Hospital New York-Newark-Jersey City, NY-NJ

Saint Peters University Hospital

Saint Peters University Hospital in New Brunswick, NJ publishes cash prices for 395 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 384 of 394 procedures and below it for 10. By typical cash price it ranks #40 of 41 New Jersey hospitals and #74 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

254 Easton Ave New Brunswick NJ 08901 Collected Sep 29, 2026 Source price file (732) 745-8600

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 310070 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Abdominal CT scan without and with contrast CPT 74170 CT POST SIRT CT ABD W/O CO	$7,321.00	$7,671.00	$195.00–$7,671.00	931% above	5%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W+WO CONTRAST	$11,301.00	$11,496.00	$195.00–$11,496.00	1491% above	2%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT POST SIRT CT ABD W/O CO	$7,321.00	$7,671.00	$195.00–$7,671.00	—	5%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W+WO CONTRAST	$11,301.00	$11,496.00	$195.00–$11,496.00	—	2%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN FLAT/UP 2V	$1,150.00	$1,202.00	$38.00–$1,202.00	738% above	4%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN COMPLETE W DEC	$1,164.00	$1,202.00	$38.00–$1,202.00	748% above	3%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN FLAT/UP 2V	$1,150.00	$1,202.00	$38.00–$1,202.00	—	4%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN COMPLETE W DEC	$1,164.00	$1,202.00	$38.00–$1,202.00	—	3%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE COMPLETE BILATERAL	$2,802.00	$2,884.00	$44.00–$2,884.00	—	3%
Ankle X-ray, complete, 3 or more views CPT 73610 92621 AUDITORY FUNCTION + 15 MI	$1,346.00	$1,442.00	$29.00–$1,442.00	1046% above	7%
Ankle X-ray, complete, 3 or more views CPT 73610 C-ARM ANKLE COMPLETE MIN 3 VIEWS BILATER	$2,609.00	$2,864.00	$44.00–$2,864.00	2121% above	9%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE RT	$1,391.00	$1,453.00	$29.00–$1,453.00	1084% above	4%
Ankle X-ray, complete, 3 or more views one side CPT 73610 C-ARM ANKLE COMPLETE MIN 3 VIEWS RIGHT	$1,413.00	$1,442.00	$29.00–$1,442.00	1103% above	2%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE LT	$1,424.00	$1,453.00	$29.00–$1,453.00	1112% above	2%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE COMPLETE BILATERAL	$2,802.00	$2,884.00	$44.00–$2,884.00	—	3%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 92621 AUDITORY FUNCTION + 15 MI	$1,346.00	$1,442.00	$29.00–$1,442.00	—	7%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 C-ARM ANKLE COMPLETE MIN 3 VIEWS BILATER	$2,609.00	$2,864.00	$44.00–$2,864.00	—	9%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLETE RT	$1,391.00	$1,453.00	$29.00–$1,453.00	—	4%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 C-ARM ANKLE COMPLETE MIN 3 VIEWS RIGHT	$1,413.00	$1,442.00	$29.00–$1,442.00	—	2%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLETE LT	$1,424.00	$1,453.00	$29.00–$1,453.00	—	2%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PVR ARTERIES LIMITED	$1,157.00	$1,293.00	$136.00–$1,293.00	573% above	11%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$1,554.00	$1,588.00	$34.00–$1,588.00	803% above	2%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PVR ARTERIES LIMITED	$1,157.00	$1,293.00	$136.00–$1,293.00	—	11%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$1,554.00	$1,588.00	$34.00–$1,588.00	—	2%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O DYE RT	$7,155.00	$7,274.00	$117.00–$7,274.00	1497% above	2%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O DYE LT	$7,155.00	$7,274.00	$117.00–$7,274.00	1497% above	2%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O DYE LT	$7,155.00	$7,274.00	$117.00–$7,274.00	—	2%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O DYE RT	$7,155.00	$7,274.00	$117.00–$7,274.00	—	2%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RADEX PHARYNX&/CERVICAL ESOPHAGUS	$1,478.00	$1,672.00	$54.00–$1,672.00	552% above	12%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS-PEDS	$1,529.00	$1,672.00	$54.00–$1,672.00	575% above	9%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS GASTROGRAPH AND SWALLOW	$1,573.00	$1,672.00	$54.00–$1,672.00	594% above	6%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RADEX PHARYNX&/CERVICAL ESOPHAGUS	$1,478.00	$1,672.00	$54.00–$1,672.00	—	12%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS-PEDS	$1,529.00	$1,672.00	$54.00–$1,672.00	—	9%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS GASTROGRAPH AND SWALLOW	$1,573.00	$1,672.00	$54.00–$1,672.00	—	6%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$6,282.00	$6,720.00	$144.00–$6,720.00	1084% above	7%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY	$6,282.00	$6,720.00	$144.00–$6,720.00	—	7%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE BIL	$4,261.00	$4,400.00	$117.00–$4,400.00	2882% above	3%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RT	$481.00	$548.00	$60.00–$548.00	237% above	12%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LT	$483.00	$548.00	$60.00–$548.00	238% above	12%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE BIL	$4,261.00	$4,400.00	$117.00–$4,400.00	—	3%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE RT	$481.00	$548.00	$60.00–$548.00	—	12%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE LT	$483.00	$548.00	$60.00–$548.00	—	12%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED BIL	$4,286.00	$4,400.00	$96.00–$4,400.00	2966% above	3%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RT	$682.00	$778.00	$76.00–$778.00	388% above	12%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LT	$692.00	$778.00	$76.00–$778.00	395% above	11%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED BIL	$4,286.00	$4,400.00	$96.00–$4,400.00	—	3%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED RT	$682.00	$778.00	$76.00–$778.00	—	12%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED LT	$692.00	$778.00	$76.00–$778.00	—	11%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN W/O AND W DYE	$12,081.00	$12,489.00	$350.00–$12,489.00	2198% above	3%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD & PELVIS	$12,081.00	$12,489.00	$350.00–$12,489.00	2198% above	3%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN W/O AND W DYE	$12,081.00	$12,489.00	$350.00–$12,489.00	—	3%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD & PELVIS	$12,081.00	$12,489.00	$350.00–$12,489.00	—	3%
CT angiography (CTA) of the head CPT 70496 CT VENOGRAM HEAD	$14,549.00	$14,747.00	$195.00–$14,747.00	1905% above	1%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$14,552.00	$14,747.00	$195.00–$14,747.00	1905% above	1%
CT angiography (CTA) of the head inpatient CPT 70496 CT VENOGRAM HEAD	$14,549.00	$14,747.00	$195.00–$14,747.00	—	1%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD	$14,552.00	$14,747.00	$195.00–$14,747.00	—	1%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$13,329.00	$13,524.00	$195.00–$13,524.00	1664% above	1%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK	$13,329.00	$13,524.00	$195.00–$13,524.00	—	1%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PULMONARY AGRAM	$3,317.00	$3,512.00	$195.00–$3,512.00	315% above	6%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$12,419.00	$12,614.00	$195.00–$12,614.00	1455% above	2%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT PULMONARY AGRAM	$3,317.00	$3,512.00	$195.00–$3,512.00	—	6%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$12,419.00	$12,614.00	$195.00–$12,614.00	—	2%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORING EXAM	$319.00	$370.00	$41.00–$428.00	222% above	14%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CORONARY CALCIUM SCORING EXAM	$319.00	$370.00	$41.00–$428.00	—	14%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS WO CO	$8,139.00	$8,309.00	$170.00–$8,309.00	1853% above	2%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS WO CO	$8,139.00	$8,309.00	$170.00–$8,309.00	—	2%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY	$8,236.00	$8,570.00	$289.00–$8,570.00	884% above	4%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W CON	$8,236.00	$8,570.00	$289.00–$8,570.00	884% above	4%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY	$8,236.00	$8,570.00	$289.00–$8,570.00	—	4%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W CON	$8,236.00	$8,570.00	$289.00–$8,570.00	—	4%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS WO+W	$11,830.00	$12,238.00	$350.00–$12,238.00	1169% above	3%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS WO+W	$11,830.00	$12,238.00	$350.00–$12,238.00	—	3%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$8,291.00	$8,486.00	$195.00–$8,486.00	1664% above	2%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$8,291.00	$8,486.00	$195.00–$8,486.00	—	2%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$10,000.00	$10,117.00	$117.00–$10,117.00	1884% above	1%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$10,000.00	$10,117.00	$117.00–$10,117.00	—	1%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$8,662.00	$8,779.00	$117.00–$8,779.00	1614% above	1%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$8,662.00	$8,779.00	$117.00–$8,779.00	—	1%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$4,962.00	$5,079.00	$111.00–$5,079.00	1202% above	2%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/STROKE W/O DYE	$4,968.00	$5,079.00	$111.00–$5,079.00	1204% above	2%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$4,962.00	$5,079.00	$111.00–$5,079.00	—	2%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/STROKE W/O DYE	$4,968.00	$5,079.00	$111.00–$5,079.00	—	2%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$8,718.00	$8,988.00	$159.00–$8,988.00	1755% above	3%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$8,718.00	$8,988.00	$159.00–$8,988.00	—	3%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$12,267.00	$13,190.00	$194.00–$13,190.00	1680% above	7%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$12,267.00	$13,190.00	$194.00–$13,190.00	—	7%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$5,441.00	$5,560.00	$117.00–$5,560.00	828% above	2%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$5,441.00	$5,560.00	$117.00–$5,560.00	—	2%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$9,279.00	$9,396.00	$117.00–$9,396.00	1583% above	1%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$9,279.00	$9,396.00	$117.00–$9,396.00	—	1%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$8,375.00	$8,570.00	$195.00–$8,570.00	1828% above	2%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$8,375.00	$8,570.00	$195.00–$8,570.00	—	2%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN BILATERAL	$2,624.00	$2,884.00	$218.00–$2,884.00	—	9%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX SCAN BILATERAL	$2,624.00	$2,884.00	$218.00–$2,884.00	—	9%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/O & W/DYE	$9,180.00	$9,375.00	$195.00–$9,375.00	1144% above	2%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/O & W/DYE	$9,180.00	$9,375.00	$195.00–$9,375.00	—	2%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUBITUS BILATERAL	$883.00	$919.00	$36.00–$919.00	—	4%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY FRNT LAT OBLIQUE	$812.00	$919.00	$36.00–$919.00	591% above	12%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL-PORTABLE	$823.00	$919.00	$36.00–$919.00	600% above	10%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL	$883.00	$919.00	$36.00–$919.00	652% above	4%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL-OR PORTA	$883.00	$919.00	$36.00–$919.00	652% above	4%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL-PAT	$883.00	$919.00	$36.00–$919.00	652% above	4%
Chest X-ray, 2 views inpatient both sides CPT 71046 CHEST DECUBITUS BILATERAL	$883.00	$919.00	$36.00–$919.00	—	4%
Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY FRNT LAT OBLIQUE	$812.00	$919.00	$36.00–$919.00	—	12%
Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL-PORTABLE	$823.00	$919.00	$36.00–$919.00	—	10%
Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL-OR PORTA	$883.00	$919.00	$36.00–$919.00	—	4%
Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL-PAT	$883.00	$919.00	$36.00–$919.00	—	4%
Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2VW FRONTAL&LATL	$883.00	$919.00	$36.00–$919.00	—	4%
Chest X-ray, single view CPT 71045 CHEST XR 1 VW FRONT FU PNEUMOTX	$653.00	$742.00	$24.00–$742.00	481% above	12%
Chest X-ray, single view CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-6AM PORT	$653.00	$742.00	$24.00–$742.00	481% above	12%
Chest X-ray, single view CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-PORT	$656.00	$742.00	$24.00–$742.00	484% above	12%
Chest X-ray, single view CPT 71045 CHEST X-RAY 1 VIEW FRONTAL	$716.00	$742.00	$24.00–$742.00	537% above	4%
Chest X-ray, single view CPT 71045 CHEST X-RAY 1 VIEW FRONTAL PORTABLE	$716.00	$742.00	$24.00–$742.00	537% above	4%
Chest X-ray, single view CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-OR PORT	$718.00	$742.00	$24.00–$742.00	539% above	3%
Chest X-ray, single view CPT 71045 CORPORATE CHEST XRAY W/INTERP	$718.00	$742.00	$24.00–$742.00	539% above	3%
Chest X-ray, single view CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-PAT	$718.00	$742.00	$24.00–$742.00	539% above	3%
Chest X-ray, single view one side CPT 71045 CHEST DECUBITUS LATERAL LEFT	$652.00	$742.00	$24.00–$742.00	480% above	12%
Chest X-ray, single view one side CPT 71045 CHEST DECUBITUS LATERAL RIGHT	$718.00	$742.00	$24.00–$742.00	539% above	3%
Chest X-ray, single view inpatient CPT 71045 CHEST XR 1 VW FRONT FU PNEUMOTX	$653.00	$742.00	$24.00–$742.00	—	12%
Chest X-ray, single view inpatient CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-6AM PORT	$653.00	$742.00	$24.00–$742.00	—	12%
Chest X-ray, single view inpatient CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-PORT	$656.00	$742.00	$24.00–$742.00	—	12%
Chest X-ray, single view inpatient CPT 71045 CHEST X-RAY 1 VIEW FRONTAL PORTABLE	$716.00	$742.00	$24.00–$742.00	—	4%
Chest X-ray, single view inpatient CPT 71045 CHEST X-RAY 1 VIEW FRONTAL	$716.00	$742.00	$24.00–$742.00	—	4%
Chest X-ray, single view inpatient CPT 71045 CORPORATE CHEST XRAY W/INTERP	$718.00	$742.00	$24.00–$742.00	—	3%
Chest X-ray, single view inpatient CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-OR PORT	$718.00	$742.00	$24.00–$742.00	—	3%
Chest X-ray, single view inpatient CPT 71045 CHEST X-RAY 1 VIEW FRONTAL-PAT	$718.00	$742.00	$24.00–$742.00	—	3%
Chest X-ray, single view inpatient one side CPT 71045 CHEST DECUBITUS LATERAL LEFT	$652.00	$742.00	$24.00–$742.00	—	12%
Chest X-ray, single view inpatient one side CPT 71045 CHEST DECUBITUS LATERAL RIGHT	$718.00	$742.00	$24.00–$742.00	—	3%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 C-ARM CLAVICLE COMPLETE BILATERAL	$2,528.00	$2,571.00	$40.00–$2,571.00	—	2%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR EXAM OF COLLAR BONE LT	$1,197.00	$1,293.00	$27.00–$1,293.00	919% above	7%
Collarbone (clavicle) X-ray, complete one side CPT 73000 C-ARM CLAVICLE COMPLETE RIGHT	$1,197.00	$1,293.00	$27.00–$1,293.00	919% above	7%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR EXAM OF COLLAR BONE RT	$1,266.00	$1,293.00	$27.00–$1,293.00	978% above	2%
Collarbone (clavicle) X-ray, complete one side CPT 73000 C-ARM CLAVICLE COMPLETE LEFT	$1,266.00	$1,293.00	$27.00–$1,293.00	978% above	2%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 C-ARM CLAVICLE COMPLETE BILATERAL	$2,528.00	$2,571.00	$40.00–$2,571.00	—	2%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 C-ARM CLAVICLE COMPLETE RIGHT	$1,197.00	$1,293.00	$27.00–$1,293.00	—	7%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR EXAM OF COLLAR BONE LT	$1,197.00	$1,293.00	$27.00–$1,293.00	—	7%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR EXAM OF COLLAR BONE RT	$1,266.00	$1,293.00	$27.00–$1,293.00	—	2%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 C-ARM CLAVICLE COMPLETE LEFT	$1,266.00	$1,293.00	$27.00–$1,293.00	—	2%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP PORT	$5,185.00	$5,435.00	$117.00–$5,435.00	3378% above	5%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP R/B	$5,316.00	$5,435.00	$117.00–$5,435.00	3465% above	2%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$5,318.00	$5,435.00	$117.00–$5,435.00	3467% above	2%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP PORT	$5,185.00	$5,435.00	$117.00–$5,435.00	—	5%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP R/B	$5,316.00	$5,435.00	$117.00–$5,435.00	—	2%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$5,318.00	$5,435.00	$117.00–$5,435.00	—	2%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$487.00	$547.00	$47.00–$547.00	260% above	11%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL	$487.00	$547.00	$47.00–$547.00	—	11%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY/PERIPHERAL	$271.00	$306.00	$26.00–$306.00	141% above	11%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY/PERIPHERAL	$271.00	$306.00	$26.00–$306.00	—	11%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811 OB US DETAILED SNGL FETUS 1ST GEST	$1,962.00	$2,222.00	$128.00–$2,222.00	508% above	12%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$2,450.00	$2,710.00	$128.00–$2,710.00	660% above	10%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 76811 OB US DETAILED SNGL FETUS 1ST GEST	$1,962.00	$2,222.00	$128.00–$2,222.00	—	12%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS	$2,450.00	$2,710.00	$128.00–$2,710.00	—	10%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HI RESOLUTION	$2,640.00	$2,759.00	$117.00–$2,759.00	1169% above	4%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O DYE	$7,544.00	$7,661.00	$117.00–$7,661.00	3527% above	2%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HI RESOLUTION	$2,640.00	$2,759.00	$117.00–$2,759.00	—	4%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O DYE	$7,544.00	$7,661.00	$117.00–$7,661.00	—	2%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE	$6,462.00	$6,657.00	$195.00–$6,657.00	1275% above	3%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/DYE	$6,462.00	$6,657.00	$195.00–$6,657.00	—	3%
Diagnostic mammogram, both breasts both sides CPT 77066 77066 DX MAMMO INCL CAD BI	$155.00	$175.00	$19.00–$292.00	—	11%
Diagnostic mammogram, both breasts both sides CPT 77066 POST PROCEDURE BILATERAL DIAGNOSTIC MAMM	$1,380.00	$1,432.00	$52.00–$1,432.00	—	4%
Diagnostic mammogram, both breasts CPT 77066 DX MAMMO INCL CAD BIL	$1,303.00	$1,432.00	$52.00–$1,432.00	727% above	9%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 DX MAMMO INCL CAD BI	$155.00	$175.00	$19.00–$292.00	—	11%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 POST PROCEDURE BILATERAL DIAGNOSTIC MAMM	$1,380.00	$1,432.00	$52.00–$1,432.00	—	4%
Diagnostic mammogram, both breasts inpatient CPT 77066 DX MAMMO INCL CAD BIL	$1,303.00	$1,432.00	$52.00–$1,432.00	—	9%
Diagnostic mammogram, one breast CPT 77065 77065 DX MAMMO INCL CAD UNI	$156.00	$175.00	$19.00–$228.00	5% below	11%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD LT	$1,068.00	$1,170.00	$52.00–$1,170.00	549% above	9%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD RT	$1,069.00	$1,170.00	$52.00–$1,170.00	550% above	9%
Diagnostic mammogram, one breast one side CPT 77065 POST PROCEDURE RIGHT DIAGNOSTIC MAMMOGRA	$1,069.00	$1,170.00	$52.00–$1,170.00	550% above	9%
Diagnostic mammogram, one breast one side CPT 77065 POST PROCEDURE LEFT DIAGNOSTIC MAMMOGRAM	$1,118.00	$1,170.00	$52.00–$1,170.00	580% above	4%
Diagnostic mammogram, one breast inpatient CPT 77065 77065 DX MAMMO INCL CAD UNI	$156.00	$175.00	$19.00–$228.00	—	11%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD LT	$1,068.00	$1,170.00	$52.00–$1,170.00	—	9%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD RT	$1,069.00	$1,170.00	$52.00–$1,170.00	—	9%
Diagnostic mammogram, one breast inpatient one side CPT 77065 POST PROCEDURE RIGHT DIAGNOSTIC MAMMOGRA	$1,069.00	$1,170.00	$52.00–$1,170.00	—	9%
Diagnostic mammogram, one breast inpatient one side CPT 77065 POST PROCEDURE LEFT DIAGNOSTIC MAMMOGRAM	$1,118.00	$1,170.00	$52.00–$1,170.00	—	4%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY ART STUDY BIL	$2,624.00	$2,884.00	$218.00–$2,884.00	764% above	9%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LOWER EXTREMITY ART STUDY BIL	$2,624.00	$2,884.00	$218.00–$2,884.00	—	9%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VENOUS EXTREMITY LOWER BIL	$2,624.00	$2,884.00	$218.00–$2,884.00	714% above	9%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VEIN MAPPING LOWER EXTREMITY BILA	$4,077.00	$4,337.00	$218.00–$4,337.00	1164% above	6%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VENOUS EXTREMITY UPPER BIL	$4,119.00	$4,337.00	$218.00–$4,337.00	1177% above	5%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VENOUS EXTREMITY LOWER BIL	$2,624.00	$2,884.00	$218.00–$2,884.00	—	9%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VEIN MAPPING LOWER EXTREMITY BILA	$4,077.00	$4,337.00	$218.00–$4,337.00	—	6%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VENOUS EXTREMITY UPPER BIL	$4,119.00	$4,337.00	$218.00–$4,337.00	—	5%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PEDS TTE W/DOPPLER COMPLETE	$7,861.00	$8,570.00	$300.00–$8,570.00	1019% above	8%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$7,985.00	$8,570.00	$300.00–$8,570.00	1037% above	7%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PEDS TTE W/DOPPLER COMPLETE	$7,861.00	$8,570.00	$300.00–$8,570.00	—	8%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$7,985.00	$8,570.00	$300.00–$8,570.00	—	7%
Elbow X-ray, 2 views both sides CPT 73070 C-ARM ELBOW BILATERAL 2 VIEWS	$2,196.00	$2,289.00	$43.00–$2,289.00	—	4%
Elbow X-ray, 2 views one side CPT 73070 C-ARM ELBOW RIGHT 2 VIEWS	$1,064.00	$1,160.00	$29.00–$1,160.00	847% above	8%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS-OR PORTABLE RT	$1,074.00	$1,170.00	$29.00–$1,170.00	856% above	8%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS-PORTABLE LT	$1,074.00	$1,170.00	$29.00–$1,170.00	856% above	8%
Elbow X-ray, 2 views one side CPT 73070 C-ARM ELBOW LEFT 2 VIEWS	$1,095.00	$1,160.00	$29.00–$1,160.00	875% above	6%
Elbow X-ray, 2 views one side CPT 73070 73070 LT XR ELBOW 2 VIEWS	$1,108.00	$1,170.00	$29.00–$1,170.00	886% above	5%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS-OR PORTABLE LT	$1,108.00	$1,170.00	$29.00–$1,170.00	886% above	5%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS-PORTABLE RT	$1,124.00	$1,170.00	$29.00–$1,170.00	901% above	4%
Elbow X-ray, 2 views one side CPT 73070 73070 RT XR ELBOW 2 VIEWS	$1,138.00	$1,170.00	$29.00–$1,170.00	913% above	3%
Elbow X-ray, 2 views inpatient both sides CPT 73070 C-ARM ELBOW BILATERAL 2 VIEWS	$2,196.00	$2,289.00	$43.00–$2,289.00	—	4%
Elbow X-ray, 2 views inpatient one side CPT 73070 C-ARM ELBOW RIGHT 2 VIEWS	$1,064.00	$1,160.00	$29.00–$1,160.00	—	8%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS-OR PORTABLE RT	$1,074.00	$1,170.00	$29.00–$1,170.00	—	8%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS-PORTABLE LT	$1,074.00	$1,170.00	$29.00–$1,170.00	—	8%
Elbow X-ray, 2 views inpatient one side CPT 73070 C-ARM ELBOW LEFT 2 VIEWS	$1,095.00	$1,160.00	$29.00–$1,160.00	—	6%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS-OR PORTABLE LT	$1,108.00	$1,170.00	$29.00–$1,170.00	—	5%
Elbow X-ray, 2 views inpatient one side CPT 73070 73070 LT XR ELBOW 2 VIEWS	$1,108.00	$1,170.00	$29.00–$1,170.00	—	5%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS-PORTABLE RT	$1,124.00	$1,170.00	$29.00–$1,170.00	—	4%
Elbow X-ray, 2 views inpatient one side CPT 73070 73070 RT XR ELBOW 2 VIEWS	$1,138.00	$1,170.00	$29.00–$1,170.00	—	3%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 C-ARM ELBOW BILATERAL COMPLETE, MIN 3 VI	$2,772.00	$2,853.00	$48.00–$2,853.00	—	3%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMPLETE LT	$1,368.00	$1,432.00	$32.00–$1,432.00	1064% above	4%
Elbow X-ray, complete, 3 or more views one side CPT 73080 C-ARM ELBOW LEFT COMPLETE, MIN 3 VIEWS	$1,398.00	$1,432.00	$32.00–$1,432.00	1090% above	2%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMPLETE RT	$1,400.00	$1,432.00	$32.00–$1,432.00	1092% above	2%
Elbow X-ray, complete, 3 or more views one side CPT 73080 C-ARM ELBOW RIGHT COMPLETE, MIN 3 VIEWS	$1,400.00	$1,432.00	$32.00–$1,432.00	1092% above	2%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 C-ARM ELBOW BILATERAL COMPLETE, MIN 3 VI	$2,772.00	$2,853.00	$48.00–$2,853.00	—	3%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMPLETE LT	$1,368.00	$1,432.00	$32.00–$1,432.00	—	4%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 C-ARM ELBOW LEFT COMPLETE, MIN 3 VIEWS	$1,398.00	$1,432.00	$32.00–$1,432.00	—	2%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 C-ARM ELBOW RIGHT COMPLETE, MIN 3 VIEWS	$1,400.00	$1,432.00	$32.00–$1,432.00	—	2%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMPLETE RT	$1,400.00	$1,432.00	$32.00–$1,432.00	—	2%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$7,617.00	$7,734.00	$117.00–$7,734.00	2585% above	2%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$7,617.00	$7,734.00	$117.00–$7,734.00	—	2%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$1,953.00	$2,048.00	$38.00–$2,048.00	1276% above	5%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-RAY EXAM OF FACIAL BONES	$1,953.00	$2,048.00	$38.00–$2,048.00	—	5%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 C-ARM FOREARM 2 VIEWS BILATERAL	$2,504.00	$2,592.00	$39.00–$2,592.00	—	3%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 C-ARM FOREARM 2 VIEWS LEFT	$1,205.00	$1,303.00	$26.00–$1,303.00	926% above	8%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS-OR RT	$1,218.00	$1,314.00	$26.00–$1,314.00	937% above	7%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS-PORTABLE LT	$1,272.00	$1,314.00	$26.00–$1,314.00	983% above	3%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT	$1,272.00	$1,314.00	$26.00–$1,314.00	983% above	3%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 C-ARM FOREARM 2 VIEWS RIGHT	$1,277.00	$1,303.00	$26.00–$1,303.00	987% above	2%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT	$1,287.00	$1,314.00	$26.00–$1,314.00	995% above	2%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS-OR LT	$1,288.00	$1,314.00	$26.00–$1,314.00	996% above	2%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 C-ARM FOREARM 2 VIEWS BILATERAL	$2,504.00	$2,592.00	$39.00–$2,592.00	—	3%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 C-ARM FOREARM 2 VIEWS LEFT	$1,205.00	$1,303.00	$26.00–$1,303.00	—	8%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS-OR RT	$1,218.00	$1,314.00	$26.00–$1,314.00	—	7%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS-PORTABLE LT	$1,272.00	$1,314.00	$26.00–$1,314.00	—	3%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LT	$1,272.00	$1,314.00	$26.00–$1,314.00	—	3%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 C-ARM FOREARM 2 VIEWS RIGHT	$1,277.00	$1,303.00	$26.00–$1,303.00	—	2%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS RT	$1,287.00	$1,314.00	$26.00–$1,314.00	—	2%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS-OR LT	$1,288.00	$1,314.00	$26.00–$1,314.00	—	2%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Unknown	$4,492.00	$4,930.00	$282.00–$4,930.00	778% above	9%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$4,997.00	$5,435.00	$282.00–$5,435.00	877% above	8%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Unknown	$4,492.00	$4,930.00	$282.00–$4,930.00	—	9%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$4,997.00	$5,435.00	$282.00–$5,435.00	—	8%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS-OR PORTABLE RT	$791.00	$919.00	$21.00–$919.00	485% above	14%
Hand X-ray, 2 views one side CPT 73120 73120 LT XR HAND 2 VIEWS	$809.00	$919.00	$21.00–$919.00	498% above	12%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT	$844.00	$919.00	$21.00–$919.00	524% above	8%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS-OR PORTABLE LT	$892.00	$919.00	$21.00–$919.00	559% above	3%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT	$892.00	$919.00	$21.00–$919.00	559% above	3%
Hand X-ray, 2 views one side CPT 73120 73120 RT XR HAND 2 VIEWS	$898.00	$919.00	$21.00–$919.00	564% above	2%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS-OR PORTABLE RT	$791.00	$919.00	$21.00–$919.00	—	14%
Hand X-ray, 2 views inpatient one side CPT 73120 73120 LT XR HAND 2 VIEWS	$809.00	$919.00	$21.00–$919.00	—	12%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LT	$844.00	$919.00	$21.00–$919.00	—	8%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RT	$892.00	$919.00	$21.00–$919.00	—	3%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS-OR PORTABLE LT	$892.00	$919.00	$21.00–$919.00	—	3%
Hand X-ray, 2 views inpatient one side CPT 73120 73120 RT XR HAND 2 VIEWS	$898.00	$919.00	$21.00–$919.00	—	2%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS RT	$933.00	$1,029.00	$26.00–$1,029.00	713% above	9%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS LT	$1,003.00	$1,029.00	$26.00–$1,029.00	774% above	3%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEOUS RT	$933.00	$1,029.00	$26.00–$1,029.00	—	9%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEOUS LT	$1,003.00	$1,029.00	$26.00–$1,029.00	—	3%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT & RESP EFFT	$1,336.00	$1,502.00	$165.00–$2,350.00	370% above	11%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT & RESP EFFT	$1,336.00	$1,502.00	$165.00–$2,350.00	—	11%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$22,527.00	$23,630.00	$1,103.00–$23,630.00	1640% above	5%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$22,527.00	$23,630.00	$1,103.00–$23,630.00	—	5%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL	$1,518.00	$1,662.00	$48.00–$1,662.00	—	9%
Knee X-ray, 3 views both sides CPT 73562 C-ARM KNEE 3 VIEWS BILATERAL	$1,614.00	$1,662.00	$48.00–$1,662.00	—	3%
Knee X-ray, 3 views one side CPT 73562 C-ARM KNEE 3 VIEWS LEFT	$765.00	$854.00	$32.00–$854.00	551% above	10%
Knee X-ray, 3 views one side CPT 73562 C-ARM KNEE 3 VIEWS RIGHT	$765.00	$854.00	$32.00–$854.00	551% above	10%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT	$788.00	$854.00	$32.00–$854.00	571% above	8%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RT	$822.00	$854.00	$32.00–$854.00	600% above	4%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL	$1,518.00	$1,662.00	$48.00–$1,662.00	—	9%
Knee X-ray, 3 views inpatient both sides CPT 73562 C-ARM KNEE 3 VIEWS BILATERAL	$1,614.00	$1,662.00	$48.00–$1,662.00	—	3%
Knee X-ray, 3 views inpatient one side CPT 73562 C-ARM KNEE 3 VIEWS LEFT	$765.00	$854.00	$32.00–$854.00	—	10%
