDRATION 1ST HR | $276.00 | $990.00 | $276.21–$807.84 | 13% above | 72% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUS-HYDRATION 1ST HR | $276.00 | $990.00 | $276.21–$807.84 | — | 72% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION-THERAPY 1ST HOUR | $287.00 | $1,031.00 | $287.65–$841.30 | at median | 72% |
| IV infusion of a medicine, first hour CPT 96365 INFUS-THERAPY 1ST HOUR | $287.00 | $1,031.00 | $287.65–$841.30 | at median | 72% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUS-THERAPY 1ST HOUR | $287.00 | $1,031.00 | $287.65–$841.30 | — | 72% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION-THERAPY 1ST HOUR | $287.00 | $1,031.00 | $287.65–$841.30 | — | 72% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 BSC INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | at median | 72% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB INJECTION SC/IM | $93.00 | $336.00 | $93.74–$274.18 | at median | 72% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | at median | 72% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 3E INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | at median | 72% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4S INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | at median | 72% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | at median | 72% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 6S INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | at median | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB INJECTION SC/IM | $93.00 | $336.00 | $93.74–$274.18 | — | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 6S INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | — | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 3E INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | — | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | — | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 BSC INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | — | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 4S INJECTION IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | — | 72% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM/SQ | $93.00 | $336.00 | $93.74–$274.18 | — | 72% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TST 7-8 STUDIES | $433.00 | $1,553.00 | $433.29–$1,267.25 | 4% below | 72% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TST 7-8 STUDIES | $433.00 | $1,553.00 | $433.29–$1,267.25 | — | 72% |
| New patient office visit, about 30 minutes CPT 99203 OB NEW PT/LVL III < 1HR | $55.00 | $198.00 | $55.24–$161.57 | 59% below | 72% |
| New patient office visit, about 30 minutes CPT 99203 HBO/NEW PT/LEVEL III | $55.00 | $198.00 | $55.24–$161.57 | 59% below | 72% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP PT VISIT NEW LVL 3 | $55.00 | $198.00 | $55.24–$161.57 | 59% below | 72% |
| New patient office visit, about 30 minutes CPT 99203 RHEUM CLN-NEW PT-LVL III | $62.00 | $225.00 | $62.78–$183.60 | 53% below | 72% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $62.00 | $225.00 | $62.78–$183.60 | 53% below | 72% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HBO/NEW PT/LEVEL III | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OB NEW PT/LVL III < 1HR | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP PT VISIT NEW LVL 3 | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 30 minutes inpatient CPT 99203 RHEUM CLN-NEW PT-LVL III | $62.00 | $225.00 | $62.78–$183.60 | — | 72% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN | $62.00 | $225.00 | $62.78–$183.60 | — | 72% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL IV | $55.00 | $198.00 | $55.24–$161.57 | 69% below | 72% |
| New patient office visit, about 45 minutes CPT 99204 HBO/NEW PT/LEVEL IV | $55.00 | $198.00 | $55.24–$161.57 | 69% below | 72% |
| New patient office visit, about 45 minutes CPT 99204 OB NEW PT/LVL IV 1-4HR | $55.00 | $198.00 | $55.24–$161.57 | 69% below | 72% |
| New patient office visit, about 45 minutes CPT 99204 RHEUM CLN-NEW PT-LVL IV | $79.00 | $285.00 | $79.52–$232.56 | 55% below | 72% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $99.00 | $358.00 | $99.88–$292.13 | 44% below | 72% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HBO/NEW PT/LEVEL IV | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL IV | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OB NEW PT/LVL IV 1-4HR | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 45 minutes inpatient CPT 99204 RHEUM CLN-NEW PT-LVL IV | $79.00 | $285.00 | $79.52–$232.56 | — | 72% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $99.00 | $358.00 | $99.88–$292.13 | — | 72% |
