Vail Health Hospital
Vail Health Hospital in Vail, CO publishes cash prices for 321 common procedures listed here, from its own machine-readable price file updated Aug 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 271 of 313 procedures and above it for 39. By typical cash price it ranks #8 of 49 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
180 SOUTH FRONTAGE ROAD WEST, VAIL, CO, 81657 Collected Sep 29, 2026 Source price file (970) 476-2451
Acute care hospital Emergency department CMS star rating 5 of 5 CCN 060096 · CMS hospital register NPI 1992812333
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Vail Health Hospital in Vail, CO:
- Apr 29, 2026 Warning notice
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Left PF | $83.25 | $111.00 | $38.18–$101.01 | 72% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Right PF | $83.25 | $111.00 | $38.18–$101.01 | 72% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 SEDXR Ankle Complete Right | $247.50 | $330.00 | $38.18–$300.30 | 18% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Left | $247.50 | $330.00 | $38.18–$300.30 | 18% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Right | $247.50 | $330.00 | $38.18–$300.30 | 18% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 SEDXR Ankle Complete Left | $247.50 | $330.00 | $38.18–$300.30 | 18% below | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Right PF | $83.25 | $111.00 | $38.18–$101.01 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Left PF | $83.25 | $111.00 | $38.18–$101.01 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Left | $247.50 | $330.00 | $38.18–$300.30 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 SEDXR Ankle Complete Right | $247.50 | $330.00 | $38.18–$300.30 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 SEDXR Ankle Complete Left | $247.50 | $330.00 | $38.18–$300.30 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Right | $247.50 | $330.00 | $38.18–$300.30 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Ankle Brachial Index | $232.50 | $310.00 | $85.85–$282.10 | 59% below | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Ankle Brachial Index | $232.50 | $310.00 | $85.85–$282.10 | — | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $215.25 | $287.00 | $96.84–$261.17 | 73% below | 25% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus | $215.25 | $287.00 | $96.84–$261.17 | — | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body | $404.25 | $539.00 | $268.09–$490.49 | 88% below | 25% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body | $404.25 | $539.00 | $268.09–$490.49 | — | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $143.25 | $191.00 | $102.81–$173.81 | 67% below | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Whole Breast Screening US Right | $143.25 | $191.00 | $102.81–$173.81 | 67% below | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Whole Breast Screening US Left | $143.25 | $191.00 | $102.81–$173.81 | 67% below | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $143.25 | $191.00 | $102.81–$173.81 | 67% below | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 76641 BBUS US BREAST COMPLETE LEFT | $628.50 | $838.00 | $102.81–$762.58 | 45% above | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 76641 BBUS US BREAST COMPLETE RIGHT | $628.50 | $838.00 | $102.81–$762.58 | 45% above | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Whole Breast Screening US Right | $143.25 | $191.00 | $102.81–$173.81 | — | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $143.25 | $191.00 | $102.81–$173.81 | — | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $143.25 | $191.00 | $102.81–$173.81 | — | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Whole Breast Screening US Left | $143.25 | $191.00 | $102.81–$173.81 | — | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 76641 BBUS US BREAST COMPLETE RIGHT | $628.50 | $838.00 | $102.81–$762.58 | — | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 76641 BBUS US BREAST COMPLETE LEFT | $628.50 | $838.00 | $102.81–$762.58 | — | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right PF | $117.00 | $156.00 | $85.49–$141.96 | 73% below | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left PF | $117.00 | $156.00 | $85.49–$141.96 | 73% below | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $309.75 | $413.00 | $85.49–$375.83 | 28% below | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $309.75 | $413.00 | $85.49–$375.83 | 28% below | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 76642 BBUS US BREAST LIMITED LEFT | $414.75 | $553.00 | $85.49–$503.23 | 4% below | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 76642 BBUS US BREAST LIMITED RIGHT | $414.75 | $553.00 | $85.49–$503.23 | 4% below | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left PF | $117.00 | $156.00 | $85.49–$141.96 | — | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right PF | $117.00 | $156.00 | $85.49–$141.96 | — | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $309.75 | $413.00 | $85.49–$375.83 | — | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $309.75 | $413.00 | $85.49–$375.83 | — | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 76642 BBUS US BREAST LIMITED RIGHT | $414.75 | $553.00 | $85.49–$503.23 | — | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 76642 BBUS US BREAST LIMITED LEFT | $414.75 | $553.00 | $85.49–$503.23 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiogram Chest w/ Contrast PE Study | $413.25 | $551.00 | $181.33–$501.41 | 83% below | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography Chest w/ + w/o Contrast | $2,798.25 | $3,731.00 | $181.33–$3,395.21 | 16% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiogram Chest w/ Contrast PE Study | $413.25 | $551.00 | $181.33–$501.41 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography Chest w/ + w/o Contrast | $2,798.25 | $3,731.00 | $181.33–$3,395.21 | — | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart Coronary Arteries | $773.25 | $1,031.00 | $334.10–$938.21 | 45% below | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart Coronary Arteries | $773.25 | $1,031.00 | $334.10–$938.21 | — | 25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Score Only | $212.25 | $283.00 | $89.96–$283.00 | 23% below | 25% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Score Only | $212.25 | $283.00 | $89.96–$283.00 | — | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $727.50 | $970.00 | $186.94–$882.70 | 64% below | 25% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $727.50 | $970.00 | $186.94–$882.70 | — | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/Contrast | $771.75 | $1,029.00 | $308.89–$936.39 | 73% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/Contrast | $771.75 | $1,029.00 | $308.89–$936.39 | — | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $822.75 | $1,097.00 | $347.73–$998.27 | 76% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $822.75 | $1,097.00 | $347.73–$998.27 | — | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $1,699.50 | $2,266.00 | $181.33–$2,062.06 | 20% below | 25% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $1,699.50 | $2,266.00 | $181.33–$2,062.06 | — | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $1,404.75 | $1,873.00 | $108.07–$1,704.43 | 1% below | 25% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $1,404.75 | $1,873.00 | $108.07–$1,704.43 | — | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Simple | $1,164.00 | $1,552.00 | $108.07–$1,412.32 | 13% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $1,164.00 | $1,552.00 | $108.07–$1,412.32 | 13% below | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $1,164.00 | $1,552.00 | $108.07–$1,412.32 | — | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus Simple | $1,164.00 | $1,552.00 | $108.07–$1,412.32 | — | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Contrast | $1,473.75 | $1,965.00 | $108.07–$1,788.15 | 6% above | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Contrast | $1,473.75 | $1,965.00 | $108.07–$1,788.15 | — | 25% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Contrast | $1,803.75 | $2,405.00 | $151.93–$2,188.55 | 16% above | 25% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w/ Contrast | $1,803.75 | $2,405.00 | $151.93–$2,188.55 | — | 25% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Contrast | $2,204.25 | $2,939.00 | $177.47–$2,674.49 | 21% above | 25% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w/ + w/o Contrast | $2,204.25 | $2,939.00 | $177.47–$2,674.49 | — | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $1,842.00 | $2,456.00 | $108.07–$2,234.96 | 24% above | 25% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $1,842.00 | $2,456.00 | $108.07–$2,234.96 | — | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $1,842.00 | $2,456.00 | $108.07–$2,234.96 | 24% above | 25% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $1,842.00 | $2,456.00 | $108.07–$2,234.96 | — | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,793.25 | $2,391.00 | $181.33–$2,175.81 | 16% below | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $1,793.25 | $2,391.00 | $181.33–$2,175.81 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $193.50 | $258.00 | $172.86–$269.57 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $193.50 | $258.00 | $172.86–$269.57 | — | 25% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Fluoroscopy | $107.25 | $143.00 | $33.94–$130.13 | 65% below | 25% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views PF | $107.25 | $143.00 | $33.94–$130.13 | 65% below | 25% |
| Chest X-ray, 2 views CPT 71046 Z-Chest XR 2 View | $213.75 | $285.00 | $33.94–$259.35 | 31% below | 25% |
| Chest X-ray, 2 views CPT 71046 SEDXR Chest 2 Vw | $248.25 | $331.00 | $33.94–$301.21 | 20% below | 25% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $248.25 | $331.00 | $33.94–$301.21 | 20% below | 25% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Obliques | $248.25 | $331.00 | $33.94–$301.21 | 20% below | 25% |
| Chest X-ray, 2 views CPT 71046 XR Chest Special Views | $248.25 | $331.00 | $33.94–$301.21 | 20% below | 25% |
| Chest X-ray, 2 views one side CPT 71046 XR Chest Decubitus Right | $248.25 | $331.00 | $33.94–$301.21 | 20% below | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views PF | $107.25 | $143.00 | $33.94–$130.13 | — | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views w/ Fluoroscopy | $107.25 | $143.00 | $33.94–$130.13 | — | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 Z-Chest XR 2 View | $213.75 | $285.00 | $33.94–$259.35 | — | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 SEDXR Chest 2 Vw | $248.25 | $331.00 | $33.94–$301.21 | — | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest Special Views | $248.25 | $331.00 | $33.94–$301.21 | — | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views w/ Obliques | $248.25 | $331.00 | $33.94–$301.21 | — | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $248.25 | $331.00 | $33.94–$301.21 | — | 25% |
| Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest Decubitus Right | $248.25 | $331.00 | $33.94–$301.21 | — | 25% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal | $75.00 | $100.00 | $25.98–$98.32 | 72% below | 25% |
| Chest X-ray, single view CPT 71045 Z-Chest XR 1 View | $125.25 | $167.00 | $25.98–$151.97 | 53% below | 25% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal | $75.00 | $100.00 | $25.98–$98.32 | — | 25% |
| Chest X-ray, single view inpatient CPT 71045 Z-Chest XR 1 View | $125.25 | $167.00 | $25.98–$151.97 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal | $302.25 | $403.00 | $108.07–$366.73 | 58% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $302.25 | $403.00 | $108.07–$366.73 | 58% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Aorta Ultrasound | $302.25 | $403.00 | $108.07–$366.73 | 58% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $302.25 | $403.00 | $108.07–$366.73 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal | $302.25 | $403.00 | $108.07–$366.73 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Aorta Ultrasound | $302.25 | $403.00 | $108.07–$366.73 | — | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA Bone Density Axial | $469.50 | $626.00 | $40.57–$569.66 | 15% below | 25% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD DEXA Bone Density Axial | $469.50 | $626.00 | $40.57–$569.66 | — | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD DEXA Bone Density Peripheral | $44.25 | $59.00 | $32.57–$98.32 | 92% below | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD DEXA Bone Density Peripheral | $44.25 | $59.00 | $32.57–$98.32 | — | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OBX EDUS Complete | $735.00 | $980.00 | $185.64–$891.80 | 35% below | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OBX EDUS Complete | $735.00 | $980.00 | $185.64–$891.80 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LosartanP Thorax w/o Contrast | $180.00 | $240.00 | $108.07–$240.00 | 88% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax High Resolution w/o Contrast | $320.25 | $427.00 | $108.07–$388.57 | 79% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast | $1,419.00 | $1,892.00 | $108.07–$1,721.72 | 6% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LosartanP Thorax w/o Contrast | $180.00 | $240.00 | $108.07–$240.00 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax High Resolution w/o Contrast | $320.25 | $427.00 | $108.07–$388.57 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast | $1,419.00 | $1,892.00 | $108.07–$1,721.72 | — | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast | $1,665.00 | $2,220.00 | $171.03–$2,020.20 | 11% below | 25% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast | $1,665.00 | $2,220.00 | $171.03–$2,020.20 | — | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammo 3D Diagnostic Bilat w/ CAD DBT PF | $131.25 | $175.00 | $117.25–$164.57 | — | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammo Diagnostic Bilat w/ CAD | $131.25 | $175.00 | $117.25–$164.57 | — | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammo 3D Diagnostic Bilat w/ CAD DBT | $450.75 | $601.00 | $114.52–$546.91 | — | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Mammo 3D Diagnostic Bilat w/ CAD DBT PF | $131.25 | $175.00 | $117.25–$164.57 | — | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Mammo Diagnostic Bilat w/ CAD | $131.25 | $175.00 | $117.25–$164.57 | — | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Mammo 3D Diagnostic Bilat w/ CAD DBT | $450.75 | $601.00 | $114.52–$546.91 | — | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammo 3D Diagnostic Left w/ CAD DBT PF | $75.75 | $101.00 | $67.67–$101.00 | 79% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammo 3D Diagnostic Right w/ CAD DBT PF | $75.75 | $101.00 | $67.67–$101.00 | 79% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammo Diagnostic Left w/ CAD PF | $75.75 | $101.00 | $67.67–$101.00 | 79% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammo Diagnostic Right w/ CAD | $75.75 | $101.00 | $67.67–$101.00 | 79% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammo Diagnostic Left w/ CAD | $364.50 | $486.00 | $89.32–$442.26 | at median | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammo 3D Diagnostic Left w/ CAD DBT | $364.50 | $486.00 | $89.32–$442.26 | at median | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammo 3D Diagnostic Right w/ CAD DBT | $364.50 | $486.00 | $89.32–$442.26 | at median | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammo Diagnostic Right w/ CAD | $75.75 | $101.00 | $67.67–$101.00 | — | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammo Diagnostic Left w/ CAD PF | $75.75 | $101.00 | $67.67–$101.00 | — | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammo 3D Diagnostic Left w/ CAD DBT PF | $75.75 | $101.00 | $67.67–$101.00 | — | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammo 3D Diagnostic Right w/ CAD DBT PF | $75.75 | $101.00 | $67.67–$101.00 | — | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammo 3D Diagnostic Left w/ CAD DBT | $364.50 | $486.00 | $89.32–$442.26 | — | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammo 3D Diagnostic Right w/ CAD DBT | $364.50 | $486.00 | $89.32–$442.26 | — | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammo Diagnostic Left w/ CAD | $364.50 | $486.00 | $89.32–$442.26 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral | $192.00 | $256.00 | $171.52–$269.57 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral | $192.00 | $256.00 | $171.52–$269.57 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral | $276.00 | $368.00 | $189.91–$334.88 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral | $276.00 | $368.00 | $189.91–$334.88 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 POCUS LE Venous Bilateral | $1,446.00 | $1,928.00 | $189.91–$1,754.48 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 POCUS UE Venous Bilateral | $1,446.00 | $1,928.00 | $189.91–$1,754.48 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral | $276.00 | $368.00 | $189.91–$334.88 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral | $276.00 | $368.00 | $189.91–$334.88 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 POCUS LE Venous Bilateral | $1,446.00 | $1,928.00 | $189.91–$1,754.48 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 POCUS UE Venous Bilateral | $1,446.00 | $1,928.00 | $189.91–$1,754.48 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 ECHO W/DOPPLER COLOR FLOW | $547.50 | $730.00 | $201.98–$664.30 | 75% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93303 Transthoracic echo component | $717.00 | $956.00 | $201.98–$869.96 | 68% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiograph Cmplt Bbl | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | 26% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY COMPLETE | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | 26% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiograph Cmplt | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | 26% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 Echocardiograph Complete Component | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | 26% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 ECHO W/DOPPLER COLOR FLOW | $547.50 | $730.00 | $201.98–$664.30 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93303 Transthoracic echo component | $717.00 | $956.00 | $201.98–$869.96 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 Echocardiograph Complete Component | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY COMPLETE | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiograph Cmplt | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiograph Cmplt Bbl | $2,787.75 | $3,717.00 | $201.98–$3,382.47 | — | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography Split Night W/CPAP | $3,693.00 | $4,924.00 | $731.08–$4,480.84 | at median | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography Split Night W/CPAP | $3,693.00 | $4,924.00 | $731.08–$4,480.84 | — | 25% |
| Knee X-ray, 3 views one side CPT 73562 SEDXR Knee 3 Views (Sunrise) Right | $541.50 | $722.00 | $43.74–$657.02 | 69% above | 25% |
| Knee X-ray, 3 views one side CPT 73562 SEDXR Knee 3 Views (Sunrise) Left | $541.50 | $722.00 | $43.74–$657.02 | 69% above | 25% |
| Knee X-ray, 3 views inpatient one side CPT 73562 SEDXR Knee 3 Views (Sunrise) Right | $541.50 | $722.00 | $43.74–$657.02 | — | 25% |
| Knee X-ray, 3 views inpatient one side CPT 73562 SEDXR Knee 3 Views (Sunrise) Left | $541.50 | $722.00 | $43.74–$657.02 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $231.00 | $308.00 | $88.49–$280.28 | 60% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 ECHO EXAM OF ABDOMEN | $234.75 | $313.00 | $88.49–$284.83 | 60% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 POCUS Abdomen Limited | $442.50 | $590.00 | $88.49–$536.90 | 24% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM ABDOMEN LTD ED NSG | $458.25 | $611.00 | $88.49–$556.01 | 21% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $231.00 | $308.00 | $88.49–$280.28 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 ECHO EXAM OF ABDOMEN | $234.75 | $313.00 | $88.49–$284.83 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 POCUS Abdomen Limited | $442.50 | $590.00 | $88.49–$536.90 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM ABDOMEN LTD ED NSG | $458.25 | $611.00 | $88.49–$556.01 | — | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Screening Lung Scan | $129.75 | $173.00 | $108.07–$157.43 | 58% below | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Screening Lung Scan | $129.75 | $173.00 | $108.07–$157.43 | — | 25% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/+w/o Contr Bilat CAD PF | $233.25 | $311.00 | $208.37–$311.00 | — | 25% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilat CAD | $1,488.75 | $1,985.00 | $348.90–$1,806.35 | — | 25% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/+w/o Contr Bilat CAD PF | $233.25 | $311.00 | $208.37–$311.00 | — | 25% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilat CAD | $1,488.75 | $1,985.00 | $348.90–$1,806.35 | — | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Enterography Abdomen w/ w/o Contrast | $1,730.25 | $2,307.00 | $345.22–$2,099.37 | 47% below | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP Abdomen w/ + w/o Contrast | $2,420.25 | $3,227.00 | $345.22–$2,936.57 | 25% below | 25% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Enterography Abdomen w/ w/o Contrast | $1,730.25 | $2,307.00 | $345.22–$2,099.37 | — | 25% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI MRCP Abdomen w/ + w/o Contrast | $2,420.25 | $3,227.00 | $345.22–$2,936.57 | — | 25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Enterography Pelvis w/ w/o Contrast | $1,711.50 | $2,282.00 | $343.48–$2,076.62 | 53% below | 25% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Enterography Pelvis w/ w/o Contrast | $1,711.50 | $2,282.00 | $343.48–$2,076.62 | — | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452 HEART MUSCLE IMAGE SPECT MULTI | $1,173.00 | $1,564.00 | $442.25–$1,462.66 | 80% below | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion w/ Pharm Stress | $3,077.25 | $4,103.00 | $442.25–$3,733.73 | 49% below | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion w/ Ergometer | $3,077.25 | $4,103.00 | $442.25–$3,733.73 | 49% below | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452 HEART MUSCLE IMAGE SPECT MULTI | $1,173.00 | $1,564.00 | $442.25–$1,462.66 | — | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion w/ Pharm Stress | $3,077.25 | $4,103.00 | $442.25–$3,733.73 | — | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion w/ Ergometer | $3,077.25 | $4,103.00 | $442.25–$3,733.73 | — | 25% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT Axumin Skull Base to Mid-Thigh | $5,243.25 | $6,991.00 | $1,478.26–$6,361.81 | 27% below | 25% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT Axumin Skull Base to Mid-Thigh | $5,243.25 | $6,991.00 | $1,478.26–$6,361.81 | — | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US EXAM PELVIC LIMITED | $120.75 | $161.00 | $52.08–$146.51 | 76% below | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OB Limited | $189.00 | $252.00 | $52.08–$229.32 | 63% below | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US EXAM PELVIC LIMITED | $120.75 | $161.00 | $52.08–$146.51 | — | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non-OB Limited | $189.00 | $252.00 | $52.08–$229.32 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Complete | $237.75 | $317.00 | $108.07–$288.47 | 66% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB Complete | $237.75 | $317.00 | $108.07–$288.47 | — | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester | $396.00 | $528.00 | $108.07–$480.48 | 54% below | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBX EDUS Greater Than 14 Weeks | $677.25 | $903.00 | $108.07–$821.73 | 21% below | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester | $396.00 | $528.00 | $108.07–$480.48 | — | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OBX EDUS Greater Than 14 Weeks | $677.25 | $903.00 | $108.07–$821.73 | — | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester | $396.00 | $528.00 | $108.07–$480.48 | 40% below | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OBX EDUS Less Than 14 Weeks | $726.75 | $969.00 | $108.07–$881.79 | 10% above | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester | $396.00 | $528.00 | $108.07–$480.48 | — | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OBX EDUS Less Than 14 Weeks | $726.75 | $969.00 | $108.07–$881.79 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Uterus Limited 1/> Fetus PF | $236.25 | $315.00 | $83.45–$286.65 | 45% below | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 POCUS Pregnancy Limited | $402.75 | $537.00 | $83.45–$488.67 | 7% below | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Bedside US Pregnancy Limited 1/> Fetus NSG | $402.75 | $537.00 | $83.45–$488.67 | 7% below | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited 1/> Fetus | $402.75 | $537.00 | $83.45–$488.67 | 7% below | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBX EDUS Limited 1/> Fetus | $402.75 | $537.00 | $83.45–$488.67 | 7% below | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Uterus Limited 1/> Fetus PF | $236.25 | $315.00 | $83.45–$286.65 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited 1/> Fetus | $402.75 | $537.00 | $83.45–$488.67 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OBX EDUS Limited 1/> Fetus | $402.75 | $537.00 | $83.45–$488.67 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Bedside US Pregnancy Limited 1/> Fetus NSG | $402.75 | $537.00 | $83.45–$488.67 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 POCUS Pregnancy Limited | $402.75 | $537.00 | $83.45–$488.67 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 MA Mammo Screen Bilat w/ CAD PF | $106.50 | $142.00 | $95.14–$132.58 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 MA Mammo 3D Screen Bilat w/ CAD DBT PF | $106.50 | $142.00 | $95.14–$132.58 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 Mammo 3D Screen Bilat w/ CAD DBT PF | $106.50 | $142.00 | $95.14–$132.58 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 Mammo Screen Bilat w/ CAD | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 MA Mammo 3D Screen Bilat w/ CAD DBT | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 MA Mammo Screen Bilat w/ CAD | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 Mammo 3D Screen Bilat w/ CAD DBT | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA Mammo Screen Bilat w/ CAD PF | $106.50 | $142.00 | $95.14–$132.58 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA Mammo 3D Screen Bilat w/ CAD DBT PF | $106.50 | $142.00 | $95.14–$132.58 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo 3D Screen Bilat w/ CAD DBT PF | $106.50 | $142.00 | $95.14–$132.58 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo 3D Screen Bilat w/ CAD DBT | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA Mammo 3D Screen Bilat w/ CAD DBT | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo Screen Bilat w/ CAD | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA Mammo Screen Bilat w/ CAD | $419.25 | $559.00 | $94.53–$508.69 | — | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Left | $86.25 | $115.00 | $36.77–$104.65 | 71% below | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Right | $86.25 | $115.00 | $36.77–$104.65 | 71% below | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SEDXR Shoulder Complete Left | $287.25 | $383.00 | $36.77–$348.53 | 5% below | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SEDXR Shoulder Complete Right | $287.25 | $383.00 | $36.77–$348.53 | 5% below | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Right | $86.25 | $115.00 | $36.77–$104.65 | — | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Left | $86.25 | $115.00 | $36.77–$104.65 | — | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SEDXR Shoulder Complete Right | $287.25 | $383.00 | $36.77–$348.53 | — | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SEDXR Shoulder Complete Left | $287.25 | $383.00 | $36.77–$348.53 | — | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography Baseline | $3,693.00 | $4,924.00 | $695.92–$4,480.84 | 16% above | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography Baseline | $3,693.00 | $4,924.00 | $695.92–$4,480.84 | — | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Video | $247.50 | $330.00 | $124.13–$300.30 | 67% below | 25% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Video | $247.50 | $330.00 | $124.13–$300.30 | — | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $286.50 | $382.00 | $108.07–$347.62 | 55% below | 25% |