Knee X-ray, 3 views inpatient one side CPT 73562 C-ARM KNEE 3 VIEWS RIGHT	$765.00	$854.00	$32.00–$854.00	—	10%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT	$788.00	$854.00	$32.00–$854.00	—	8%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RT	$822.00	$854.00	$32.00–$854.00	—	4%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR PATELLA RT 4V RT	$1,413.00	$1,609.00	$42.00–$1,609.00	896% above	12%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE RT	$1,492.00	$1,609.00	$42.00–$1,609.00	951% above	7%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE LT	$1,534.00	$1,609.00	$42.00–$1,609.00	981% above	5%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR PATELLAL LT 4V LT	$1,534.00	$1,609.00	$42.00–$1,609.00	981% above	5%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR PATELLA RT 4V RT	$1,413.00	$1,609.00	$42.00–$1,609.00	—	12%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMPLETE RT	$1,492.00	$1,609.00	$42.00–$1,609.00	—	7%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR PATELLAL LT 4V LT	$1,534.00	$1,609.00	$42.00–$1,609.00	—	5%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMPLETE LT	$1,534.00	$1,609.00	$42.00–$1,609.00	—	5%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXREM W/O CONT B BIL	$16,963.00	$17,213.00	$250.00–$17,213.00	3644% above	1%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O CONT LT	$8,515.00	$8,632.00	$117.00–$8,632.00	1779% above	1%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O CONT RT	$8,515.00	$8,632.00	$117.00–$8,632.00	1779% above	1%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXREM W/O CONT B BIL	$16,963.00	$17,213.00	$250.00–$17,213.00	—	1%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O CONT LT	$8,515.00	$8,632.00	$117.00–$8,632.00	—	1%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O CONT RT	$8,515.00	$8,632.00	$117.00–$8,632.00	—	1%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN PYLOR	$3,949.00	$4,044.00	$84.00–$4,044.00	2683% above	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN LIMITED	$3,960.00	$4,044.00	$84.00–$4,044.00	2691% above	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 ECHO EXAM OF ABDOMEN RT LOWER	$3,833.00	$4,044.00	$84.00–$4,044.00	2601% above	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 ECHO EXAM OF ABDOMEN RT UPPER	$3,960.00	$4,044.00	$84.00–$4,044.00	2691% above	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 ECHO EXAM OF ABDOMEN RT LOW	$3,960.00	$4,044.00	$84.00–$4,044.00	2691% above	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN PYLOR	$3,949.00	$4,044.00	$84.00–$4,044.00	—	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN LIMITED	$3,960.00	$4,044.00	$84.00–$4,044.00	—	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 ECHO EXAM OF ABDOMEN RT LOWER	$3,833.00	$4,044.00	$84.00–$4,044.00	—	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 ECHO EXAM OF ABDOMEN RT UPPER	$3,960.00	$4,044.00	$84.00–$4,044.00	—	2%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 ECHO EXAM OF ABDOMEN RT LOW	$3,960.00	$4,044.00	$84.00–$4,044.00	—	2%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US SOFT TISSUE	$6,223.00	$6,250.00	$17.00–$6,250.00	4497% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD	$6,225.00	$6,250.00	$17.00–$6,250.00	4499% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON-VASC LMTD LT	$6,233.00	$6,250.00	$17.00–$6,250.00	4505% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON-VASC LMTD RT	$6,233.00	$6,250.00	$17.00–$6,250.00	4505% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US SOFT TISSUE	$6,223.00	$6,250.00	$17.00–$6,250.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD	$6,225.00	$6,250.00	$17.00–$6,250.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR NON-VASC LMTD LT	$6,233.00	$6,250.00	$17.00–$6,250.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR NON-VASC LMTD RT	$6,233.00	$6,250.00	$17.00–$6,250.00	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 G0297 LOW DOSE CT SCAN FOR LUNG	$550.00	$666.00	$73.00–$666.00	307% above	17%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 G0297 LOW DOSE CT SCAN FOR LUNG	$550.00	$666.00	$73.00–$666.00	—	17%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 C-ARM TIBIA/FIBULA BILATERAL 2 VIEWS	$2,554.00	$2,602.00	$40.00–$2,602.00	—	2%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY EXAM TIBIA & FIBULA 2 VIEW	$263.00	$295.00	$32.00–$295.00	124% above	11%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 73590 LT XR TIBIA/FIBULA 2 VIEWS	$895.00	$963.00	$27.00–$963.00	662% above	7%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 73590 RT XR TIBIA/FIBULA 2 VIEWS	$936.00	$963.00	$27.00–$963.00	697% above	3%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA LT-OR POR	$1,218.00	$1,314.00	$27.00–$1,314.00	937% above	7%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 VIEW RT	$1,218.00	$1,314.00	$27.00–$1,314.00	937% above	7%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR PORTABLE TIBIA/FIBULA LT	$1,246.00	$1,314.00	$27.00–$1,314.00	961% above	5%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA LT 2 VIEW LT	$1,252.00	$1,314.00	$27.00–$1,314.00	966% above	5%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 C-ARM TIBIA/FIBULA RIGHT 2 VIEWS	$1,265.00	$1,314.00	$27.00–$1,314.00	977% above	4%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR PORTABLETIBIA/FIBULA R RT	$1,282.00	$1,314.00	$27.00–$1,314.00	991% above	2%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 C-ARM TIBIA/FIBULA LEFT 2 VIEWS	$1,282.00	$1,314.00	$27.00–$1,314.00	991% above	2%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA RT-OR POR	$1,287.00	$1,314.00	$27.00–$1,314.00	995% above	2%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 C-ARM TIBIA/FIBULA BILATERAL 2 VIEWS	$2,554.00	$2,602.00	$40.00–$2,602.00	—	2%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 73590 LT XR TIBIA/FIBULA 2 VIEWS	$895.00	$963.00	$27.00–$963.00	—	7%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 73590 RT XR TIBIA/FIBULA 2 VIEWS	$936.00	$963.00	$27.00–$963.00	—	3%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA LT-OR POR	$1,218.00	$1,314.00	$27.00–$1,314.00	—	7%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA 2 VIEW RT	$1,218.00	$1,314.00	$27.00–$1,314.00	—	7%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR PORTABLE TIBIA/FIBULA LT	$1,246.00	$1,314.00	$27.00–$1,314.00	—	5%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA LT 2 VIEW LT	$1,252.00	$1,314.00	$27.00–$1,314.00	—	5%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 C-ARM TIBIA/FIBULA RIGHT 2 VIEWS	$1,265.00	$1,314.00	$27.00–$1,314.00	—	4%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR PORTABLETIBIA/FIBULA R RT	$1,282.00	$1,314.00	$27.00–$1,314.00	—	2%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 C-ARM TIBIA/FIBULA LEFT 2 VIEWS	$1,282.00	$1,314.00	$27.00–$1,314.00	—	2%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA RT-OR POR	$1,287.00	$1,314.00	$27.00–$1,314.00	—	2%
MR angiography (MRA) of the head without contrast CPT 70544 MRV ANGIOGRAPHY HEAD W/O DYE	$8,003.00	$8,267.00	$260.00–$8,267.00	1830% above	3%
MR angiography (MRA) of the head without contrast CPT 70544 MRA ANGIOGRAPHY HEAD W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	1831% above	3%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV ANGIOGRAPHY HEAD W/O DYE	$8,003.00	$8,267.00	$260.00–$8,267.00	—	3%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA ANGIOGRAPHY HEAD W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI CAIS-ONLY KNEE WO CONTRAST	$8,013.00	$8,267.00	$254.00–$8,267.00	1833% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE WO CONTRAST RT	$7,808.00	$8,267.00	$254.00–$8,267.00	1783% above	6%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT WO CONTRAST	$8,003.00	$8,267.00	$254.00–$8,267.00	1830% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WO CONTRAST RT	$8,007.00	$8,267.00	$254.00–$8,267.00	1831% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE WO CONTRAST LT	$8,007.00	$8,267.00	$254.00–$8,267.00	1831% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE JOINT WO CONTRAST LT	$8,007.00	$8,267.00	$254.00–$8,267.00	1831% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE PATELLA CINE RT	$8,007.00	$8,267.00	$254.00–$8,267.00	1831% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE WO CONTRAST RT	$8,007.00	$8,267.00	$254.00–$8,267.00	1831% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE JOINT WO CONTRAST RT	$8,007.00	$8,267.00	$254.00–$8,267.00	1831% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE WO CONTRAST LT	$8,013.00	$8,267.00	$254.00–$8,267.00	1833% above	3%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE PATELLA CINE LT	$8,013.00	$8,267.00	$254.00–$8,267.00	1833% above	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI CAIS-ONLY KNEE WO CONTRAST	$8,013.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WO CONTRAST RT	$7,808.00	$8,267.00	$254.00–$8,267.00	—	6%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP LT WO CONTRAST	$8,003.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP WO CONTRAST RT	$8,007.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WO CONTRAST RT	$8,007.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WO CONTRAST LT	$8,007.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE PATELLA CINE RT	$8,007.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE JOINT WO CONTRAST LT	$8,007.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE JOINT WO CONTRAST RT	$8,007.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WO CONTRAST LT	$8,013.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE PATELLA CINE LT	$8,013.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE LT	$9,458.00	$9,866.00	$408.00–$9,866.00	1211% above	4%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE RT	$9,458.00	$9,866.00	$408.00–$9,866.00	1211% above	4%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE LT	$9,458.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE RT	$9,458.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN MRCP W/O DYE	$7,738.00	$8,267.00	$260.00–$8,267.00	1766% above	6%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O DYE	$7,808.00	$8,267.00	$260.00–$8,267.00	1783% above	6%
MRI of the abdomen without contrast CPT 74181 MRI ABD LIVER W/O DYE	$8,003.00	$8,267.00	$260.00–$8,267.00	1830% above	3%
MRI of the abdomen without contrast CPT 74181 MRI ABD ADRENALS W/O DYE	$8,003.00	$8,267.00	$260.00–$8,267.00	1830% above	3%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN (APPENDIX) W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	1831% above	3%
MRI of the abdomen without contrast CPT 74181 MRI ABD KIDNEYS W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	1831% above	3%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN MRCP W/O DYE	$7,738.00	$8,267.00	$260.00–$8,267.00	—	6%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O DYE	$7,808.00	$8,267.00	$260.00–$8,267.00	—	6%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD LIVER W/O DYE	$8,003.00	$8,267.00	$260.00–$8,267.00	—	3%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD ADRENALS W/O DYE	$8,003.00	$8,267.00	$260.00–$8,267.00	—	3%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN (APPENDIX) W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	—	3%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD KIDNEYS W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	—	3%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN LIVER W/O & W/DYE	$9,020.00	$9,866.00	$408.00–$9,866.00	1151% above	9%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDO MRCP W & WO CONTRAST	$9,451.00	$9,866.00	$408.00–$9,866.00	1210% above	4%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN ADRENALS W/O & W/DYE	$9,451.00	$9,866.00	$408.00–$9,866.00	1210% above	4%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	1211% above	4%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN PANCREAS W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	1211% above	4%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN KIDNEYS W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	1211% above	4%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN LIVER W/O & W/DYE	$9,020.00	$9,866.00	$408.00–$9,866.00	—	9%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN ADRENALS W/O & W/DYE	$9,451.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDO MRCP W & WO CONTRAST	$9,451.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN KIDNEYS W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN PANCREAS W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$8,007.00	$8,267.00	$236.00–$8,267.00	1831% above	3%
MRI of the brain, no contrast dye CPT 70551 MRI DWI FLAIR BRAIN WO CONTRAST	$8,031.00	$8,267.00	$236.00–$8,267.00	1837% above	3%
MRI of the brain, no contrast dye CPT 70551 MRI INTERNAL AUD CANAL WO CONTRAS	$8,031.00	$8,267.00	$236.00–$8,267.00	1837% above	3%
MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY/SELLA WO CONTRAST	$8,031.00	$8,267.00	$236.00–$8,267.00	1837% above	3%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O DYE	$8,007.00	$8,267.00	$236.00–$8,267.00	—	3%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI INTERNAL AUD CANAL WO CONTRAS	$8,031.00	$8,267.00	$236.00–$8,267.00	—	3%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI DWI FLAIR BRAIN WO CONTRAST	$8,031.00	$8,267.00	$236.00–$8,267.00	—	3%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY/SELLA WO CONTRAST	$8,031.00	$8,267.00	$236.00–$8,267.00	—	3%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$9,458.00	$9,866.00	$398.00–$9,866.00	1211% above	4%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN ATTN IACS W+WO CONT	$9,458.00	$9,866.00	$398.00–$9,866.00	1211% above	4%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY/SELLA W+WO CONTRAS	$9,458.00	$9,866.00	$398.00–$9,866.00	1211% above	4%
MRI of the brain, with and without contrast dye CPT 70553 MRI INTERNAL AUD CANAL W+WO CONTR	$9,468.00	$9,866.00	$398.00–$9,866.00	1213% above	4%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN PITUITARY W+WO CONT	$9,468.00	$9,866.00	$398.00–$9,866.00	1213% above	4%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE	$9,458.00	$9,866.00	$398.00–$9,866.00	—	4%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN ATTN IACS W+WO CONT	$9,458.00	$9,866.00	$398.00–$9,866.00	—	4%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY/SELLA W+WO CONTRAS	$9,458.00	$9,866.00	$398.00–$9,866.00	—	4%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN PITUITARY W+WO CONT	$9,468.00	$9,866.00	$398.00–$9,866.00	—	4%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI INTERNAL AUD CANAL W+WO CONTR	$9,468.00	$9,866.00	$398.00–$9,866.00	—	4%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTRAST	$8,007.00	$8,267.00	$224.00–$8,267.00	1831% above	3%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR PLEXUS WO CONTRA	$8,007.00	$8,267.00	$224.00–$8,267.00	1831% above	3%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR PLEXUS WO CONTRA	$8,007.00	$8,267.00	$224.00–$8,267.00	—	3%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONTRAST	$8,007.00	$8,267.00	$224.00–$8,267.00	—	3%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$9,451.00	$9,866.00	$399.00–$9,866.00	1210% above	4%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$9,451.00	$9,866.00	$399.00–$9,866.00	—	4%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$8,041.00	$8,267.00	$226.00–$8,267.00	1839% above	3%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI CHEST SPINE W/O DYE	$8,041.00	$8,267.00	$226.00–$8,267.00	—	3%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$9,020.00	$9,866.00	$402.00–$9,866.00	1151% above	9%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE W/O & W/DYE	$9,020.00	$9,866.00	$402.00–$9,866.00	—	9%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$8,041.00	$8,267.00	$226.00–$8,267.00	1839% above	3%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI NECK SPINE W/O DYE	$8,041.00	$8,267.00	$226.00–$8,267.00	—	3%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	1296% above	4%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/DYE	$9,458.00	$9,866.00	$408.00–$9,866.00	—	4%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	1831% above	3%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE	$8,007.00	$8,267.00	$260.00–$8,267.00	—	3%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE RT	$8,007.00	$8,267.00	$254.00–$8,267.00	1831% above	3%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE LT	$8,013.00	$8,267.00	$254.00–$8,267.00	1833% above	3%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE RT	$8,007.00	$8,267.00	$254.00–$8,267.00	—	3%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE LT	$8,013.00	$8,267.00	$254.00–$8,267.00	—	3%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL COMP W	$2,794.00	$2,843.00	$44.00–$2,843.00	1869% above	2%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL COMP W	$2,794.00	$2,843.00	$44.00–$2,843.00	—	2%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$6,692.00	$6,887.00	$195.00–$6,887.00	1324% above	3%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/DYE	$6,692.00	$6,887.00	$195.00–$6,887.00	—	3%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$4,780.00	$5,215.00	$117.00–$5,215.00	811% above	8%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O DYE	$4,780.00	$5,215.00	$117.00–$5,215.00	—	8%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$1,080.00	$1,105.00	$25.00–$1,105.00	850% above	2%
Neck soft tissue X-ray inpatient CPT 70360 X-RAY EXAM OF NECK	$1,080.00	$1,105.00	$25.00–$1,105.00	—	2%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$7,395.00	$7,718.00	$323.00–$7,718.00	345% above	4%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT MULTI REST//1	$9,861.00	$11,392.00	$323.00–$11,392.00	493% above	13%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT MULTI REST//2	$10,768.00	$11,392.00	$323.00–$11,392.00	548% above	5%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYCARD SPCT RST/STRS LEXISCAN	$10,869.00	$11,392.00	$323.00–$11,392.00	554% above	5%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT MULTI REST/ST	$11,069.00	$11,392.00	$323.00–$11,392.00	566% above	3%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT TC	$11,069.00	$11,392.00	$323.00–$11,392.00	566% above	3%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$7,395.00	$7,718.00	$323.00–$7,718.00	—	4%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL SPECT MULTI REST//1	$9,861.00	$11,392.00	$323.00–$11,392.00	—	13%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL SPECT MULTI REST//2	$10,768.00	$11,392.00	$323.00–$11,392.00	—	5%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYCARD SPCT RST/STRS LEXISCAN	$10,869.00	$11,392.00	$323.00–$11,392.00	—	5%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT TC	$11,069.00	$11,392.00	$323.00–$11,392.00	—	3%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL SPECT MULTI REST/ST	$11,069.00	$11,392.00	$323.00–$11,392.00	—	3%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$8,095.00	$8,214.00	$117.00–$8,214.00	1504% above	1%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O DYE	$8,095.00	$8,214.00	$117.00–$8,214.00	—	1%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$200.00	$500.00	$35.00–$500.00	41% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US EXAM PELVIC LIMIT/ F/U	$487.00	$547.00	$35.00–$547.00	243% above	11%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 FOLLOW UP SCAN	$665.00	$755.00	$35.00–$755.00	369% above	12%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$200.00	$500.00	$35.00–$500.00	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US EXAM PELVIC LIMIT/ F/U	$487.00	$547.00	$35.00–$547.00	—	11%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 FOLLOW UP SCAN	$665.00	$755.00	$35.00–$755.00	—	12%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US EXAM PELVIC COMPLETE	$3,517.00	$3,634.00	$116.00–$3,634.00	2379% above	3%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$3,518.00	$3,634.00	$116.00–$3,634.00	2379% above	3%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 GYN PELVIC SCAN COMPLETE	$3,518.00	$3,634.00	$116.00–$3,634.00	2379% above	3%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 BC- GYN PELVIC SCAN COMPLETE	$3,699.00	$3,816.00	$116.00–$3,816.00	2507% above	3%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 BC- U/S PELVIC COMPLETE	$3,699.00	$3,816.00	$116.00–$3,816.00	2507% above	3%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 L&D- GYN PELVIC SCAN COMPLETE	$4,228.00	$4,440.00	$116.00–$4,440.00	2880% above	5%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 L&D- U/S PELVIC COMPLETE	$4,323.00	$4,440.00	$116.00–$4,440.00	2947% above	3%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US FERTILITY TRANSVAGINAL	$4,782.00	$4,901.00	$116.00–$4,901.00	3270% above	2%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 TRANABD SCAN COMPLETE	$4,784.00	$4,901.00	$116.00–$4,901.00	3271% above	2%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE-OR PORT	$4,784.00	$4,901.00	$116.00–$4,901.00	3271% above	2%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE-PORTABLE	$4,785.00	$4,901.00	$116.00–$4,901.00	3272% above	2%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE	$4,785.00	$4,901.00	$116.00–$4,901.00	3272% above	2%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US EXAM PELVIC COMPLETE	$3,517.00	$3,634.00	$116.00–$3,634.00	—	3%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$3,518.00	$3,634.00	$116.00–$3,634.00	—	3%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 GYN PELVIC SCAN COMPLETE	$3,518.00	$3,634.00	$116.00–$3,634.00	—	3%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 BC- U/S PELVIC COMPLETE	$3,699.00	$3,816.00	$116.00–$3,816.00	—	3%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 BC- GYN PELVIC SCAN COMPLETE	$3,699.00	$3,816.00	$116.00–$3,816.00	—	3%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 L&D- GYN PELVIC SCAN COMPLETE	$4,228.00	$4,440.00	$116.00–$4,440.00	—	5%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 L&D- U/S PELVIC COMPLETE	$4,323.00	$4,440.00	$116.00–$4,440.00	—	3%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US FERTILITY TRANSVAGINAL	$4,782.00	$4,901.00	$116.00–$4,901.00	—	2%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COMPLETE-OR PORT	$4,784.00	$4,901.00	$116.00–$4,901.00	—	2%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 TRANABD SCAN COMPLETE	$4,784.00	$4,901.00	$116.00–$4,901.00	—	2%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COMPLETE-PORTABLE	$4,785.00	$4,901.00	$116.00–$4,901.00	—	2%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COMPLETE	$4,785.00	$4,901.00	$116.00–$4,901.00	—	2%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 OB US >/= 14 WKS SNG FETUS 1ST GST	$2,981.00	$3,098.00	$117.00–$3,098.00	2001% above	4%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$3,663.00	$3,780.00	$117.00–$3,780.00	2481% above	3%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 OB US >/= 14 WKS SNG FETUS 1ST GST	$2,981.00	$3,098.00	$117.00–$3,098.00	—	4%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$3,663.00	$3,780.00	$117.00–$3,780.00	—	3%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 OB US < 14 WKS SINGLE FETUS	$1,453.00	$1,565.00	$106.00–$1,565.00	937% above	7%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$1,814.00	$1,920.00	$106.00–$1,920.00	1195% above	6%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 OB US < 14 WKS SINGLE FETUS	$1,453.00	$1,565.00	$106.00–$1,565.00	—	7%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$1,814.00	$1,920.00	$106.00–$1,920.00	—	6%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 OB US LIMITED FETUS(S) 1/MORE	$2,823.00	$2,890.00	$67.00–$2,890.00	1889% above	2%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$3,441.00	$3,520.00	$67.00–$3,520.00	2325% above	2%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED SCAN FLD.ORPC APPT	$3,643.00	$3,710.00	$67.00–$3,710.00	2467% above	2%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 EXP TWINS POS CHECK(76815)	$3,676.00	$3,888.00	$67.00–$3,888.00	2491% above	5%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 OB US LIMITED FETUS(S) 1/MORE	$2,823.00	$2,890.00	$67.00–$2,890.00	—	2%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$3,441.00	$3,520.00	$67.00–$3,520.00	—	2%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LIMITED SCAN FLD.ORPC APPT	$3,643.00	$3,710.00	$67.00–$3,710.00	—	2%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 EXP TWINS POS CHECK(76815)	$3,676.00	$3,888.00	$67.00–$3,888.00	—	5%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/POSTEROANT CH MINIMUM 3 RT	$1,952.00	$2,069.00	$34.00–$2,069.00	1352% above	6%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/POSTEROANT CH MINIMUM 3 LT	$1,972.00	$2,069.00	$34.00–$2,069.00	1367% above	5%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS W/POSTEROANT CH MINIMUM 3 RT	$1,952.00	$2,069.00	$34.00–$2,069.00	—	6%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS W/POSTEROANT CH MINIMUM 3 LT	$1,972.00	$2,069.00	$34.00–$2,069.00	—	5%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$58.00	$65.00	$7.00–$241.00	—	11%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BILATERAL INCLUDES CAD	$820.00	$1,248.00	$52.00–$1,248.00	—	34%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCLUDES CAD	$1,142.00	$1,248.00	$52.00–$1,248.00	—	8%
Screening mammogram, both breasts CPT 77067 SCREEN MAMMO INCLUDES CAD BIL	$1,196.00	$1,248.00	$52.00–$1,248.00	822% above	4%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$58.00	$65.00	$7.00–$241.00	—	11%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BILATERAL INCLUDES CAD	$820.00	$1,248.00	$52.00–$1,248.00	—	34%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCLUDES CAD	$1,142.00	$1,248.00	$52.00–$1,248.00	—	8%
Screening mammogram, both breasts inpatient CPT 77067 SCREEN MAMMO INCLUDES CAD BIL	$1,196.00	$1,248.00	$52.00–$1,248.00	—	4%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE LT	$1,467.00	$1,533.00	$29.00–$1,533.00	1149% above	4%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE RT	$1,486.00	$1,533.00	$29.00–$1,533.00	1165% above	3%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMPLETE LT	$1,467.00	$1,533.00	$29.00–$1,533.00	—	4%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMPLETE RT	$1,486.00	$1,533.00	$29.00–$1,533.00	—	3%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$2,001.00	$2,038.00	$37.00–$2,038.00	1426% above	2%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-RAY EXAM OF SINUSES	$2,001.00	$2,038.00	$37.00–$2,038.00	—	2%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$1,594.00	$1,630.00	$35.00–$1,630.00	1125% above	2%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY EXAM OF SKULL	$1,594.00	$1,630.00	$35.00–$1,630.00	—	2%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$20,254.00	$21,363.00	$1,103.00–$21,363.00	1590% above	5%
Sleep study in a lab (polysomnography) CPT 95810 TITRATION PSG 6/> YRS 4/> PARAM	$20,260.00	$21,363.00	$1,103.00–$21,363.00	1591% above	5%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$20,254.00	$21,363.00	$1,103.00–$21,363.00	—	5%
Sleep study in a lab (polysomnography) inpatient CPT 95810 TITRATION PSG 6/> YRS 4/> PARAM	$20,260.00	$21,363.00	$1,103.00–$21,363.00	—	5%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION W VIDEO-PE	$2,888.00	$3,052.00	$78.00–$3,052.00	1116% above	5%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION W VIDEO	$2,888.00	$3,052.00	$78.00–$3,052.00	1116% above	5%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOWING FUNCTION W VIDEO-PE	$2,888.00	$3,052.00	$78.00–$3,052.00	—	5%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOWING FUNCTION W VIDEO	$2,888.00	$3,052.00	$78.00–$3,052.00	—	5%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 C-ARM FEMUR MIN 2 VIEW BILATERAL	$2,918.00	$3,062.00	$52.00–$3,062.00	—	5%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 73552 XR EXAM FEMUR 2/ > RT PORT	$1,374.00	$1,544.00	$35.00–$1,544.00	1123% above	11%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 73552 XR EXAM FEMUR 2/ > LT PORT	$1,448.00	$1,544.00	$35.00–$1,544.00	1189% above	6%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR EXAM FEMUR 2/ > LT	$1,466.00	$1,544.00	$35.00–$1,544.00	1205% above	5%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 C-ARM FEMUR MIN 2 VIEW RIGHT	$1,476.00	$1,544.00	$35.00–$1,544.00	1214% above	4%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 73552 XR EXAM FEMUR 2/ > RT	$1,476.00	$1,544.00	$35.00–$1,544.00	1214% above	4%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 73552 XR FEMUR 2/ > LT PORT OR	$1,509.00	$1,544.00	$35.00–$1,544.00	1243% above	2%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 73552 XR FEMUR 2/ > RT PORT OR	$1,509.00	$1,544.00	$35.00–$1,544.00	1243% above	2%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 C-ARM FEMUR MIN 2 VIEW LEFT	$1,509.00	$1,544.00	$35.00–$1,544.00	1243% above	2%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 C-ARM FEMUR MIN 2 VIEW BILATERAL	$2,918.00	$3,062.00	$52.00–$3,062.00	—	5%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 73552 XR EXAM FEMUR 2/ > RT PORT	$1,374.00	$1,544.00	$35.00–$1,544.00	—	11%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 73552 XR EXAM FEMUR 2/ > LT PORT	$1,448.00	$1,544.00	$35.00–$1,544.00	—	6%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR EXAM FEMUR 2/ > LT	$1,466.00	$1,544.00	$35.00–$1,544.00	—	5%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 73552 XR EXAM FEMUR 2/ > RT	$1,476.00	$1,544.00	$35.00–$1,544.00	—	4%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 C-ARM FEMUR MIN 2 VIEW RIGHT	$1,476.00	$1,544.00	$35.00–$1,544.00	—	4%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 73552 XR FEMUR 2/ > RT PORT OR	$1,509.00	$1,544.00	$35.00–$1,544.00	—	2%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 C-ARM FEMUR MIN 2 VIEW LEFT	$1,509.00	$1,544.00	$35.00–$1,544.00	—	2%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 73552 XR FEMUR 2/ > LT PORT OR	$1,509.00	$1,544.00	$35.00–$1,544.00	—	2%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$3,530.00	$3,647.00	$117.00–$3,647.00	594% above	3%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT CHEST SPINE W/O DYE	$3,530.00	$3,647.00	$117.00–$3,647.00	—	3%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 4TH DIGIT RT T8	$607.00	$689.00	$13.00–$689.00	440% above	12%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES GREAT RT T5	$609.00	$689.00	$13.00–$689.00	442% above	12%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2ND DIGIT RT T6	$617.00	$689.00	$13.00–$689.00	449% above	10%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 5TH DIGIT RT	$637.00	$689.00	$13.00–$689.00	467% above	8%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 4TH DIGIT LEFT T3	$637.00	$689.00	$13.00–$689.00	467% above	8%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 3RD DIGIT LEFT T2	$637.00	$689.00	$13.00–$689.00	467% above	8%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 5TH DIGIT LEFT T4	$637.00	$689.00	$13.00–$689.00	467% above	8%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2ND DIGIT LEFT T1	$657.00	$689.00	$13.00–$689.00	485% above	5%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 3RD DIGIT RT T7	$657.00	$689.00	$13.00–$689.00	485% above	5%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES GREAT LEFT TA	$676.00	$689.00	$13.00–$689.00	502% above	2%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 4TH DIGIT RT T8	$607.00	$689.00	$13.00–$689.00	—	12%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES GREAT RT T5	$609.00	$689.00	$13.00–$689.00	—	12%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 2ND DIGIT RT T6	$617.00	$689.00	$13.00–$689.00	—	10%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 5TH DIGIT RT	$637.00	$689.00	$13.00–$689.00	—	8%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 3RD DIGIT LEFT T2	$637.00	$689.00	$13.00–$689.00	—	8%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 5TH DIGIT LEFT T4	$637.00	$689.00	$13.00–$689.00	—	8%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 4TH DIGIT LEFT T3	$637.00	$689.00	$13.00–$689.00	—	8%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 3RD DIGIT RT T7	$657.00	$689.00	$13.00–$689.00	—	5%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 2ND DIGIT LEFT T1	$657.00	$689.00	$13.00–$689.00	—	5%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES GREAT LEFT TA	$676.00	$689.00	$13.00–$689.00	—	2%
Transvaginal pelvic ultrasound CPT 76830 76830 US TRANSVAGL	$3,517.00	$3,634.00	$117.00–$3,634.00	2093% above	3%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$3,517.00	$3,634.00	$117.00–$3,634.00	2093% above	3%
Transvaginal pelvic ultrasound CPT 76830 GYN TRANSVAG SCAN-APPT	$4,784.00	$4,901.00	$117.00–$4,901.00	2883% above	2%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB	$3,517.00	$3,634.00	$117.00–$3,634.00	—	3%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US TRANSVAGL	$3,517.00	$3,634.00	$117.00–$3,634.00	—	3%
Transvaginal pelvic ultrasound inpatient CPT 76830 GYN TRANSVAG SCAN-APPT	$4,784.00	$4,901.00	$117.00–$4,901.00	—	2%
Transvaginal ultrasound during pregnancy CPT 76817 76817 TRANSVAGINAL US OBSTETRIC	$1,989.00	$2,145.00	$90.00–$2,145.00	1323% above	7%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$2,503.00	$2,620.00	$90.00–$2,620.00	1690% above	4%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC 59	$2,794.00	$2,884.00	$90.00–$2,884.00	1899% above	3%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 TRANSVAGINAL US OBSTETRIC	$1,989.00	$2,145.00	$90.00–$2,145.00	—	7%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$2,503.00	$2,620.00	$90.00–$2,620.00	—	4%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC 59	$2,794.00	$2,884.00	$90.00–$2,884.00	—	3%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOMEN COMPLETE-PORTABLE OR	$4,816.00	$5,173.00	$117.00–$5,173.00	3294% above	7%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$5,056.00	$5,173.00	$117.00–$5,173.00	3463% above	2%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOMEN COMPLETE-PORTABLE	$5,056.00	$5,173.00	$117.00–$5,173.00	3463% above	2%
Ultrasound of the abdomen, complete CPT 76700 US RENAL/BLADDR UTD	$5,056.00	$5,173.00	$117.00–$5,173.00	3463% above	2%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOMEN COMPLETE-PORTABLE OR	$4,816.00	$5,173.00	$117.00–$5,173.00	—	7%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOMEN COMPLETE-PORTABLE	$5,056.00	$5,173.00	$117.00–$5,173.00	—	2%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$5,056.00	$5,173.00	$117.00–$5,173.00	—	2%