| New patient office visit, about 60 minutes CPT 99205 OB NEW PT/LVL V HIGH RISK | $55.00 | $198.00 | $55.24–$161.57 | 79% below | 72% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OP VISIT NEW LVL V | $55.00 | $198.00 | $55.24–$161.57 | 79% below | 72% |
| New patient office visit, about 60 minutes CPT 99205 HBO/NEW PT/LEVEL V | $55.00 | $198.00 | $55.24–$161.57 | 79% below | 72% |
| New patient office visit, about 60 minutes CPT 99205 RHEUM CLN-NEW PT-LEVEL V | $133.00 | $477.00 | $133.08–$389.23 | 49% below | 72% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $133.00 | $477.00 | $133.08–$389.23 | 49% below | 72% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OB NEW PT/LVL V HIGH RISK | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HBO/NEW PT/LEVEL V | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OP VISIT NEW LVL V | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, about 60 minutes inpatient CPT 99205 RHEUM CLN-NEW PT-LEVEL V | $133.00 | $477.00 | $133.08–$389.23 | — | 72% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $133.00 | $477.00 | $133.08–$389.23 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHEUM CLN-NEW PT-LEVEL II | $48.00 | $175.00 | $48.82–$142.80 | 44% below | 73% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP VISIT NEW LVL II | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PV TREATMENT RM NEW PT | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BSC TRT RM NEW PATIENT | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PM TRT RM NEW PATIENT | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHEUM TRT RM NEW PATIENT | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HBO/NEW PT/LEVEL II | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CL TREATMENT RM NEW PT | $55.00 | $198.00 | $55.24–$161.57 | 35% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $63.00 | $228.00 | $63.61–$186.05 | 26% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 TRTMNT RM NEW PT | $63.00 | $228.00 | $63.61–$186.05 | 26% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PSTPTM TREATMENT ROOM NEW | $63.00 | $228.00 | $63.61–$186.05 | 26% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHEUM CLN-NEW PT-LEVEL II | $48.00 | $175.00 | $48.82–$142.80 | — | 73% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BSC TRT RM NEW PATIENT | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHEUM TRT RM NEW PATIENT | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CL TREATMENT RM NEW PT | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PV TREATMENT RM NEW PT | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HBO/NEW PT/LEVEL II | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PM TRT RM NEW PATIENT | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFF/OP VISIT NEW LVL II | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PSTPTM TREATMENT ROOM NEW | $63.00 | $228.00 | $63.61–$186.05 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $63.00 | $228.00 | $63.61–$186.05 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TRTMNT RM NEW PT | $63.00 | $228.00 | $63.61–$186.05 | — | 72% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OP NUTR INSTR EACH 15 MIN | $40.00 | $144.00 | $40.18–$117.50 | at median | 72% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OP DIAB NUTR INST INIT 15 | $40.00 | $144.00 | $40.18–$117.50 | at median | 72% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OP DIAB NUTR INST INIT 15 | $40.00 | $144.00 | $40.18–$117.50 | — | 72% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OP NUTR INSTR EACH 15 MIN | $40.00 | $144.00 | $40.18–$117.50 | — | 72% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PPPS, SUBSEQ VISIT | $136.00 | $488.00 | $136.15–$398.21 | 5% below | 72% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PPPS, SUBSEQ VISIT | $136.00 | $488.00 | $136.15–$398.21 | — | 72% |
| Psychiatric evaluation with medical services CPT 90792 MH PSYCHIATRIC DIAGNOSTIC | $87.00 | $312.00 | $87.05–$254.59 | 49% below | 72% |
| Psychiatric evaluation with medical services CPT 90792 2TEST PSYCHIATRIC DIAGNOS | $87.00 | $312.00 | $87.05–$254.59 | 49% below | 72% |
| Psychiatric evaluation with medical services inpatient CPT 90792 MH PSYCHIATRIC DIAGNOSTIC | $87.00 | $312.00 | $87.05–$254.59 | — | 72% |