| Transvaginal pelvic ultrasound CPT 76830 Bedside US Transvaginal 76830 | $504.00 | $672.00 | $108.07–$611.52 | 21% below | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $286.50 | $382.00 | $108.07–$347.62 | — | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Bedside US Transvaginal 76830 | $504.00 | $672.00 | $108.07–$611.52 | — | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal | $290.25 | $387.00 | $95.12–$352.17 | 52% below | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 OBX EDUS Endovaginal Scan | $477.00 | $636.00 | $95.12–$578.76 | 22% below | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 Bedside US Pregnancy Transvaginal 76817 | $477.00 | $636.00 | $95.12–$578.76 | 22% below | 25% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal | $290.25 | $387.00 | $95.12–$352.17 | — | 25% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Bedside US Pregnancy Transvaginal 76817 | $477.00 | $636.00 | $95.12–$578.76 | — | 25% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 OBX EDUS Endovaginal Scan | $477.00 | $636.00 | $95.12–$578.76 | — | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $319.50 | $426.00 | $108.07–$387.66 | 56% below | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $319.50 | $426.00 | $108.07–$387.66 | — | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) | $240.75 | $321.00 | $101.22–$292.11 | 64% below | 25% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) | $240.75 | $321.00 | $101.22–$292.11 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Non Breast | $210.00 | $280.00 | $108.07–$254.80 | 67% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $210.00 | $280.00 | $108.07–$254.80 | 67% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 US EXAM OF HEAD AND NECK | $295.50 | $394.00 | $108.07–$358.54 | 54% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $210.00 | $280.00 | $108.07–$254.80 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Non Breast | $210.00 | $280.00 | $108.07–$254.80 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 US EXAM OF HEAD AND NECK | $295.50 | $394.00 | $108.07–$358.54 | — | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $308.25 | $411.00 | $125.33–$374.01 | 68% below | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $308.25 | $411.00 | $125.33–$374.01 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 POCUS Venous Extremity | $964.50 | $1,286.00 | $108.07–$1,170.26 | 75% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left | $165.75 | $221.00 | $108.07–$201.11 | 70% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left | $165.75 | $221.00 | $108.07–$201.11 | 70% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right | $165.75 | $221.00 | $108.07–$201.11 | 70% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right | $165.75 | $221.00 | $108.07–$201.11 | 70% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 POCUS LE Venous Right | $964.50 | $1,286.00 | $108.07–$1,170.26 | 75% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 POCUS UE Venous Right | $964.50 | $1,286.00 | $108.07–$1,170.26 | 75% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 POCUS UE Venous Left | $964.50 | $1,286.00 | $108.07–$1,170.26 | 75% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 POCUS LE Venous Left | $964.50 | $1,286.00 | $108.07–$1,170.26 | 75% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 POCUS Venous Extremity | $964.50 | $1,286.00 | $108.07–$1,170.26 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right | $165.75 | $221.00 | $108.07–$201.11 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left | $165.75 | $221.00 | $108.07–$201.11 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right | $165.75 | $221.00 | $108.07–$201.11 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left | $165.75 | $221.00 | $108.07–$201.11 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 POCUS UE Venous Left | $964.50 | $1,286.00 | $108.07–$1,170.26 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 POCUS LE Venous Right | $964.50 | $1,286.00 | $108.07–$1,170.26 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 POCUS UE Venous Right | $964.50 | $1,286.00 | $108.07–$1,170.26 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 POCUS LE Venous Left | $964.50 | $1,286.00 | $108.07–$1,170.26 | — | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Right | $84.75 | $113.00 | $44.11–$102.83 | 72% below | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Left | $84.75 | $113.00 | $44.11–$102.83 | 72% below | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 SEDXR Wrist Complete Left | $248.25 | $331.00 | $44.11–$301.21 | 18% below | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 SEDXR Wrist Complete Right | $248.25 | $331.00 | $44.11–$301.21 | 18% below | 25% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Right | $84.75 | $113.00 | $44.11–$102.83 | — | 25% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Left | $84.75 | $113.00 | $44.11–$102.83 | — | 25% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 SEDXR Wrist Complete Right | $248.25 | $331.00 | $44.11–$301.21 | — | 25% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 SEDXR Wrist Complete Left | $248.25 | $331.00 | $44.11–$301.21 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Unilat 2 or 3 View Right | $92.25 | $123.00 | $50.30–$111.93 | 77% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Unilat 2 or 3 View Left | $92.25 | $123.00 | $50.30–$111.93 | 77% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 SEDXR Hip Unilat 2 or 3 View Right | $278.25 | $371.00 | $50.30–$337.61 | 29% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 SEDXR Hip Unilat 2 or 3 View Left | $278.25 | $371.00 | $50.30–$337.61 | 29% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Unilat 2 or 3 View Right | $92.25 | $123.00 | $50.30–$111.93 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Unilat 2 or 3 View Left | $92.25 | $123.00 | $50.30–$111.93 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 SEDXR Hip Unilat 2 or 3 View Right | $278.25 | $371.00 | $50.30–$337.61 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 SEDXR Hip Unilat 2 or 3 View Left | $278.25 | $371.00 | $50.30–$337.61 | — | 25% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP | $74.25 | $99.00 | $30.51–$98.32 | 74% below | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP | $74.25 | $99.00 | $30.51–$98.32 | — | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $75.00 | $100.00 | $33.33–$98.32 | 75% below | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $75.00 | $100.00 | $33.33–$98.32 | 75% below | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 1 View Right | $306.75 | $409.00 | $33.33–$372.19 | 2% above | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 SEDXR Ankle 2 Views Left | $306.75 | $409.00 | $33.33–$372.19 | 2% above | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 1 View Left | $306.75 | $409.00 | $33.33–$372.19 | 2% above | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 SEDXR Ankle 2 Views Right | $306.75 | $409.00 | $33.33–$372.19 | 2% above | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $75.00 | $100.00 | $33.33–$98.32 | — | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $75.00 | $100.00 | $33.33–$98.32 | — | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 SEDXR Ankle 2 Views Left | $306.75 | $409.00 | $33.33–$372.19 | — | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 1 View Left | $306.75 | $409.00 | $33.33–$372.19 | — | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 1 View Right | $306.75 | $409.00 | $33.33–$372.19 | — | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 SEDXR Ankle 2 Views Right | $306.75 | $409.00 | $33.33–$372.19 | — | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Thumb Right | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Thumb Left | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 5th Digit Right | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 5th Digit Left | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 4th Digit Right | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 4th Digit Left | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 3rd Digit Right | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 3rd Digit Left | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2nd Digit Right | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2nd Digit Left | $66.75 | $89.00 | $40.69–$98.32 | 76% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 5th Digit Right | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Thumb Right | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Thumb Left | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 5th Digit Left | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 4th Digit Right | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 4th Digit Left | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 3rd Digit Right | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 3rd Digit Left | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 2nd Digit Right | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 SEDXR Finger 2nd Digit Left | $193.50 | $258.00 | $40.69–$234.78 | 31% below | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 3rd Digit Right | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Thumb Right | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Thumb Left | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 5th Digit Right | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 5th Digit Left | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 4th Digit Right | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 4th Digit Left | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2nd Digit Left | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2nd Digit Right | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 3rd Digit Left | $66.75 | $89.00 | $40.69–$98.32 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Thumb Left | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 3rd Digit Right | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 4th Digit Left | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 4th Digit Right | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 5th Digit Left | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Thumb Right | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 5th Digit Right | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 2nd Digit Left | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 2nd Digit Right | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 SEDXR Finger 3rd Digit Left | $193.50 | $258.00 | $40.69–$234.78 | — | 25% |
| X-ray of the foot, 2 views one side CPT 73620 SEDXR Foot 2 Views Left | $465.75 | $621.00 | $29.50–$565.11 | 62% above | 25% |
| X-ray of the foot, 2 views one side CPT 73620 SEDXR Foot 2 Views Right | $465.75 | $621.00 | $29.50–$565.11 | 62% above | 25% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 SEDXR Foot 2 Views Right | $465.75 | $621.00 | $29.50–$565.11 | — | 25% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 SEDXR Foot 2 Views Left | $465.75 | $621.00 | $29.50–$565.11 | — | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Left | $90.75 | $121.00 | $35.05–$110.11 | 70% below | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Right | $90.75 | $121.00 | $35.05–$110.11 | 70% below | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 SEDXR Foot Complete Left | $258.00 | $344.00 | $35.05–$313.04 | 14% below | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 SEDXR Foot Complete Right | $258.00 | $344.00 | $35.05–$313.04 | 14% below | 25% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Right | $90.75 | $121.00 | $35.05–$110.11 | — | 25% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Left | $90.75 | $121.00 | $35.05–$110.11 | — | 25% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 SEDXR Foot Complete Right | $258.00 | $344.00 | $35.05–$313.04 | — | 25% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 SEDXR Foot Complete Left | $258.00 | $344.00 | $35.05–$313.04 | — | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Right | $81.75 | $109.00 | $39.23–$99.19 | 73% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Left | $81.75 | $109.00 | $39.23–$99.19 | 73% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 SEDXR Hand Complete Left | $255.75 | $341.00 | $39.23–$310.31 | 15% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 SEDXR Hand Complete Right | $255.75 | $341.00 | $39.23–$310.31 | 15% below | 25% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Left | $81.75 | $109.00 | $39.23–$99.19 | — | 25% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Right | $81.75 | $109.00 | $39.23–$99.19 | — | 25% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 SEDXR Hand Complete Left | $255.75 | $341.00 | $39.23–$310.31 | — | 25% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 SEDXR Hand Complete Right | $255.75 | $341.00 | $39.23–$310.31 | — | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $72.00 | $96.00 | $35.42–$98.32 | 76% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $72.00 | $96.00 | $35.42–$98.32 | 76% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 SEDXR Knee 1 or 2 Views Right | $206.25 | $275.00 | $35.42–$250.25 | 32% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 SEDXR Knee 1 or 2 Views Left | $206.25 | $275.00 | $35.42–$250.25 | 32% below | 25% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $72.00 | $96.00 | $35.42–$98.32 | — | 25% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $72.00 | $96.00 | $35.42–$98.32 | — | 25% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 SEDXR Knee 1 or 2 Views Left | $206.25 | $275.00 | $35.42–$250.25 | — | 25% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 SEDXR Knee 1 or 2 Views Right | $206.25 | $275.00 | $35.42–$250.25 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $105.75 | $141.00 | $41.60–$128.31 | 72% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SEDXR Spine Lumbosacral 2 or 3 Views | $330.00 | $440.00 | $41.60–$400.40 | 14% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $105.75 | $141.00 | $41.60–$128.31 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SEDXR Spine Lumbosacral 2 or 3 Views | $330.00 | $440.00 | $41.60–$400.40 | — | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 Views | $146.25 | $195.00 | $55.02–$177.45 | 71% below | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SEDXR Spine Lumbar AP/LAT/FLEX/EXT | $486.00 | $648.00 | $55.02–$589.68 | 4% below | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 