Ultrasound of the abdomen, complete inpatient CPT 76700 US RENAL/BLADDR UTD	$5,056.00	$5,173.00	$117.00–$5,173.00	—	2%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$6,558.00	$6,657.00	$54.00–$6,657.00	4207% above	1%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$6,558.00	$6,657.00	$54.00–$6,657.00	—	1%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK MAPPING	$5,432.00	$5,800.00	$79.00–$5,800.00	3259% above	6%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$5,683.00	$5,800.00	$79.00–$5,800.00	3415% above	2%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK THYROID	$5,721.00	$5,800.00	$79.00–$5,800.00	3438% above	1%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK SOFT TISS NK	$5,721.00	$5,800.00	$79.00–$5,800.00	3438% above	1%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK SOFT TISS	$5,721.00	$5,800.00	$79.00–$5,800.00	3438% above	1%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK MAPPING	$5,432.00	$5,800.00	$79.00–$5,800.00	—	6%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$5,683.00	$5,800.00	$79.00–$5,800.00	—	2%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK SOFT TISS	$5,721.00	$5,800.00	$79.00–$5,800.00	—	1%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK THYROID	$5,721.00	$5,800.00	$79.00–$5,800.00	—	1%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK SOFT TISS NK	$5,721.00	$5,800.00	$79.00–$5,800.00	—	1%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI PEDS	$3,185.00	$3,522.00	$92.00–$3,522.00	1253% above	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 OUTPATIENT LAP BAND GI	$3,328.00	$3,522.00	$92.00–$3,522.00	1314% above	6%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$3,430.00	$3,522.00	$92.00–$3,522.00	1357% above	3%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI PEDS	$3,185.00	$3,522.00	$92.00–$3,522.00	—	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 OUTPATIENT LAP BAND GI	$3,328.00	$3,522.00	$92.00–$3,522.00	—	6%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI	$3,430.00	$3,522.00	$92.00–$3,522.00	—	3%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 C-ARM HUMERUS BILATERAL MIN OF 2 VIEWS	$1,973.00	$2,069.00	$40.00–$2,069.00	—	5%
Upper arm X-ray (humerus), 2 views one side CPT 73060 C-ARM HUMERUS LEFT MIN OF 2 VIEWS	$919.00	$1,039.00	$27.00–$1,039.00	682% above	12%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS-PORT RT	$941.00	$1,039.00	$27.00–$1,039.00	701% above	9%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS-OR PORTABLE LT	$969.00	$1,039.00	$27.00–$1,039.00	725% above	7%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LT	$975.00	$1,039.00	$27.00–$1,039.00	730% above	6%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS-OR PORTABLE RT	$975.00	$1,039.00	$27.00–$1,039.00	730% above	6%
Upper arm X-ray (humerus), 2 views one side CPT 73060 C-ARM HUMERUS RIGHT MIN OF 2 VIEWS	$1,007.00	$1,039.00	$27.00–$1,039.00	757% above	3%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RT	$1,007.00	$1,039.00	$27.00–$1,039.00	757% above	3%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS-PORT LT	$1,012.00	$1,039.00	$27.00–$1,039.00	761% above	3%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 C-ARM HUMERUS BILATERAL MIN OF 2 VIEWS	$1,973.00	$2,069.00	$40.00–$2,069.00	—	5%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 C-ARM HUMERUS LEFT MIN OF 2 VIEWS	$919.00	$1,039.00	$27.00–$1,039.00	—	12%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS-PORT RT	$941.00	$1,039.00	$27.00–$1,039.00	—	9%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS-OR PORTABLE LT	$969.00	$1,039.00	$27.00–$1,039.00	—	7%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS-OR PORTABLE RT	$975.00	$1,039.00	$27.00–$1,039.00	—	6%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS LT	$975.00	$1,039.00	$27.00–$1,039.00	—	6%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS RT	$1,007.00	$1,039.00	$27.00–$1,039.00	—	3%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 C-ARM HUMERUS RIGHT MIN OF 2 VIEWS	$1,007.00	$1,039.00	$27.00–$1,039.00	—	3%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS-PORT LT	$1,012.00	$1,039.00	$27.00–$1,039.00	—	3%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UPPER EXTREMITY VEN STUDY RT	$1,720.00	$1,839.00	$117.00–$1,839.00	860% above	6%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UPPER EXTREMITY VEN STUDY LT	$1,722.00	$1,839.00	$117.00–$1,839.00	861% above	6%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 LOWER EXTREMITY VEN STUDY RT	$1,722.00	$1,839.00	$117.00–$1,839.00	861% above	6%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 LOWER EXTREMITY VEN STUDY LT	$1,722.00	$1,839.00	$117.00–$1,839.00	861% above	6%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UPPER EXTREMITY VEN STUDY RT	$1,720.00	$1,839.00	$117.00–$1,839.00	—	6%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UPPER EXTREMITY VEN STUDY LT	$1,722.00	$1,839.00	$117.00–$1,839.00	—	6%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 LOWER EXTREMITY VEN STUDY LT	$1,722.00	$1,839.00	$117.00–$1,839.00	—	6%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 LOWER EXTREMITY VEN STUDY RT	$1,722.00	$1,839.00	$117.00–$1,839.00	—	6%
Wrist X-ray, 2 views both sides CPT 73100 C-ARM WRIST BILATERAL 2 VIEWS	$1,757.00	$1,797.00	$40.00–$1,797.00	—	2%
Wrist X-ray, 2 views one side CPT 73100 73100 LT XR WRIST 2 VIEWS	$823.00	$919.00	$27.00–$919.00	633% above	10%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT	$823.00	$919.00	$27.00–$919.00	633% above	10%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT	$823.00	$919.00	$27.00–$919.00	633% above	10%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS-OR PORTABLE LT	$861.00	$919.00	$27.00–$919.00	666% above	6%
Wrist X-ray, 2 views one side CPT 73100 73100 RT XR WRIST 2 VIEWS	$869.00	$919.00	$27.00–$919.00	674% above	5%
Wrist X-ray, 2 views one side CPT 73100 C-ARM WRIST LEFT 2 VIEWS	$882.00	$909.00	$27.00–$909.00	685% above	3%
Wrist X-ray, 2 views one side CPT 73100 C-ARM WRIST RIGHT 2 VIEWS	$882.00	$909.00	$27.00–$909.00	685% above	3%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS-OR PORTABLE RT	$892.00	$919.00	$27.00–$919.00	694% above	3%
Wrist X-ray, 2 views inpatient both sides CPT 73100 C-ARM WRIST BILATERAL 2 VIEWS	$1,757.00	$1,797.00	$40.00–$1,797.00	—	2%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS LT	$823.00	$919.00	$27.00–$919.00	—	10%
Wrist X-ray, 2 views inpatient one side CPT 73100 73100 LT XR WRIST 2 VIEWS	$823.00	$919.00	$27.00–$919.00	—	10%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS RT	$823.00	$919.00	$27.00–$919.00	—	10%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS-OR PORTABLE LT	$861.00	$919.00	$27.00–$919.00	—	6%
Wrist X-ray, 2 views inpatient one side CPT 73100 73100 RT XR WRIST 2 VIEWS	$869.00	$919.00	$27.00–$919.00	—	5%
Wrist X-ray, 2 views inpatient one side CPT 73100 C-ARM WRIST LEFT 2 VIEWS	$882.00	$909.00	$27.00–$909.00	—	3%
Wrist X-ray, 2 views inpatient one side CPT 73100 C-ARM WRIST RIGHT 2 VIEWS	$882.00	$909.00	$27.00–$909.00	—	3%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS-OR PORTABLE RT	$892.00	$919.00	$27.00–$919.00	—	3%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 C-ARM WRIST BILATERAL COMPLETE MIN 3 VIE	$2,554.00	$2,602.00	$48.00–$2,602.00	—	2%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE RT	$1,250.00	$1,314.00	$32.00–$1,314.00	964% above	5%
Wrist X-ray, complete, 3 or more views one side CPT 73110 C-ARM WRIST RIGHT COMPLETE MIN 3 VIEWS	$1,252.00	$1,314.00	$32.00–$1,314.00	966% above	5%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE LT	$1,252.00	$1,314.00	$32.00–$1,314.00	966% above	5%
Wrist X-ray, complete, 3 or more views one side CPT 73110 C-ARM WRIST LEFT COMPLETE MIN 3 VIEWS	$1,282.00	$1,314.00	$32.00–$1,314.00	991% above	2%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 C-ARM WRIST BILATERAL COMPLETE MIN 3 VIE	$2,554.00	$2,602.00	$48.00–$2,602.00	—	2%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE RT	$1,250.00	$1,314.00	$32.00–$1,314.00	—	5%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE LT	$1,252.00	$1,314.00	$32.00–$1,314.00	—	5%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 C-ARM WRIST RIGHT COMPLETE MIN 3 VIEWS	$1,252.00	$1,314.00	$32.00–$1,314.00	—	5%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 C-ARM WRIST LEFT COMPLETE MIN 3 VIEWS	$1,282.00	$1,314.00	$32.00–$1,314.00	—	2%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3 VWS LT OR PORTABLE	$1,446.00	$1,544.00	$44.00–$1,544.00	1187% above	6%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3 VWS RT OR PORTABLE	$1,448.00	$1,544.00	$44.00–$1,544.00	1189% above	6%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI/PELVIS 2-3 VWS RT COMP	$1,471.00	$1,544.00	$44.00–$1,544.00	1209% above	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2V	$1,471.00	$1,544.00	$44.00–$1,544.00	1209% above	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2V	$1,500.00	$1,544.00	$44.00–$1,544.00	1235% above	3%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3 VWS RT PORTABLE	$1,500.00	$1,544.00	$44.00–$1,544.00	1235% above	3%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3 VWS LT PORTABLE	$1,500.00	$1,544.00	$44.00–$1,544.00	1235% above	3%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI/PELVIS 2-3 VWS LT COMP	$1,500.00	$1,544.00	$44.00–$1,544.00	1235% above	3%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3 VWS LT OR PORTABLE	$1,446.00	$1,544.00	$44.00–$1,544.00	—	6%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3 VWS RT OR PORTABLE	$1,448.00	$1,544.00	$44.00–$1,544.00	—	6%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT 2V	$1,471.00	$1,544.00	$44.00–$1,544.00	—	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI/PELVIS 2-3 VWS RT COMP	$1,471.00	$1,544.00	$44.00–$1,544.00	—	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI/PELVIS 2-3 VWS LT COMP	$1,500.00	$1,544.00	$44.00–$1,544.00	—	3%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3 VWS RT PORTABLE	$1,500.00	$1,544.00	$44.00–$1,544.00	—	3%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 2V	$1,500.00	$1,544.00	$44.00–$1,544.00	—	3%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3 VWS LT PORTABLE	$1,500.00	$1,544.00	$44.00–$1,544.00	—	3%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP	$675.00	$767.00	$31.00–$767.00	501% above	12%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP-1V	$683.00	$767.00	$31.00–$767.00	508% above	11%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP-PORT	$723.00	$767.00	$31.00–$767.00	544% above	6%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP-KUB	$723.00	$767.00	$31.00–$767.00	544% above	6%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP	$675.00	$767.00	$31.00–$767.00	—	12%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP-1V	$683.00	$767.00	$31.00–$767.00	—	11%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP-PORT	$723.00	$767.00	$31.00–$767.00	—	6%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP-KUB	$723.00	$767.00	$31.00–$767.00	—	6%
X-ray of the ankle, 2 views both sides CPT 73600 C-ARM ANKLE 2 VIEWS BILATERAL	$2,260.00	$2,300.00	$40.00–$2,300.00	—	2%
X-ray of the ankle, 2 views one side CPT 73600 XR PORT ANKLE 2V RT	$1,074.00	$1,170.00	$27.00–$1,170.00	856% above	8%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT-PORT	$1,098.00	$1,170.00	$27.00–$1,170.00	877% above	6%
X-ray of the ankle, 2 views one side CPT 73600 C-ARM ANKLE 2 VIEW RIGHT	$1,102.00	$1,160.00	$27.00–$1,160.00	881% above	5%
X-ray of the ankle, 2 views one side CPT 73600 XR PORT ANKLE LT 2V LT	$1,118.00	$1,170.00	$27.00–$1,170.00	895% above	4%
X-ray of the ankle, 2 views one side CPT 73600 C-ARM ANKLE 2 VIEWS LEFT	$1,133.00	$1,160.00	$27.00–$1,160.00	909% above	2%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT-PORT	$1,142.00	$1,170.00	$27.00–$1,170.00	917% above	2%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 C-ARM ANKLE 2 VIEWS BILATERAL	$2,260.00	$2,300.00	$40.00–$2,300.00	—	2%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR PORT ANKLE 2V RT	$1,074.00	$1,170.00	$27.00–$1,170.00	—	8%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT-PORT	$1,098.00	$1,170.00	$27.00–$1,170.00	—	6%
X-ray of the ankle, 2 views inpatient one side CPT 73600 C-ARM ANKLE 2 VIEW RIGHT	$1,102.00	$1,160.00	$27.00–$1,160.00	—	5%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR PORT ANKLE LT 2V LT	$1,118.00	$1,170.00	$27.00–$1,170.00	—	4%
X-ray of the ankle, 2 views inpatient one side CPT 73600 C-ARM ANKLE 2 VIEWS LEFT	$1,133.00	$1,160.00	$27.00–$1,160.00	—	2%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT-PORT	$1,142.00	$1,170.00	$27.00–$1,170.00	—	2%
X-ray of the finger(s), 2 or more views CPT 73140 XR THUMB FA	$816.00	$919.00	$13.00–$919.00	628% above	11%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 4TH DIGIT F8	$821.00	$919.00	$13.00–$919.00	633% above	11%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 2ND DIGIT F6	$823.00	$919.00	$13.00–$919.00	634% above	10%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER THUMB F5	$826.00	$909.00	$13.00–$909.00	637% above	9%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 4TH DIGIT F3	$836.00	$919.00	$13.00–$919.00	646% above	9%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 3RD DIGIT F7	$836.00	$919.00	$13.00–$919.00	646% above	9%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 3RD DIGIT F2	$836.00	$919.00	$13.00–$919.00	646% above	9%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 2ND DIGIT F1	$883.00	$919.00	$13.00–$919.00	688% above	4%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 5TH DIGIT F4	$883.00	$919.00	$13.00–$919.00	688% above	4%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 5TH DIGIT F9	$906.00	$919.00	$13.00–$919.00	708% above	1%
X-ray of the finger(s), 2 or more views CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS BILATER	$1,727.00	$1,797.00	$20.00–$1,797.00	1441% above	4%
X-ray of the finger(s), 2 or more views one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS LEFT TH	$873.00	$909.00	$13.00–$909.00	679% above	4%
X-ray of the finger(s), 2 or more views one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS RIGHT T	$873.00	$909.00	$13.00–$909.00	679% above	4%
X-ray of the finger(s), 2 or more views one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS RIGHT	$896.00	$909.00	$13.00–$909.00	699% above	1%
X-ray of the finger(s), 2 or more views one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS LEFT	$896.00	$909.00	$13.00–$909.00	699% above	1%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR THUMB FA	$816.00	$919.00	$13.00–$919.00	—	11%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 4TH DIGIT F8	$821.00	$919.00	$13.00–$919.00	—	11%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 2ND DIGIT F6	$823.00	$919.00	$13.00–$919.00	—	10%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER THUMB F5	$826.00	$909.00	$13.00–$909.00	—	9%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 3RD DIGIT F2	$836.00	$919.00	$13.00–$919.00	—	9%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 4TH DIGIT F3	$836.00	$919.00	$13.00–$919.00	—	9%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 3RD DIGIT F7	$836.00	$919.00	$13.00–$919.00	—	9%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 5TH DIGIT F4	$883.00	$919.00	$13.00–$919.00	—	4%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 2ND DIGIT F1	$883.00	$919.00	$13.00–$919.00	—	4%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 5TH DIGIT F9	$906.00	$919.00	$13.00–$919.00	—	1%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS BILATER	$1,727.00	$1,797.00	$20.00–$1,797.00	—	4%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS RIGHT T	$873.00	$909.00	$13.00–$909.00	—	4%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS LEFT TH	$873.00	$909.00	$13.00–$909.00	—	4%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS RIGHT	$896.00	$909.00	$13.00–$909.00	—	1%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 C-ARM FINGER (S) MINIMUM 2 VIEWS LEFT	$896.00	$909.00	$13.00–$909.00	—	1%
X-ray of the foot, 2 views both sides CPT 73620 C-ARM FOOT BILATERAL 2 VIEWS	$1,512.00	$1,578.00	$40.00–$1,578.00	—	4%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$692.00	$788.00	$27.00–$788.00	496% above	12%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$692.00	$788.00	$27.00–$788.00	496% above	12%
X-ray of the foot, 2 views one side CPT 73620 73620 LT XR FOOT 2 VIEWS	$727.00	$788.00	$27.00–$788.00	526% above	8%
X-ray of the foot, 2 views one side CPT 73620 C-ARM FOOT LEFT 2 VIEWS	$727.00	$788.00	$27.00–$788.00	526% above	8%
X-ray of the foot, 2 views one side CPT 73620 73620 RT XR FOOT 2 VIEWS	$733.00	$788.00	$27.00–$788.00	531% above	7%
X-ray of the foot, 2 views one side CPT 73620 C-ARM FOOT RIGHT 2 VIEWS	$744.00	$788.00	$27.00–$788.00	541% above	6%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT-OR POR	$761.00	$788.00	$27.00–$788.00	555% above	3%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT-OR POR	$761.00	$788.00	$27.00–$788.00	555% above	3%
X-ray of the foot, 2 views inpatient both sides CPT 73620 C-ARM FOOT BILATERAL 2 VIEWS	$1,512.00	$1,578.00	$40.00–$1,578.00	—	4%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$692.00	$788.00	$27.00–$788.00	—	12%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$692.00	$788.00	$27.00–$788.00	—	12%
X-ray of the foot, 2 views inpatient one side CPT 73620 C-ARM FOOT LEFT 2 VIEWS	$727.00	$788.00	$27.00–$788.00	—	8%
X-ray of the foot, 2 views inpatient one side CPT 73620 73620 LT XR FOOT 2 VIEWS	$727.00	$788.00	$27.00–$788.00	—	8%
X-ray of the foot, 2 views inpatient one side CPT 73620 73620 RT XR FOOT 2 VIEWS	$733.00	$788.00	$27.00–$788.00	—	7%
X-ray of the foot, 2 views inpatient one side CPT 73620 C-ARM FOOT RIGHT 2 VIEWS	$744.00	$788.00	$27.00–$788.00	—	6%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT-OR POR	$761.00	$788.00	$27.00–$788.00	—	3%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT-OR POR	$761.00	$788.00	$27.00–$788.00	—	3%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 C-ARM FOOT BILATERAL COMPLETE, MINIMUM	$2,002.00	$2,048.00	$44.00–$2,048.00	—	2%
X-ray of the foot, complete, 3 or more views one side CPT 73630 C-ARM FOOT RIGHT COMPLETE, MINIMUM 3 VI	$933.00	$1,029.00	$29.00–$1,029.00	694% above	9%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE LT	$998.00	$1,029.00	$29.00–$1,029.00	749% above	3%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE RT	$998.00	$1,029.00	$29.00–$1,029.00	749% above	3%
X-ray of the foot, complete, 3 or more views one side CPT 73630 C-ARM FOOT LEFT COMPLETE, MINIMUM 3 VIE	$998.00	$1,029.00	$29.00–$1,029.00	749% above	3%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 C-ARM FOOT BILATERAL COMPLETE, MINIMUM	$2,002.00	$2,048.00	$44.00–$2,048.00	—	2%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 C-ARM FOOT RIGHT COMPLETE, MINIMUM 3 VI	$933.00	$1,029.00	$29.00–$1,029.00	—	9%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 C-ARM FOOT LEFT COMPLETE, MINIMUM 3 VIE	$998.00	$1,029.00	$29.00–$1,029.00	—	3%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE LT	$998.00	$1,029.00	$29.00–$1,029.00	—	3%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE RT	$998.00	$1,029.00	$29.00–$1,029.00	—	3%
X-ray of the hand, 3 or more views both sides CPT 73130 C-ARM HAND MINIMUM 3 VIEWS BILATERAL	$2,543.00	$2,592.00	$48.00–$2,592.00	—	2%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE LT	$1,261.00	$1,314.00	$32.00–$1,314.00	973% above	4%
X-ray of the hand, 3 or more views one side CPT 73130 C-ARM HAND MINIMUM 3 VIEWS RIGHT	$1,270.00	$1,303.00	$32.00–$1,303.00	981% above	3%
X-ray of the hand, 3 or more views one side CPT 73130 C-ARM HAND MINIMUM 3 VIEWS LEFT	$1,271.00	$1,303.00	$32.00–$1,303.00	982% above	2%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE RT	$1,282.00	$1,314.00	$32.00–$1,314.00	991% above	2%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 C-ARM HAND MINIMUM 3 VIEWS BILATERAL	$2,543.00	$2,592.00	$48.00–$2,592.00	—	2%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMPLETE LT	$1,261.00	$1,314.00	$32.00–$1,314.00	—	4%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 C-ARM HAND MINIMUM 3 VIEWS RIGHT	$1,270.00	$1,303.00	$32.00–$1,303.00	—	3%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 C-ARM HAND MINIMUM 3 VIEWS LEFT	$1,271.00	$1,303.00	$32.00–$1,303.00	—	2%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMPLETE RT	$1,282.00	$1,314.00	$32.00–$1,314.00	—	2%
X-ray of the knee, 1 or 2 views both sides CPT 73560 C-ARM KNEE 1 OR 2 VIEWS BILATERAL	$1,650.00	$1,797.00	$45.00–$1,797.00	—	8%
X-ray of the knee, 1 or 2 views one side CPT 73560 C-ARM KNEE 1 OR 2 VIEWS RIGHT	$855.00	$909.00	$30.00–$909.00	628% above	6%
X-ray of the knee, 1 or 2 views one side CPT 73560 C-ARM KNEE 1 OR 2 VIEWS LEFT	$877.00	$909.00	$30.00–$909.00	646% above	4%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS LT	$887.00	$919.00	$30.00–$919.00	655% above	3%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS RT	$889.00	$919.00	$30.00–$919.00	657% above	3%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 C-ARM KNEE 1 OR 2 VIEWS BILATERAL	$1,650.00	$1,797.00	$45.00–$1,797.00	—	8%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 C-ARM KNEE 1 OR 2 VIEWS RIGHT	$855.00	$909.00	$30.00–$909.00	—	6%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 C-ARM KNEE 1 OR 2 VIEWS LEFT	$877.00	$909.00	$30.00–$909.00	—	4%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE ONE OR TWO VIEWS LT	$887.00	$919.00	$30.00–$919.00	—	3%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE ONE OR TWO VIEWS RT	$889.00	$919.00	$30.00–$919.00	—	3%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$1,635.00	$1,693.00	$35.00–$1,693.00	1052% above	3%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$1,635.00	$1,693.00	$35.00–$1,693.00	—	3%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$1,414.00	$1,463.00	$49.00–$1,463.00	845% above	3%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$1,414.00	$1,463.00	$49.00–$1,463.00	—	3%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$1,600.00	$1,630.00	$30.00–$1,630.00	1082% above	2%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$1,600.00	$1,630.00	$30.00–$1,630.00	—	2%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$1,437.00	$1,533.00	$32.00–$1,533.00	1123% above	6%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY EXAM OF NASAL BONES	$1,437.00	$1,533.00	$32.00–$1,533.00	—	6%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3	$1,511.00	$1,544.00	$33.00–$1,544.00	1186% above	2%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3	$1,511.00	$1,544.00	$33.00–$1,544.00	—	2%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$1,286.00	$1,314.00	$28.00–$1,314.00	850% above	2%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS	$1,286.00	$1,314.00	$28.00–$1,314.00	—	2%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$1,501.00	$1,533.00	$29.00–$1,533.00	1178% above	2%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY EXAM SACRUM TAILBONE	$1,501.00	$1,533.00	$29.00–$1,533.00	—	2%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
ACTH blood test CPT 82024 ACTH-PLASMA	$1,182.00	$1,212.00	$13.00–$1,212.00	2562% above	2%
ACTH blood test CPT 82024 ACTH(ENDOCRINE SCIENCE)	$1,248.00	$1,282.00	$13.00–$1,282.00	2710% above	3%
ACTH blood test inpatient CPT 82024 ACTH-PLASMA	$1,182.00	$1,212.00	$13.00–$1,212.00	—	2%
ACTH blood test inpatient CPT 82024 ACTH(ENDOCRINE SCIENCE)	$1,248.00	$1,282.00	$13.00–$1,282.00	—	3%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$258.00	$261.00	$3.00–$261.00	3317% above	1%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$258.00	$261.00	$3.00–$261.00	—	1%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$224.00	$229.00	$3.00–$229.00	2895% above	2%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$224.00	$229.00	$3.00–$229.00	—	2%
Albumin blood test CPT 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD	$29.00	$31.00	$2.00–$31.00	375% above	6%
Albumin blood test CPT 82040 ALBUMIN LEVEL	$227.00	$229.00	$2.00–$229.00	3621% above	1%
Albumin blood test CPT 82040 ALBUMIN ASCITIC FLUID	$291.00	$294.00	$2.00–$294.00	4670% above	1%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PLASMA/WHOLE BLOOD	$29.00	$31.00	$2.00–$31.00	—	6%
Albumin blood test inpatient CPT 82040 ALBUMIN LEVEL	$227.00	$229.00	$2.00–$229.00	—	1%
Albumin blood test inpatient CPT 82040 ALBUMIN ASCITIC FLUID	$291.00	$294.00	$2.00–$294.00	—	1%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE	$1,554.00	$1,592.00	$13.00–$1,592.00	3216% above	2%
Aldosterone blood test CPT 82088 ALDOSTERONE PLASMA	$2,327.00	$2,367.00	$13.00–$2,367.00	4866% above	2%
Aldosterone blood test CPT 82088 ALDOSTERONE	$2,446.00	$2,487.00	$13.00–$2,487.00	5120% above	2%
Aldosterone blood test CPT 82088 ALDOSTERONE PLASMA FOR EXPLODE	$7,405.00	$7,441.00	$13.00–$7,441.00	15702% above	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE	$1,554.00	$1,592.00	$13.00–$1,592.00	—	2%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE PLASMA	$2,327.00	$2,367.00	$13.00–$2,367.00	—	2%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$2,446.00	$2,487.00	$13.00–$2,487.00	—	2%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE PLASMA FOR EXPLODE	$7,405.00	$7,441.00	$13.00–$7,441.00	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY OF PHOSPHATASE ALKALINE	$18.00	$20.00	$2.00–$20.00	167% above	10%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$256.00	$261.00	$3.00–$261.00	3704% above	2%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY OF PHOSPHATASE ALKALINE	$18.00	$20.00	$2.00–$20.00	—	10%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$256.00	$261.00	$3.00–$261.00	—	2%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM (T8) IGE (ELM)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS (G6) IGE (TIMOT)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY/PECAN TREE (T22) IGE (HICKO)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT (F13) IGE (PEANU)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK (T7) IGE (OAK)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA (M6) IGE (ALTER)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN (HDM) (D1) IGE (DPTER)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED (W14) IGE (PIGWE)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH (F3) IGE (CODFI)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN COCKROACH (I206) IGE (ACOCK)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE (F49) IGE (APPLE)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE (IF5) IGE	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS (G17) IGE (BAHIA)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE (ALFOO)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT (F201) IGE (PECAN)	$26.00	$31.00	$4.00–$31.00	333% above	16%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT (F4) IGE (WHEAT)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT (W6) IGE (MUGWO)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT (F256) IGE (WALNU)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP (F24) IGE (SHRIM)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA (F92) IGE (BANAN)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE (T11) IGE (SYCAM)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS (M3) IGE (AFUMI)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT (F17) IGE (HAZEL)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX (YOLK & WHITE) (F245) IGE (EGGMX	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN (F14) IGE (SOYBE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK (F75) IGE (EGGYO)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM (M2) IGE (CHERB)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER) (T1) IGE (MAPLE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE (D2) IGE (DFARI	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE (T16) IGE (WPINE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS (G2) IGE (BERMU)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS (D1) IGE	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 COCOA (F93) IGE	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND (F20) IGE (ALMON)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM (M1) IGE (PNOTA)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST (GREER) (H1) IGE (HDUST)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN (F79) IGE (GLUTE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT (F7) IGE (OAT)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY (F44) IGE	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS (G10) IGE (JOHNS)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE (F1) IGE (EGGWH)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR (T6) IGE (CEDAR)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT TTL W REFL PEANUT COMPONENT PANEL	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS (M5) IGE (CALBI)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT (F202) IGE (CASHE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM (F207) IGE (CLAM)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT (F36) IGE (COCON)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER (E1) IGE (CATDA)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER (F80) IGE (LOBST)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 COW'S MILK (F2) IGE (COWSM)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER (E5) IGE (DOGDA)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 STORAGE MITE (D71) IGE (SMITE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH (I6) IGE (COCKR)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA (F40) IGE (TUNA)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB (F23) IGE (CRAB)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE GRASS (G5) IGE (P.RYE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS (M4) IGE (MRACE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH (T3) IGE (BIRCH)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED (F10) IGE (SESAM)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS(KENTUCKY BLUE) (G8) IGE (JUNE	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS (COCKSFOOT) (G3) IGE (ORCH	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS (M11) IGE (RNIGR)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED (SHORT) (W1) IGE (RAGWE)	$27.00	$31.00	$4.00–$31.00	350% above	13%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG COMPONENT PANEL (EGGCP)	$37.00	$52.00	$4.00–$52.00	517% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGAN IGEAB	$336.00	$340.00	$4.00–$340.00	5500% above	1%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT (F201) IGE (PECAN)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE (F49) IGE (APPLE)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE (ALFOO)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS (G6) IGE (TIMOT)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS (G17) IGE (BAHIA)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA (M6) IGE (ALTER)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM (T8) IGE (ELM)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH (F3) IGE (CODFI)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMERICAN (HDM) (D1) IGE (DPTER)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED (W14) IGE (PIGWE)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMERICAN COCKROACH (I206) IGE (ACOCK)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY/PECAN TREE (T22) IGE (HICKO)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK (T7) IGE (OAK)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT (F13) IGE (PEANU)	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE (IF5) IGE	$26.00	$31.00	$4.00–$31.00	—	16%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM (M2) IGE (CHERB)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE (T16) IGE (WPINE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS (D1) IGE	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND (F20) IGE (ALMON)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST (GREER) (H1) IGE (HDUST)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT (F7) IGE (OAT)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA (F40) IGE (TUNA)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS(KENTUCKY BLUE) (G8) IGE (JUNE	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZOPUS NIGRICANS (M11) IGE (RNIGR)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS (M4) IGE (MRACE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERENNIAL RYE GRASS (G5) IGE (P.RYE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB (F23) IGE (CRAB)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER (F80) IGE (LOBST)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STORAGE MITE (D71) IGE (SMITE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER (E5) IGE (DOGDA)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER (E1) IGE (CATDA)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT (F36) IGE (COCON)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW'S MILK (F2) IGE (COWSM)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM (F207) IGE (CLAM)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS (G10) IGE (JOHNS)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT (F202) IGE (CASHE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS (M5) IGE (CALBI)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT TTL W REFL PEANUT COMPONENT PANEL	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR (T6) IGE (CEDAR)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE (F1) IGE (EGGWH)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY (F44) IGE	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT (F4) IGE (WHEAT)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE (BOX ELDER) (T1) IGE (MAPLE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE (D2) IGE (DFARI	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK (F75) IGE (EGGYO)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA (F92) IGE (BANAN)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN (F14) IGE (SOYBE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG MIX (YOLK & WHITE) (F245) IGE (EGGMX	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT (F17) IGE (HAZEL)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS (M3) IGE (AFUMI)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE (T11) IGE (SYCAM)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP (F24) IGE (SHRIM)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT (F256) IGE (WALNU)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT (W6) IGE (MUGWO)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD GRASS (COCKSFOOT) (G3) IGE (ORCH	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED (SHORT) (W1) IGE (RAGWE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED (F10) IGE (SESAM)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH (T3) IGE (BIRCH)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH (I6) IGE (COCKR)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN (F79) IGE (GLUTE)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM NOTATUM (M1) IGE (PNOTA)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS (G2) IGE (BERMU)	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCOA (F93) IGE	$27.00	$31.00	$4.00–$31.00	—	13%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG COMPONENT PANEL (EGGCP)	$37.00	$52.00	$4.00–$52.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGAN IGEAB	$336.00	$340.00	$4.00–$340.00	—	1%