| Psychiatric evaluation with medical services inpatient CPT 90792 2TEST PSYCHIATRIC DIAGNOS | $87.00 | $312.00 | $87.05–$254.59 | — | 72% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKNG 3-10MIN | $41.00 | $149.00 | $41.57–$121.58 | 86% above | 72% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 M | $41.00 | $149.00 | $41.57–$121.58 | 86% above | 72% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKNG 3-10MIN | $41.00 | $149.00 | $41.57–$121.58 | — | 72% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 M | $41.00 | $149.00 | $41.57–$121.58 | — | 72% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB EST PT/LVL V HIGH RISK | $55.00 | $198.00 | $55.24–$161.57 | 69% below | 72% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HBO/EST PT/LEVEL V | $55.00 | $198.00 | $55.24–$161.57 | 69% below | 72% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP EST PT VISIT LEVEL 5 | $55.00 | $198.00 | $55.24–$161.57 | 69% below | 72% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $141.00 | $506.00 | $141.17–$412.90 | 22% below | 72% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHEUM CLN-EST PT-LEVEL V | $141.00 | $506.00 | $141.17–$412.90 | 22% below | 72% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP EST PT VISIT LEVEL 5 | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB EST PT/LVL V HIGH RISK | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HBO/EST PT/LEVEL V | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RHEUM CLN-EST PT-LEVEL V | $141.00 | $506.00 | $141.17–$412.90 | — | 72% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $141.00 | $506.00 | $141.17–$412.90 | — | 72% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $49.00 | $177.00 | $49.38–$144.43 | 53% below | 72% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHEUM CLN-EST PT-LVL III | $49.00 | $177.00 | $49.38–$144.43 | 53% below | 72% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HBO/EST PT/LEVEL III | $55.00 | $198.00 | $55.24–$161.57 | 48% below | 72% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OP VISIT EST LVL 3 | $55.00 | $198.00 | $55.24–$161.57 | 48% below | 72% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB EST PT/LVL III < 1HR | $55.00 | $198.00 | $55.24–$161.57 | 48% below | 72% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN | $49.00 | $177.00 | $49.38–$144.43 | — | 72% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHEUM CLN-EST PT-LVL III | $49.00 | $177.00 | $49.38–$144.43 | — | 72% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB EST PT/LVL III < 1HR | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OP VISIT EST LVL 3 | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HBO/EST PT/LEVEL III | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HBO/EST PT/LEVEL IV | $55.00 | $198.00 | $55.24–$161.57 | 61% below | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OP VISIT EST LVL 4 | $55.00 | $198.00 | $55.24–$161.57 | 61% below | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB EST PT/LVL IV 1-4HR | $55.00 | $198.00 | $55.24–$161.57 | 61% below | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $63.00 | $229.00 | $63.89–$186.86 | 55% below | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHEUM CLN-EST PT-LEVEL IV | $63.00 | $229.00 | $63.89–$186.86 | 55% below | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OP VISIT EST LVL 4 | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HBO/EST PT/LEVEL IV | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB EST PT/LVL IV 1-4HR | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RHEUM CLN-EST PT-LEVEL IV | $63.00 | $229.00 | $63.89–$186.86 | — | 72% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN | $63.00 | $229.00 | $63.89–$186.86 | — | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $46.00 | $166.00 | $46.31–$135.46 | 33% below | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHEUM CLN-EST PT-LEVEL II | $46.00 | $166.00 | $46.31–$135.46 | 33% below | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP EST PT VISIT LEVEL 2 | $55.00 | $198.00 | $55.24–$161.57 | 20% below | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HBO/EST PT/LEVEL II | $55.00 | $198.00 | $55.24–$161.57 | 20% below | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $46.00 | $166.00 | $46.31–$135.46 | — | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RHEUM CLN-EST PT-LEVEL II | $46.00 | $166.00 | $46.31–$135.46 | — | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP EST PT VISIT LEVEL 2 | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HBO/EST PT/LEVEL II | $55.00 | $198.00 | $55.24–$161.57 | — | 72% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 RHEUN CLN OFF CNSLT LVL 3 | $82.00 | $295.00 | $82.30–$240.72 | 54% below | 72% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 TRTMENT RM CONSULT NEW/ES | $82.00 | $295.00 | $82.30–$240.72 | 54% below | 72% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 TRTMENT RM CONSULT NEW/ES | $82.00 | $295.00 | $82.30–$240.72 | — | 72% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 RHEUN CLN OFF CNSLT LVL 3 | $82.00 | $295.00 | $82.30–$240.72 | — | 72% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 RHEUM CLN OFF CNSLT LVL 4 | $93.00 | $335.00 | $93.46–$273.36 | 62% below | 72% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 RHEUM CLN OFF CNSLT LVL 4 | $93.00 | $335.00 | $93.46–$273.36 | — | 72% |
| Spirometry (breathing test) CPT 94010 BASIC SPIROMTRY | $230.00 | $827.00 | $230.73–$674.83 | 8% above | 72% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $230.00 | $827.00 | $230.73–$674.83 | 8% above | 72% |
| Spirometry (breathing test) inpatient CPT 94010 BASIC SPIROMTRY | $230.00 | $827.00 | $230.73–$674.83 | — | 72% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $230.00 | $827.00 | $230.73–$674.83 | — | 72% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $166.00 | $597.00 | $166.56–$487.15 | 60% below | 72% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING | $166.00 | $597.00 | $166.56–$487.15 | — | 72% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $148.00 | $533.00 | $148.71–$434.93 | 15% below | 72% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $148.00 | $533.00 | $148.71–$434.93 | — | 72% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC | $52.00 | $187.00 | $52.17–$152.59 | 80% below | 72% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 VAC 30MCG TRS-SUC | $52.00 | $187.00 | $52.17–$152.59 | — | 72% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX INFLUENZA VACCINE | $28.00 | $101.00 | $28.18–$82.42 | 40% below | 72% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX INFLUENZA VACCINE | $28.00 | $101.00 | $28.18–$82.42 | — | 72% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP B VACC/HEP A VACC | $89.00 | $321.00 | $89.56–$261.94 | at median | 72% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP B VACC/HEP A VACC | $89.00 | $321.00 | $89.56–$261.94 | — | 72% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA 5ML INJ | $79.00 | $286.00 | $79.79–$233.38 | 38% below | 72% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA 5ML INJ | $79.00 | $286.00 | $79.79–$233.38 | — | 72% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS 1 DIPTH ADULT 0.5 | $43.00 | $157.00 | $43.80–$128.11 | 39% below | 73% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS 1 DIPTH ADULT 0.5 | $43.00 | $157.00 | $43.80–$128.11 | — | 73% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTH 1 PERTUS 0. | $46.00 | $165.00 | $46.04–$134.64 | 53% below | 72% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPTH 1 PERTUS 0. | $46.00 | $165.00 | $46.04–$134.64 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VAC | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6S INJECTION VACCINE | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PPV VAC | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VIRUS VAC | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CLINIC INJ VACCINE | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED CLINIC INJECTION VACCI | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION VACCINE | $91.00 | $328.00 | $91.51–$267.65 | 67% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PPV VAC | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VAC | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 6S INJECTION VACCINE | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED CLINIC INJECTION VACCI | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJECTION VACCINE | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CLINIC INJ VACCINE | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VIRUS VAC | $91.00 | $328.00 | $91.51–$267.65 | — | 72% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL | $21.00 | $76.00 | $21.20–$62.02 | 54% below | 72% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL | $21.00 | $76.00 | $21.20–$62.02 | — | 72% |
Source file: https://www.libertyhospital.org/clientfiles/getfile/431684627_Liberty_Hospital_standardcharges.csv