Views | $146.25 | $195.00 | $55.02–$177.45 | — | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SEDXR Spine Lumbar AP/LAT/FLEX/EXT | $486.00 | $648.00 | $55.02–$589.68 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SEDXR Spine Thoracic 2 Views | $309.75 | $413.00 | $33.96–$375.83 | 4% below | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $309.75 | $413.00 | $33.96–$375.83 | 4% below | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SEDXR Spine Thoracic 2 Views | $309.75 | $413.00 | $33.96–$375.83 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $309.75 | $413.00 | $33.96–$375.83 | — | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Minimum 3 Views | $81.00 | $108.00 | $38.53–$98.32 | 75% below | 25% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Minimum 3 Views | $81.00 | $108.00 | $38.53–$98.32 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $102.00 | $136.00 | $40.91–$123.76 | 72% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SEDXR Spine Cervical 2 or 3 Views | $286.50 | $382.00 | $40.91–$347.62 | 21% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $102.00 | $136.00 | $40.91–$123.76 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SEDXR Spine Cervical 2 or 3 Views | $286.50 | $382.00 | $40.91–$347.62 | — | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $86.25 | $115.00 | $28.78–$118.11 | 71% below | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 SEDXR Pelvis 1 or 2 Views | $257.25 | $343.00 | $28.78–$312.13 | 15% below | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $86.25 | $115.00 | $28.78–$118.11 | — | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 SEDXR Pelvis 1 or 2 Views | $257.25 | $343.00 | $28.78–$312.13 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx Minimum 2 Views | $108.75 | $145.00 | $32.96–$131.95 | 65% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SEDXR Sacrum/Coccyx Minimum 2 Views | $266.25 | $355.00 | $32.96–$323.05 | 13% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx Minimum 2 Views | $108.75 | $145.00 | $32.96–$131.95 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SEDXR Sacrum/Coccyx Minimum 2 Views | $266.25 | $355.00 | $32.96–$323.05 | — | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 FibroMeter Alanine Aminotransferase-ARUP | $45.00 | $60.00 | $4.70–$54.60 | 47% below | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $49.50 | $66.00 | $4.70–$60.06 | 42% below | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT for Exposure Panel | $49.50 | $66.00 | $4.70–$60.06 | 42% below | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FibroMeter Alanine Aminotransferase-ARUP | $45.00 | $60.00 | $4.70–$54.60 | — | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT for Exposure Panel | $49.50 | $66.00 | $4.70–$60.06 | — | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $49.50 | $66.00 | $4.70–$60.06 | — | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FibroMeter Aspartate Aminotransferase-ARUP | $45.00 | $60.00 | $4.59–$54.60 | 27% below | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $48.75 | $65.00 | $4.59–$59.15 | 21% below | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FibroMeter Aspartate Aminotransferase-ARUP | $45.00 | $60.00 | $4.59–$54.60 | — | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $48.75 | $65.00 | $4.59–$59.15 | — | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel | $103.50 | $138.00 | $42.24–$125.58 | 78% below | 25% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel | $103.50 | $138.00 | $42.24–$125.58 | — | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A alternata IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Epithelium IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Elm Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Olive Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 German Cockroach IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A fumigatus IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common/Short Ragweed IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D pteronyssinus IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 P notatum IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D farinae IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pigweed IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mugwort IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Mulberry IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hormodendrum IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alder Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Box Elder/Maple IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M racemosus IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | 80% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Oat-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Egg Yolk-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Codfish-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Chicken-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Rice-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Carrot-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Lettuce-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Pork-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Potato-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Bakers Yeast-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Malt-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Beef-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Chocolate-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Barley-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Rye-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Shrimp-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Clam-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Bell Pepper-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Cabbage-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Crab-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Navy Bean-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tuna-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Cashew | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Cat | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Dog Dander | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Walnut | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Allergen-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Scallop-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grape-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Crab Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lobster Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Halibut Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmon Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Coffee | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Almond | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bakers Yeast Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chocolate Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coconut (F36) IgE | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lemon Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orange Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tomato Allergen | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Chicken | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Egg | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Honeybee Venom | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mango | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Milk (Cow) | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Paper Wasp | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Peanut | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Soybean | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Turkey Meat | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Wheat | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, White-faced Hornet | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Yellow Jacket Venom | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Yellow-faced Hornet | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Egg White-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Milk-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Wheat-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Corn-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Peanut-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tomato-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Apple-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Soybean-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Orange-ARUP | $17.25 | $23.00 | $4.63–$20.93 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Latex | $50.25 | $67.00 | $4.63–$60.97 | 11% above | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D pteronyssinus IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P notatum IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A fumigatus IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common/Short Ragweed IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 German Cockroach IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Olive Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hormodendrum IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Epithelium IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A alternata IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M racemosus IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Box Elder/Maple IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alder Tree IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Mulberry IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwort IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrel IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pigweed IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D farinae IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass IgE-ARUP | $9.00 | $12.00 | $4.63–$10.92 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Bell Pepper-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Scallop-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Allergen-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Walnut | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Dog Dander | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Cat | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Cashew | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tuna-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Navy Bean-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grape-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Crab-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Cabbage-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Clam-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Shrimp-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Rye-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Barley-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Chocolate-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Beef-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Malt-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Bakers Yeast-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Potato-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Pork-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Lettuce-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Carrot-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Rice-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Chicken-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Codfish-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Egg Yolk-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Oat-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Orange-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Soybean-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Apple-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tomato-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Peanut-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Corn-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Wheat-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Milk-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Egg White-ARUP | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Yellow-faced Hornet | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Yellow Jacket Venom | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, White-faced Hornet | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Wheat | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Turkey Meat | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Soybean | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Peanut | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Paper Wasp | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Milk (Cow) | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mango | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Honeybee Venom | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Egg | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Chicken | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orange Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lemon Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Yolk Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut (F36) IgE | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chocolate Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bakers Yeast Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Almond | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Coffee | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Halibut Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab Allergen | $17.25 | $23.00 | $4.63–$20.93 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Latex | $50.25 | $67.00 | $4.63–$60.97 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG and IgA-ARUP | $31.50 | $42.00 | $11.48–$38.22 | 75% below | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Antibody, IgG | $75.00 | $100.00 | $11.48–$91.00 | 41% below | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IgG and IgA-ARUP | $31.50 | $42.00 | $11.48–$38.22 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Antibody, IgG | $75.00 | $100.00 | $11.48–$91.00 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBrain Natriuretic Peptide-ARUP | $138.00 | $184.00 | $34.82–$167.44 | 59% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $140.25 | $187.00 | $34.82–$170.17 | 58% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBrain Natriuretic Peptide-ARUP | $138.00 | $184.00 | $34.82–$167.44 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $140.25 | $187.00 | $34.82–$170.17 | — | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Profile-Shaw Only | $75.75 | $101.00 | $7.50–$91.91 | 56% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $165.00 | $220.00 | $7.50–$200.20 | 4% below | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Profile-Shaw Only | $75.75 | $101.00 | $7.50–$91.91 | — | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $165.00 | $220.00 | $7.50–$200.20 | — | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 AP Tissue G M Level IV | $226.50 | $302.00 | $53.87–$274.82 | 59% below | 25% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 AP Tissue G M Level IV | $226.50 | $302.00 | $53.87–$274.82 | — | 25% |