Alpha-fetoprotein (AFP) blood test CPT 82105 FETOPROTEIN MATERNAL SCRE	$356.00	$372.00	$10.00–$372.00	1746% above	4%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN MATERNA	$1,234.00	$1,244.00	$10.00–$1,244.00	6297% above	1%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR M	$1,234.00	$1,244.00	$10.00–$1,244.00	6297% above	1%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 FETOPROTEIN MATERNAL SCRE	$356.00	$372.00	$10.00–$372.00	—	4%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN MATERNA	$1,234.00	$1,244.00	$10.00–$1,244.00	—	1%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR M	$1,234.00	$1,244.00	$10.00–$1,244.00	—	1%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$660.00	$666.00	$6.00–$666.00	3392% above	1%
Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL	$660.00	$666.00	$6.00–$666.00	—	1%
Amylase blood test CPT 82150 AMYLASE PERT FLD (PFAMY)	$16.00	$21.00	$3.00–$21.00	113% above	24%
Amylase blood test CPT 82150 AMYLASE	$83.00	$87.00	$4.00–$87.00	1007% above	5%
Amylase blood test CPT 82150 24 HOUR URINE AMYLASE	$237.00	$241.00	$4.00–$241.00	3060% above	2%
Amylase blood test CPT 82150 AMYLASE ISOENZYME	$313.00	$319.00	$4.00–$319.00	4073% above	2%
Amylase blood test CPT 82150 FLUID AMYLASE FLAMY	$369.00	$373.00	$4.00–$373.00	4820% above	1%
Amylase blood test CPT 82150 AMYLASE LEVEL	$466.00	$470.00	$4.00–$470.00	6113% above	1%
Amylase blood test inpatient CPT 82150 AMYLASE PERT FLD (PFAMY)	$16.00	$21.00	$3.00–$21.00	—	24%
Amylase blood test inpatient CPT 82150 AMYLASE	$83.00	$87.00	$4.00–$87.00	—	5%
Amylase blood test inpatient CPT 82150 24 HOUR URINE AMYLASE	$237.00	$241.00	$4.00–$241.00	—	2%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYME	$313.00	$319.00	$4.00–$319.00	—	2%
Amylase blood test inpatient CPT 82150 FLUID AMYLASE FLAMY	$369.00	$373.00	$4.00–$373.00	—	1%
Amylase blood test inpatient CPT 82150 AMYLASE LEVEL	$466.00	$470.00	$4.00–$470.00	—	1%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP	$584.00	$594.00	$10.00–$594.00	2728% above	2%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CCP	$584.00	$594.00	$10.00–$594.00	—	2%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMER AB	$395.00	$406.00	$7.00–$406.00	2742% above	3%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$1,162.00	$1,170.00	$7.00–$1,170.00	8260% above	1%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMER AB	$395.00	$406.00	$7.00–$406.00	—	3%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$1,162.00	$1,170.00	$7.00–$1,170.00	—	1%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$499.00	$535.00	$13.00–$535.00	854% above	7%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$499.00	$535.00	$13.00–$535.00	—	7%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$493.00	$501.00	$8.00–$501.00	1591% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VRE CULTURE	$493.00	$501.00	$8.00–$501.00	1591% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PLEURAL FLUID	$493.00	$501.00	$8.00–$501.00	1591% above	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE	$746.00	$755.00	$8.00–$755.00	2458% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SYNOVIAL FLUID CULTURE	$747.00	$755.00	$8.00–$755.00	2462% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$747.00	$755.00	$8.00–$755.00	2462% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPINAL FLUID	$747.00	$755.00	$8.00–$755.00	2462% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASAL CULTURE	$779.00	$788.00	$8.00–$788.00	2571% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC	$780.00	$788.00	$8.00–$788.00	2575% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE	$780.00	$788.00	$8.00–$788.00	2575% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCHIAL WASHING	$780.00	$788.00	$8.00–$788.00	2575% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$780.00	$788.00	$8.00–$788.00	2575% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PERITONEAL	$780.00	$788.00	$8.00–$788.00	2575% above	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE PLEURAL FLUID	$493.00	$501.00	$8.00–$501.00	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VRE CULTURE	$493.00	$501.00	$8.00–$501.00	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$493.00	$501.00	$8.00–$501.00	—	2%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EYE CULTURE	$746.00	$755.00	$8.00–$755.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SYNOVIAL FLUID CULTURE	$747.00	$755.00	$8.00–$755.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID	$747.00	$755.00	$8.00–$755.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPINAL FLUID	$747.00	$755.00	$8.00–$755.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NASAL CULTURE	$779.00	$788.00	$8.00–$788.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BRONCHIAL WASHING	$780.00	$788.00	$8.00–$788.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE PERITONEAL	$780.00	$788.00	$8.00–$788.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EAR CULTURE	$780.00	$788.00	$8.00–$788.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC	$780.00	$788.00	$8.00–$788.00	—	1%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$780.00	$788.00	$8.00–$788.00	—	1%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$571.00	$579.00	$8.00–$579.00	1287% above	1%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$571.00	$579.00	$8.00–$579.00	—	1%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATE	$172.00	$175.00	$3.00–$175.00	2309% above	2%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL BILT	$258.00	$261.00	$3.00–$261.00	3513% above	1%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL + DIRECT	$292.00	$295.00	$3.00–$295.00	3990% above	1%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL NEONATE	$172.00	$175.00	$3.00–$175.00	—	2%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL BILT	$258.00	$261.00	$3.00–$261.00	—	1%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL + DIRECT	$292.00	$295.00	$3.00–$295.00	—	1%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TECHLVLIV-SURGPATHGR	$129.00	$186.00	$22.00–$186.00	81% above	31%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROFLVLIV-SURGPATHGR	$192.00	$240.00	$29.00–$240.00	169% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PF GROSS & MICRO LEVEL IV	$284.00	$328.00	$38.00–$328.00	298% above	13%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUEEXAMBYPATHOLOGIST	$308.00	$350.00	$38.00–$350.00	332% above	12%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BIOPSY	$442.00	$480.00	$38.00–$480.00	520% above	8%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HER 2 DUAL ISH	$442.00	$480.00	$38.00–$480.00	520% above	8%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TECH 26 LEVL IV SURG PATH	$449.00	$491.00	$38.00–$491.00	530% above	9%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW BIOPSY	$670.00	$710.00	$38.00–$710.00	840% above	6%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW EXAM	$847.00	$885.00	$38.00–$885.00	1088% above	4%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURG PATH GROS AND MICRO	$847.00	$885.00	$38.00–$885.00	1088% above	4%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TECHLVLIV-SURGPATHGR	$129.00	$186.00	$22.00–$186.00	—	31%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROFLVLIV-SURGPATHGR	$192.00	$240.00	$29.00–$240.00	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PF GROSS & MICRO LEVEL IV	$284.00	$328.00	$38.00–$328.00	—	13%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUEEXAMBYPATHOLOGIST	$308.00	$350.00	$38.00–$350.00	—	12%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HER 2 DUAL ISH	$442.00	$480.00	$38.00–$480.00	—	8%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BIOPSY	$442.00	$480.00	$38.00–$480.00	—	8%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TECH 26 LEVL IV SURG PATH	$449.00	$491.00	$38.00–$491.00	—	9%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW BIOPSY	$670.00	$710.00	$38.00–$710.00	—	6%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW EXAM	$847.00	$885.00	$38.00–$885.00	—	4%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV SURG PATH GROS AND MICRO	$847.00	$885.00	$38.00–$885.00	—	4%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$778.00	$788.00	$9.00–$788.00	1308% above	1%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$779.00	$788.00	$9.00–$788.00	1309% above	1%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$778.00	$788.00	$9.00–$788.00	—	1%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$779.00	$788.00	$9.00–$788.00	—	1%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 COLLECTION VENOUS BLOOD ROUTINE VE	$85.00	$87.00	$2.00–$87.00	713% above	2%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 VENIPUNCTURE, ROUTINE	$85.00	$87.00	$2.00–$87.00	713% above	2%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$129.00	$131.00	$2.00–$131.00	1134% above	2%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 FHC ROUTINE VENIPUNCTURE	$129.00	$131.00	$2.00–$131.00	1134% above	2%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 COLLECTION VENOUS BLOOD ROUTINE VE	$85.00	$87.00	$2.00–$87.00	—	2%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 VENIPUNCTURE, ROUTINE	$85.00	$87.00	$2.00–$87.00	—	2%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$129.00	$131.00	$2.00–$131.00	—	2%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 FHC ROUTINE VENIPUNCTURE	$129.00	$131.00	$2.00–$131.00	—	2%
Blood glucose (sugar) test CPT 82947 82947 BLOOD GLUCOSE TEST	$79.00	$120.00	$3.00–$120.00	675% above	34%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE TEST	$79.00	$120.00	$3.00–$120.00	675% above	34%
Blood glucose (sugar) test CPT 82947 POC GLUCOSE PGLUV	$159.00	$163.00	$3.00–$163.00	1459% above	2%
Blood glucose (sugar) test CPT 82947 GLUCOSE 1 HOUR	$181.00	$185.00	$3.00–$185.00	1675% above	2%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$182.00	$185.00	$3.00–$185.00	1684% above	2%
Blood glucose (sugar) test inpatient CPT 82947 82947 BLOOD GLUCOSE TEST	$79.00	$120.00	$3.00–$120.00	—	34%
Blood glucose (sugar) test inpatient CPT 82947 BLOOD GLUCOSE TEST	$79.00	$120.00	$3.00–$120.00	—	34%
Blood glucose (sugar) test inpatient CPT 82947 POC GLUCOSE PGLUV	$159.00	$163.00	$3.00–$163.00	—	2%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 1 HOUR	$181.00	$185.00	$3.00–$185.00	—	2%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$182.00	$185.00	$3.00–$185.00	—	2%
Blood lead test CPT 83655 83655 ASSAY OF LEAD	$78.00	$120.00	$9.00–$120.00	442% above	35%
Blood lead test CPT 83655 ASSAY OF LEAD	$79.00	$120.00	$9.00–$120.00	449% above	34%
Blood lead test CPT 83655 LEAD RANDOM URINE	$383.00	$395.00	$9.00–$395.00	2560% above	3%
Blood lead test CPT 83655 LEAD LEVEL	$397.00	$406.00	$9.00–$406.00	2657% above	2%
Blood lead test inpatient CPT 83655 83655 ASSAY OF LEAD	$78.00	$120.00	$9.00–$120.00	—	35%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$79.00	$120.00	$9.00–$120.00	—	34%
Blood lead test inpatient CPT 83655 LEAD RANDOM URINE	$383.00	$395.00	$9.00–$395.00	—	3%
Blood lead test inpatient CPT 83655 LEAD LEVEL	$397.00	$406.00	$9.00–$406.00	—	2%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC BETA HCG QUALITATIVE	$291.00	$294.00	$3.00–$294.00	1568% above	1%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE	$785.00	$788.00	$3.00–$788.00	4399% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC BETA HCG QUALITATIVE	$291.00	$294.00	$3.00–$294.00	—	1%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG QUALITATIVE	$785.00	$788.00	$3.00–$788.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$226.00	$229.00	$2.00–$229.00	58% above	1%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$226.00	$229.00	$2.00–$229.00	—	1%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$226.00	$229.00	$3.00–$229.00	2725% above	1%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$226.00	$229.00	$3.00–$229.00	—	1%
C-peptide blood test CPT 84681 C-PEPTIDE	$1,262.00	$1,275.00	$13.00–$1,275.00	4241% above	1%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$1,262.00	$1,275.00	$13.00–$1,275.00	—	1%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN CRPN	$49.00	$54.00	$3.00–$54.00	345% above	9%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$739.00	$742.00	$3.00–$742.00	6618% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN CRPN	$49.00	$54.00	$3.00–$54.00	—	9%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$739.00	$742.00	$3.00–$742.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$669.00	$700.00	$13.00–$700.00	1461% above	4%
C. difficile toxin gene test (stool PCR) CPT 87493 AMP PROBE CLOSTRIDIUM	$792.00	$820.00	$13.00–$820.00	1748% above	3%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$669.00	$700.00	$13.00–$700.00	—	4%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 AMP PROBE CLOSTRIDIUM	$792.00	$820.00	$13.00–$820.00	—	3%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$1,321.00	$1,341.00	$13.00–$1,341.00	5420% above	1%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$1,321.00	$1,341.00	$13.00–$1,341.00	—	1%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$1,440.00	$1,453.00	$13.00–$1,453.00	4096% above	1%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$1,440.00	$1,453.00	$13.00–$1,453.00	—	1%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$28.00	$31.00	$3.00–$31.00	333% above	10%
Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL	$258.00	$261.00	$3.00–$261.00	3888% above	1%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$28.00	$31.00	$3.00–$31.00	—	10%
Calcium blood test, total inpatient CPT 82310 CALCIUM LEVEL TOTAL	$258.00	$261.00	$3.00–$261.00	—	1%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG (CEA)	$119.00	$141.00	$13.00–$141.00	174% above	16%
Carcinoembryonic antigen (CEA) test CPT 82378 FLUID CEA FLCEA	$354.00	$373.00	$13.00–$373.00	714% above	5%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$1,092.00	$1,105.00	$13.00–$1,105.00	2410% above	1%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG (CEA)	$119.00	$141.00	$13.00–$141.00	—	16%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 FLUID CEA FLCEA	$354.00	$373.00	$13.00–$373.00	—	5%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$1,092.00	$1,105.00	$13.00–$1,105.00	—	1%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA(IGG) TITER	$427.00	$440.00	$11.00–$440.00	2219% above	3%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA SCREEN	$1,028.00	$1,039.00	$11.00–$1,039.00	5484% above	1%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM ANTIBODY	$1,925.00	$1,938.00	$11.00–$1,938.00	10356% above	1%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA(IGG) TITER	$427.00	$440.00	$11.00–$440.00	—	3%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA SCREEN	$1,028.00	$1,039.00	$11.00–$1,039.00	—	1%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM ANTIBODY	$1,925.00	$1,938.00	$11.00–$1,938.00	—	1%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA (SCLTR)	$35.00	$40.00	$5.00–$80.00	13% below	13%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NUCLEIC ACID CHLAMYDIA TR	$144.00	$175.00	$13.00–$175.00	257% above	18%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMDTRACHDNAAMPPROBE	$417.00	$448.00	$13.00–$448.00	933% above	7%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA (SCLTR)	$35.00	$40.00	$5.00–$80.00	—	13%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NUCLEIC ACID CHLAMYDIA TR	$144.00	$175.00	$13.00–$175.00	—	18%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMDTRACHDNAAMPPROBE	$417.00	$448.00	$13.00–$448.00	—	7%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$315.00	$328.00	$12.00–$328.00	906% above	4%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$315.00	$328.00	$12.00–$328.00	—	4%
Complete blood count (CBC) with differential CPT 85025 POC COMPLETE CBC (CBCD)	$290.00	$645.00	$5.00–$645.00	1172% above	55%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC (CBCAD)	$421.00	$645.00	$5.00–$645.00	1746% above	35%
Complete blood count (CBC) with differential inpatient CPT 85025 POC COMPLETE CBC (CBCD)	$290.00	$645.00	$5.00–$645.00	—	55%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC (CBCAD)	$421.00	$645.00	$5.00–$645.00	—	35%
Complete blood count (CBC), no differential CPT 85027 CBC W INDICES	$573.00	$579.00	$5.00–$579.00	4675% above	1%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W INDICES	$573.00	$579.00	$5.00–$579.00	—	1%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC P	$758.00	$767.00	$9.00–$767.00	971% above	1%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC P	$758.00	$767.00	$9.00–$767.00	—	1%
Cortisol blood test, total CPT 82533 CORTISOL (30 MIN)	$509.00	$525.00	$13.00–$525.00	1904% above	3%
Cortisol blood test, total CPT 82533 CORTISOL (120 MIN)	$509.00	$525.00	$13.00–$525.00	1904% above	3%
Cortisol blood test, total CPT 82533 CORTISOL (60 MIN)	$509.00	$525.00	$13.00–$525.00	1904% above	3%
Cortisol blood test, total CPT 82533 CORTISOL (0 MIN)	$509.00	$525.00	$13.00–$525.00	1904% above	3%
Cortisol blood test, total CPT 82533 CORTISOL (45 MIN)	$509.00	$525.00	$13.00–$525.00	1904% above	3%
Cortisol blood test, total CPT 82533 CORTISOL (180 MIN)	$509.00	$525.00	$13.00–$525.00	1904% above	3%
Cortisol blood test, total CPT 82533 CORTISOL (150 MIN)	$511.00	$525.00	$13.00–$525.00	1912% above	3%
Cortisol blood test, total CPT 82533 CORTISOL (90 MIN)	$512.00	$525.00	$13.00–$525.00	1916% above	2%
Cortisol blood test, total CPT 82533 CORTISOL (15 MIN)	$512.00	$525.00	$13.00–$525.00	1916% above	2%
Cortisol blood test, total CPT 82533 CORTISOL	$1,023.00	$1,039.00	$13.00–$1,039.00	3928% above	2%
Cortisol blood test, total CPT 82533 CORTISOL FOR EXPLODE	$1,231.00	$1,247.00	$13.00–$1,247.00	4746% above	1%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (0 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (60 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (45 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (180 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (30 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (120 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (150 MIN)	$511.00	$525.00	$13.00–$525.00	—	3%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (90 MIN)	$512.00	$525.00	$13.00–$525.00	—	2%
Cortisol blood test, total inpatient CPT 82533 CORTISOL (15 MIN)	$512.00	$525.00	$13.00–$525.00	—	2%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$1,023.00	$1,039.00	$13.00–$1,039.00	—	2%
Cortisol blood test, total inpatient CPT 82533 CORTISOL FOR EXPLODE	$1,231.00	$1,247.00	$13.00–$1,247.00	—	1%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE	$289.00	$294.00	$3.00–$294.00	3753% above	2%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE	$289.00	$294.00	$3.00–$294.00	—	2%
Creatinine blood test CPT 82565 ESTIMATED GLOMERULAR FILT	$150.00	$153.00	$3.00–$153.00	2319% above	2%
Creatinine blood test CPT 82565 CREATININE	$258.00	$261.00	$3.00–$261.00	4061% above	1%
Creatinine blood test CPT 82565 CREATININE LS	$400.00	$405.00	$3.00–$405.00	6352% above	1%
Creatinine blood test inpatient CPT 82565 ESTIMATED GLOMERULAR FILT	$150.00	$153.00	$3.00–$153.00	—	2%
Creatinine blood test inpatient CPT 82565 CREATININE	$258.00	$261.00	$3.00–$261.00	—	1%
Creatinine blood test inpatient CPT 82565 CREATININE LS	$400.00	$405.00	$3.00–$405.00	—	1%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$909.00	$922.00	$11.00–$922.00	5392% above	1%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ACUTE ONLY	$910.00	$922.00	$11.00–$922.00	5398% above	1%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$909.00	$922.00	$11.00–$922.00	—	1%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ACUTE ONLY	$910.00	$922.00	$11.00–$922.00	—	1%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE	$245.00	$250.00	$5.00–$250.00	1043% above	2%
D-dimer blood test (blood clot marker) CPT 85379 QUANTITATIVE D-DIMER	$301.00	$306.00	$5.00–$306.00	1305% above	2%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE	$245.00	$250.00	$5.00–$250.00	—	2%
D-dimer blood test (blood clot marker) inpatient CPT 85379 QUANTITATIVE D-DIMER	$301.00	$306.00	$5.00–$306.00	—	2%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (45 MIN)	$661.00	$689.00	$13.00–$689.00	2486% above	4%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (180 MIN)	$667.00	$689.00	$13.00–$689.00	2510% above	3%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (60 MIN)	$667.00	$689.00	$13.00–$689.00	2510% above	3%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (150 MIN)	$667.00	$689.00	$13.00–$689.00	2510% above	3%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (30 MIN)	$667.00	$689.00	$13.00–$689.00	2510% above	3%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (90 MIN)	$667.00	$689.00	$13.00–$689.00	2510% above	3%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (0 MIN)	$669.00	$689.00	$13.00–$689.00	2517% above	3%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (120 MIN)	$676.00	$689.00	$13.00–$689.00	2545% above	2%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (15 MIN)	$676.00	$689.00	$13.00–$689.00	2545% above	2%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$1,736.00	$1,749.00	$13.00–$1,749.00	6692% above	1%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (45 MIN)	$661.00	$689.00	$13.00–$689.00	—	4%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (60 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (150 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (90 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (180 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (30 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (0 MIN)	$669.00	$689.00	$13.00–$689.00	—	3%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (120 MIN)	$676.00	$689.00	$13.00–$689.00	—	2%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (15 MIN)	$676.00	$689.00	$13.00–$689.00	—	2%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$1,736.00	$1,749.00	$13.00–$1,749.00	—	1%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRG SC	$390.00	$440.00	$13.00–$440.00	446% above	11%
Drug screen by lab instrument (any number of drug classes) CPT 80307 80307 DRUG CONFIRMATION TESTING	$393.00	$440.00	$13.00–$440.00	450% above	11%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UR DRUG SCREEN	$423.00	$470.00	$13.00–$470.00	492% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SERUM DRUG SCREEN	$939.00	$989.00	$13.00–$989.00	1214% above	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRG SC	$390.00	$440.00	$13.00–$440.00	—	11%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 80307 DRUG CONFIRMATION TESTING	$393.00	$440.00	$13.00–$440.00	—	11%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UR DRUG SCREEN	$423.00	$470.00	$13.00–$470.00	—	10%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SERUM DRUG SCREEN	$939.00	$989.00	$13.00–$989.00	—	5%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$388.00	$393.00	$5.00–$393.00	2069% above	1%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$388.00	$393.00	$5.00–$393.00	—	1%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARRCAPSIDVCA	$475.00	$491.00	$13.00–$491.00	2177% above	3%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV -CAPSID IGG	$552.00	$570.00	$13.00–$570.00	2546% above	3%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV -VIRAL CAPSID IGM	$552.00	$570.00	$13.00–$570.00	2546% above	3%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARRCAPSIDVCA	$475.00	$491.00	$13.00–$491.00	—	3%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV -VIRAL CAPSID IGM	$552.00	$570.00	$13.00–$570.00	—	3%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV -CAPSID IGG	$552.00	$570.00	$13.00–$570.00	—	3%
Estradiol blood test CPT 82670 ESTRADIOL (0 MIN)	$806.00	$833.00	$13.00–$833.00	1758% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (150 MIN)	$808.00	$833.00	$13.00–$833.00	1763% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (90 MIN)	$808.00	$833.00	$13.00–$833.00	1763% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (45 MIN)	$808.00	$833.00	$13.00–$833.00	1763% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (120 MIN)	$808.00	$833.00	$13.00–$833.00	1763% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (60 MIN)	$808.00	$833.00	$13.00–$833.00	1763% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (30 MIN)	$809.00	$833.00	$13.00–$833.00	1765% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (15 MIN)	$809.00	$833.00	$13.00–$833.00	1765% above	3%
Estradiol blood test CPT 82670 ESTRADIOL (180 MIN)	$820.00	$833.00	$13.00–$833.00	1791% above	2%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL	$1,506.00	$1,519.00	$13.00–$1,519.00	3372% above	1%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (0 MIN)	$806.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (150 MIN)	$808.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (45 MIN)	$808.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (60 MIN)	$808.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (90 MIN)	$808.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (120 MIN)	$808.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (15 MIN)	$809.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (30 MIN)	$809.00	$833.00	$13.00–$833.00	—	3%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (180 MIN)	$820.00	$833.00	$13.00–$833.00	—	2%
Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL	$1,506.00	$1,519.00	$13.00–$1,519.00	—	1%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (45 MIN)	$576.00	$594.00	$13.00–$594.00	2342% above	3%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (90 MIN)	$576.00	$594.00	$13.00–$594.00	2342% above	3%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (120 MIN)	$577.00	$594.00	$13.00–$594.00	2346% above	3%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (60 MIN)	$577.00	$594.00	$13.00–$594.00	2346% above	3%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (150 MIN)	$577.00	$594.00	$13.00–$594.00	2346% above	3%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (180 MIN)	$578.00	$594.00	$13.00–$594.00	2350% above	3%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (0 MIN)	$578.00	$594.00	$13.00–$594.00	2350% above	3%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (15 MIN)	$581.00	$594.00	$13.00–$594.00	2363% above	2%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (30 MIN)	$581.00	$594.00	$13.00–$594.00	2363% above	2%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM	$1,108.00	$1,121.00	$13.00–$1,121.00	4597% above	1%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (90 MIN)	$576.00	$594.00	$13.00–$594.00	—	3%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (45 MIN)	$576.00	$594.00	$13.00–$594.00	—	3%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (60 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (150 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (120 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (180 MIN)	$578.00	$594.00	$13.00–$594.00	—	3%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (0 MIN)	$578.00	$594.00	$13.00–$594.00	—	3%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (30 MIN)	$581.00	$594.00	$13.00–$594.00	—	2%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (15 MIN)	$581.00	$594.00	$13.00–$594.00	—	2%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM	$1,108.00	$1,121.00	$13.00–$1,121.00	—	1%
Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN	$238.00	$253.00	$13.00–$253.00	618% above	6%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$969.00	$982.00	$13.00–$982.00	2824% above	1%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 FECAL CALPROTECTIN	$238.00	$253.00	$13.00–$253.00	—	6%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$969.00	$982.00	$13.00–$982.00	—	1%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$841.00	$854.00	$12.00–$854.00	4936% above	2%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$841.00	$854.00	$12.00–$854.00	—	2%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$752.00	$854.00	$8.00–$854.00	6626% above	12%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$752.00	$854.00	$8.00–$854.00	—	12%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM (FOLIC ACID)	$590.00	$600.00	$10.00–$600.00	2369% above	2%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM (FOLIC ACID)	$590.00	$600.00	$10.00–$600.00	—	2%
Free T3 thyroid hormone test CPT 84481 T3, FREE	$476.00	$491.00	$13.00–$491.00	2304% above	3%
Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE	$476.00	$491.00	$13.00–$491.00	—	3%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS (T4FDD)	$37.00	$42.00	$5.00–$42.00	102% above	12%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$311.00	$319.00	$8.00–$319.00	1599% above	3%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE CALCULATED (FT4V)	$910.00	$919.00	$8.00–$919.00	4873% above	1%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS (T4FDD)	$37.00	$42.00	$5.00–$42.00	—	12%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$311.00	$319.00	$8.00–$319.00	—	3%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE CALCULATED (FT4V)	$910.00	$919.00	$8.00–$919.00	—	1%
Free testosterone test CPT 84402 TESTOSTERONE LEVEL FREE	$1,726.00	$1,749.00	$13.00–$1,749.00	5793% above	1%
Free testosterone test inpatient CPT 84402 TESTOSTERONE LEVEL FREE	$1,726.00	$1,749.00	$13.00–$1,749.00	—	1%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$387.00	$393.00	$3.00–$393.00	2832% above	2%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$387.00	$393.00	$3.00–$393.00	—	2%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR POST PRAND	$205.00	$208.00	$3.00–$208.00	3655% above	1%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 1-HR GESTATIONAL GLUCOSE	$225.00	$229.00	$3.00–$229.00	4021% above	2%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HOUR POST PRAND	$205.00	$208.00	$3.00–$208.00	—	1%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 1-HR GESTATIONAL GLUCOSE	$225.00	$229.00	$3.00–$229.00	—	2%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 5 HR	$465.00	$470.00	$5.00–$470.00	2213% above	1%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 6 HR	$465.00	$470.00	$5.00–$470.00	2213% above	1%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 4 HR	$465.00	$470.00	$5.00–$470.00	2213% above	1%
Glucose tolerance test, 3 samples CPT 82951 1ST THREE (3) SPECIMENS	$496.00	$525.00	$5.00–$525.00	2368% above	6%
Glucose tolerance test, 3 samples CPT 82951 2 HR. GLUCOSE TOLERANCE	$749.00	$755.00	$5.00–$755.00	3626% above	1%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 5 HR	$465.00	$470.00	$5.00–$470.00	—	1%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 4 HR	$465.00	$470.00	$5.00–$470.00	—	1%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 6 HR	$465.00	$470.00	$5.00–$470.00	—	1%
Glucose tolerance test, 3 samples inpatient CPT 82951 1ST THREE (3) SPECIMENS	$496.00	$525.00	$5.00–$525.00	—	6%
Glucose tolerance test, 3 samples inpatient CPT 82951 2 HR. GLUCOSE TOLERANCE	$749.00	$755.00	$5.00–$755.00	—	1%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE RNA (SNGON)	$26.00	$40.00	$5.00–$80.00	36% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NUCLEIC ACID AMP NEISSERI	$140.00	$175.00	$13.00–$175.00	247% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAEDNAAMPPROB	$424.00	$437.00	$13.00–$437.00	951% above	3%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE RNA (SNGON)	$26.00	$40.00	$5.00–$80.00	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NUCLEIC ACID AMP NEISSERI	$140.00	$175.00	$13.00–$175.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAEDNAAMPPROB	$424.00	$437.00	$13.00–$437.00	—	3%
H. pylori antibody blood test CPT 86677 H PYLORI IGG (HPABS)	$77.00	$88.00	$11.00–$88.00	297% above	13%
H. pylori antibody blood test CPT 86677 H PYLORI IGA (HOGA)	$84.00	$98.00	$11.00–$98.00	333% above	14%
H. pylori antibody blood test CPT 86677 H PYLORI IGM (HPHM)	$87.00	$98.00	$11.00–$98.00	349% above	11%
H. pylori antibody blood test CPT 86677 ANTIBODY,H PYLORI IGM	$1,430.00	$1,443.00	$11.00–$1,443.00	7279% above	1%
H. pylori antibody blood test CPT 86677 ANTIBODY,H.PYLORI IGA	$1,998.00	$2,011.00	$11.00–$2,011.00	10210% above	1%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIB	$2,297.00	$2,310.00	$11.00–$2,310.00	11752% above	1%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG (HPABS)	$77.00	$88.00	$11.00–$88.00	—	13%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA (HOGA)	$84.00	$98.00	$11.00–$98.00	—	14%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM (HPHM)	$87.00	$98.00	$11.00–$98.00	—	11%
H. pylori antibody blood test inpatient CPT 86677 ANTIBODY,H PYLORI IGM	$1,430.00	$1,443.00	$11.00–$1,443.00	—	1%
H. pylori antibody blood test inpatient CPT 86677 ANTIBODY,H.PYLORI IGA	$1,998.00	$2,011.00	$11.00–$2,011.00	—	1%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIB	$2,297.00	$2,310.00	$11.00–$2,310.00	—	1%
H. pylori stool antigen test CPT 87338 H. PYLORI AG STOOL HPAG	$739.00	$748.00	$9.00–$748.00	4368% above	1%
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI AG STOOL HPAG	$739.00	$748.00	$9.00–$748.00	—	1%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QUANTITATIVE REAL TIME PCR (HI	$137.00	$210.00	$13.00–$210.00	10% above	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 VIRAL LOAD-HIV	$1,265.00	$1,341.00	$13.00–$1,341.00	914% above	6%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 PCR PEDS HIV (QUANTITATI	$2,250.00	$2,263.00	$13.00–$2,263.00	1703% above	1%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QUANTITATIVE REAL TIME PCR (HI	$137.00	$210.00	$13.00–$210.00	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 VIRAL LOAD-HIV	$1,265.00	$1,341.00	$13.00–$1,341.00	—	6%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 PCR PEDS HIV (QUANTITATI	$2,250.00	$2,263.00	$13.00–$2,263.00	—	1%
HIV-1 and HIV-2 antibody test CPT 86703 HIV - SCREENING (NON RAPI	$314.00	$328.00	$12.00–$328.00	1889% above	4%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-21RESULTANTBDY	$359.00	$372.00	$12.00–$372.00	2174% above	3%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB RAPID SCREEN	$730.00	$742.00	$12.00–$742.00	4523% above	2%
HIV-1 and HIV-2 antibody test CPT 86703 HIV	$744.00	$757.00	$12.00–$757.00	4612% above	2%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 AB, EIA SCREE	$800.00	$814.00	$12.00–$814.00	4966% above	2%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV - SCREENING (NON RAPI	$314.00	$328.00	$12.00–$328.00	—	4%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-21RESULTANTBDY	$359.00	$372.00	$12.00–$372.00	—	3%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 AB RAPID SCREEN	$730.00	$742.00	$12.00–$742.00	—	2%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV	$744.00	$757.00	$12.00–$757.00	—	2%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 AB, EIA SCREE	$800.00	$814.00	$12.00–$814.00	—	2%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 EIA QL HIV-1 & HIV-2 ANTI	$906.00	$919.00	$13.00–$919.00	3172% above	1%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 EIA QL HIV-1 & HIV-2 ANTI	$906.00	$919.00	$13.00–$919.00	—	1%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$782.00	$809.00	$13.00–$809.00	1838% above	3%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$782.00	$809.00	$13.00–$809.00	—	3%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$125.00	$131.00	$6.00–$131.00	432% above	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 HEMOGLOBIN GLYCOSYLATED A1C	$125.00	$131.00	$6.00–$131.00	432% above	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POC HEMOGLOBIN A1C	$494.00	$501.00	$6.00–$501.00	2002% above	1%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$495.00	$501.00	$6.00–$501.00	2006% above	1%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 HEMOGLOBIN GLYCOSYLATED A1C	$125.00	$131.00	$6.00–$131.00	—	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$125.00	$131.00	$6.00–$131.00	—	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 POC HEMOGLOBIN A1C	$494.00	$501.00	$6.00–$501.00	—	1%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$495.00	$501.00	$6.00–$501.00	—	1%
Hemoglobin blood test CPT 85018 POC HEMOGLOBIN	$151.00	$153.00	$1.00–$153.00	2121% above	1%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$174.00	$175.00	$1.00–$175.00	2459% above	1%
Hemoglobin blood test inpatient CPT 85018 POC HEMOGLOBIN	$151.00	$153.00	$1.00–$153.00	—	1%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$174.00	$175.00	$1.00–$175.00	—	1%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL HBTLT	$30.00	$42.00	$5.00–$42.00	116% above	29%
Hepatitis B core antibody test (total) CPT 86704 HEPBCOREANTIBODYTOTAL	$314.00	$328.00	$11.00–$328.00	2166% above	4%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$971.00	$982.00	$11.00–$982.00	6906% above	1%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL HBTLT	$30.00	$42.00	$5.00–$42.00	—	29%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPBCOREANTIBODYTOTAL	$314.00	$328.00	$11.00–$328.00	—	4%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY	$971.00	$982.00	$11.00–$982.00	—	1%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITS B SURFACE AB QUA	$273.00	$284.00	$10.00–$284.00	1598% above	4%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPBSURFACEANTIBODY	$317.00	$328.00	$10.00–$328.00	1871% above	3%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB	$961.00	$972.00	$10.00–$972.00	5876% above	1%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITS B SURFACE AB QUA	$273.00	$284.00	$10.00–$284.00	—	4%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPBSURFACEANTIBODY	$317.00	$328.00	$10.00–$328.00	—	3%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB	$961.00	$972.00	$10.00–$972.00	—	1%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN W/REFL CONFIRM (HB	$32.00	$42.00	$5.00–$42.00	66% above	24%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG	$963.00	$972.00	$9.00–$972.00	4890% above	1%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN W/REFL CONFIRM (HB	$32.00	$42.00	$5.00–$42.00	—	24%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIG	$963.00	$972.00	$9.00–$972.00	—	1%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$968.00	$982.00	$13.00–$982.00	3137% above	1%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS BE ANTIBODY	$1,568.00	$1,582.00	$13.00–$1,582.00	5144% above	1%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$968.00	$982.00	$13.00–$982.00	—	1%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS BE ANTIBODY	$1,568.00	$1,582.00	$13.00–$1,582.00	—	1%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITISCREVRSTRNSCRPJ	$1,059.00	$1,072.00	$13.00–$1,072.00	1426% above	1%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL LOAD	$5,300.00	$5,321.00	$13.00–$5,321.00	7537% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITISCREVRSTRNSCRPJ	$1,059.00	$1,072.00	$13.00–$1,072.00	—	1%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL LOAD	$5,300.00	$5,321.00	$13.00–$5,321.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX-ACUTE ONLY	$457.00	$470.00	$12.00–$470.00	2016% above	3%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX-ACUTE ONLY	$457.00	$470.00	$12.00–$470.00	—	3%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HI SENSITIVITY HSCRP	$37.00	$42.00	$5.00–$42.00	43% above	12%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HI SENSITIVITY CRPHS	$65.00	$77.00	$9.00–$77.00	150% above	16%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIAC CRP	$582.00	$594.00	$11.00–$594.00	2143% above	2%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HI SENSITIVITY HSCRP	$37.00	$42.00	$5.00–$42.00	—	12%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HI SENSITIVITY CRPHS	$65.00	$77.00	$9.00–$77.00	—	16%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIAC CRP	$582.00	$594.00	$11.00–$594.00	—	2%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$34.00	$52.00	$6.00–$52.00	25% above	35%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$34.00	$52.00	$6.00–$52.00	—	35%
Insulin blood test CPT 83525 1 HOUR INSULIN	$374.00	$385.00	$10.00–$385.00	2130% above	3%
Insulin blood test CPT 83525 2 HOUR INSULIN	$374.00	$385.00	$10.00–$385.00	2130% above	3%
Insulin blood test CPT 83525 INSULIN LEVEL	$374.00	$385.00	$10.00–$385.00	2130% above	3%
Insulin blood test CPT 83525 3 HOUR- ASSAY OF INSULIN TOTAL	$374.00	$385.00	$10.00–$385.00	2130% above	3%
Insulin blood test CPT 83525 5 HOUR INSULIN	$374.00	$385.00	$10.00–$385.00	2130% above	3%
Insulin blood test CPT 83525 6 HOUR INSULIN	$375.00	$385.00	$10.00–$385.00	2136% above	3%
Insulin blood test CPT 83525 FASTING INSULIN	$375.00	$385.00	$10.00–$385.00	2136% above	3%
Insulin blood test CPT 83525 4 HOUR INSULIN	$375.00	$385.00	$10.00–$385.00	2136% above	3%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$374.00	$385.00	$10.00–$385.00	—	3%
Insulin blood test inpatient CPT 83525 5 HOUR INSULIN	$374.00	$385.00	$10.00–$385.00	—	3%
Insulin blood test inpatient CPT 83525 1 HOUR INSULIN	$374.00	$385.00	$10.00–$385.00	—	3%
Insulin blood test inpatient CPT 83525 3 HOUR- ASSAY OF INSULIN TOTAL	$374.00	$385.00	$10.00–$385.00	—	3%
Insulin blood test inpatient CPT 83525 2 HOUR INSULIN	$374.00	$385.00	$10.00–$385.00	—	3%
Insulin blood test inpatient CPT 83525 4 HOUR INSULIN	$375.00	$385.00	$10.00–$385.00	—	3%
Insulin blood test inpatient CPT 83525 6 HOUR INSULIN	$375.00	$385.00	$10.00–$385.00	—	3%
Insulin blood test inpatient CPT 83525 FASTING INSULIN	$375.00	$385.00	$10.00–$385.00	—	3%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$432.00	$436.00	$4.00–$436.00	3329% above	1%
Iron blood test (serum iron) inpatient CPT 83540 IRON LEVEL	$432.00	$436.00	$4.00–$436.00	—	1%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOT	$429.00	$436.00	$7.00–$436.00	2879% above	2%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOT	$429.00	$436.00	$7.00–$436.00	—	2%
Kidney function blood test panel CPT 80069 RENAL PANEL	$681.00	$689.00	$8.00–$689.00	1393% above	1%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$681.00	$689.00	$8.00–$689.00	—	1%
LH (luteinizing hormone) test CPT 83002 LH (90 MIN)	$576.00	$594.00	$13.00–$594.00	2604% above	3%
LH (luteinizing hormone) test CPT 83002 LH (45 MIN)	$577.00	$594.00	$13.00–$594.00	2609% above	3%
LH (luteinizing hormone) test CPT 83002 LH (15 MIN)	$577.00	$594.00	$13.00–$594.00	2609% above	3%
LH (luteinizing hormone) test CPT 83002 LH (120 MIN)	$577.00	$594.00	$13.00–$594.00	2609% above	3%
LH (luteinizing hormone) test CPT 83002 LH (150 MIN)	$577.00	$594.00	$13.00–$594.00	2609% above	3%
LH (luteinizing hormone) test CPT 83002 LH (180 MIN)	$577.00	$594.00	$13.00–$594.00	2609% above	3%
LH (luteinizing hormone) test CPT 83002 LH (60 MIN)	$578.00	$594.00	$13.00–$594.00	2614% above	3%
LH (luteinizing hormone) test CPT 83002 LH (30 MIN)	$578.00	$594.00	$13.00–$594.00	2614% above	3%
LH (luteinizing hormone) test CPT 83002 LH (0 MIN)	$578.00	$594.00	$13.00–$594.00	2614% above	3%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE SERUM	$1,502.00	$1,519.00	$13.00–$1,519.00	6952% above	1%
LH (luteinizing hormone) test inpatient CPT 83002 LH (90 MIN)	$576.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (150 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (45 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (120 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (180 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (15 MIN)	$577.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (30 MIN)	$578.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (60 MIN)	$578.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LH (0 MIN)	$578.00	$594.00	$13.00–$594.00	—	3%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE SERUM	$1,502.00	$1,519.00	$13.00–$1,519.00	—	1%
Lactate (lactic acid) blood test CPT 83605 POC LACTATE (LACTIC ACID) (MLACT)	$65.00	$76.00	$9.00–$76.00	364% above	14%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF (CFLAC)	$240.00	$251.00	$9.00–$251.00	1614% above	4%
Lactate (lactic acid) blood test CPT 83605 POC LACTATE (PLACV)	$381.00	$393.00	$9.00–$393.00	2621% above	3%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$382.00	$393.00	$9.00–$393.00	2629% above	3%
Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTATE (LACTIC ACID) (MLACT)	$65.00	$76.00	$9.00–$76.00	—	14%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID CSF (CFLAC)	$240.00	$251.00	$9.00–$251.00	—	4%
Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTATE (PLACV)	$381.00	$393.00	$9.00–$393.00	—	3%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$382.00	$393.00	$9.00–$393.00	—	3%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BOD	$160.00	$164.00	$3.00–$164.00	2033% above	2%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$290.00	$294.00	$3.00–$294.00	3767% above	1%
Lactate dehydrogenase (LDH) blood test CPT 83615 CSF-LDH	$369.00	$373.00	$3.00–$373.00	4820% above	1%
Lactate dehydrogenase (LDH) blood test CPT 83615 BODY FLUID LDH	$387.00	$393.00	$3.00–$393.00	5060% above	2%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE BOD	$160.00	$164.00	$3.00–$164.00	—	2%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE	$290.00	$294.00	$3.00–$294.00	—	1%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CSF-LDH	$369.00	$373.00	$3.00–$373.00	—	1%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BODY FLUID LDH	$387.00	$393.00	$3.00–$393.00	—	2%
Lipase blood test (pancreas enzyme) CPT 83690 FLUID LIPASE FLLIP	$367.00	$373.00	$4.00–$373.00	2152% above	2%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL	$574.00	$579.00	$4.00–$579.00	3421% above	1%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 FLUID LIPASE FLLIP	$367.00	$373.00	$4.00–$373.00	—	2%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL	$574.00	$579.00	$4.00–$579.00	—	1%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-NE	$682.00	$689.00	$7.00–$689.00	1321% above	1%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$682.00	$689.00	$7.00–$689.00	1321% above	1%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-NE	$682.00	$689.00	$7.00–$689.00	—	1%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$682.00	$689.00	$7.00–$689.00	—	1%
Lyme disease antibody test CPT 86618 LYME ANTIBODY,BODY FLUID,	$1,023.00	$1,045.00	$13.00–$1,045.00	2523% above	2%
Lyme disease antibody test CPT 86618 LYME ANTIBODY TEST	$1,265.00	$1,282.00	$13.00–$1,282.00	3144% above	1%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY,BODY FLUID,	$1,023.00	$1,045.00	$13.00–$1,045.00	—	2%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY TEST	$1,265.00	$1,282.00	$13.00–$1,282.00	—	1%
Magnesium blood test CPT 83735 MAGNESIUM RBC (MGRBC)	$27.00	$31.00	$4.00–$31.00	198% above	13%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL 24 HOUR U	$237.00	$241.00	$4.00–$241.00	2519% above	2%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$254.00	$261.00	$4.00–$261.00	2707% above	3%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC (MGRBC)	$27.00	$31.00	$4.00–$31.00	—	13%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL 24 HOUR U	$237.00	$241.00	$4.00–$241.00	—	2%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL	$254.00	$261.00	$4.00–$261.00	—	3%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$617.00	$626.00	$9.00–$626.00	3648% above	1%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM AB	$2,169.00	$2,179.00	$9.00–$2,179.00	13077% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$617.00	$626.00	$9.00–$626.00	—	1%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM AB	$2,169.00	$2,179.00	$9.00–$2,179.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 EBV SCREEN	$150.00	$153.00	$3.00–$153.00	756% above	2%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN	$764.00	$767.00	$3.00–$767.00	4258% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 EBV SCREEN	$150.00	$153.00	$3.00–$153.00	—	2%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN	$764.00	$767.00	$3.00–$767.00	—	—
Mumps immunity blood test CPT 86735 MUMPS IGM	$556.00	$570.00	$12.00–$570.00	3604% above	2%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY SCREEN	$841.00	$854.00	$12.00–$854.00	5503% above	2%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM	$556.00	$570.00	$12.00–$570.00	—	2%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY SCREEN	$841.00	$854.00	$12.00–$854.00	—	2%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$554.00	$570.00	$13.00–$570.00	2066% above	3%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$554.00	$570.00	$13.00–$570.00	—	3%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$772.00	$1,181.00	$13.00–$1,181.00	1975% above	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$772.00	$1,181.00	$13.00–$1,181.00	—	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLOGY SMEARS(TBS)	$504.00	$522.00	$17.00–$522.00	2063% above	3%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATHOLOGY SMEARS(TBS)	$504.00	$522.00	$17.00–$522.00	—	3%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$2,195.00	$2,236.00	$13.00–$2,236.00	4313% above	2%
Parathyroid hormone (PTH) blood test CPT 83970 INTEROPERATIVE INTACT PTH	$3,454.00	$3,491.00	$13.00–$3,491.00	6844% above	1%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$2,195.00	$2,236.00	$13.00–$2,236.00	—	2%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTEROPERATIVE INTACT PTH	$3,454.00	$3,491.00	$13.00–$3,491.00	—	1%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE	$14.00	$16.00	$2.00–$16.00	34% above	13%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT HEPARIN DRIP PROTOCOL	$291.00	$294.00	$3.00–$294.00	2682% above	1%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$402.00	$405.00	$3.00–$405.00	3743% above	1%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE	$14.00	$16.00	$2.00–$16.00	—	13%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT HEPARIN DRIP PROTOCOL	$291.00	$294.00	$3.00–$294.00	—	1%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$402.00	$405.00	$3.00–$405.00	—	1%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS SERUM	$226.00	$229.00	$3.00–$229.00	2254% above	1%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS SERUM	$226.00	$229.00	$3.00–$229.00	—	1%
Potassium blood test CPT 84132 POC POTASSIUM LEVEL	$226.00	$229.00	$3.00–$229.00	3731% above	1%
Potassium blood test CPT 84132 POTASSIUM LEVEL	$257.00	$261.00	$3.00–$261.00	4256% above	2%
Potassium blood test inpatient CPT 84132 POC POTASSIUM LEVEL	$226.00	$229.00	$3.00–$229.00	—	1%
Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL	$257.00	$261.00	$3.00–$261.00	—	2%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL	$1,108.00	$1,121.00	$13.00–$1,121.00	4404% above	1%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL	$1,108.00	$1,121.00	$13.00–$1,121.00	—	1%
Prolactin blood test CPT 84146 PROLACTIN, TOTAL AND MONOMERIC (PROLT)	$50.00	$63.00	$8.00–$63.00	119% above	21%
Prolactin blood test CPT 84146 TRH STIM PANEL HYPERPROLA	$484.00	$503.00	$13.00–$503.00	2023% above	4%
Prolactin blood test CPT 84146 PROLACTIN (45 MIN)	$605.00	$624.00	$13.00–$624.00	2554% above	3%
Prolactin blood test CPT 84146 PROLACTIN (30 MIN)	$605.00	$624.00	$13.00–$624.00	2554% above	3%
Prolactin blood test CPT 84146 PROLACTIN (150 MIN)	$605.00	$624.00	$13.00–$624.00	2554% above	3%
Prolactin blood test CPT 84146 PROLACTIN (0 MIN)	$605.00	$624.00	$13.00–$624.00	2554% above	3%
Prolactin blood test CPT 84146 PROLACTIN (15 MIN)	$605.00	$624.00	$13.00–$624.00	2554% above	3%
Prolactin blood test CPT 84146 PROLACTIN (120 MIN)	$611.00	$624.00	$13.00–$624.00	2580% above	2%
Prolactin blood test CPT 84146 PROLACTIN (180 MIN)	$611.00	$624.00	$13.00–$624.00	2580% above	2%
Prolactin blood test CPT 84146 PROLACTIN (90 MIN)	$611.00	$624.00	$13.00–$624.00	2580% above	2%
Prolactin blood test CPT 84146 PROLACTIN (60 MIN)	$611.00	$624.00	$13.00–$624.00	2580% above	2%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$1,364.00	$1,383.00	$13.00–$1,383.00	5882% above	1%
Prolactin blood test inpatient CPT 84146 PROLACTIN, TOTAL AND MONOMERIC (PROLT)	$50.00	$63.00	$8.00–$63.00	—	21%
Prolactin blood test inpatient CPT 84146 TRH STIM PANEL HYPERPROLA	$484.00	$503.00	$13.00–$503.00	—	4%
Prolactin blood test inpatient CPT 84146 PROLACTIN (15 MIN)	$605.00	$624.00	$13.00–$624.00	—	3%
Prolactin blood test inpatient CPT 84146 PROLACTIN (30 MIN)	$605.00	$624.00	$13.00–$624.00	—	3%
Prolactin blood test inpatient CPT 84146 PROLACTIN (45 MIN)	$605.00	$624.00	$13.00–$624.00	—	3%
Prolactin blood test inpatient CPT 84146 PROLACTIN (150 MIN)	$605.00	$624.00	$13.00–$624.00	—	3%
Prolactin blood test inpatient CPT 84146 PROLACTIN (0 MIN)	$605.00	$624.00	$13.00–$624.00	—	3%
Prolactin blood test inpatient CPT 84146 PROLACTIN (90 MIN)	$611.00	$624.00	$13.00–$624.00	—	2%
Prolactin blood test inpatient CPT 84146 PROLACTIN (60 MIN)	$611.00	$624.00	$13.00–$624.00	—	2%
Prolactin blood test inpatient CPT 84146 PROLACTIN (180 MIN)	$611.00	$624.00	$13.00–$624.00	—	2%
Prolactin blood test inpatient CPT 84146 PROLACTIN (120 MIN)	$611.00	$624.00	$13.00–$624.00	—	2%
Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL	$1,364.00	$1,383.00	$13.00–$1,383.00	—	1%
Prothrombin time (PT/INR) clotting test CPT 85610 POC QW PROTHROMBIN TIME	$182.00	$185.00	$3.00–$185.00	1265% above	2%
Prothrombin time (PT/INR) clotting test CPT 85610 PT WITH INR	$402.00	$405.00	$3.00–$405.00	2916% above	1%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC QW PROTHROMBIN TIME	$182.00	$185.00	$3.00–$185.00	—	2%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT WITH INR	$402.00	$405.00	$3.00–$405.00	—	1%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 80305 DRUG TEST PRSMV DIR OPT OBS	$100.00	$109.00	$9.00–$109.00	384% above	8%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 80305 DRUG TEST PRSMV DIR OPT OBS	$100.00	$109.00	$9.00–$109.00	—	8%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B ANTIGEN IMMUNOASSAY (INF	$40.00	$52.00	$6.00–$52.00	47% above	23%
Rapid flu test (influenza antigen) CPT 87804 Unknown	$58.00	$70.00	$8.00–$70.00	112% above	17%
Rapid flu test (influenza antigen) CPT 87804 POC INFLUENZA A AG IMMUNOASSAY PSINA	$67.00	$83.00	$10.00–$83.00	145% above	19%
Rapid flu test (influenza antigen) CPT 87804 POC INFLUENZA ASSAY W OPTIC	$380.00	$393.00	$10.00–$393.00	1292% above	3%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A & B ANTIGEN IMMUNOASSAY (INF	$40.00	$52.00	$6.00–$52.00	—	23%
Rapid flu test (influenza antigen) inpatient CPT 87804 Unknown	$58.00	$70.00	$8.00–$70.00	—	17%
Rapid flu test (influenza antigen) inpatient CPT 87804 POC INFLUENZA A AG IMMUNOASSAY PSINA	$67.00	$83.00	$10.00–$83.00	—	19%
Rapid flu test (influenza antigen) inpatient CPT 87804 POC INFLUENZA ASSAY W OPTIC	$380.00	$393.00	$10.00–$393.00	—	3%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC IMMUNO OPTICAL STREP A	$85.00	$98.00	$10.00–$98.00	347% above	13%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC IMMUNO OPTICAL STREP A	$85.00	$98.00	$10.00–$98.00	—	13%
Renin blood test CPT 84244 RENIN ACTIVITY PLASMA	$627.00	$649.00	$13.00–$649.00	2379% above	3%
Renin blood test CPT 84244 RENIN (30 MIN)	$665.00	$689.00	$13.00–$689.00	2529% above	3%
Renin blood test CPT 84244 RENIN (45 MIN)	$667.00	$689.00	$13.00–$689.00	2537% above	3%
Renin blood test CPT 84244 RENIN (120 MIN)	$667.00	$689.00	$13.00–$689.00	2537% above	3%
Renin blood test CPT 84244 RENIN (0 MIN)	$667.00	$689.00	$13.00–$689.00	2537% above	3%
Renin blood test CPT 84244 RENIN (180 MIN)	$669.00	$689.00	$13.00–$689.00	2545% above	3%
Renin blood test CPT 84244 RENIN (15 MIN)	$669.00	$689.00	$13.00–$689.00	2545% above	3%
Renin blood test CPT 84244 RENIN (60 MIN)	$676.00	$689.00	$13.00–$689.00	2573% above	2%
Renin blood test CPT 84244 RENIN (90 MIN)	$676.00	$689.00	$13.00–$689.00	2573% above	2%
Renin blood test CPT 84244 RENIN (150 MIN)	$676.00	$689.00	$13.00–$689.00	2573% above	2%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA	$627.00	$649.00	$13.00–$649.00	—	3%
Renin blood test inpatient CPT 84244 RENIN (30 MIN)	$665.00	$689.00	$13.00–$689.00	—	3%
Renin blood test inpatient CPT 84244 RENIN (120 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
Renin blood test inpatient CPT 84244 RENIN (45 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
Renin blood test inpatient CPT 84244 RENIN (0 MIN)	$667.00	$689.00	$13.00–$689.00	—	3%
Renin blood test inpatient CPT 84244 RENIN (15 MIN)	$669.00	$689.00	$13.00–$689.00	—	3%
Renin blood test inpatient CPT 84244 RENIN (180 MIN)	$669.00	$689.00	$13.00–$689.00	—	3%
Renin blood test inpatient CPT 84244 RENIN (90 MIN)	$676.00	$689.00	$13.00–$689.00	—	2%
Renin blood test inpatient CPT 84244 RENIN (150 MIN)	$676.00	$689.00	$13.00–$689.00	—	2%
Renin blood test inpatient CPT 84244 RENIN (60 MIN)	$676.00	$689.00	$13.00–$689.00	—	2%
Rh blood typing CPT 86901 RH	$227.00	$229.00	$2.00–$229.00	391% above	1%
Rh blood typing inpatient CPT 86901 RH	$227.00	$229.00	$2.00–$229.00	—	1%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$301.00	$645.00	$11.00–$645.00	1461% above	53%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$558.00	$570.00	$11.00–$570.00	2794% above	2%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$1,233.00	$1,244.00	$11.00–$1,244.00	6295% above	1%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN	$301.00	$645.00	$11.00–$645.00	—	53%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$558.00	$570.00	$11.00–$570.00	—	2%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM	$1,233.00	$1,244.00	$11.00–$1,244.00	—	1%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE	$787.00	$788.00	$1.00–$788.00	4143% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE	$787.00	$788.00	$1.00–$788.00	—	—
Sodium blood test CPT 84295 POC SODIUM LEVEL	$226.00	$229.00	$3.00–$229.00	3987% above	1%
Sodium blood test CPT 84295 SODIUM LEVEL	$258.00	$261.00	$3.00–$261.00	4565% above	1%
Sodium blood test inpatient CPT 84295 POC SODIUM LEVEL	$226.00	$229.00	$3.00–$229.00	—	1%
Sodium blood test inpatient CPT 84295 SODIUM LEVEL	$258.00	$261.00	$3.00–$261.00	—	1%
Stool ova and parasites exam CPT 87177 OVA + PARASITES STOOL	$967.00	$972.00	$5.00–$972.00	5656% above	1%
Stool ova and parasites exam inpatient CPT 87177 OVA + PARASITES STOOL	$967.00	$972.00	$5.00–$972.00	—	1%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$181.00	$185.00	$2.00–$185.00	3037% above	2%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL	$181.00	$185.00	$2.00–$185.00	—	2%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL PALLIDUM FTA-A	$1,749.00	$1,760.00	$10.00–$1,760.00	8016% above	1%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMAL PALLIDUM FTA-A	$1,749.00	$1,760.00	$10.00–$1,760.00	—	1%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SPINAL FLUID	$448.00	$450.00	$1.00–$450.00	8196% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$478.00	$480.00	$1.00–$480.00	8752% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SPINAL FLUID	$448.00	$450.00	$1.00–$450.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$478.00	$480.00	$1.00–$480.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMM AG MEAS	$446.00	$459.00	$13.00–$459.00	526% above	3%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$455.00	$505.00	$13.00–$505.00	538% above	10%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMM AG MEAS	$446.00	$459.00	$13.00–$459.00	—	3%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$455.00	$505.00	$13.00–$505.00	—	10%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL, MS TSTMS	$20.00	$30.00	$4.00–$59.00	33% below	33%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF FREE TESTOSTERON	$349.00	$372.00	$13.00–$372.00	1076% above	6%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL URINE	$697.00	$710.00	$13.00–$710.00	2248% above	2%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (150 MIN)	$762.00	$788.00	$13.00–$788.00	2467% above	3%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (0 MIN)	$762.00	$788.00	$13.00–$788.00	2467% above	3%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (90 MIN)	$763.00	$788.00	$13.00–$788.00	2471% above	3%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (45 MIN)	$763.00	$788.00	$13.00–$788.00	2471% above	3%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (60 MIN)	$765.00	$788.00	$13.00–$788.00	2477% above	3%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (120 MIN)	$765.00	$788.00	$13.00–$788.00	2477% above	3%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (15 MIN)	$765.00	$788.00	$13.00–$788.00	2477% above	3%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (180 MIN)	$775.00	$788.00	$13.00–$788.00	2511% above	2%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (30 MIN)	$775.00	$788.00	$13.00–$788.00	2511% above	2%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL SERUM	$1,759.00	$1,784.00	$13.00–$1,784.00	5827% above	1%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL, MS TSTMS	$20.00	$30.00	$4.00–$59.00	—	33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF FREE TESTOSTERON	$349.00	$372.00	$13.00–$372.00	—	6%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL URINE	$697.00	$710.00	$13.00–$710.00	—	2%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (0 MIN)	$762.00	$788.00	$13.00–$788.00	—	3%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (150 MIN)	$762.00	$788.00	$13.00–$788.00	—	3%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (45 MIN)	$763.00	$788.00	$13.00–$788.00	—	3%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (90 MIN)	$763.00	$788.00	$13.00–$788.00	—	3%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (120 MIN)	$765.00	$788.00	$13.00–$788.00	—	3%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (60 MIN)	$765.00	$788.00	$13.00–$788.00	—	3%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (15 MIN)	$765.00	$788.00	$13.00–$788.00	—	3%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (30 MIN)	$775.00	$788.00	$13.00–$788.00	—	2%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (180 MIN)	$775.00	$788.00	$13.00–$788.00	—	2%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL SERUM	$1,759.00	$1,784.00	$13.00–$1,784.00	—	1%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$27.00	$31.00	$4.00–$33.00	61% above	13%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 IGG AB (LKM1)	$75.00	$88.00	$6.00–$88.00	348% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMALANTIBODYEACH	$473.00	$480.00	$6.00–$480.00	2727% above	1%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROGLOBULIN ANTIBODY	$3,167.00	$3,174.00	$6.00–$3,174.00	18830% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$27.00	$31.00	$4.00–$33.00	—	13%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 IGG AB (LKM1)	$75.00	$88.00	$6.00–$88.00	—	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMALANTIBODYEACH	$473.00	$480.00	$6.00–$480.00	—	1%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROGLOBULIN ANTIBODY	$3,167.00	$3,174.00	$6.00–$3,174.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (0 MIN)	$508.00	$525.00	$13.00–$525.00	1277% above	3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (120 MIN)	$509.00	$525.00	$13.00–$525.00	1279% above	3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (15 MIN)	$509.00	$525.00	$13.00–$525.00	1279% above	3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (150 MIN)	$510.00	$525.00	$13.00–$525.00	1282% above	3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ENDOCRINE	$510.00	$525.00	$13.00–$525.00	1282% above	3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (180 MIN)	$510.00	$525.00	$13.00–$525.00	1282% above	3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (45 MIN)	$510.00	$525.00	$13.00–$525.00	1282% above	3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (30 MIN)	$512.00	$525.00	$13.00–$525.00	1288% above	2%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (90 MIN)	$512.00	$525.00	$13.00–$525.00	1288% above	2%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (60 MIN)	$512.00	$525.00	$13.00–$525.00	1288% above	2%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMO	$966.00	$982.00	$13.00–$982.00	2518% above	2%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (0 MIN)	$508.00	$525.00	$13.00–$525.00	—	3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (120 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (15 MIN)	$509.00	$525.00	$13.00–$525.00	—	3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (150 MIN)	$510.00	$525.00	$13.00–$525.00	—	3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ENDOCRINE	$510.00	$525.00	$13.00–$525.00	—	3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (45 MIN)	$510.00	$525.00	$13.00–$525.00	—	3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (180 MIN)	$510.00	$525.00	$13.00–$525.00	—	3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (30 MIN)	$512.00	$525.00	$13.00–$525.00	—	2%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (90 MIN)	$512.00	$525.00	$13.00–$525.00	—	2%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (60 MIN)	$512.00	$525.00	$13.00–$525.00	—	2%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMO	$966.00	$982.00	$13.00–$982.00	—	2%