| Blood culture for bacteria CPT 87040 Blood Culture | $144.00 | $192.00 | $9.15–$174.72 | 48% below | 25% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $144.00 | $192.00 | $9.15–$174.72 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 VENIPUNCTURE | $23.25 | $31.00 | $9.15–$28.21 | 31% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 WC Venipuncture | $27.00 | $36.00 | $9.15–$32.76 | 20% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Z-Lab Draw | $27.00 | $36.00 | $9.15–$32.76 | 20% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Research Venipuncture | $31.50 | $42.00 | $9.15–$38.22 | 6% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE MED ONC | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture (RC) | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ED NSG | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venous Blood Draw | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Charge VHH | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 SAH - VENIPUNCTURE | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SAH - VENIPUNCTURE RN | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Draw Only VHH | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Charge Special Kits | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venous puncture - Comp Procedures | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE DRAW | $37.50 | $50.00 | $9.15–$45.50 | 12% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 VENIPUNCTURE | $23.25 | $31.00 | $9.15–$28.21 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 WC Venipuncture | $27.00 | $36.00 | $9.15–$32.76 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Z-Lab Draw | $27.00 | $36.00 | $9.15–$32.76 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Research Venipuncture | $31.50 | $42.00 | $9.15–$38.22 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ED NSG | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Draw Only VHH | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Charge Special Kits | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 SAH - VENIPUNCTURE | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SAH - VENIPUNCTURE RN | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE MED ONC | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Venous Blood Draw | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture (RC) | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE DRAW | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Charge VHH | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venous puncture - Comp Procedures | $37.50 | $50.00 | $9.15–$45.50 | — | 25% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $66.75 | $89.00 | $3.49–$80.99 | 7% below | 25% |
| Blood glucose (sugar) test CPT 82947 POC Glucose | $66.75 | $89.00 | $3.49–$80.99 | 7% below | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $66.75 | $89.00 | $3.49–$80.99 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 POC Glucose | $66.75 | $89.00 | $3.49–$80.99 | — | 25% |
| Blood lead test CPT 83655 Lead Blood-ARUP | $14.25 | $19.00 | $10.74–$17.29 | 87% below | 25% |
| Blood lead test CPT 83655 Lead U-ARUP | $31.50 | $42.00 | $10.74–$38.22 | 72% below | 25% |
| Blood lead test CPT 83655 Lead Level-ARUP | $31.50 | $42.00 | $10.74–$38.22 | 72% below | 25% |
| Blood lead test CPT 83655 Lead w/Creatinine Urine | $31.50 | $42.00 | $10.74–$38.22 | 72% below | 25% |
| Blood lead test CPT 83655 Lead, Whole Blood Capillary | $96.75 | $129.00 | $10.74–$117.39 | 13% below | 25% |
| Blood lead test CPT 83655 Lead Level Venous | $96.75 | $129.00 | $10.74–$117.39 | 13% below | 25% |
| Blood lead test inpatient CPT 83655 Lead Blood-ARUP | $14.25 | $19.00 | $10.74–$17.29 | — | 25% |
| Blood lead test inpatient CPT 83655 Lead w/Creatinine Urine | $31.50 | $42.00 | $10.74–$38.22 | — | 25% |
| Blood lead test inpatient CPT 83655 Lead Level-ARUP | $31.50 | $42.00 | $10.74–$38.22 | — | 25% |
| Blood lead test inpatient CPT 83655 Lead U-ARUP | $31.50 | $42.00 | $10.74–$38.22 | — | 25% |
| Blood lead test inpatient CPT 83655 Lead Level Venous | $96.75 | $129.00 | $10.74–$117.39 | — | 25% |
| Blood lead test inpatient CPT 83655 Lead, Whole Blood Capillary | $96.75 | $129.00 | $10.74–$117.39 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC URINE PREG TEST QUAL (6229) URG | $65.25 | $87.00 | $6.67–$79.17 | 58% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC Urine Preg Test Qualitative NSG | $68.25 | $91.00 | $6.67–$82.81 | 56% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Human Chorionic Gonadotropin Qualitative Urine | $69.75 | $93.00 | $6.67–$84.63 | 55% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC Urine Preg Test Qualitative-BH ONLY | $69.75 | $93.00 | $6.67–$84.63 | 55% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qualitative (Rapid) | $69.75 | $93.00 | $6.67–$84.63 | 55% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC URINE PREG TEST QUAL (6229) URG | $65.25 | $87.00 | $6.67–$79.17 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC Urine Preg Test Qualitative NSG | $68.25 | $91.00 | $6.67–$82.81 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta Human Chorionic Gonadotropin Qualitative Urine | $69.75 | $93.00 | $6.67–$84.63 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qualitative (Rapid) | $69.75 | $93.00 | $6.67–$84.63 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC Urine Preg Test Qualitative-BH ONLY | $69.75 | $93.00 | $6.67–$84.63 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Vitalant ABO Grouping | $51.75 | $69.00 | $2.93–$150.31 | 52% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Newborn | $57.00 | $76.00 | $2.93–$150.31 | 47% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Anti-A | $105.75 | $141.00 | $2.93–$150.31 | 2% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Type | $105.75 | $141.00 | $2.93–$150.31 | 2% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Cord Blood Interp | $105.75 | $141.00 | $2.93–$150.31 | 2% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Vitalant ABO Grouping | $51.75 | $69.00 | $2.93–$150.31 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Newborn | $57.00 | $76.00 | $2.93–$150.31 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Type | $105.75 | $141.00 | $2.93–$150.31 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Cord Blood Interp | $105.75 | $141.00 | $2.93–$150.31 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Anti-A | $105.75 | $141.00 | $2.93–$150.31 | — | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein, Inflammatory | $108.75 | $145.00 | $4.59–$131.95 | 12% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein, Inflammatory | $108.75 | $145.00 | $4.59–$131.95 | — | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen 19-9 | $186.00 | $248.00 | $18.45–$225.68 | 11% below | 25% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen 19-9 | $186.00 | $248.00 | $18.45–$225.68 | — | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $186.00 | $248.00 | $18.45–$225.68 | 11% below | 25% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $186.00 | $248.00 | $18.45–$225.68 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus SARS-CoV-2 (ARUP) | $125.25 | $167.00 | $45.50–$151.97 | 1% below | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV-2 Detectachem | $145.50 | $194.00 | $45.50–$176.54 | 15% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 POC SARS CoV-2 (Liat) | $149.25 | $199.00 | $45.50–$181.09 | 18% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (SARS CoV-2) Cepheid | $149.25 | $199.00 | $45.50–$181.09 | 18% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 Novel Coronavirus SARS-CoV-2 (ARUP) | $125.25 | $167.00 | $45.50–$151.97 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV-2 Detectachem | $145.50 | $194.00 | $45.50–$176.54 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 Novel Coronavirus (SARS CoV-2) Cepheid | $149.25 | $199.00 | $45.50–$181.09 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 POC SARS CoV-2 (Liat) | $149.25 | $199.00 | $45.50–$181.09 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Amplified-ARUP | $69.00 | $92.00 | $31.12–$83.72 | 77% below | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Amplified-ARUP | $69.00 | $92.00 | $31.12–$83.72 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Total Cholesterol-ARUP | $45.00 | $60.00 | $11.87–$54.60 | 65% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Measured LDL | $88.50 | $118.00 | $11.87–$107.38 | 31% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel, Extended Send Out | $96.00 | $128.00 | $11.87–$116.48 | 25% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Total Cholesterol-ARUP | $45.00 | $60.00 | $11.87–$54.60 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Measured LDL | $88.50 | $118.00 | $11.87–$107.38 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel, Extended Send Out | $96.00 | $128.00 | $11.87–$116.48 | — | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $129.00 | $172.00 | $6.89–$156.52 | 61% above | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $129.00 | $172.00 | $6.89–$156.52 | — | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Profile-Shaw | $102.00 | $136.00 | $9.36–$123.76 | 50% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 POC Comprehensive Metabolic Profile | $251.25 | $335.00 | $9.36–$304.85 | 22% above | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $276.00 | $368.00 | $9.36–$334.88 | 34% above | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Profile-Shaw | $102.00 | $136.00 | $9.36–$123.76 | — | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 POC Comprehensive Metabolic Profile | $251.25 | $335.00 | $9.36–$304.85 | — | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $276.00 | $368.00 | $9.36–$334.88 | — | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quantitative | $154.50 | $206.00 | $9.03–$187.46 | 15% below | 25% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quantitative | $154.50 | $206.00 | $9.03–$187.46 | — | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate Level | $133.50 | $178.00 | $19.71–$161.98 | 40% below | 25% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate Level | $133.50 | $178.00 | $19.71–$161.98 | — | 25% |
| Estradiol blood test CPT 82670 Estradiol Free | $244.50 | $326.00 | $24.78–$296.66 | 12% below | 25% |
| Estradiol blood test CPT 82670 Estradiol, Men, Child, Postmen Women | $255.75 | $341.00 | $24.78–$310.31 | 8% below | 25% |
| Estradiol blood test CPT 82670 Estradiol Level | $255.75 | $341.00 | $24.78–$310.31 | 8% below | 25% |
| Estradiol blood test inpatient CPT 82670 Estradiol Free | $244.50 | $326.00 | $24.78–$296.66 | — | 25% |
| Estradiol blood test inpatient CPT 82670 Estradiol, Men, Child, Postmen Women | $255.75 | $341.00 | $24.78–$310.31 | — | 25% |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $255.75 | $341.00 | $24.78–$310.31 | — | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level | $188.25 | $251.00 | $16.48–$228.41 | 1% above | 25% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Level | $188.25 | $251.00 | $16.48–$228.41 | — | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $194.25 | $259.00 | $17.41–$235.69 | 23% below | 25% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal | $194.25 | $259.00 | $17.41–$235.69 | — | 25% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $138.00 | $184.00 | $12.09–$167.44 | 1% above | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $138.00 | $184.00 | $12.09–$167.44 | — | 25% |
| Folate (folic acid) blood test CPT 82746 Folate Level Send Out | $83.25 | $111.00 | $13.04–$101.01 | 43% below | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level Send Out | $83.25 | $111.00 | $13.04–$101.01 | — | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $120.75 | $161.00 | $15.02–$146.51 | 29% below | 25% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 Free | $120.75 | $161.00 | $15.02–$146.51 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free-ARUP | $101.25 | $135.00 | $8.00–$122.85 | 2% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free | $101.25 | $135.00 | $8.00–$122.85 | 2% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free by Equilibrium Dialysis | $107.25 | $143.00 | $8.00–$130.13 | 4% above | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free | $101.25 | $135.00 | $8.00–$122.85 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free-ARUP | $101.25 | $135.00 | $8.00–$122.85 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free by Equilibrium Dialysis | $107.25 | $143.00 | $8.00–$130.13 | — | 25% |
| Free testosterone test CPT 84402 Testosterone Free Women and Children | $117.00 | $156.00 | $22.59–$141.96 | 51% below | 25% |
| Free testosterone test CPT 84402 Testosterone Free Adult Male | $117.00 | $156.00 | $22.59–$141.96 | 51% below | 25% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Women and Children | $117.00 | $156.00 | $22.59–$141.96 | — | 25% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Adult Male | $117.00 | $156.00 | $22.59–$141.96 | — | 25% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Profile | $143.25 | $191.00 | $58.20–$173.81 | 65% below | 25% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Profile | $143.25 | $191.00 | $58.20–$173.81 | — | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Post Glucola | $81.75 | $109.00 | $4.21–$99.19 | 24% below | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Post Glucola | $81.75 | $109.00 | $4.21–$99.19 | — | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 Hour (75g Load) | $93.75 | $125.00 | $11.41–$113.75 | 20% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 Gluc 2 Hr | $102.00 | $136.00 | $11.41–$123.76 | 12% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 2 Hour | $102.00 | $136.00 | $11.41–$123.76 | 12% below | 25% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2 Hour (75g Load) | $93.75 | $125.00 | $11.41–$113.75 | — | 25% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Gluc 2 Hr | $102.00 | $136.00 | $11.41–$123.76 | — | 25% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 2 Hour | $102.00 | $136.00 | $11.41–$123.76 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC Amplified-ARUP | $69.00 | $92.00 | $31.12–$83.72 | 78% below | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC Amplified-ARUP | $69.00 | $92.00 | $31.12–$83.72 | — | 25% |