Total IgE blood test CPT 82785 ASSAY OF GAMMAGLOBULIN IGE	$46.00	$52.00	$6.00–$52.00	143% above	12%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN GAMMA E	$1,008.00	$1,021.00	$13.00–$1,021.00	5225% above	1%
Total IgE blood test inpatient CPT 82785 ASSAY OF GAMMAGLOBULIN IGE	$46.00	$52.00	$6.00–$52.00	—	12%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN GAMMA E	$1,008.00	$1,021.00	$13.00–$1,021.00	—	1%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$226.00	$229.00	$3.00–$229.00	3273% above	1%
Total cholesterol blood test CPT 82465 FLUID CHOLESTEROL FLCHO	$370.00	$373.00	$3.00–$373.00	5422% above	1%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$226.00	$229.00	$3.00–$229.00	—	1%
Total cholesterol blood test inpatient CPT 82465 FLUID CHOLESTEROL FLCHO	$370.00	$373.00	$3.00–$373.00	—	1%
Total thyroxine (T4) blood test CPT 84436 T4 (15 MIN)	$254.00	$261.00	$6.00–$261.00	1065% above	3%
Total thyroxine (T4) blood test CPT 84436 T4 (150 MIN)	$254.00	$261.00	$6.00–$261.00	1065% above	3%
Total thyroxine (T4) blood test CPT 84436 T4 ENDOCRINE	$254.00	$261.00	$6.00–$261.00	1065% above	3%
Total thyroxine (T4) blood test CPT 84436 T4 (180 MIN)	$254.00	$261.00	$6.00–$261.00	1065% above	3%
Total thyroxine (T4) blood test CPT 84436 T4 (60 MIN)	$254.00	$261.00	$6.00–$261.00	1065% above	3%
Total thyroxine (T4) blood test CPT 84436 T4(45MIN)	$254.00	$261.00	$6.00–$261.00	1065% above	3%
Total thyroxine (T4) blood test CPT 84436 T4 (0 MIN)	$255.00	$261.00	$6.00–$261.00	1070% above	2%
Total thyroxine (T4) blood test CPT 84436 T4 (90 MIN)	$255.00	$261.00	$6.00–$261.00	1070% above	2%
Total thyroxine (T4) blood test CPT 84436 T4 (120 MIN)	$255.00	$261.00	$6.00–$261.00	1070% above	2%
Total thyroxine (T4) blood test CPT 84436 T4 (30 MIN)	$255.00	$261.00	$6.00–$261.00	1070% above	2%
Total thyroxine (T4) blood test CPT 84436 T4	$760.00	$767.00	$6.00–$767.00	3386% above	1%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (15 MIN)	$254.00	$261.00	$6.00–$261.00	—	3%
Total thyroxine (T4) blood test inpatient CPT 84436 T4(45MIN)	$254.00	$261.00	$6.00–$261.00	—	3%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (60 MIN)	$254.00	$261.00	$6.00–$261.00	—	3%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (180 MIN)	$254.00	$261.00	$6.00–$261.00	—	3%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 ENDOCRINE	$254.00	$261.00	$6.00–$261.00	—	3%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (150 MIN)	$254.00	$261.00	$6.00–$261.00	—	3%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (90 MIN)	$255.00	$261.00	$6.00–$261.00	—	2%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (0 MIN)	$255.00	$261.00	$6.00–$261.00	—	2%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (30 MIN)	$255.00	$261.00	$6.00–$261.00	—	2%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (120 MIN)	$255.00	$261.00	$6.00–$261.00	—	2%
Total thyroxine (T4) blood test inpatient CPT 84436 T4	$760.00	$767.00	$6.00–$767.00	—	1%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL FOR ENDOCRINE SC	$456.00	$470.00	$13.00–$470.00	1113% above	3%
Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL	$785.00	$799.00	$13.00–$799.00	1988% above	2%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL FOR ENDOCRINE SC	$456.00	$470.00	$13.00–$470.00	—	3%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL	$785.00	$799.00	$13.00–$799.00	—	2%
Transferrin blood test CPT 84466 TRANSFERRIN	$756.00	$769.00	$11.00–$769.00	4734% above	2%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$756.00	$769.00	$11.00–$769.00	—	2%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF BVAG9	$62.00	$90.00	$11.00–$90.00	54% above	31%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS TMA, RNA VAGB5	$151.00	$178.00	$13.00–$178.00	274% above	15%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF BVAG9	$62.00	$90.00	$11.00–$90.00	—	31%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS TMA, RNA VAGB5	$151.00	$178.00	$13.00–$178.00	—	15%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$247.00	$250.00	$3.00–$250.00	2739% above	1%
Triglycerides blood test CPT 84478 FLUID TRIGLYCERIDES FLTRI	$370.00	$373.00	$3.00–$373.00	4153% above	1%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$247.00	$250.00	$3.00–$250.00	—	1%
Triglycerides blood test inpatient CPT 84478 FLUID TRIGLYCERIDES FLTRI	$370.00	$373.00	$3.00–$373.00	—	1%
Troponin test, quantitative CPT 84484 TROPONIN - SENSITIVE	$327.00	$339.00	$8.00–$339.00	1980% above	4%
Troponin test, quantitative inpatient CPT 84484 TROPONIN - SENSITIVE	$327.00	$339.00	$8.00–$339.00	—	4%
Uric acid blood test CPT 84550 URIC ACID	$258.00	$261.00	$3.00–$261.00	1418% above	1%
Uric acid blood test inpatient CPT 84550 URIC ACID	$258.00	$261.00	$3.00–$261.00	—	1%
Urinalysis with microscope exam, manual CPT 81000 81000 URINE DIPSTICK NON-AUTO MICRSCPY	$96.00	$98.00	$1.00–$98.00	796% above	2%
Urinalysis with microscope exam, manual CPT 81000 81000 URINE DIPSTICK	$124.00	$125.00	$1.00–$125.00	1057% above	1%
Urinalysis with microscope exam, manual CPT 81000 URINE DIPSTICK NON-AUTO MICRSCPY	$125.00	$129.00	$1.00–$129.00	1066% above	3%
Urinalysis with microscope exam, manual inpatient CPT 81000 81000 URINE DIPSTICK NON-AUTO MICRSCPY	$96.00	$98.00	$1.00–$98.00	—	2%
Urinalysis with microscope exam, manual inpatient CPT 81000 81000 URINE DIPSTICK	$124.00	$125.00	$1.00–$125.00	—	1%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIPSTICK NON-AUTO MICRSCPY	$125.00	$129.00	$1.00–$129.00	—	3%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE 4 HOUR	$96.00	$98.00	$1.00–$98.00	290% above	2%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE 5 HOUR	$96.00	$98.00	$1.00–$98.00	290% above	2%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE 6 HOUR	$97.00	$98.00	$1.00–$98.00	294% above	1%
Urinalysis without microscope exam, automated CPT 81003 QW POC UR KETONES	$146.00	$148.00	$1.00–$148.00	493% above	1%
Urinalysis without microscope exam, automated CPT 81003 QW POC UR GLUCOSE	$146.00	$148.00	$1.00–$148.00	493% above	1%
Urinalysis without microscope exam, automated CPT 81003 QW POC UR PROTEIN	$147.00	$148.00	$1.00–$148.00	498% above	1%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE 2 HOUR	$151.00	$153.00	$1.00–$153.00	514% above	1%
Urinalysis without microscope exam, automated CPT 81003 POC URINALYSIS	$151.00	$153.00	$1.00–$153.00	514% above	1%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE 1 HOUR	$151.00	$153.00	$1.00–$153.00	514% above	1%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE FASTING	$152.00	$153.00	$1.00–$153.00	518% above	1%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE 3 HOUR	$152.00	$153.00	$1.00–$153.00	518% above	1%
Urinalysis without microscope exam, automated CPT 81003 URINE KETONES- DIP STICK	$228.00	$229.00	$1.00–$229.00	827% above	—
Urinalysis without microscope exam, automated CPT 81003 QW STREPTOCOCCUS, GROUP A -	$282.00	$284.00	$1.00–$284.00	1046% above	1%
Urinalysis without microscope exam, automated CPT 81003 STREPTOCOCCUS, GROUP A -	$283.00	$284.00	$1.00–$284.00	1050% above	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W REFLUX & CU	$392.00	$393.00	$1.00–$393.00	1493% above	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$404.00	$405.00	$1.00–$405.00	1542% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE 5 HOUR	$96.00	$98.00	$1.00–$98.00	—	2%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE 4 HOUR	$96.00	$98.00	$1.00–$98.00	—	2%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE 6 HOUR	$97.00	$98.00	$1.00–$98.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 QW POC UR KETONES	$146.00	$148.00	$1.00–$148.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 QW POC UR GLUCOSE	$146.00	$148.00	$1.00–$148.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 QW POC UR PROTEIN	$147.00	$148.00	$1.00–$148.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC URINALYSIS	$151.00	$153.00	$1.00–$153.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE 1 HOUR	$151.00	$153.00	$1.00–$153.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE 2 HOUR	$151.00	$153.00	$1.00–$153.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE 3 HOUR	$152.00	$153.00	$1.00–$153.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE FASTING	$152.00	$153.00	$1.00–$153.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE KETONES- DIP STICK	$228.00	$229.00	$1.00–$229.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 QW STREPTOCOCCUS, GROUP A -	$282.00	$284.00	$1.00–$284.00	—	1%
Urinalysis without microscope exam, automated inpatient CPT 81003 STREPTOCOCCUS, GROUP A -	$283.00	$284.00	$1.00–$284.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W REFLUX & CU	$392.00	$393.00	$1.00–$393.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$404.00	$405.00	$1.00–$405.00	—	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$15.00	$50.00	$1.00–$50.00	285% above	70%
Urinalysis without microscope exam, manual CPT 81002 POC URINALYSIS NONAUTO W/O SCOPE	$64.00	$65.00	$1.00–$65.00	1541% above	2%
Urinalysis without microscope exam, manual CPT 81002 81002 URINE DIPSTICK NON-AUTO WO MICRSCP	$86.00	$87.00	$1.00–$87.00	2105% above	1%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$15.00	$50.00	$1.00–$50.00	—	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINALYSIS NONAUTO W/O SCOPE	$64.00	$65.00	$1.00–$65.00	—	2%
Urinalysis without microscope exam, manual inpatient CPT 81002 81002 URINE DIPSTICK NON-AUTO WO MICRSCP	$86.00	$87.00	$1.00–$87.00	—	1%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$761.00	$767.00	$6.00–$767.00	8100% above	1%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$761.00	$767.00	$6.00–$767.00	—	1%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN	$158.00	$164.00	$4.00–$164.00	1603% above	4%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, URINE	$204.00	$208.00	$4.00–$208.00	2098% above	2%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN	$225.00	$230.00	$4.00–$230.00	2325% above	2%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN	$158.00	$164.00	$4.00–$164.00	—	4%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, URINE	$204.00	$208.00	$4.00–$208.00	—	2%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN	$225.00	$230.00	$4.00–$230.00	—	2%
Urine pregnancy test, read by color change CPT 81025 81025 URINE PREG TST VIS CLR COMP METHOD	$150.00	$153.00	$3.00–$153.00	1308% above	2%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TST VIS CLR COMP METHOD	$158.00	$161.00	$3.00–$161.00	1384% above	2%
Urine pregnancy test, read by color change CPT 81025 POC URINE PREGNANCY TEST HCG AUTO	$244.00	$250.00	$3.00–$250.00	2191% above	2%
Urine pregnancy test, read by color change CPT 81025 BETA HCG QUALITATIVE URIN	$247.00	$250.00	$3.00–$250.00	2219% above	1%
Urine pregnancy test, read by color change CPT 81025 URINE QUAL PREGNANCY TEST	$247.00	$250.00	$3.00–$250.00	2219% above	1%
Urine pregnancy test, read by color change inpatient CPT 81025 81025 URINE PREG TST VIS CLR COMP METHOD	$150.00	$153.00	$3.00–$153.00	—	2%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TST VIS CLR COMP METHOD	$158.00	$161.00	$3.00–$161.00	—	2%
Urine pregnancy test, read by color change inpatient CPT 81025 POC URINE PREGNANCY TEST HCG AUTO	$244.00	$250.00	$3.00–$250.00	—	2%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE QUAL PREGNANCY TEST	$247.00	$250.00	$3.00–$250.00	—	1%
Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG QUALITATIVE URIN	$247.00	$250.00	$3.00–$250.00	—	1%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL	$841.00	$854.00	$13.00–$854.00	3758% above	2%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL	$841.00	$854.00	$13.00–$854.00	—	2%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL 25 OH VITAMIN	$1,868.00	$1,881.00	$13.00–$1,881.00	5388% above	1%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY LEVE	$1,956.00	$1,969.00	$13.00–$1,969.00	5646% above	1%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL 25 OH VITAMIN	$1,868.00	$1,881.00	$13.00–$1,881.00	—	1%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY LEVE	$1,956.00	$1,969.00	$13.00–$1,969.00	—	1%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D (1,25)	$2,051.00	$2,064.00	$13.00–$2,064.00	3724% above	1%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D (1,25)	$2,051.00	$2,064.00	$13.00–$2,064.00	—	1%
Zinc blood test CPT 84630 ZINC-24 HOUR URINE	$374.00	$385.00	$10.00–$385.00	2216% above	3%
Zinc blood test CPT 84630 ZINC BLOOD	$615.00	$626.00	$10.00–$626.00	3708% above	2%
Zinc blood test inpatient CPT 84630 ZINC-24 HOUR URINE	$374.00	$385.00	$10.00–$385.00	—	3%
Zinc blood test inpatient CPT 84630 ZINC BLOOD	$615.00	$626.00	$10.00–$626.00	—	2%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-INTACT (TRIPLE)	$346.00	$361.00	$11.00–$361.00	1731% above	4%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG - TUMOR MARKER	$460.00	$471.00	$11.00–$471.00	2334% above	2%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT	$821.00	$835.00	$11.00–$835.00	4244% above	2%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG-INTACT (TRIPLE)	$346.00	$361.00	$11.00–$361.00	—	4%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG - TUMOR MARKER	$460.00	$471.00	$11.00–$471.00	—	2%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT	$821.00	$835.00	$11.00–$835.00	—	2%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$1,332.00	$1,512.00	$68.00–$1,512.00	238% above	12%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE	$1,332.00	$1,512.00	$68.00–$1,512.00	—	12%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STRTCTC LEFT LT	$6,976.00	$7,922.00	$87.00–$7,922.00	223% above	12%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STRTCTC RIGHT RT	$7,293.00	$7,922.00	$87.00–$7,922.00	237% above	8%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LESION STRTCTC LEFT LT	$6,976.00	$7,922.00	$87.00–$7,922.00	—	12%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LESION STRTCTC RIGHT RT	$7,293.00	$7,922.00	$87.00–$7,922.00	—	8%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$15,068.00	$17,111.00	$1,884.00–$17,111.00	268% above	12%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$15,068.00	$17,111.00	$1,884.00–$17,111.00	—	12%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$3,650.00	$4,128.00	$455.00–$4,128.00	341% above	12%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$3,650.00	$4,128.00	$455.00–$4,128.00	—	12%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$2,803.00	$4,248.00	$468.00–$7,222.00	149% above	34%
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$2,803.00	$4,248.00	$468.00–$7,222.00	—	34%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE	$5,723.00	$5,800.00	$77.00–$5,800.00	674% above	1%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION	$6,612.00	$7,337.00	$77.00–$7,337.00	794% above	10%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE	$5,723.00	$5,800.00	$77.00–$5,800.00	—	1%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION	$6,612.00	$7,337.00	$77.00–$7,337.00	—	10%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$4,583.00	$5,184.00	$571.00–$8,657.00	317% above	12%
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY	$4,583.00	$5,184.00	$571.00–$8,657.00	—	12%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$9,576.00	$10,761.00	$92.00–$10,761.00	150% above	11%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BX OF CERVIX W/SCOPE LEEP	$9,576.00	$10,761.00	$92.00–$10,761.00	—	11%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 54454 COLONOSCOPY,CERVICAL W BX	$2,325.00	$2,420.00	$95.00–$2,420.00	549% above	4%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$2,471.00	$2,811.00	$95.00–$2,811.00	590% above	12%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 54454 COLONOSCOPY,CERVICAL W BX	$2,325.00	$2,420.00	$95.00–$2,420.00	—	4%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$2,471.00	$2,811.00	$95.00–$2,811.00	—	12%
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$41,090.00	$45,980.00	$3,153.00–$45,980.00	204% above	11%
Coronary stent placement, one artery CPT 92928 PRQ TRLUML CORONARY STENT	$48,084.00	$48,442.00	$300.00–$48,442.00	256% above	1%
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$41,090.00	$45,980.00	$3,153.00–$45,980.00	—	11%
Coronary stent placement, one artery inpatient CPT 92928 PRQ TRLUML CORONARY STENT	$48,084.00	$48,442.00	$300.00–$48,442.00	—	1%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$2,412.00	$2,710.00	$50.00–$2,710.00	226% above	11%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 CYSTOURETHROSCOPY	$3,333.00	$3,382.00	$50.00–$3,382.00	351% above	1%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$2,412.00	$2,710.00	$50.00–$2,710.00	—	11%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 CYSTOURETHROSCOPY	$3,333.00	$3,382.00	$50.00–$3,382.00	—	1%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$1,735.00	$1,950.00	$62.00–$1,950.00	70% above	11%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING 50	$3,462.00	$3,890.00	$62.00–$3,890.00	240% above	11%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 CREATE EARDRUM OPENING RT	$1,679.00	$1,950.00	$62.00–$1,950.00	65% above	14%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 CREATE EARDRUM OPENING LT	$1,888.00	$1,950.00	$62.00–$1,950.00	85% above	3%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING	$1,735.00	$1,950.00	$62.00–$1,950.00	—	11%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING 50	$3,462.00	$3,890.00	$62.00–$3,890.00	—	11%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient one side CPT 69433 CREATE EARDRUM OPENING RT	$1,679.00	$1,950.00	$62.00–$1,950.00	—	14%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient one side CPT 69433 CREATE EARDRUM OPENING LT	$1,888.00	$1,950.00	$62.00–$1,950.00	—	3%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$222.00	$250.00	$8.00–$1,200.00	180% above	11%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG	$286.00	$294.00	$8.00–$1,200.00	261% above	3%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX BIL	$730.00	$742.00	$12.00–$1,307.00	821% above	2%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED EAR WAX RT	$329.00	$370.00	$41.00–$6,200.00	315% above	11%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED EAR WAX LT	$329.00	$370.00	$41.00–$6,200.00	315% above	11%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$222.00	$250.00	$8.00–$1,200.00	—	11%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG	$286.00	$294.00	$8.00–$1,200.00	—	3%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX BIL	$730.00	$742.00	$12.00–$1,307.00	—	2%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTED EAR WAX LT	$329.00	$370.00	$41.00–$6,200.00	—	11%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTED EAR WAX RT	$329.00	$370.00	$41.00–$6,200.00	—	11%
Earwax removal with instruments, one ear both sides CPT 69210 REMOVE IMPACTED EAR WAX BILATERAL	$982.00	$1,030.00	$48.00–$1,200.00	—	5%
Earwax removal with instruments, one ear CPT 69210 69210 REMOVE IMPACTED EAR WAX UNI	$320.00	$372.00	$32.00–$372.00	318% above	14%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$493.00	$525.00	$32.00–$1,307.00	545% above	6%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EAR WAX UNI LEFT	$308.00	$340.00	$32.00–$1,200.00	303% above	9%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EAR WAX UNI RIGHT	$420.00	$472.00	$32.00–$1,200.00	449% above	11%
Earwax removal with instruments, one ear one side CPT 69210 69210 RT RMVL IMPACTED CERUMEN	$461.00	$525.00	$32.00–$1,200.00	503% above	12%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EAR WAX RT	$493.00	$525.00	$32.00–$1,200.00	545% above	6%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EAR WAX LT	$493.00	$525.00	$32.00–$1,200.00	545% above	6%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMOVE IMPACTED EAR WAX BILATERAL	$982.00	$1,030.00	$48.00–$1,200.00	—	5%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVE IMPACTED EAR WAX UNI	$320.00	$372.00	$32.00–$372.00	—	14%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$493.00	$525.00	$32.00–$1,307.00	—	6%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED EAR WAX UNI LEFT	$308.00	$340.00	$32.00–$1,200.00	—	9%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED EAR WAX UNI RIGHT	$420.00	$472.00	$32.00–$1,200.00	—	11%
Earwax removal with instruments, one ear inpatient one side CPT 69210 69210 RT RMVL IMPACTED CERUMEN	$461.00	$525.00	$32.00–$1,200.00	—	12%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED EAR WAX LT	$493.00	$525.00	$32.00–$1,200.00	—	6%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED EAR WAX RT	$493.00	$525.00	$32.00–$1,200.00	—	6%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 BIOPSY OF UTERUS LINING	$971.00	$1,105.00	$68.00–$1,105.00	310% above	12%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$1,037.00	$1,105.00	$68.00–$1,105.00	338% above	6%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ER BX ENDOMETRIAL SAMPLING W/O	$1,136.00	$1,290.00	$68.00–$1,307.00	380% above	12%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 ENDOMETRIAL BX	$1,434.00	$1,502.00	$68.00–$1,502.00	505% above	5%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 BIOPSY OF UTERUS LINING	$971.00	$1,105.00	$68.00–$1,105.00	—	12%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING	$1,037.00	$1,105.00	$68.00–$1,105.00	—	6%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ER BX ENDOMETRIAL SAMPLING W/O	$1,136.00	$1,290.00	$68.00–$1,307.00	—	12%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 ENDOMETRIAL BX	$1,434.00	$1,502.00	$68.00–$1,502.00	—	5%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$5,481.00	$6,448.00	$710.00–$9,732.00	361% above	15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV BIL	$7,329.00	$8,779.00	$1,450.00–$11,713.00	517% above	17%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ PARAVERT F JNT L/S 1 LEV RT	$4,255.00	$6,448.00	$710.00–$9,732.00	258% above	34%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ PARAVERT F JNT L/S 1 LEV LT	$5,551.00	$6,448.00	$710.00–$9,732.00	367% above	14%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$5,481.00	$6,448.00	$710.00–$9,732.00	—	15%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV BIL	$7,329.00	$8,779.00	$1,450.00–$11,713.00	—	17%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ PARAVERT F JNT L/S 1 LEV RT	$4,255.00	$6,448.00	$710.00–$9,732.00	—	34%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ PARAVERT F JNT L/S 1 LEV LT	$5,551.00	$6,448.00	$710.00–$9,732.00	—	14%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LI	$3,626.00	$4,118.00	$46.00–$4,118.00	234% above	12%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LI	$3,626.00	$4,118.00	$46.00–$4,118.00	—	12%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 CATHETER FOR HYSTEROGRAPHY	$597.00	$694.00	$76.00–$6,200.00	74% above	14%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSONOGRAPHY W/ SALINE	$642.00	$731.00	$79.00–$731.00	87% above	12%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$675.00	$767.00	$79.00–$767.00	96% above	12%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 CATHETER FOR HYSTEROGRAPHY	$597.00	$694.00	$76.00–$6,200.00	—	14%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSONOGRAPHY W/ SALINE	$642.00	$731.00	$79.00–$731.00	—	12%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY	$675.00	$767.00	$79.00–$767.00	—	12%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$634.00	$970.00	$107.00–$5,277.00	89% below	35%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY ABLATION	$634.00	$970.00	$107.00–$5,277.00	—	35%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 HYSTEROSCOPY SURG W/BX EN	$5,703.00	$9,020.00	$993.00–$11,918.00	62% above	37%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 HYSTEROSCOPY BIOPSY	$8,721.00	$9,929.00	$1,093.00–$12,691.00	148% above	12%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$8,763.00	$12,080.00	$1,330.00–$14,519.00	149% above	27%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 HYSTEROSCOPY SURG W/BX EN	$5,703.00	$9,020.00	$993.00–$11,918.00	—	37%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 HYSTEROSCOPY BIOPSY	$8,721.00	$9,929.00	$1,093.00–$12,691.00	—	12%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY	$8,763.00	$12,080.00	$1,330.00–$14,519.00	—	27%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD)	$1,506.00	$1,710.00	$188.00–$6,200.00	67% above	12%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD)	$1,506.00	$1,710.00	$188.00–$6,200.00	—	12%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I&D ABSC SMP	$896.00	$1,018.00	$28.00–$1,018.00	238% above	12%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS - SIMPLE	$918.00	$1,018.00	$28.00–$1,018.00	246% above	10%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS - SIMPLE	$990.00	$1,018.00	$28.00–$1,307.00	273% above	3%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I&D ABSC SMP	$896.00	$1,018.00	$28.00–$1,018.00	—	12%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS - SIMPLE	$990.00	$1,018.00	$28.00–$1,307.00	—	3%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CT GUIDED TENDON SHEATH INJECTION	$1,118.00	$1,432.00	$35.00–$1,432.00	132% above	22%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$1,258.00	$1,432.00	$158.00–$6,200.00	162% above	12%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 CT GUIDED TENDON SHEATH INJECTION	$1,118.00	$1,432.00	$35.00–$1,432.00	—	22%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT	$1,258.00	$1,432.00	$158.00–$6,200.00	—	12%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US	$1,469.00	$1,651.00	$182.00–$6,200.00	270% above	11%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/INJ HIP W/O US BIL	$2,720.00	$3,292.00	$471.00–$6,200.00	585% above	17%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENTESIS/INJ HIP W/O US LEFT	$1,460.00	$1,651.00	$182.00–$6,200.00	268% above	12%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENTESIS/INJ HIP W/O US RIGHT	$1,469.00	$1,651.00	$182.00–$6,200.00	270% above	11%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US	$1,469.00	$1,651.00	$182.00–$6,200.00	—	11%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS/INJ HIP W/O US BIL	$2,720.00	$3,292.00	$471.00–$6,200.00	—	17%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHROCENTESIS/INJ HIP W/O US LEFT	$1,460.00	$1,651.00	$182.00–$6,200.00	—	12%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHROCENTESIS/INJ HIP W/O US RIGHT	$1,469.00	$1,651.00	$182.00–$6,200.00	—	11%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$1,338.00	$1,523.00	$168.00–$6,200.00	225% above	12%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$1,338.00	$1,523.00	$168.00–$6,200.00	—	12%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT/BURSA W/O US	$1,395.00	$1,523.00	$33.00–$1,523.00	239% above	8%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SMALL JOINT/BURSA W/O US	$1,395.00	$1,523.00	$33.00–$1,523.00	—	8%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$15,068.00	$17,111.00	$1,884.00–$17,111.00	259% above	12%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$15,068.00	$17,111.00	$1,884.00–$17,111.00	—	12%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPIDRL SUBARAC L/S W/IMG	$2,624.00	$2,968.00	$139.00–$2,968.00	190% above	12%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPIDRL SUBARAC L/S W/IMG	$2,624.00	$2,968.00	$139.00–$2,968.00	—	12%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O I	$2,864.00	$3,261.00	$359.00–$6,200.00	173% above	12%
Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC	$2,872.00	$3,261.00	$89.00–$3,261.00	174% above	12%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O I	$2,864.00	$3,261.00	$359.00–$6,200.00	—	12%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC	$2,872.00	$3,261.00	$89.00–$3,261.00	—	12%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$10,667.00	$12,390.00	$162.00–$12,390.00	203% above	14%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE	$10,667.00	$12,390.00	$162.00–$12,390.00	—	14%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$2,449.00	$2,770.00	$42.00–$2,770.00	193% above	12%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$2,449.00	$2,770.00	$42.00–$2,770.00	—	12%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE SIMPLE	$919.00	$1,039.00	$59.00–$1,039.00	254% above	12%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$919.00	$1,039.00	$59.00–$1,307.00	254% above	12%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$919.00	$1,039.00	$59.00–$1,307.00	—	12%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE SIMPLE	$919.00	$1,039.00	$59.00–$1,039.00	—	12%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION AA&/STRD GREATER OCCIPITAL NER	$1,117.00	$1,170.00	$53.00–$1,307.00	101% above	5%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$1,117.00	$1,170.00	$53.00–$1,170.00	101% above	5%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION AA&/STRD GREATER OCCIPITAL NER	$1,117.00	$1,170.00	$53.00–$1,307.00	—	5%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV	$1,117.00	$1,170.00	$53.00–$1,170.00	—	5%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$103,136.00	$108,026.00	$3,153.00–$108,026.00	674% above	5%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT HEART PM ATRIAL & VENT	$103,136.00	$108,026.00	$3,153.00–$108,026.00	—	5%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,063.00	$3,040.00	$196.00–$3,040.00	87% above	32%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS DX/TX W/IMAGING	$6,294.00	$6,490.00	$196.00–$6,490.00	470% above	3%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$2,063.00	$3,040.00	$196.00–$3,040.00	—	32%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS DX/TX W/IMAGING	$6,294.00	$6,490.00	$196.00–$6,490.00	—	3%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$3,209.00	$3,344.00	$135.00–$3,344.00	539% above	4%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$3,209.00	$3,344.00	$135.00–$3,344.00	—	4%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMPLE	$2,190.00	$2,487.00	$87.00–$2,487.00	336% above	12%
Removal of a foreign object under the skin, simple CPT 10120 10120 REMV FOREIGN BODY	$2,190.00	$2,487.00	$87.00–$2,487.00	336% above	12%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 REMV FOREIGN BODY	$2,190.00	$2,487.00	$87.00–$2,487.00	—	12%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SIMPLE	$2,190.00	$2,487.00	$87.00–$2,487.00	—	12%
Short arm cast (elbow to hand) one side CPT 29075 APPLICATION OF FOREARM CAST RT	$1,378.00	$1,432.00	$54.00–$1,432.00	318% above	4%
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLICATION OF FOREARM CAST RT	$1,378.00	$1,432.00	$54.00–$1,432.00	—	4%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT BIL	$1,285.00	$1,488.00	$48.00–$1,488.00	99% above	14%
Short arm splint (forearm and hand) one side CPT 29125 APPLY FOREARM SPLINT LT	$723.00	$755.00	$32.00–$1,307.00	12% above	4%
Short arm splint (forearm and hand) one side CPT 29125 APPLY FOREARM SPLINT RT	$723.00	$755.00	$32.00–$1,307.00	12% above	4%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT BIL	$1,285.00	$1,488.00	$48.00–$1,488.00	—	14%
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY FOREARM SPLINT RT	$723.00	$755.00	$32.00–$1,307.00	—	4%
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY FOREARM SPLINT LT	$723.00	$755.00	$32.00–$1,307.00	—	4%
Short leg cast (below the knee) one side CPT 29405 APPLY SHORT LEG CAST RT	$1,266.00	$1,432.00	$46.00–$1,432.00	257% above	12%
Short leg cast (below the knee) one side CPT 29405 APPLY SHORT LEG CAST LT	$1,386.00	$1,432.00	$46.00–$1,432.00	291% above	3%
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SHORT LEG CAST RT	$1,266.00	$1,432.00	$46.00–$1,432.00	—	12%
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SHORT LEG CAST LT	$1,386.00	$1,432.00	$46.00–$1,432.00	—	3%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION LOWER LEG SPLINT LT	$741.00	$833.00	$46.00–$1,307.00	17% above	11%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION LOWER LEG SPLINT RT	$787.00	$833.00	$46.00–$1,307.00	24% above	6%
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLICATION LOWER LEG SPLINT LT	$741.00	$833.00	$46.00–$1,307.00	—	11%
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLICATION LOWER LEG SPLINT RT	$787.00	$833.00	$46.00–$1,307.00	—	6%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$897.00	$1,008.00	$42.00–$1,307.00	242% above	11%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$897.00	$1,008.00	$42.00–$1,307.00	—	11%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION	$1,923.00	$2,003.00	$80.00–$2,003.00	278% above	4%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION	$1,923.00	$2,003.00	$80.00–$2,003.00	—	4%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS <W/15	$949.00	$1,073.00	$33.00–$1,073.00	232% above	12%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAG	$1,040.00	$1,073.00	$33.00–$1,073.00	264% above	3%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS <W/15	$949.00	$1,073.00	$33.00–$1,073.00	—	12%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVAL OF SKIN TAG	$1,040.00	$1,073.00	$33.00–$1,073.00	—	3%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,597.00	$2,419.00	$98.00–$2,419.00	75% above	34%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$2,044.00	$2,419.00	$98.00–$2,419.00	124% above	16%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,597.00	$2,419.00	$98.00–$2,419.00	—	34%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$2,044.00	$2,419.00	$98.00–$2,419.00	—	16%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$868.00	$1,008.00	$55.00–$1,307.00	231% above	14%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$868.00	$1,008.00	$55.00–$1,307.00	—	14%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$976.00	$1,018.00	$42.00–$1,307.00	263% above	4%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$976.00	$1,018.00	$42.00–$1,307.00	—	4%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN LESION INITIAL	$1,940.00	$2,003.00	$63.00–$2,003.00	677% above	3%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY SKIN LESION INITIAL	$1,940.00	$2,003.00	$63.00–$2,003.00	—	3%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$3,846.00	$4,379.00	$482.00–$7,444.00	374% above	12%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING BIL	$7,250.00	$8,748.00	$1,000.00–$11,687.00	793% above	17%
Thoracentesis with imaging guidance one side CPT 32555 CT GUIDED THORACENTESIS LT	$2,890.00	$4,379.00	$482.00–$7,444.00	256% above	34%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING RT	$3,897.00	$4,379.00	$482.00–$7,444.00	380% above	11%
Thoracentesis with imaging guidance one side CPT 32555 CT GUIDED THORACENTESIS RT	$3,897.00	$4,379.00	$482.00–$7,444.00	380% above	11%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING LT	$3,960.00	$4,379.00	$419.00–$4,379.00	388% above	10%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING	$3,846.00	$4,379.00	$482.00–$7,444.00	—	12%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING BIL	$7,250.00	$8,748.00	$1,000.00–$11,687.00	—	17%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT GUIDED THORACENTESIS LT	$2,890.00	$4,379.00	$482.00–$7,444.00	—	34%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT GUIDED THORACENTESIS RT	$3,897.00	$4,379.00	$482.00–$7,444.00	—	11%
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAGING RT	$3,897.00	$4,379.00	$482.00–$7,444.00	—	11%
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAGING LT	$3,960.00	$4,379.00	$419.00–$4,379.00	—	10%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMAGE LT	$7,004.00	$7,922.00	$81.00–$7,922.00	224% above	12%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMAGE RT	$7,050.00	$7,922.00	$81.00–$7,922.00	226% above	11%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMAGE LT	$7,004.00	$7,922.00	$81.00–$7,922.00	—	12%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMAGE RT	$7,050.00	$7,922.00	$81.00–$7,922.00	—	11%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$2,469.00	$2,811.00	$43.00–$2,811.00	392% above	12%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$2,469.00	$2,811.00	$43.00–$2,811.00	—	12%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$2,447.00	$2,460.00	$13.00–$2,460.00	331% above	1%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION,BLOOD/COMPONE	$2,585.00	$2,704.00	$13.00–$2,704.00	356% above	4%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS	$2,585.00	$2,704.00	$13.00–$2,704.00	356% above	4%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$2,447.00	$2,460.00	$13.00–$2,460.00	—	1%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS	$2,585.00	$2,704.00	$13.00–$2,704.00	—	4%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION,BLOOD/COMPONE	$2,585.00	$2,704.00	$13.00–$2,704.00	—	4%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB,SUBSEQUENT	$682.00	$766.00	$41.00–$766.00	166% above	11%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$699.00	$740.00	$41.00–$740.00	173% above	6%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT SUBS	$769.00	$810.00	$41.00–$810.00	200% above	5%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB-INITIAL EVAL AND THE	$838.00	$952.00	$41.00–$952.00	227% above	12%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AROSAL TREATMENT	$971.00	$1,105.00	$41.00–$1,105.00	279% above	12%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION, SUBSEQU	$998.00	$1,039.00	$41.00–$1,039.00	290% above	4%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PFT AIRWAY INHALATION TREATMENT INITIAL	$1,025.00	$1,105.00	$41.00–$1,105.00	300% above	7%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 9464076 NEB INHALATION TX	$1,025.00	$1,105.00	$41.00–$1,105.00	300% above	7%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AIRWAY INHALATION TREATMENT	$1,064.00	$1,105.00	$41.00–$1,105.00	316% above	4%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT INITIAL	$1,064.00	$1,105.00	$41.00–$1,105.00	316% above	4%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB,SUBSEQUENT	$682.00	$766.00	$41.00–$766.00	—	11%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$699.00	$740.00	$41.00–$740.00	—	6%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT SUBS	$769.00	$810.00	$41.00–$810.00	—	5%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB-INITIAL EVAL AND THE	$838.00	$952.00	$41.00–$952.00	—	12%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AROSAL TREATMENT	$971.00	$1,105.00	$41.00–$1,105.00	—	12%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION, SUBSEQU	$998.00	$1,039.00	$41.00–$1,039.00	—	4%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PFT AIRWAY INHALATION TREATMENT INITIAL	$1,025.00	$1,105.00	$41.00–$1,105.00	—	7%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 9464076 NEB INHALATION TX	$1,025.00	$1,105.00	$41.00–$1,105.00	—	7%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT INITIAL	$1,064.00	$1,105.00	$41.00–$1,105.00	—	4%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 AIRWAY INHALATION TREATMENT	$1,064.00	$1,105.00	$41.00–$1,105.00	—	4%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO ADMIN IV 1ST HOUR	$1,863.00	$2,222.00	$81.00–$2,222.00	336% above	16%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO IV NSF TQ UP TO 1ST HR	$2,141.00	$2,222.00	$81.00–$2,222.00	401% above	4%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$2,377.00	$2,458.00	$81.00–$2,458.00	456% above	3%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF 1ST MED 16-90 INI AVS	$2,918.00	$2,999.00	$81.00–$2,999.00	583% above	3%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO ADMIN IV 1ST HOUR	$1,863.00	$2,222.00	$81.00–$2,222.00	—	16%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO IV NSF TQ UP TO 1ST HR	$2,141.00	$2,222.00	$81.00–$2,222.00	—	4%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$2,377.00	$2,458.00	$81.00–$2,458.00	—	3%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF 1ST MED 16-90 INI AVS	$2,918.00	$2,999.00	$81.00–$2,999.00	—	3%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 SPEECH AUDIOMETRY COMPLETE	$361.00	$733.00	$81.00–$733.00	73% above	51%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 SPEECH AUDIOMETRY COMPLETE INFANT	$1,206.00	$1,372.00	$129.00–$1,372.00	478% above	12%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 CP SPEECH AUDIOMETRY COMPLETE INFANT	$1,274.00	$1,442.00	$129.00–$1,442.00	510% above	12%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 CP SPEECH AUDIOMETRY COMPLETE	$1,276.00	$1,442.00	$129.00–$1,442.00	511% above	12%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 SPEECH AUDIOMETRY COMPLETE CHILD	$1,276.00	$1,442.00	$129.00–$1,442.00	511% above	12%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 CP SPEECH AUDIOMETRY COMPLETE CHILD	$1,306.00	$1,442.00	$129.00–$1,442.00	526% above	9%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 SPEECH AUDIOMETRY COMPLETE	$361.00	$733.00	$81.00–$733.00	—	51%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 SPEECH AUDIOMETRY COMPLETE INFANT	$1,206.00	$1,372.00	$129.00–$1,372.00	—	12%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 CP SPEECH AUDIOMETRY COMPLETE INFANT	$1,274.00	$1,442.00	$129.00–$1,442.00	—	12%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 CP SPEECH AUDIOMETRY COMPLETE	$1,276.00	$1,442.00	$129.00–$1,442.00	—	12%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 SPEECH AUDIOMETRY COMPLETE CHILD	$1,276.00	$1,442.00	$129.00–$1,442.00	—	12%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 CP SPEECH AUDIOMETRY COMPLETE CHILD	$1,306.00	$1,442.00	$129.00–$1,442.00	—	9%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 3	$4,805.00	$5,110.00	$305.00–$5,110.00	350% above	6%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 3	$4,805.00	$5,110.00	$305.00–$5,110.00	—	6%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY PORTABLE	$3,607.00	$3,940.00	$135.00–$3,940.00	884% above	8%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY ROUTINE	$3,658.00	$3,940.00	$135.00–$3,940.00	897% above	7%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY PORTABLE	$3,607.00	$3,940.00	$135.00–$3,940.00	—	8%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY ROUTINE	$3,658.00	$3,940.00	$135.00–$3,940.00	—	7%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ECG ROUTINE 12 LDS TRCG ONLY	$474.00	$536.00	$37.00–$536.00	531% above	12%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$499.00	$536.00	$37.00–$536.00	564% above	7%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG	$601.00	$666.00	$37.00–$666.00	700% above	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING PEDS	$676.00	$742.00	$37.00–$742.00	800% above	9%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING ADULT	$676.00	$742.00	$37.00–$742.00	800% above	9%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING INFANT/CHILD	$677.00	$742.00	$37.00–$742.00	801% above	9%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ECG ROUTINE 12 LDS TRCG ONLY	$474.00	$536.00	$37.00–$536.00	—	12%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$499.00	$536.00	$37.00–$536.00	—	7%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG	$601.00	$666.00	$37.00–$666.00	—	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING PEDS	$676.00	$742.00	$37.00–$742.00	—	9%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING ADULT	$676.00	$742.00	$37.00–$742.00	—	9%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING INFANT/CHILD	$677.00	$742.00	$37.00–$742.00	—	9%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT LIMITED/MINOR	$1,854.00	$1,902.00	$47.00–$1,902.00	1478% above	3%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPARTMENT VISIT LIMITED/MINOR	$1,854.00	$1,902.00	$47.00–$1,902.00	—	3%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEV	$2,097.00	$2,184.00	$87.00–$2,184.00	892% above	4%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEV	$2,097.00	$2,184.00	$87.00–$2,184.00	—	4%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVE	$2,346.00	$2,498.00	$149.00–$2,498.00	574% above	6%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVE	$2,346.00	$2,498.00	$149.00–$2,498.00	—	6%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT S	$3,691.00	$3,930.00	$235.00–$3,930.00	590% above	6%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT S	$3,691.00	$3,930.00	$235.00–$3,930.00	—	6%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREA	$5,412.00	$5,758.00	$342.00–$5,758.00	602% above	6%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREA	$5,412.00	$5,758.00	$342.00–$5,758.00	—	6%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST TRACING ONLY	$3,069.00	$3,240.00	$171.00–$3,240.00	737% above	5%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST TRACING ONLY	$3,069.00	$3,240.00	$171.00–$3,240.00	—	5%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTX W/PT PRESENT	$1,720.00	$1,740.00	$20.00–$1,740.00	723% above	1%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTX W/PT PRESENT	$1,720.00	$1,740.00	$20.00–$1,740.00	—	1%
Group psychotherapy session CPT 90853 GROUP PSYCHOTX	$439.00	$534.00	$13.00–$534.00	278% above	18%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTX	$439.00	$534.00	$13.00–$534.00	—	18%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUS HYDRAT INTL 31 MIN-1 HR	$771.00	$875.00	$96.00–$875.00	184% above	12%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION INITIAL 31 M	$779.00	$875.00	$96.00–$875.00	187% above	11%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT EA ADDL HOUR	$951.00	$1,080.00	$119.00–$1,080.00	250% above	12%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31 MIN T	$1,025.00	$1,191.00	$131.00–$1,191.00	277% above	14%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INITIAL 31 MIN TO	$1,046.00	$1,191.00	$131.00–$1,191.00	285% above	12%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$1,060.00	$1,191.00	$131.00–$1,191.00	290% above	11%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUS HYDRAT INTL 31 MIN-1 HR	$771.00	$875.00	$96.00–$875.00	—	12%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV HYDRATION INITIAL 31 M	$779.00	$875.00	$96.00–$875.00	—	11%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT EA ADDL HOUR	$951.00	$1,080.00	$119.00–$1,080.00	—	12%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL 31 MIN T	$1,025.00	$1,191.00	$131.00–$1,191.00	—	14%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INITIAL 31 MIN TO	$1,046.00	$1,191.00	$131.00–$1,191.00	—	12%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT	$1,060.00	$1,191.00	$131.00–$1,191.00	—	11%
IV infusion of a medicine, first hour CPT 96365 IV INF 1ST MED 16-90 INI AVS	$129.00	$146.00	$16.00–$227.00	52% below	12%
IV infusion of a medicine, first hour CPT 96365 96365 IV INF 1STMED 16-90	$1,294.00	$1,521.00	$41.00–$1,521.00	383% above	15%
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUS TX/PRO /DX TO 1HR	$1,339.00	$1,521.00	$41.00–$1,521.00	399% above	12%
IV infusion of a medicine, first hour CPT 96365 TX/PRO/DX INJ NEW DRUG ADDON	$1,480.00	$1,521.00	$41.00–$1,521.00	452% above	3%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT -XU	$1,635.00	$1,857.00	$41.00–$1,857.00	510% above	12%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$1,816.00	$1,857.00	$41.00–$1,857.00	577% above	2%
IV infusion of a medicine, first hour CPT 96365 96365 TX/PRPH/DX IV INF INITTO1HR	$1,832.00	$2,059.00	$41.00–$2,059.00	583% above	11%
IV infusion of a medicine, first hour CPT 96365 FT IV INFUSION TX REMDESIVIR 1ST TO 1 HR	$2,018.00	$2,059.00	$41.00–$2,059.00	652% above	2%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF 1ST MED 16-90 INI AVS	$129.00	$146.00	$16.00–$227.00	—	12%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INF 1STMED 16-90	$1,294.00	$1,521.00	$41.00–$1,521.00	—	15%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUS TX/PRO /DX TO 1HR	$1,339.00	$1,521.00	$41.00–$1,521.00	—	12%
IV infusion of a medicine, first hour inpatient CPT 96365 TX/PRO/DX INJ NEW DRUG ADDON	$1,480.00	$1,521.00	$41.00–$1,521.00	—	3%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT -XU	$1,635.00	$1,857.00	$41.00–$1,857.00	—	12%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$1,816.00	$1,857.00	$41.00–$1,857.00	—	2%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 TX/PRPH/DX IV INF INITTO1HR	$1,832.00	$2,059.00	$41.00–$2,059.00	—	11%
IV infusion of a medicine, first hour inpatient CPT 96365 FT IV INFUSION TX REMDESIVIR 1ST TO 1 HR	$2,018.00	$2,059.00	$41.00–$2,059.00	—	2%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$342.00	$733.00	$35.00–$733.00	29% above	53%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH INIT	$342.00	$733.00	$35.00–$733.00	29% above	53%
IV push of a medicine, first drug CPT 96374 IV PUSH ONLY-INITIAL(96374)	$971.00	$1,105.00	$35.00–$1,105.00	267% above	12%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH INITIAL	$983.00	$1,105.00	$35.00–$1,105.00	271% above	11%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$342.00	$733.00	$35.00–$733.00	—	53%
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH INIT	$342.00	$733.00	$35.00–$733.00	—	53%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH ONLY-INITIAL(96374)	$971.00	$1,105.00	$35.00–$1,105.00	—	12%
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH INITIAL	$983.00	$1,105.00	$35.00–$1,105.00	—	11%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 TX PROPHYLACTIC/DX INJ SC/IM	$253.00	$284.00	$13.00–$284.00	179% above	11%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM 59	$262.00	$298.00	$13.00–$298.00	189% above	12%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$271.00	$284.00	$13.00–$284.00	199% above	5%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ THER SUB Q OR IM	$271.00	$284.00	$13.00–$284.00	199% above	5%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ - ANTIBIOTIC SUBQ/IM	$379.00	$440.00	$13.00–$440.00	318% above	14%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM (96372)	$423.00	$491.00	$13.00–$491.00	367% above	14%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 TX PROPHYLACTIC/DX INJ SC/IM	$253.00	$284.00	$13.00–$284.00	—	11%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM 59	$262.00	$298.00	$13.00–$298.00	—	12%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$271.00	$284.00	$13.00–$284.00	—	5%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ THER SUB Q OR IM	$271.00	$284.00	$13.00–$284.00	—	5%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ - ANTIBIOTIC SUBQ/IM	$379.00	$440.00	$13.00–$440.00	—	14%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM (96372)	$423.00	$491.00	$13.00–$491.00	—	14%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCHIATRIC DIAGNOSTIC EVAL	$1,654.00	$1,740.00	$86.00–$1,740.00	698% above	5%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$1,654.00	$1,740.00	$86.00–$1,740.00	698% above	5%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 PSYCHIATRIC DIAGNOSTIC EVAL	$1,654.00	$1,740.00	$86.00–$1,740.00	—	5%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$1,654.00	$1,740.00	$86.00–$1,740.00	—	5%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$7,585.00	$7,650.00	$65.00–$7,650.00	1839% above	1%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$7,585.00	$7,650.00	$65.00–$7,650.00	—	1%
Neuromuscular re-education, 15 minutes CPT 97112 THER PX 1/> AREAS EACH 15 MIN NEUROMUSC	$353.00	$390.00	$37.00–$390.00	756% above	9%
Neuromuscular re-education, 15 minutes CPT 97112 97112 NEUROMUSCULAR REEDUCATION	$400.00	$437.00	$37.00–$437.00	870% above	8%
Neuromuscular re-education, 15 minutes CPT 97112 TM SPT NEUROMUSCULAR REEDUCATION GP GT	$503.00	$540.00	$6.00–$540.00	1120% above	7%
Neuromuscular re-education, 15 minutes CPT 97112 PEDS PT NEUROMUS REED 15 GP	$523.00	$560.00	$37.00–$560.00	1168% above	7%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED 15 GO	$552.00	$590.00	$37.00–$590.00	1239% above	6%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUS RE-ED 15 MIN GP	$553.00	$590.00	$37.00–$590.00	1241% above	6%
Neuromuscular re-education, 15 minutes CPT 97112 PT INP NEUROMUS RE-ED 15 MIN GP	$553.00	$590.00	$37.00–$590.00	1241% above	6%
Neuromuscular re-education, 15 minutes CPT 97112 TM PT NEUROMUSCULAR REEDUCATION	$553.00	$590.00	$6.00–$590.00	1241% above	6%
Neuromuscular re-education, 15 minutes CPT 97112 TM OT NEUROMUSCULAR REEDUCATION GO GT	$553.00	$590.00	$6.00–$590.00	1241% above	6%
Neuromuscular re-education, 15 minutes CPT 97112 TM PEDS PT NEUROMUS RE-ED 15 MIN GP GT	$584.00	$590.00	$6.00–$590.00	1316% above	1%
Neuromuscular re-education, 15 minutes CPT 97112 Unknown	$804.00	$810.00	$6.00–$810.00	1850% above	1%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 THER PX 1/> AREAS EACH 15 MIN NEUROMUSC	$353.00	$390.00	$37.00–$390.00	—	9%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 NEUROMUSCULAR REEDUCATION	$400.00	$437.00	$37.00–$437.00	—	8%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TM SPT NEUROMUSCULAR REEDUCATION GP GT	$503.00	$540.00	$6.00–$540.00	—	7%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PEDS PT NEUROMUS REED 15 GP	$523.00	$560.00	$37.00–$560.00	—	7%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-ED 15 GO	$552.00	$590.00	$37.00–$590.00	—	6%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TM OT NEUROMUSCULAR REEDUCATION GO GT	$553.00	$590.00	$6.00–$590.00	—	6%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUS RE-ED 15 MIN GP	$553.00	$590.00	$37.00–$590.00	—	6%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT INP NEUROMUS RE-ED 15 MIN GP	$553.00	$590.00	$37.00–$590.00	—	6%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TM PT NEUROMUSCULAR REEDUCATION	$553.00	$590.00	$6.00–$590.00	—	6%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TM PEDS PT NEUROMUS RE-ED 15 MIN GP GT	$584.00	$590.00	$6.00–$590.00	—	1%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Unknown	$804.00	$810.00	$6.00–$810.00	—	1%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT NEW 30 MINUTES	$174.00	$197.00	$22.00–$197.00	80% above	12%
New patient office visit, about 30 minutes CPT 99203 NEW PAT LEV 3	$504.00	$570.00	$47.00–$570.00	421% above	12%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT NEW 30 MINUTES	$555.00	$624.00	$23.00–$624.00	474% above	11%
New patient office visit, about 30 minutes CPT 99203 99203 NEW PAT LEV 3	$701.00	$864.00	$47.00–$864.00	624% above	19%
New patient office visit, about 30 minutes CPT 99203 99203 25 NEW PAT LEV 3	$759.00	$864.00	$23.00–$864.00	684% above	12%
New patient office visit, about 30 minutes CPT 99203 NEW PAT LEV 3 W/25	$769.00	$864.00	$23.00–$864.00	695% above	11%
New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPATIENT NEW LOW 30-44 MIN	$841.00	$864.00	$23.00–$864.00	769% above	3%
New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPATIENT NEW LOW 30-44 MIN	$1,134.00	$1,334.00	$83.00–$1,334.00	1072% above	15%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT NEW 30 MINUTES	$555.00	$624.00	$23.00–$624.00	—	11%
New patient office visit, about 30 minutes inpatient CPT 99203 99203 25 NEW PAT LEV 3	$759.00	$864.00	$23.00–$864.00	—	12%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OUTPATIENT NEW LOW 30-44 MIN	$841.00	$864.00	$23.00–$864.00	—	3%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT NEW 45 MINUTES	$610.00	$1,016.00	$66.00–$1,016.00	287% above	40%
New patient office visit, about 45 minutes CPT 99204 NEW PAT LEV 4	$663.00	$750.00	$66.00–$750.00	321% above	12%
New patient office visit, about 45 minutes CPT 99204 99204 NEW PAT LEV 4	$748.00	$1,139.00	$66.00–$1,139.00	375% above	34%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT NEW 45 MINUTES	$772.00	$821.00	$33.00–$821.00	390% above	6%
New patient office visit, about 45 minutes CPT 99204 99204 25 NEW PAT LEV 4	$1,014.00	$1,139.00	$33.00–$1,139.00	543% above	11%
New patient office visit, about 45 minutes CPT 99204 NEW PAT LEV 4 W/25	$1,106.00	$1,139.00	$33.00–$1,139.00	602% above	3%
New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPATIENT NEW MOD 45-59 MIN	$1,106.00	$1,139.00	$33.00–$1,139.00	602% above	3%
New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPATIENT NEW MOD 45-59 MIN	$1,910.00	$2,011.00	$66.00–$2,011.00	1112% above	5%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT NEW 45 MINUTES	$772.00	$821.00	$33.00–$821.00	—	6%
New patient office visit, about 45 minutes inpatient CPT 99204 99204 25 NEW PAT LEV 4	$1,014.00	$1,139.00	$33.00–$1,139.00	—	11%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OUTPATIENT NEW MOD 45-59 MIN	$1,106.00	$1,139.00	$33.00–$1,139.00	—	3%
New patient office visit, about 60 minutes CPT 99205 NEW PAT LEV 5	$920.00	$1,020.00	$66.00–$1,020.00	329% above	10%
New patient office visit, about 60 minutes CPT 99205 99205 NEW PAT LEV 5	$1,044.00	$1,127.00	$66.00–$1,127.00	386% above	7%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT NEW 60 MINUTES	$1,094.00	$1,127.00	$33.00–$1,127.00	410% above	3%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT NEW 60 MINUTES	$1,303.00	$1,386.00	$33.00–$1,386.00	507% above	6%
New patient office visit, about 60 minutes CPT 99205 99205 25 NEW PAT LEV 5	$1,364.00	$1,533.00	$33.00–$1,533.00	536% above	11%
New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPATIENT NEW HI 60-74 MIN	$1,467.00	$1,533.00	$66.00–$1,533.00	584% above	4%
New patient office visit, about 60 minutes CPT 99205 NEW PAT LEV 5 W/25	$1,500.00	$1,533.00	$33.00–$1,533.00	599% above	2%
New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPATIENT NEW HI 60-74 MIN	$2,637.00	$2,720.00	$83.00–$2,720.00	1129% above	3%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT NEW 60 MINUTES	$1,094.00	$1,127.00	$33.00–$1,127.00	—	3%
New patient office visit, about 60 minutes inpatient CPT 99205 99205 25 NEW PAT LEV 5	$1,364.00	$1,533.00	$33.00–$1,533.00	—	11%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OUTPATIENT NEW HI 60-74 MIN	$1,467.00	$1,533.00	$66.00–$1,533.00	—	4%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EH EXTERNAL VENDORS PHYSICALS	$322.00	$354.00	$32.00–$354.00	469% above	9%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT NEW 20 MINUTES	$428.00	$481.00	$16.00–$481.00	656% above	11%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPATIENT NEW SF 15-29 MIN	$508.00	$540.00	$32.00–$540.00	798% above	6%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT NEW 20 MINUTES	$574.00	$590.00	$16.00–$590.00	914% above	3%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 NEW PAT LEV 2	$575.00	$655.00	$32.00–$655.00	916% above	12%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 25 NEW PAT LEV 2	$616.00	$655.00	$16.00–$655.00	988% above	6%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PAT LEV 2 W/25	$639.00	$655.00	$16.00–$655.00	1029% above	2%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPATIENT NEW SF 15-29 MIN	$639.00	$655.00	$16.00–$655.00	1029% above	2%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT NEW 20 MINUTES	$428.00	$481.00	$16.00–$481.00	—	11%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 25 NEW PAT LEV 2	$616.00	$655.00	$16.00–$655.00	—	6%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OUTPATIENT NEW SF 15-29 MIN	$639.00	$655.00	$16.00–$655.00	—	2%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$146.00	$164.00	$18.00–$164.00	257% above	11%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MNT ASSMT&IVNTJ INDIV EA 15 MI	$146.00	$164.00	$18.00–$164.00	257% above	11%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN 59 MOD	$157.00	$191.00	$21.00–$191.00	283% above	18%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDNUT THER INDIV ASSESS	$178.00	$200.00	$22.00–$200.00	335% above	11%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BARIATRIC MEDICAL NUTRITION INDIV IN	$221.00	$250.00	$24.00–$250.00	440% above	12%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MNT ASSMT&IVNTJ INDIV EA 15 MI	$146.00	$164.00	$18.00–$164.00	—	11%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN	$146.00	$164.00	$18.00–$164.00	—	11%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN 59 MOD	$157.00	$191.00	$21.00–$191.00	—	18%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDNUT THER INDIV ASSESS	$178.00	$200.00	$22.00–$200.00	—	11%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 BARIATRIC MEDICAL NUTRITION INDIV IN	$221.00	$250.00	$24.00–$250.00	—	12%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX GO	$902.00	$997.00	$13.00–$997.00	599% above	10%
Occupational therapy evaluation, low complexity CPT 97165 TM OT EVAL LOW COMPLEX 30 MIN	$928.00	$1,039.00	$13.00–$1,039.00	619% above	11%
Occupational therapy evaluation, low complexity CPT 97165 PEDS OT EVAL LOW COMPLEX GO	$934.00	$947.00	$13.00–$947.00	624% above	1%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX GO	$902.00	$997.00	$13.00–$997.00	—	10%
Occupational therapy evaluation, low complexity inpatient CPT 97165 TM OT EVAL LOW COMPLEX 30 MIN	$928.00	$1,039.00	$13.00–$1,039.00	—	11%