| H. pylori stool antigen test CPT 87338 MTHFR Interp and Report | $129.00 | $172.00 | $12.75–$156.52 | 12% below | 25% |
| H. pylori stool antigen test CPT 87338 MTHFR Nucleic Acid Probe 1 | $129.00 | $172.00 | $12.75–$156.52 | 12% below | 25% |
| H. pylori stool antigen test CPT 87338 MTHFR Nucleic Acid Probe 3 | $129.00 | $172.00 | $12.75–$156.52 | 12% below | 25% |
| H. pylori stool antigen test CPT 87338 MTHFR Nucleic Acid Probe 4 | $129.00 | $172.00 | $12.75–$156.52 | 12% below | 25% |
| H. pylori stool antigen test CPT 87338 MTHFR 83890 Molecular Isolation | $129.00 | $172.00 | $12.75–$156.52 | 12% below | 25% |
| H. pylori stool antigen test CPT 87338 MTHFR Nucleic Acid Probe 2 | $129.00 | $172.00 | $12.75–$156.52 | 12% below | 25% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Antigen, Stool | $129.00 | $172.00 | $12.75–$156.52 | 12% below | 25% |
| H. pylori stool antigen test inpatient CPT 87338 MTHFR Nucleic Acid Probe 1 | $129.00 | $172.00 | $12.75–$156.52 | — | 25% |
| H. pylori stool antigen test inpatient CPT 87338 MTHFR 83890 Molecular Isolation | $129.00 | $172.00 | $12.75–$156.52 | — | 25% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Antigen, Stool | $129.00 | $172.00 | $12.75–$156.52 | — | 25% |
| H. pylori stool antigen test inpatient CPT 87338 MTHFR Nucleic Acid Probe 3 | $129.00 | $172.00 | $12.75–$156.52 | — | 25% |
| H. pylori stool antigen test inpatient CPT 87338 MTHFR Nucleic Acid Probe 4 | $129.00 | $172.00 | $12.75–$156.52 | — | 25% |
| H. pylori stool antigen test inpatient CPT 87338 MTHFR Interp and Report | $129.00 | $172.00 | $12.75–$156.52 | — | 25% |
| H. pylori stool antigen test inpatient CPT 87338 MTHFR Nucleic Acid Probe 2 | $129.00 | $172.00 | $12.75–$156.52 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 Quantitative by NAAT | $131.25 | $175.00 | $75.47–$159.25 | 82% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Factor V Mol Diag Interpret Report | $361.50 | $482.00 | $75.47–$438.62 | 51% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Factor V Mol Diag Digestion | $361.50 | $482.00 | $75.47–$438.62 | 51% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Fact V Mol Diag Gel Sepation | $361.50 | $482.00 | $75.47–$438.62 | 51% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Factor V Mol Diag Amplification | $361.50 | $482.00 | $75.47–$438.62 | 51% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Factor V Mol Diag Isolation | $361.50 | $482.00 | $75.47–$438.62 | 51% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 Quantitative by NAAT | $131.25 | $175.00 | $75.47–$159.25 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Factor V Mol Diag Digestion | $361.50 | $482.00 | $75.47–$438.62 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Fact V Mol Diag Gel Sepation | $361.50 | $482.00 | $75.47–$438.62 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Factor V Mol Diag Amplification | $361.50 | $482.00 | $75.47–$438.62 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Factor V Mol Diag Isolation | $361.50 | $482.00 | $75.47–$438.62 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Factor V Mol Diag Interpret Report | $361.50 | $482.00 | $75.47–$438.62 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1,2 Combo Ag-Ab w/Reflex Diff, PCR | $58.50 | $78.00 | $21.35–$70.98 | 67% below | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1,2 Combo Ag-Ab w/Reflex Diff, PCR | $58.50 | $78.00 | $21.35–$70.98 | — | 25% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 AP HPV, DNA Subtyping, Probe T-High | $204.75 | $273.00 | $31.12–$248.43 | 52% above | 25% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 AP HPV, DNA Subtyping, Probe T-High | $204.75 | $273.00 | $31.12–$248.43 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POC Hemoglobin A1c | $103.50 | $138.00 | $8.61–$125.58 | 7% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Send Out | $112.50 | $150.00 | $8.61–$136.50 | 16% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Herpes Mol Diag DNA Probe | $112.50 | $150.00 | $8.61–$136.50 | 16% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Herpes Mol Diag Interp Report | $112.50 | $150.00 | $8.61–$136.50 | 16% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Herpes Mol Diag Extraction | $112.50 | $150.00 | $8.61–$136.50 | 16% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Herpes Mol Diag Amplification | $112.50 | $150.00 | $8.61–$136.50 | 16% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Herpes Mol Diag Digestion | $112.50 | $150.00 | $8.61–$136.50 | 16% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Herpes Mol Diag Separation | $112.50 | $150.00 | $8.61–$136.50 | 16% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $114.00 | $152.00 | $8.61–$138.32 | 17% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 POC Hemoglobin A1c | $103.50 | $138.00 | $8.61–$125.58 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Herpes Mol Diag Amplification | $112.50 | $150.00 | $8.61–$136.50 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Herpes Mol Diag Interp Report | $112.50 | $150.00 | $8.61–$136.50 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Herpes Mol Diag DNA Probe | $112.50 | $150.00 | $8.61–$136.50 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Herpes Mol Diag Separation | $112.50 | $150.00 | $8.61–$136.50 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Herpes Mol Diag Digestion | $112.50 | $150.00 | $8.61–$136.50 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Herpes Mol Diag Extraction | $112.50 | $150.00 | $8.61–$136.50 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c Send Out | $112.50 | $150.00 | $8.61–$136.50 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1c | $114.00 | $152.00 | $8.61–$138.32 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Z-Titer Hep-B Antibody | $26.25 | $35.00 | $9.52–$31.85 | 77% below | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Z-Titer Hep-B Antibody | $26.25 | $35.00 | $9.52–$31.85 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Exposure Profile Exposed HBsAg | $57.75 | $77.00 | $9.16–$70.07 | 57% below | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Reflex Confirm (ARUP) | $99.75 | $133.00 | $9.16–$121.03 | 26% below | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Exposure Profile Exposed HBsAg | $57.75 | $77.00 | $9.16–$70.07 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Reflex Confirm (ARUP) | $99.75 | $133.00 | $9.16–$121.03 | — | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 Exposure Profile Exposed Hep C Antibody | $57.75 | $77.00 | $12.65–$70.07 | 60% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $134.25 | $179.00 | $12.65–$162.89 | 6% below | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Exposure Profile Exposed Hep C Antibody | $57.75 | $77.00 | $12.65–$70.07 | — | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $134.25 | $179.00 | $12.65–$162.89 | — | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus Quantitative | $141.75 | $189.00 | $37.99–$171.99 | 62% below | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus Quantitative | $141.75 | $189.00 | $37.99–$171.99 | — | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus Type 1 IgG Confirm | $125.25 | $167.00 | $11.70–$151.97 | 22% above | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus Type 1 IgG Confirm | $125.25 | $167.00 | $11.70–$151.97 | — | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus Type 2 IgG Confirm | $125.25 | $167.00 | $17.16–$151.97 | 4% below | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus Type 2 IgG Confirm | $125.25 | $167.00 | $17.16–$151.97 | — | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, High Sensitivity | $129.75 | $173.00 | $11.48–$157.43 | at median | 25% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, High Sensitivity | $129.75 | $173.00 | $11.48–$157.43 | — | 25% |
| Homocysteine blood test CPT 83090 Homocysteine Total | $184.50 | $246.00 | $15.89–$223.86 | 21% below | 25% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Total | $184.50 | $246.00 | $15.89–$223.86 | — | 25% |
| Insulin blood test CPT 83525 Insulin Level Random | $135.00 | $180.00 | $10.14–$163.80 | 14% above | 25% |
| Insulin blood test CPT 83525 Insulin Level Fasting | $135.00 | $180.00 | $10.14–$163.80 | 14% above | 25% |
| Insulin blood test CPT 83525 Insulin Level 120 Minutes | $138.75 | $185.00 | $10.14–$168.35 | 17% above | 25% |
| Insulin blood test CPT 83525 Insulin Level 60 Minutes | $138.75 | $185.00 | $10.14–$168.35 | 17% above | 25% |
| Insulin blood test CPT 83525 Insulin Level 90 Minutes | $138.75 | $185.00 | $10.14–$168.35 | 17% above | 25% |
| Insulin blood test CPT 83525 Insulin Level 30 Minutes | $138.75 | $185.00 | $10.14–$168.35 | 17% above | 25% |
| Insulin blood test inpatient CPT 83525 Insulin Level Fasting | $135.00 | $180.00 | $10.14–$163.80 | — | 25% |
| Insulin blood test inpatient CPT 83525 Insulin Level Random | $135.00 | $180.00 | $10.14–$163.80 | — | 25% |
| Insulin blood test inpatient CPT 83525 Insulin Level 30 Minutes | $138.75 | $185.00 | $10.14–$168.35 | — | 25% |
| Insulin blood test inpatient CPT 83525 Insulin Level 120 Minutes | $138.75 | $185.00 | $10.14–$168.35 | — | 25% |
| Insulin blood test inpatient CPT 83525 Insulin Level 90 Minutes | $138.75 | $185.00 | $10.14–$168.35 | — | 25% |
| Insulin blood test inpatient CPT 83525 Insulin Level 60 Minutes | $138.75 | $185.00 | $10.14–$168.35 | — | 25% |
| Iron blood test (serum iron) CPT 83540 Iron Level-ARUP | $88.50 | $118.00 | $5.74–$107.38 | at median | 25% |
| Iron blood test (serum iron) CPT 83540 Iron Level Send Out | $88.50 | $118.00 | $5.74–$107.38 | at median | 25% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $107.25 | $143.00 | $5.74–$130.13 | 21% above | 25% |
| Iron blood test (serum iron) CPT 83540 Iron and Total Iron Binding Capacity | $107.25 | $143.00 | $5.74–$130.13 | 21% above | 25% |
| Iron blood test (serum iron) CPT 83540 AP Quantitative Iron | $146.25 | $195.00 | $5.74–$177.45 | 65% above | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level-ARUP | $88.50 | $118.00 | $5.74–$107.38 | — | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level Send Out | $88.50 | $118.00 | $5.74–$107.38 | — | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron and Total Iron Binding Capacity | $107.25 | $143.00 | $5.74–$130.13 | — | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $107.25 | $143.00 | $5.74–$130.13 | — | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 AP Quantitative Iron | $146.25 | $195.00 | $5.74–$177.45 | — | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity-ARUP | $88.50 | $118.00 | $7.75–$107.38 | 23% below | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total | $89.25 | $119.00 | $7.75–$108.29 | 22% below | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity-ARUP | $88.50 | $118.00 | $7.75–$107.38 | — | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity Total | $89.25 | $119.00 | $7.75–$108.29 | — | 25% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $211.50 | $282.00 | $7.70–$256.62 | 9% below | 25% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $211.50 | $282.00 | $7.70–$256.62 | — | 25% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Males and Send Out | $103.50 | $138.00 | $16.42–$125.58 | 44% below | 25% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $186.75 | $249.00 | $16.42–$226.59 | 1% above | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone Males and Send Out | $103.50 | $138.00 | $16.42–$125.58 | — | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $186.75 | $249.00 | $16.42–$226.59 | — | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $93.00 | $124.00 | $6.11–$112.84 | 20% below | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $93.00 | $124.00 | $6.11–$112.84 | — | 25% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $161.25 | $215.00 | $7.25–$195.65 | 42% below | 25% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $161.25 | $215.00 | $7.25–$195.65 | — | 25% |
| Lyme disease antibody test CPT 86618 Lyme Antibodies Total with Reflex (Early Disease) | $63.00 | $84.00 | $15.10–$76.44 | 57% below | 25% |
| Lyme disease antibody test CPT 86618 Lyme Antibodies CSF by ELISA | $63.00 | $84.00 | $15.10–$76.44 | 57% below | 25% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Antibodies CSF by ELISA | $63.00 | $84.00 | $15.10–$76.44 | — | 25% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Antibodies Total with Reflex (Early Disease) | $63.00 | $84.00 | $15.10–$76.44 | — | 25% |
| Magnesium blood test CPT 83735 U Magnesium-ARUP | $15.00 | $20.00 | $5.94–$18.20 | 85% below | 25% |
| Magnesium blood test CPT 83735 Magnesium, RBC | $46.50 | $62.00 | $5.94–$56.42 | 52% below | 25% |
| Magnesium blood test CPT 83735 POC Ion Magnesium | $69.00 | $92.00 | $5.94–$83.72 | 29% below | 25% |
| Magnesium blood test CPT 83735 Magnesium Level | $69.00 | $92.00 | $5.94–$83.72 | 29% below | 25% |
| Magnesium blood test inpatient CPT 83735 U Magnesium-ARUP | $15.00 | $20.00 | $5.94–$18.20 | — | 25% |
| Magnesium blood test inpatient CPT 83735 Magnesium, RBC | $46.50 | $62.00 | $5.94–$56.42 | — | 25% |
| Magnesium blood test inpatient CPT 83735 POC Ion Magnesium | $69.00 | $92.00 | $5.94–$83.72 | — | 25% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $69.00 | $92.00 | $5.94–$83.72 | — | 25% |
| Measles (rubeola) antibody test CPT 86765 Rubeola IgG Convalescent Titer | $150.75 | $201.00 | $11.42–$182.91 | 36% above | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgG Convalescent Titer | $150.75 | $201.00 | $11.42–$182.91 | — | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 86308 POC MONO TEST | $71.25 | $95.00 | $4.59–$86.45 | 14% below | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $96.00 | $128.00 | $4.59–$116.48 | 16% above | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 POC MONO TEST URG | $96.75 | $129.00 | $4.59–$117.39 | 17% above | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 86308 POC MONO TEST | $71.25 | $95.00 | $4.59–$86.45 | — | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $96.00 | $128.00 | $4.59–$116.48 | — | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 POC MONO TEST URG | $96.75 | $129.00 | $4.59–$117.39 | — | 25% |
| Obstetric blood test panel CPT 80055 Obstetric Prenatal Panel | $381.75 | $509.00 | $46.85–$463.19 | 7% below | 25% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Prenatal Panel | $381.75 | $509.00 | $46.85–$463.19 | — | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free (Panel)-ARUP | $150.75 | $201.00 | $16.31–$182.91 | 18% below | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free (Panel)-ARUP | $150.75 | $201.00 | $16.31–$182.91 | — | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Panel)-ARUP | $150.75 | $201.00 | $16.31–$182.91 | 18% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA In House | $152.25 | $203.00 | $16.31–$184.73 | 17% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total Diagnostic | $152.25 | $203.00 | $16.31–$184.73 | 17% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultrasensitive ARUP | $166.50 | $222.00 | $16.31–$202.02 | 9% below | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Panel)-ARUP | $150.75 | $201.00 | $16.31–$182.91 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total Diagnostic | $152.25 | $203.00 | $16.31–$184.73 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA In House | $152.25 | $203.00 | $16.31–$184.73 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultrasensitive ARUP | $166.50 | $222.00 | $16.31–$202.02 | — | 25% |
| Pap test (liquid-based, automated screening with review) CPT 88175 AP Pap Smear Tp Auto Screen Tech | $42.75 | $57.00 | $23.60–$51.87 | 81% below | 25% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 AP Pap Smear Tp Auto Screen Tech | $42.75 | $57.00 | $23.60–$51.87 | — | 25% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 AP Pap Smear, Thin Prep, Tech Comp | $72.00 | $96.00 | $17.97–$87.36 | 59% below | 25% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 AP Pap Smear, Thin Prep, Tech Comp | $72.00 | $96.00 | $17.97–$87.36 | — | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 Intact-Parathyroid Hormone-ARUP | $144.00 | $192.00 | $36.61–$174.72 | 59% below | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $144.00 | $192.00 | $36.61–$174.72 | 59% below | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Intact-Parathyroid Hormone-ARUP | $144.00 | $192.00 | $36.61–$174.72 | — | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $144.00 | $192.00 | $36.61–$174.72 | — | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA Ratio-ARUP | $65.25 | $87.00 | $5.33–$79.17 | 1% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT Ratio Treated | $66.00 | $88.00 | $5.33–$80.08 | 1% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time Activated | $66.00 | $88.00 | $5.33–$80.08 | 1% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Inhibitor Assay PTT w/Reflex 1:1 Mix | $66.00 | $88.00 | $5.33–$80.08 | 1% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT Inh 1 Hour-ARUP | $66.00 | $88.00 | $5.33–$80.08 | 1% above | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA Ratio-ARUP | $65.25 | $87.00 | $5.33–$79.17 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Inh 1 Hour-ARUP | $66.00 | $88.00 | $5.33–$80.08 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Inhibitor Assay PTT w/Reflex 1:1 Mix | $66.00 | $88.00 | $5.33–$80.08 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time Activated | $66.00 | $88.00 | $5.33–$80.08 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Ratio Treated | $66.00 | $88.00 | $5.33–$80.08 | — | 25% |
| Progesterone blood test CPT 84144 Progesterone Level | $159.00 | $212.00 | $18.50–$192.92 | 18% below | 25% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $159.00 | $212.00 | $18.50–$192.92 | — | 25% |
| Prolactin blood test CPT 84146 Prolactin Level - ARUP | $86.25 | $115.00 | $17.19–$104.65 | 55% below | 25% |
| Prolactin blood test inpatient CPT 84146 Prolactin Level - ARUP | $86.25 | $115.00 | $17.19–$104.65 | — | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $18.00 | $24.00 | $3.80–$21.84 | 66% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $56.25 | $75.00 | $3.80–$68.25 | 5% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-ARUP | $56.25 | $75.00 | $3.80–$68.25 | 5% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Inhibitor Assay PT w/Reflex 1:1 Mix | $56.25 | $75.00 | $3.80–$68.25 | 5% above | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $18.00 | $24.00 | $3.80–$21.84 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Inhibitor Assay PT w/Reflex 1:1 Mix | $56.25 | $75.00 | $3.80–$68.25 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $56.25 | $75.00 | $3.80–$68.25 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time-ARUP | $56.25 | $75.00 | $3.80–$68.25 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC Urine Drug Screen | $54.75 | $73.00 | $11.17–$66.43 | 6% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Z-Drug Screen MRO Non-DOT Send | $55.50 | $74.00 | $11.17–$67.34 | 5% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Z-Drug Screen MRO Non-DOT Inst | $55.50 | $74.00 | $11.17–$67.34 | 5% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Z-Saliva Alcohol Test | $55.50 | $74.00 | $11.17–$67.34 | 5% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen - Drug Screen | $57.00 | $76.00 | $11.17–$69.16 | 3% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Z-VR Drug Alcohol Screen | $60.75 | $81.00 | $11.17–$73.71 | 4% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Vail Resorts Post Accident Drug Alcohol - Drug Screen | $62.25 | $83.00 | $11.17–$75.53 | 6% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Vail Resorts Post Accident Drug Alcohol - Comp Post Accident | $62.25 | $83.00 | $11.17–$75.53 | 6% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 POC Urine Drug Screen | $54.75 | $73.00 | $11.17–$66.43 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Z-Drug Screen MRO Non-DOT Inst | $55.50 | $74.00 | $11.17–$67.34 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Z-Saliva Alcohol Test | $55.50 | $74.00 | $11.17–$67.34 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Z-Drug Screen MRO Non-DOT Send | $55.50 | $74.00 | $11.17–$67.34 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen - Drug Screen | $57.00 | $76.00 | $11.17–$69.16 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Z-VR Drug Alcohol Screen | $60.75 | $81.00 | $11.17–$73.71 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Vail Resorts Post Accident Drug Alcohol - Drug Screen | $62.25 | $83.00 | $11.17–$75.53 | — | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Vail Resorts Post Accident Drug Alcohol - Comp Post Accident | $62.25 | $83.00 | $11.17–$75.53 | — | 25% |
| Rapid flu test (influenza antigen) CPT 87804 87804 POC INFLUENZA | $51.00 | $68.00 | $14.68–$61.88 | 50% below | 25% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Waived ED NSG | $81.00 | $108.00 | $14.68–$98.28 | 20% below | 25% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 POC INFLUENZA | $51.00 | $68.00 | $14.68–$61.88 | — | 25% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Waived ED NSG | $81.00 | $108.00 | $14.68–$98.28 | — | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 QUICK STREP | $46.50 | $62.00 | $14.66–$56.42 | 68% below | 25% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 87880 QUICK STREP | $46.50 | $62.00 | $14.66–$56.42 | — | 25% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative-ARUP | $31.50 | $42.00 | $5.03–$38.22 | 44% below | 25% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative | $58.50 | $78.00 | $5.03–$70.98 | 3% above | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative-ARUP | $31.50 | $42.00 | $5.03–$38.22 | — | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative | $58.50 | $78.00 | $5.03–$70.98 | — | 25% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgM Tor-ARUP | $40.50 | $54.00 | $12.76–$49.14 | 67% below | 25% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG-ARUP | $58.50 | $78.00 | $12.76–$70.98 | 53% below | 25% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG ARUP | $58.50 | $78.00 | $12.76–$70.98 | 53% below | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgM Tor-ARUP | $40.50 | $54.00 | $12.76–$49.14 | — | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG-ARUP | $58.50 | $78.00 | $12.76–$70.98 | — | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG ARUP | $58.50 | $78.00 | $12.76–$70.98 | — | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate | $56.25 | $75.00 | $2.39–$68.25 | 4% below | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Erythrocyte Sedimentation Rate | $56.25 | $75.00 | $2.39–$68.25 | — | 25% |
| Stool ova and parasites exam CPT 87177 Ova and Parasites Fecal | $68.25 | $91.00 | $7.89–$82.81 | 24% below | 25% |
| Stool ova and parasites exam CPT 87177 Ova Parasite | $68.25 | $91.00 | $7.89–$82.81 | 24% below | 25% |
| Stool ova and parasites exam inpatient CPT 87177 Ova Parasite | $68.25 | $91.00 | $7.89–$82.81 | — | 25% |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasites Fecal | $68.25 | $91.00 | $7.89–$82.81 | — | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 OCCULT BLOOD HEMOCCULT | $13.50 | $18.00 | $3.88–$16.38 | 70% below | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 NASAL BALLOON ED NSG | $30.75 | $41.00 | $3.88–$37.31 | 31% below | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood Guaiac | $33.75 | $45.00 | $3.88–$40.95 | 25% below | 25% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 OCCULT BLOOD HEMOCCULT | $13.50 | $18.00 | $3.88–$16.38 | — | 25% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 NASAL BALLOON ED NSG | $30.75 | $41.00 | $3.88–$37.31 | — | 25% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Fecal Occult Blood Guaiac | $33.75 | $45.00 | $3.88–$40.95 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood Immunochemical | $43.50 | $58.00 | $14.12–$52.78 | 56% below | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood Immunochemical | $43.50 | $58.00 | $14.12–$52.78 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Treponema pallidum (VDRL) CSF w/Reflex | $56.25 | $75.00 | $3.79–$68.25 | 28% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin (RPR) w/Reflex | $69.75 | $93.00 | $3.79–$84.63 | 11% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Treponema pallidum (VDRL) CSF w/Reflex | $56.25 | $75.00 | $3.79–$68.25 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin (RPR) w/Reflex | $69.75 | $93.00 | $3.79–$84.63 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus 4-Tube | $73.50 | $98.00 | $54.96–$89.18 | 76% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus 1-Tube | $73.50 | $98.00 | $54.96–$89.18 | 76% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Z-Quantiferon-TB Testing | $185.25 | $247.00 | $54.96–$224.77 | 39% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-TB Testing | $195.75 | $261.00 | $54.96–$237.51 | 36% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus 4-Tube | $73.50 | $98.00 | $54.96–$89.18 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus 1-Tube | $73.50 | $98.00 | $54.96–$89.18 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Z-Quantiferon-TB Testing | $185.25 | $247.00 | $54.96–$224.77 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon-TB Testing | $195.75 | $261.00 | $54.96–$237.51 | — | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Adult Male (Panel)-ARUP | $129.00 | $172.00 | $22.89–$156.52 | 50% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TestosteroneTotal Adult Male | $129.00 | $172.00 | $22.89–$156.52 | 50% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosteron Total | $129.00 | $172.00 | $22.89–$156.52 | 50% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $129.00 | $172.00 | $22.89–$156.52 | 50% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level | $129.00 | $172.00 | $22.89–$156.52 | 50% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone (W+C)-ARUP | $129.00 | $172.00 | $22.89–$156.52 | 50% below | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TestosteroneTotal Adult Male | $129.00 | $172.00 | $22.89–$156.52 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total Adult Male (Panel)-ARUP | $129.00 | $172.00 | $22.89–$156.52 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $129.00 | $172.00 | $22.89–$156.52 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Total Testosterone (W+C)-ARUP | $129.00 | $172.00 | $22.89–$156.52 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosteron Total | $129.00 | $172.00 | $22.89–$156.52 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level | $129.00 | $172.00 | $22.89–$156.52 | — | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 zzBill Only - Amicr | $81.00 | $108.00 | $12.90–$98.28 | 44% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO Antibody | $81.00 | $108.00 | $12.90–$98.28 | 44% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody | $81.00 | $108.00 | $12.90–$98.28 | 44% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liv-Kid Microsome1 IgG-ARUP | $111.75 | $149.00 | $12.90–$135.59 | 23% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibody CUIP | $183.00 | $244.00 | $12.90–$222.04 | 26% above | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody | $81.00 | $108.00 | $12.90–$98.28 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO Antibody | $81.00 | $108.00 | $12.90–$98.28 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 zzBill Only - Amicr | $81.00 | $108.00 | $12.90–$98.28 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liv-Kid Microsome1 IgG-ARUP | $111.75 | $149.00 | $12.90–$135.59 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibody CUIP | $183.00 | $244.00 | $12.90–$222.04 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS TSH | $42.75 | $57.00 | $14.90–$51.87 | 75% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex Thyroxine | $146.25 | $195.00 | $14.90–$177.45 | 13% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $146.25 | $195.00 | $14.90–$177.45 | 13% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Urticaria Inducing Activity w/Thyroid Abs,TSH | $154.50 | $206.00 | $14.90–$187.46 | 8% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS TSH | $42.75 | $57.00 | $14.90–$51.87 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $146.25 | $195.00 | $14.90–$177.45 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex Thyroxine | $146.25 | $195.00 | $14.90–$177.45 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Urticaria Inducing Activity w/Thyroid Abs,TSH | $154.50 | $206.00 | $14.90–$187.46 | — | 25% |