Occupational therapy evaluation, low complexity inpatient CPT 97165 PEDS OT EVAL LOW COMPLEX GO	$934.00	$947.00	$13.00–$947.00	—	1%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PEDS PT EVAL HIGH COMPLEX GP	$886.00	$1,029.00	$14.00–$1,029.00	602% above	14%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT INP EVAL HIGH COMPLEX GP	$984.00	$1,094.00	$14.00–$1,094.00	680% above	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX GP	$999.00	$1,094.00	$14.00–$1,094.00	692% above	9%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PEDS PT EVAL HIGH COMPLEX GP	$886.00	$1,029.00	$14.00–$1,029.00	—	14%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT INP EVAL HIGH COMPLEX GP	$984.00	$1,094.00	$14.00–$1,094.00	—	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX GP	$999.00	$1,094.00	$14.00–$1,094.00	—	9%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PEDS PT EVAL LOW COMPLEX GP	$902.00	$997.00	$14.00–$997.00	615% above	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX GP	$983.00	$997.00	$14.00–$997.00	679% above	1%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT INP EVAL LOW COMPLEX GP	$983.00	$997.00	$14.00–$997.00	679% above	1%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PEDS PT EVAL LOW COMPLEX GP	$902.00	$997.00	$14.00–$997.00	—	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT INP EVAL LOW COMPLEX GP	$983.00	$997.00	$14.00–$997.00	—	1%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX GP	$983.00	$997.00	$14.00–$997.00	—	1%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PEDS PT EVAL MOD COMPLEX GP	$901.00	$996.00	$14.00–$996.00	614% above	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TM PT EVAL MOD COMPLEX 30 MIN	$929.00	$1,039.00	$14.00–$1,039.00	636% above	11%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX GP	$944.00	$1,039.00	$14.00–$1,039.00	648% above	9%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PEDS PT EVAL MOD COMPLEX GP	$901.00	$996.00	$14.00–$996.00	—	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TM PT EVAL MOD COMPLEX 30 MIN	$929.00	$1,039.00	$14.00–$1,039.00	—	11%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX GP	$944.00	$1,039.00	$14.00–$1,039.00	—	9%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TQS 1/> REGIONS EACH 15 M	$322.00	$530.00	$30.00–$530.00	815% above	39%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 95971 ANALYZE NEUROSTIM SIMPLE	$395.00	$459.00	$30.00–$459.00	1022% above	14%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 MANUAL THERAPY 1/> REGIONS	$550.00	$580.00	$30.00–$580.00	1462% above	5%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PEDS OT MANUAL TECHN 15MI GO	$724.00	$754.00	$30.00–$754.00	1957% above	4%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PEDS PT MANUAL TECH 15MIN GP	$724.00	$754.00	$30.00–$754.00	1957% above	4%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL TECHNIQUES 15 M GP	$758.00	$788.00	$30.00–$788.00	2053% above	4%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL TECHNIQUES 15MI GO	$758.00	$788.00	$30.00–$788.00	2053% above	4%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL TECHNIQUES 15 M GP 59	$758.00	$788.00	$30.00–$788.00	2053% above	4%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TQS 1/> REGIONS EACH 15 M	$322.00	$530.00	$30.00–$530.00	—	39%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 95971 ANALYZE NEUROSTIM SIMPLE	$395.00	$459.00	$30.00–$459.00	—	14%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 MANUAL THERAPY 1/> REGIONS	$550.00	$580.00	$30.00–$580.00	—	5%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PEDS OT MANUAL TECHN 15MI GO	$724.00	$754.00	$30.00–$754.00	—	4%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PEDS PT MANUAL TECH 15MIN GP	$724.00	$754.00	$30.00–$754.00	—	4%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL TECHNIQUES 15 M GP	$758.00	$788.00	$30.00–$788.00	—	4%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL TECHNIQUES 15 M GP 59	$758.00	$788.00	$30.00–$788.00	—	4%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL TECHNIQUES 15MI GO	$758.00	$788.00	$30.00–$788.00	—	4%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TM PT THERAPEUTIC EXERCISES	$507.00	$540.00	$7.00–$540.00	1268% above	6%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TM PT THERAPEUTIC EXERCISES GP GT	$508.00	$590.00	$7.00–$590.00	1271% above	14%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 1 GP	$530.00	$590.00	$32.00–$590.00	1330% above	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TM PEDS THERAPEUTIC EXERCISES GO GT	$557.00	$590.00	$7.00–$590.00	1403% above	6%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TM OT THERAPEUTIC EXERCISES GO GT	$557.00	$590.00	$7.00–$590.00	1403% above	6%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15 MIN GP	$557.00	$590.00	$32.00–$590.00	1403% above	6%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PEDS OT THER EXER 15 MIN GO	$557.00	$590.00	$32.00–$590.00	1403% above	6%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PEDS PT THER EX 15 MIN GP	$557.00	$590.00	$32.00–$590.00	1403% above	6%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TM PEDS THERAPEUTIC EXERCISES GP GT	$558.00	$590.00	$7.00–$590.00	1406% above	5%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXER 15 MIN GO	$558.00	$590.00	$32.00–$590.00	1406% above	5%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TM PT EVAL LOW COMPLEX 20 MIN	$965.00	$997.00	$7.00–$997.00	2504% above	3%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TM PT THERAPEUTIC EXERCISES	$507.00	$540.00	$7.00–$540.00	—	6%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TM PT THERAPEUTIC EXERCISES GP GT	$508.00	$590.00	$7.00–$590.00	—	14%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 1 GP	$530.00	$590.00	$32.00–$590.00	—	10%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 15 MIN GP	$557.00	$590.00	$32.00–$590.00	—	6%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PEDS PT THER EX 15 MIN GP	$557.00	$590.00	$32.00–$590.00	—	6%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PEDS OT THER EXER 15 MIN GO	$557.00	$590.00	$32.00–$590.00	—	6%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TM PEDS THERAPEUTIC EXERCISES GO GT	$557.00	$590.00	$7.00–$590.00	—	6%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TM OT THERAPEUTIC EXERCISES GO GT	$557.00	$590.00	$7.00–$590.00	—	6%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TM PEDS THERAPEUTIC EXERCISES GP GT	$558.00	$590.00	$7.00–$590.00	—	5%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER EXER 15 MIN GO	$558.00	$590.00	$32.00–$590.00	—	5%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TM PT EVAL LOW COMPLEX 20 MIN	$965.00	$997.00	$7.00–$997.00	—	3%
Preventive checkup, new patient aged 18–39 CPT 99385 INIT PREV MED NEW PT 18-39YRS	$1,051.00	$1,181.00	$18.00–$1,181.00	2595% above	11%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INIT PREV MED NEW PT 18-39YRS	$1,051.00	$1,181.00	$18.00–$1,181.00	—	11%
Preventive checkup, new patient aged 40–64 CPT 99386 99386 INIT PREV MED NEW PT 40-64YRS	$687.00	$780.00	$36.00–$780.00	1447% above	12%
Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL PREVENTIVE MEDICINE NEW PATIENT	$759.00	$864.00	$36.00–$864.00	1609% above	12%
Preventive checkup, new patient aged 40–64 CPT 99386 INIT PREVENTIVE MEDCINE NEW PATIENT 40-6	$1,037.00	$1,181.00	$36.00–$1,181.00	2236% above	12%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 INIT PREV MED NEW PT 40-64YRS	$687.00	$780.00	$36.00–$780.00	—	12%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 INITIAL PREVENTIVE MEDICINE NEW PATIENT	$759.00	$864.00	$36.00–$864.00	—	12%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 INIT PREVENTIVE MEDCINE NEW PATIENT 40-6	$1,037.00	$1,181.00	$36.00–$1,181.00	—	12%
Preventive checkup, new patient aged 65 or older CPT 99387 99387 INIT PREV MED NEW PT 65YRS&>	$658.00	$766.00	$36.00–$766.00	1185% above	14%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$955.00	$1,039.00	$18.00–$1,039.00	1765% above	8%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PREV MED NEW PT 65YRS&>	$1,003.00	$1,039.00	$36.00–$1,039.00	1859% above	3%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 99387 INIT PREV MED NEW PT 65YRS&>	$658.00	$766.00	$36.00–$766.00	—	14%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$955.00	$1,039.00	$18.00–$1,039.00	—	8%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PREV MED NEW PT 65YRS&>	$1,003.00	$1,039.00	$36.00–$1,039.00	—	3%
Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC PREV MED EST PT 18-39 YRS	$663.00	$755.00	$36.00–$755.00	1223% above	12%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PERIODIC PREV MED EST PT 18-39 YRS	$663.00	$755.00	$36.00–$755.00	—	12%
Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC PREV MED EST PT 40-64YRS	$672.00	$755.00	$36.00–$755.00	1182% above	11%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PERIODIC PREV MED EST PT 40-64YRS	$672.00	$755.00	$36.00–$755.00	—	11%
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PERIODIC PREV MED EST PT 65&UP	$713.00	$810.00	$36.00–$810.00	1042% above	12%
Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC PREV MED EST PT 65&UP	$1,087.00	$1,105.00	$18.00–$1,105.00	1641% above	2%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 PERIODIC PREV MED EST PT 65&UP	$713.00	$810.00	$36.00–$810.00	—	12%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PERIODIC PREV MED EST PT 65&UP	$1,087.00	$1,105.00	$18.00–$1,105.00	—	2%
Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTX PT / FAMILY 30 MINUTES	$505.00	$525.00	$20.00–$525.00	147% above	4%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES	$505.00	$525.00	$20.00–$525.00	147% above	4%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYCHOTX PT / FAMILY 30 MINUTES	$505.00	$525.00	$20.00–$525.00	—	4%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES	$505.00	$525.00	$20.00–$525.00	—	4%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES	$1,142.00	$1,730.00	$20.00–$1,730.00	466% above	34%
Psychotherapy session, 45 minutes CPT 90834 90834 PSYCHOTX PT / FAMILY 45 MINUTES	$1,545.00	$1,565.00	$20.00–$1,565.00	665% above	1%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES	$1,142.00	$1,730.00	$20.00–$1,730.00	—	34%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYCHOTX PT / FAMILY 45 MINUTES	$1,545.00	$1,565.00	$20.00–$1,565.00	—	1%
Psychotherapy session, 60 minutes CPT 90837 90837 PSYCHOTX PT / FAMILY 60 MINUTES	$2,060.00	$2,080.00	$20.00–$2,080.00	907% above	1%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES	$2,647.00	$2,671.00	$20.00–$2,671.00	1194% above	1%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYCHOTX PT / FAMILY 60 MINUTES	$2,060.00	$2,080.00	$20.00–$2,080.00	—	1%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES	$2,647.00	$2,671.00	$20.00–$2,671.00	—	1%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 TOBACCO USE STOP INTERMED 3-10 MIN	$134.00	$164.00	$18.00–$164.00	191% above	18%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10	$146.00	$164.00	$18.00–$164.00	217% above	11%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 SMOKG TOBACCO <10 MIN	$170.00	$197.00	$22.00–$197.00	270% above	14%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10	$222.00	$250.00	$28.00–$1,307.00	383% above	11%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 3-10	$222.00	$250.00	$28.00–$1,307.00	—	11%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT ESTABLISHED 40 MINUTES	$660.00	$1,016.00	$22.00–$1,016.00	289% above	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT ESTABLISHED 40 MINUTES	$738.00	$821.00	$22.00–$821.00	335% above	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PAT LEV 5 W/25	$1,014.00	$1,139.00	$22.00–$1,139.00	498% above	11%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 25 EST PAT LEV 5	$1,045.00	$1,139.00	$22.00–$1,139.00	516% above	8%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 EST PAT LEV 5	$1,056.00	$1,139.00	$44.00–$1,139.00	523% above	7%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PAT LEV 5 W / 25	$1,071.00	$1,139.00	$22.00–$1,139.00	532% above	6%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 25 EST PAT LEV 5	$1,117.00	$1,139.00	$22.00–$1,139.00	559% above	2%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OUTPATIENT EST HI 40-54 MIN	$1,117.00	$1,139.00	$22.00–$1,139.00	559% above	2%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OUTPATIENT EST HI 40-54 MIN	$1,910.00	$2,011.00	$44.00–$2,011.00	1027% above	5%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPATIENT ESTABLISHED 40 MINUTES	$738.00	$821.00	$22.00–$821.00	—	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 25 EST PAT LEV 5	$1,045.00	$1,139.00	$22.00–$1,139.00	—	8%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OUTPATIENT EST HI 40-54 MIN	$1,117.00	$1,139.00	$22.00–$1,139.00	—	2%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT ESTABLISHED 15 MINUTES	$503.00	$569.00	$26.00–$569.00	546% above	12%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT ESTABLISHED 15 MINUTES	$506.00	$569.00	$13.00–$569.00	550% above	11%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OUTPATIENT VISIT 15 MINUTES	$506.00	$569.00	$26.00–$569.00	550% above	11%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PAT LEV 3	$543.00	$569.00	$26.00–$569.00	598% above	5%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 25 EST PAT LEV 3	$692.00	$778.00	$13.00–$778.00	789% above	11%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213-25 EST PAT LEV 3	$695.00	$778.00	$13.00–$778.00	793% above	11%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 EST PAT LEV 3	$695.00	$778.00	$26.00–$778.00	793% above	11%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PAT LEV 3 W/25	$765.00	$778.00	$13.00–$778.00	883% above	2%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OUTPATIENT EST LOW 20-29 MIN	$765.00	$778.00	$13.00–$778.00	883% above	2%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OUTPATIENT EST LOW 20-29 MIN	$765.00	$778.00	$13.00–$778.00	883% above	2%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT ESTABLISHED 15 MINUTES	$506.00	$569.00	$13.00–$569.00	—	11%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 25 EST PAT LEV 3	$692.00	$778.00	$13.00–$778.00	—	11%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OUTPATIENT EST LOW 20-29 MIN	$765.00	$778.00	$13.00–$778.00	—	2%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PAT LEV 4	$584.00	$624.00	$40.00–$624.00	410% above	6%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT ESTABLISHED 25 MINUTES	$587.00	$624.00	$20.00–$624.00	413% above	6%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214-25 EST PAT LEV 4	$658.00	$700.00	$20.00–$700.00	475% above	6%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 EST PAT LEV 4	$660.00	$700.00	$40.00–$700.00	476% above	6%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT ESTABLISHED 25 MINUTES	$676.00	$768.00	$40.00–$768.00	490% above	12%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PAT LEV 4 W/25	$803.00	$854.00	$20.00–$854.00	601% above	6%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OUTPATIENT EST MOD 30-39 MIN	$834.00	$854.00	$20.00–$854.00	628% above	2%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 25 EST PAT LEV 4	$834.00	$854.00	$20.00–$854.00	628% above	2%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OUTPATIENT EST MOD 30-39 MIN	$1,426.00	$1,509.00	$80.00–$1,509.00	1145% above	6%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT ESTABLISHED 25 MINUTES	$587.00	$624.00	$20.00–$624.00	—	6%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 25 EST PAT LEV 4	$834.00	$854.00	$20.00–$854.00	—	2%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE OUTPATIENT EST MOD 30-39 MIN	$834.00	$854.00	$20.00–$854.00	—	2%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT ESTABLISHED 10 MINUTES	$414.00	$481.00	$13.00–$481.00	552% above	14%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFF. OP VISIT 10 MINUTES	$428.00	$481.00	$26.00–$481.00	575% above	11%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PAT LEV 2	$455.00	$481.00	$26.00–$481.00	617% above	5%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT ESTABLISHED 10 MINUTES	$555.00	$590.00	$13.00–$590.00	775% above	6%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 EST PAT LEV 2	$579.00	$655.00	$26.00–$655.00	813% above	12%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 25 EST PAT LEV 2	$583.00	$655.00	$13.00–$655.00	819% above	11%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OUTPATIENT EST SF 10-19 MIN	$616.00	$655.00	$13.00–$655.00	871% above	6%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212-25 EST PAT LEV 2	$616.00	$655.00	$13.00–$655.00	871% above	6%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OUTPATIENT EST SF 10-19 MIN	$642.00	$655.00	$13.00–$655.00	912% above	2%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PAT LEV 2 W/25	$642.00	$655.00	$13.00–$655.00	912% above	2%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT ESTABLISHED 10 MINUTES	$414.00	$481.00	$13.00–$481.00	—	14%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 25 EST PAT LEV 2	$583.00	$655.00	$13.00–$655.00	—	11%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OUTPATIENT EST SF 10-19 MIN	$616.00	$655.00	$13.00–$655.00	—	6%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN GN	$1,338.00	$1,523.00	$91.00–$1,523.00	358% above	12%
Speech and language evaluation CPT 92523 ST EVAL ADULT COMPLETE GN	$1,428.00	$1,588.00	$91.00–$1,588.00	389% above	10%
Speech and language evaluation CPT 92523 ST EVAL PEDS COMPLETE GN	$3,869.00	$4,075.00	$91.00–$4,075.00	1225% above	5%
Speech and language evaluation CPT 92523 TM SPEECH SOUND LANG COMPREHEN GN GT	$4,036.00	$4,285.00	$91.00–$4,285.00	1282% above	6%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN GN	$1,338.00	$1,523.00	$91.00–$1,523.00	—	12%
Speech and language evaluation inpatient CPT 92523 ST EVAL ADULT COMPLETE GN	$1,428.00	$1,588.00	$91.00–$1,588.00	—	10%
Speech and language evaluation inpatient CPT 92523 ST EVAL PEDS COMPLETE GN	$3,869.00	$4,075.00	$91.00–$4,075.00	—	5%
Speech and language evaluation inpatient CPT 92523 TM SPEECH SOUND LANG COMPREHEN GN GT	$4,036.00	$4,285.00	$91.00–$4,285.00	—	6%
Speech therapy session, individual CPT 92507 TM ST SPEECH/HEARING THERAPY GN,GT	$394.00	$645.00	$11.00–$645.00	301% above	39%
Speech therapy session, individual CPT 92507 TM PEDS SPEECH/HEARING THERAPY GN GT	$421.00	$645.00	$11.00–$645.00	328% above	35%
Speech therapy session, individual CPT 92507 ST TREATMENT PEDS GN	$424.00	$645.00	$60.00–$645.00	331% above	34%
Speech therapy session, individual CPT 92507 ST TREATMENT ADULT GN	$485.00	$645.00	$60.00–$645.00	394% above	25%
Speech therapy session, individual inpatient CPT 92507 TM ST SPEECH/HEARING THERAPY GN,GT	$394.00	$645.00	$11.00–$645.00	—	39%
Speech therapy session, individual inpatient CPT 92507 TM PEDS SPEECH/HEARING THERAPY GN GT	$421.00	$645.00	$11.00–$645.00	—	35%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT PEDS GN	$424.00	$645.00	$60.00–$645.00	—	34%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT ADULT GN	$485.00	$645.00	$60.00–$645.00	—	25%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$449.00	$510.00	$56.00–$510.00	125% above	12%
Spirometry (breathing test) CPT 94010 94010 SPIROMETRY	$491.00	$558.00	$61.00–$558.00	146% above	12%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION SCREEN	$493.00	$558.00	$61.00–$558.00	147% above	12%
Spirometry (breathing test) CPT 94010 PFT-BREATHING CAPACITY TEST	$629.00	$731.00	$80.00–$731.00	215% above	14%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$449.00	$510.00	$56.00–$510.00	—	12%
Spirometry (breathing test) inpatient CPT 94010 94010 SPIROMETRY	$491.00	$558.00	$61.00–$558.00	—	12%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION SCREEN	$493.00	$558.00	$61.00–$558.00	—	12%
Spirometry (breathing test) inpatient CPT 94010 PFT-BREATHING CAPACITY TEST	$629.00	$731.00	$80.00–$731.00	—	14%
Spirometry before and after a bronchodilator CPT 94060 94060 SPIROMETRY PRE/POST	$600.00	$788.00	$87.00–$788.00	51% above	24%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$701.00	$788.00	$87.00–$788.00	77% above	11%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION DILATI	$962.00	$1,081.00	$119.00–$1,081.00	143% above	11%
Spirometry before and after a bronchodilator inpatient CPT 94060 94060 SPIROMETRY PRE/POST	$600.00	$788.00	$87.00–$788.00	—	24%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING	$701.00	$788.00	$87.00–$788.00	—	11%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCTION DILATI	$962.00	$1,081.00	$119.00–$1,081.00	—	11%
Therapeutic activities (functional training), 15 minutes CPT 97530 PEDS PT THER ACTIV 15 MIN GP 59	$519.00	$560.00	$41.00–$560.00	1063% above	7%
Therapeutic activities (functional training), 15 minutes CPT 97530 PEDS OT THER ACTIV 15 MIN GO	$519.00	$560.00	$41.00–$560.00	1063% above	7%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACTIVITIES 15 MIN GO	$549.00	$590.00	$41.00–$590.00	1130% above	7%
Therapeutic activities (functional training), 15 minutes CPT 97530 TM PT THERAPEUTIC ACTIVITIES	$549.00	$590.00	$15.00–$590.00	1130% above	7%
Therapeutic activities (functional training), 15 minutes CPT 97530 PEDS FUNCT ACTIV 15MIN GP	$549.00	$590.00	$41.00–$590.00	1130% above	7%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT FUNCT ACTIVITIES 15 MI GP	$549.00	$590.00	$41.00–$590.00	1130% above	7%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT FUNCT ACTIVITIES 15 MI GP 59	$549.00	$590.00	$41.00–$590.00	1130% above	7%
Therapeutic activities (functional training), 15 minutes CPT 97530 TM PEDS OT THERAPEUTIC ACTIVITIES GO GT	$575.00	$590.00	$15.00–$590.00	1189% above	3%
Therapeutic activities (functional training), 15 minutes CPT 97530 TM OT THERAPEUTIC ACTIVITIES	$575.00	$590.00	$15.00–$590.00	1189% above	3%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PEDS OT THER ACTIV 15 MIN GO	$519.00	$560.00	$41.00–$560.00	—	7%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PEDS PT THER ACTIV 15 MIN GP 59	$519.00	$560.00	$41.00–$560.00	—	7%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT FUNCT ACTIVITIES 15 MI GP 59	$549.00	$590.00	$41.00–$590.00	—	7%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT FUNCT ACTIVITIES 15 MI GP	$549.00	$590.00	$41.00–$590.00	—	7%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PEDS FUNCT ACTIV 15MIN GP	$549.00	$590.00	$41.00–$590.00	—	7%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THER ACTIVITIES 15 MIN GO	$549.00	$590.00	$41.00–$590.00	—	7%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TM PT THERAPEUTIC ACTIVITIES	$549.00	$590.00	$15.00–$590.00	—	7%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TM OT THERAPEUTIC ACTIVITIES	$575.00	$590.00	$15.00–$590.00	—	3%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TM PEDS OT THERAPEUTIC ACTIVITIES GO GT	$575.00	$590.00	$15.00–$590.00	—	3%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$348.00	$350.00	$2.00–$1,200.00	112% above	1%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY,THERAPEU	$490.00	$492.00	$2.00–$492.00	199% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$791.00	$919.00	$2.00–$919.00	382% above	14%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$348.00	$350.00	$2.00–$1,200.00	—	1%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY,THERAPEU	$490.00	$492.00	$2.00–$492.00	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$791.00	$919.00	$2.00–$919.00	—	14%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 80777-0110-96 COVID-19 VACCINE ADULT	$623.00	$709.00	$86.00–$709.00	61% above	12%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 80777-0110-96 COVID-19 VACCINE ADULT	$623.00	$709.00	$86.00–$709.00	—	12%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 VAR VACCINE LIVE SUBQ	$431.00	$539.00	$59.00–$539.00	82% above	20%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 VAR VACCINE LIVE SUBQ	$431.00	$539.00	$59.00–$539.00	—	20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-11 DTAP-IPV VACCINE 4-6	$204.00	$229.00	$25.00–$229.00	9% above	11%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-11 DTAP-IPV VACCINE 4-6	$204.00	$229.00	$25.00–$229.00	—	11%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0840-11 DTAP VACCINE < 7 YRS IM	$80.00	$100.00	$11.00–$100.00	11% below	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0840-11 DTAP VACCINE < 7 YRS IM	$80.00	$100.00	$11.00–$100.00	—	20%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 58160-0811-52 PEDIARIX (DTAP-HEPB-IPV) V	$300.00	$337.00	$37.00–$337.00	27% below	11%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 58160-0811-52 PEDIARIX (DTAP-HEPB-IPV) V	$300.00	$337.00	$37.00–$337.00	—	11%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0511-05 DTAP-IPV/HIB VACCINE IM	$357.00	$401.00	$44.00–$401.00	70% above	11%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0511-05 DTAP-IPV/HIB VACCINE IM	$357.00	$401.00	$44.00–$401.00	—	11%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-88 FLUZONE 0.5 ML 2024/2025	$70.00	$81.00	$9.00–$81.00	6% below	14%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-88 FLUZONE 0.5 ML 2024/2025	$70.00	$81.00	$9.00–$81.00	—	14%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 9VHPV VACCINE 2/3 DOSE IM	$696.00	$787.00	$87.00–$787.00	83% above	12%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 9VHPV VACCINE 2/3 DOSE IM	$696.00	$787.00	$87.00–$787.00	—	12%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-11 HEP A/HEP B VACC ADULT IM	$389.00	$440.00	$48.00–$440.00	255% above	12%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-11 HEP A/HEP B VACC ADULT IM	$389.00	$440.00	$48.00–$440.00	—	12%
Hepatitis A vaccine, adult dose CPT 90632 58160-0826-52 HEPA VACCINE ADULT IM ML1	$270.00	$303.00	$33.00–$303.00	181% above	11%
Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-52 HEPA VACCINE ADULT IM ML1	$270.00	$303.00	$33.00–$303.00	—	11%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM 58160-0825-	$118.00	$137.00	$15.00–$137.00	11% above	14%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM 58160-0825-	$118.00	$137.00	$15.00–$137.00	—	14%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 HEPB VACCINE 3 DOSE ADULT	$176.00	$200.00	$22.00–$200.00	25% above	12%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 HEPB VACCINE 3 DOSE ADULT	$176.00	$200.00	$22.00–$200.00	—	12%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 43528-0003-05 HEPLISAV-B	$292.00	$530.00	$58.00–$530.00	111% above	45%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 43528-0003-05 HEPLISAV-B	$292.00	$530.00	$58.00–$530.00	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-43 HEPB VACC 3 DOSE PED/ADOL	$64.00	$72.00	$8.00–$72.00	98% above	11%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-43 HEPB VACC 3 DOSE PED/ADOL	$64.00	$72.00	$8.00–$72.00	—	11%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 0000-64897-00 PEDVAXHIB VACCINE VIAL	$114.00	$132.00	$15.00–$132.00	23% above	14%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 0000-64897-00 PEDVAXHIB VACCINE VIAL	$114.00	$132.00	$15.00–$132.00	—	14%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 90648 N449281054505 ML HIB VAC	$197.00	$209.00	$12.00–$209.00	296% above	6%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 90648 N449281054505 ML HIB VAC	$197.00	$209.00	$12.00–$209.00	—	6%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-88 FLUZONE HD 0.5ML 2024/2025	$255.00	$288.00	$32.00–$288.00	5% above	11%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-88 FLUZONE HD 0.5ML 2024/2025	$255.00	$288.00	$32.00–$288.00	—	11%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 42515-0001-01 INACTIVATED JE VACC IM	$1,023.00	$1,157.00	$127.00–$1,157.00	459% above	12%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 42515-0001-01 INACTIVATED JE VACC IM	$1,023.00	$1,157.00	$127.00–$1,157.00	—	12%
MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 M-M-R II VACCINE VIAL	$333.00	$374.00	$41.00–$374.00	214% above	11%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 M-M-R II VACCINE VIAL	$333.00	$374.00	$41.00–$374.00	—	11%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4171-00 PROQUAD (MMRV) VIAL	$889.00	$903.00	$14.00–$903.00	399% above	2%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4171-00 PROQUAD (MMRV) VIAL	$889.00	$903.00	$14.00–$903.00	—	2%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 MCV4 MENACWY VACCINE IM	$510.00	$592.00	$65.00–$592.00	234% above	14%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 MCV4 MENACWY VACCINE IM	$510.00	$592.00	$65.00–$592.00	—	14%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 58160-0976-20 BEXSERO	$686.00	$781.00	$86.00–$781.00	134% above	12%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 58160-0976-20 BEXSERO	$686.00	$781.00	$86.00–$781.00	—	12%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-02 PCV13 VACCINE IM	$682.00	$766.00	$84.00–$766.00	94% above	11%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-02 PCV13 VACCINE IM	$682.00	$766.00	$84.00–$766.00	—	11%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 0000-5200-10 .5 ML PNEUMOCOCCAL VACC 20	$337.00	$379.00	$42.00–$379.00	7% below	11%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 0000-5200-10 .5 ML PNEUMOCOCCAL VACC 20	$337.00	$379.00	$42.00–$379.00	—	11%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 PNEUMOVAX 23 VIAL	$464.00	$539.00	$59.00–$539.00	96% above	14%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 PPSV23 VACC 2 YRS+ SUBQ/IM	$480.00	$547.00	$60.00–$547.00	102% above	12%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 PNEUMOVAX 23 VIAL	$464.00	$539.00	$59.00–$539.00	—	14%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 PPSV23 VACC 2 YRS+ SUBQ/IM	$480.00	$547.00	$60.00–$547.00	—	12%
Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-55 POLIOVIRUS IPV SC/IM	$1,344.00	$1,382.00	$35.00–$1,382.00	1137% above	3%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-55 POLIOVIRUS IPV SC/IM	$1,344.00	$1,382.00	$35.00–$1,382.00	—	3%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 BEYFORTUS 50MG/0.5ML	$2,086.00	$2,360.00	$260.00–$2,360.00	133% above	12%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 BEYFORTUS 50MG/0.5ML	$2,086.00	$2,360.00	$260.00–$2,360.00	—	12%
Rabies vaccine, one dose CPT 90675 49281-0250-51 RABIES VACCINE IM	$1,100.00	$1,375.00	$151.00–$1,375.00	119% above	20%
Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 RABIES VACCINE IM	$1,100.00	$1,375.00	$151.00–$1,375.00	—	20%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL	$439.00	$510.00	$56.00–$510.00	184% above	14%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 90681 ROTAVIRUS HUMN ATT 2 DSE LIVE ORAL	$454.00	$510.00	$56.00–$510.00	194% above	11%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 58160-0854-52 ROTARIX 2 DOSE LIVE ORAL	$530.00	$632.00	$70.00–$632.00	243% above	16%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 RV1 VACC 2 DOSE LIVE ORAL	$439.00	$510.00	$56.00–$510.00	—	14%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 90681 ROTAVIRUS HUMN ATT 2 DSE LIVE ORAL	$454.00	$510.00	$56.00–$510.00	—	11%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 58160-0854-52 ROTARIX 2 DOSE LIVE ORAL	$530.00	$632.00	$70.00–$632.00	—	16%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-41 ROTA TEQ 3 DOSE LIVE ORAL	$423.00	$470.00	$47.00–$470.00	261% above	10%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-41 ROTA TEQ 3 DOSE LIVE ORAL	$423.00	$470.00	$47.00–$470.00	—	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 TD ADULT	$99.00	$111.00	$12.00–$111.00	113% above	11%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17428-0131-01 TD VACC NO PRESV 7 YRS+ IM	$210.00	$236.00	$26.00–$236.00	352% above	11%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 TD ADULT	$99.00	$111.00	$12.00–$111.00	—	11%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17428-0131-01 TD VACC NO PRESV 7 YRS+ IM	$210.00	$236.00	$26.00–$236.00	—	11%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 ADACEL TDAP VACCINE 7 YRS/	$143.00	$162.00	$18.00–$162.00	127% above	12%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 BOOSTRIX TDAP VACCINE 7 YR	$158.00	$179.00	$20.00–$179.00	151% above	12%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 ADACEL TDAP VACCINE 7 YRS/	$143.00	$162.00	$18.00–$162.00	—	12%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 BOOSTRIX TDAP VACCINE 7 YR	$158.00	$179.00	$20.00–$179.00	—	12%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 49281-0790-20 TYPHOID VACCINE IM	$336.00	$390.00	$43.00–$390.00	206% above	14%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 49281-0790-20 TYPHOID VACCINE IM	$336.00	$390.00	$43.00–$390.00	—	14%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 MD VACC ADMIN ANY INIT	$250.00	$284.00	$21.00–$284.00	217% above	12%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC INITIAL VAC INJ ADMIN	$265.00	$340.00	$21.00–$340.00	236% above	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$285.00	$324.00	$21.00–$324.00	262% above	12%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN INITIAL	$321.00	$366.00	$21.00–$366.00	307% above	12%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 CORPORATE IMM ADMIN INITIAL	$322.00	$366.00	$21.00–$366.00	309% above	12%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 MD VACC ADMIN ANY INIT	$250.00	$284.00	$21.00–$284.00	—	12%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC INITIAL VAC INJ ADMIN	$265.00	$340.00	$21.00–$340.00	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$285.00	$324.00	$21.00–$324.00	—	12%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMIN INITIAL	$321.00	$366.00	$21.00–$366.00	—	12%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 CORPORATE IMM ADMIN INITIAL	$322.00	$366.00	$21.00–$366.00	—	12%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADM EACH ADD VAC	$122.00	$142.00	$12.00–$142.00	69% above	14%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$312.00	$324.00	$12.00–$324.00	333% above	4%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUNIZATION ADM EACH ADD VAC	$122.00	$142.00	$12.00–$142.00	—	14%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$312.00	$324.00	$12.00–$324.00	—	4%
Yellow fever vaccine, live CPT 90717 49281-0915-01 YELLOW FEVER VACCINE SUBQ	$626.00	$704.00	$78.00–$704.00	476% above	11%
Yellow fever vaccine, live inpatient CPT 90717 49281-0915-01 YELLOW FEVER VACCINE SUBQ	$626.00	$704.00	$78.00–$704.00	—	11%

Source file: https://www.saintpetershcs.com/getmedia/0238f139-9e06-434b-a0ed-5d387f0e892e/221487330_Saint-Peters-University-Hospital_standard-charges_1.csv