| Uric acid blood test CPT 84550 Uric Acid | $57.00 | $76.00 | $4.01–$69.16 | 25% below | 25% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $57.00 | $76.00 | $4.01–$69.16 | — | 25% |
| Urinalysis with microscope exam, automated CPT 81001 81001 URINALYSIS AUTOMATED W/MICRO | $23.25 | $31.00 | $2.81–$28.21 | 79% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic | $50.25 | $67.00 | $2.81–$60.97 | 54% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis and Microscopic | $93.75 | $125.00 | $2.81–$113.75 | 15% below | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 URINALYSIS AUTOMATED W/MICRO | $23.25 | $31.00 | $2.81–$28.21 | — | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic | $50.25 | $67.00 | $2.81–$60.97 | — | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis and Microscopic | $93.75 | $125.00 | $2.81–$113.75 | — | 25% |
| Urinalysis with microscope exam, manual CPT 81000 81000 URINALYSIS NONAUTO W/SCOPE | $12.75 | $17.00 | $3.56–$15.47 | 85% below | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Z-Multistix Dip | $18.00 | $24.00 | $3.56–$21.84 | 79% below | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Multi Dip Sticx - Comp Procedures | $18.75 | $25.00 | $3.56–$22.75 | 78% below | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Specific Gravity Urine Non-automated | $48.75 | $65.00 | $3.56–$59.15 | 43% below | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 URINALYSIS NONAUTO W/SCOPE | $12.75 | $17.00 | $3.56–$15.47 | — | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Z-Multistix Dip | $18.00 | $24.00 | $3.56–$21.84 | — | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Multi Dip Sticx - Comp Procedures | $18.75 | $25.00 | $3.56–$22.75 | — | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Specific Gravity Urine Non-automated | $48.75 | $65.00 | $3.56–$59.15 | — | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Dipstick | $56.25 | $75.00 | $2.00–$68.25 | 25% above | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dispstick Automated | $75.75 | $101.00 | $2.00–$91.91 | 68% above | 25% |
| Urinalysis without microscope exam, automated CPT 81003 UA multistick Waived ED NSG | $183.75 | $245.00 | $2.00–$222.95 | 308% above | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Dipstick | $56.25 | $75.00 | $2.00–$68.25 | — | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dispstick Automated | $75.75 | $101.00 | $2.00–$91.91 | — | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA multistick Waived ED NSG | $183.75 | $245.00 | $2.00–$222.95 | — | 25% |
| Urinalysis without microscope exam, manual CPT 81002 81002 URINALYSIS NONAUTO W/O SCOPE | $10.50 | $14.00 | $3.09–$12.74 | 81% below | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Reducing Substance Urine | $28.50 | $38.00 | $3.09–$34.58 | 47% below | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dipstick Waived ED NSG | $39.00 | $52.00 | $3.09–$47.32 | 28% below | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 URINALYSIS NONAUTO W/O SCOPE | $10.50 | $14.00 | $3.09–$12.74 | — | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Reducing Substance Urine | $28.50 | $38.00 | $3.09–$34.58 | — | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Dipstick Waived ED NSG | $39.00 | $52.00 | $3.09–$47.32 | — | 25% |
| Urine pregnancy test, read by color change CPT 81025 81025 URINE PREGNANCY TEST | $24.00 | $32.00 | $7.64–$29.12 | 68% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Waived ED NSG | $69.00 | $92.00 | $7.64–$83.72 | 7% below | 25% |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 URINE PREGNANCY TEST | $24.00 | $32.00 | $7.64–$29.12 | — | 25% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Waived ED NSG | $69.00 | $92.00 | $7.64–$83.72 | — | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $71.25 | $95.00 | $13.37–$86.45 | 53% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level Send Out | $71.25 | $95.00 | $13.37–$86.45 | 53% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 w/Reflex to MMA, Serum | $71.25 | $95.00 | $13.37–$86.45 | 53% below | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 w/Reflex to MMA, Serum | $71.25 | $95.00 | $13.37–$86.45 | — | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level Send Out | $71.25 | $95.00 | $13.37–$86.45 | — | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level | $71.25 | $95.00 | $13.37–$86.45 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $129.75 | $173.00 | $26.25–$157.43 | 35% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D2 and D3, Serum by TMS | $345.00 | $460.00 | $26.25–$418.60 | 72% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level | $129.75 | $173.00 | $26.25–$157.43 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D2 and D3, Serum by TMS | $345.00 | $460.00 | $26.25–$418.60 | — | 25% |
| Zinc blood test CPT 84630 Zinc Red Blood Cells | $89.25 | $119.00 | $10.10–$108.29 | 9% below | 25% |
| Zinc blood test CPT 84630 Zinc Level | $89.25 | $119.00 | $10.10–$108.29 | 9% below | 25% |
| Zinc blood test CPT 84630 Zinc U-ARUP | $89.25 | $119.00 | $10.10–$108.29 | 9% below | 25% |
| Zinc blood test inpatient CPT 84630 Zinc Red Blood Cells | $89.25 | $119.00 | $10.10–$108.29 | — | 25% |
| Zinc blood test inpatient CPT 84630 Zinc U-ARUP | $89.25 | $119.00 | $10.10–$108.29 | — | 25% |
| Zinc blood test inpatient CPT 84630 Zinc Level | $89.25 | $119.00 | $10.10–$108.29 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-HCG Tumor Marker Quant | $99.75 | $133.00 | $13.35–$121.03 | 36% below | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quantitative | $143.25 | $191.00 | $13.35–$173.81 | 7% below | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-HCG Tumor Marker Quant | $99.75 | $133.00 | $13.35–$121.03 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quantitative | $143.25 | $191.00 | $13.35–$173.81 | — | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960 APPENDECTOMY-RUPTURED | $2,170.50 | $2,894.00 | $802.09–$2,633.54 | 84% below | 25% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 44960 APPENDECTOMY-RUPTURED | $2,170.50 | $2,894.00 | $802.09–$2,633.54 | — | 25% |
| Appendectomy, open surgery CPT 44950 44950 APPENDECTOMY | $1,596.00 | $2,128.00 | $589.65–$7,314.00 | 77% below | 25% |
| Appendectomy, open surgery inpatient CPT 44950 44950 APPENDECTOMY | $1,596.00 | $2,128.00 | $589.65–$7,314.00 | — | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 BX BREAST 1ST LESION STRTCT GUID | $1,613.25 | $2,151.00 | $490.03–$1,957.41 | 40% below | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Bx Breast 1st Lesion Stereo LT PF | $921.75 | $1,229.00 | $490.03–$1,865.94 | 66% below | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Bx Breast 1st Lesion Stereo RT | $921.75 | $1,229.00 | $490.03–$1,865.94 | 66% below | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Bx Breast 1st Lesion Stereo LT | $3,059.25 | $4,079.00 | $490.03–$3,711.89 | 13% above | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 19081 BX BREAST 1ST LESION STRTCT GUID | $1,613.25 | $2,151.00 | $490.03–$1,957.41 | — | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA Bx Breast 1st Lesion Stereo RT | $921.75 | $1,229.00 | $490.03–$1,865.94 | — | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA Bx Breast 1st Lesion Stereo LT PF | $921.75 | $1,229.00 | $490.03–$1,865.94 | — | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA Bx Breast 1st Lesion Stereo LT | $3,059.25 | $4,079.00 | $490.03–$3,711.89 | — | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX FX LAT MALLEOLUS W/O MANIP ED NSG | $470.25 | $627.00 | $255.01–$570.57 | 15% below | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 TX FX LATERAL MALLEOLUS W/O MANIP | $774.00 | $1,032.00 | $255.01–$939.12 | 40% above | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX FX LAT MALLEOLUS W/O MANIP ED NSG | $470.25 | $627.00 | $255.01–$570.57 | — | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 TX FX LATERAL MALLEOLUS W/O MANIP | $774.00 | $1,032.00 | $255.01–$939.12 | — | 25% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX FX METATARSAL W/O MANIP EA ED NSG | $468.00 | $624.00 | $241.22–$567.84 | 21% below | 25% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 TX FX METATARSAL W/O MANIP | $538.50 | $718.00 | $241.22–$653.38 | 9% below | 25% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TX FX METATARSAL W/O MANIP EA ED NSG | $468.00 | $624.00 | $241.22–$567.84 | — | 25% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 TX FX METATARSAL W/O MANIP | $538.50 | $718.00 | $241.22–$653.38 | — | 25% |
| Cardiac catheterization with coronary angiogram CPT 93458 93458 L HEART ARTERY/VENTRICLE ANGIO | $2,607.00 | $3,476.00 | $1,033.43–$3,662.67 | 79% below | 25% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 93458 L HEART ARTERY/VENTRICLE ANGIO | $2,607.00 | $3,476.00 | $1,033.43–$3,662.67 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION | $540.75 | $721.00 | $156.55–$746.72 | 71% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL ED NSG | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | 8% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cath Lab Cardioversion Elective | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | 8% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL NSG | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | 8% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | 8% below | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 CARDIOVERSION | $540.75 | $721.00 | $156.55–$746.72 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL NSG | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL ED NSG | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cath Lab Cardioversion Elective | $1,731.00 | $2,308.00 | $156.55–$2,100.28 | — | 25% |
| Cervical biopsy CPT 57500 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $599.25 | $799.00 | $153.83–$1,040.58 | 7% above | 25% |
| Cervical biopsy inpatient CPT 57500 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $599.25 | $799.00 | $153.83–$1,040.58 | — | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONAL BLK NSG | $4,142.25 | $5,523.00 | $153.10–$5,025.93 | 920% above | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision set-up | $4,142.25 | $5,523.00 | $153.10–$5,025.93 | 920% above | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision set-up | $4,142.25 | $5,523.00 | $153.10–$5,025.93 | — | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONAL BLK NSG | $4,142.25 | $5,523.00 | $153.10–$5,025.93 | — | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TX FX RADIUS DISTAL W/O MANIP ED NSG | $470.25 | $627.00 | $255.01–$570.57 | 37% below | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 TX FX RADIUS DISTAL CLSD W/O MANIP | $799.50 | $1,066.00 | $255.01–$970.06 | 8% above | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD TX FX RADIUS DISTAL W/O MANIP ED NSG | $470.25 | $627.00 | $255.01–$570.57 | — | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 TX FX RADIUS DISTAL CLSD W/O MANIP | $799.50 | $1,066.00 | $255.01–$970.06 | — | 25% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY W/ LESION RMVL VIA SNARE | $1,273.50 | $1,698.00 | $509.06–$1,545.18 | 50% below | 25% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/RMVL TUMOR POLYP SNARE | $4,106.25 | $5,475.00 | $509.06–$4,982.25 | 61% above | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY W/ LESION RMVL VIA SNARE | $1,273.50 | $1,698.00 | $509.06–$1,545.18 | — | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/RMVL TUMOR POLYP SNARE | $4,106.25 | $5,475.00 | $509.06–$4,982.25 | — | 25% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY W/ BIOPSY | $1,128.00 | $1,504.00 | $490.68–$1,368.64 | 56% below | 25% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/ BIOPSY | $2,624.25 | $3,499.00 | $490.68–$3,184.09 | 3% above | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY W/ BIOPSY | $1,128.00 | $1,504.00 | $490.68–$1,368.64 | — | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/ BIOPSY | $2,624.25 | $3,499.00 | $490.68–$3,184.09 | — | 25% |
| Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY DIAGNOSTIC | $352.50 | $470.00 | $314.90–$1,050.65 | 83% below | 25% |
| Colonoscopy, diagnostic CPT 45378 LOWER GI COLONOSCOPY | $1,503.75 | $2,005.00 | $385.04–$1,824.55 | 27% below | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 COLONOSCOPY DIAGNOSTIC | $352.50 | $470.00 | $314.90–$1,050.65 | — | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 LOWER GI COLONOSCOPY | $1,503.75 | $2,005.00 | $385.04–$1,824.55 | — | 25% |
| Coronary stent placement, one artery CPT 92928 92928 PQR CARD STENT W/ ANGIO 1 VSL | $1,509.75 | $2,013.00 | $445.86–$13,042.40 | 92% below | 25% |
| Coronary stent placement, one artery inpatient CPT 92928 92928 PQR CARD STENT W/ ANGIO 1 VSL | $1,509.75 | $2,013.00 | $445.86–$13,042.40 | — | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTRUCTION BENIGN LESION WART | $168.00 | $224.00 | $67.75–$226.68 | 5% above | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 DESTRUCTION BENIGN LESION WART | $168.00 | $224.00 | $67.75–$226.68 | — | 25% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Cerumen Removal w/ Lavage/Irrig - ENT Epistaxis RN | $132.75 | $177.00 | $17.67–$161.07 | 9% above | 25% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 RMVL CERUMEN IMPACTED IRRGATN UNI ED NSG | $132.75 | $177.00 | $17.67–$161.07 | 9% above | 25% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 RMVL CERUMEN W/IRRIG/LAVAGE UNILAT | $33.00 | $44.00 | $17.67–$66.65 | 73% below | 25% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Cerumen Removal w/ Lavage/Irrig - ENT Epistaxis RN | $132.75 | $177.00 | $17.67–$161.07 | — | 25% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMVL CERUMEN IMPACTED IRRGATN UNI ED NSG | $132.75 | $177.00 | $17.67–$161.07 | — | 25% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 69209 RMVL CERUMEN W/IRRIG/LAVAGE UNILAT | $33.00 | $44.00 | $17.67–$66.65 | — | 25% |
| Earwax removal with instruments, one ear CPT 69210 69210 RMVL CERUMEN W/INSTRUMENTATION | $127.50 | $170.00 | $48.15–$154.70 | 23% below | 25% |
| Earwax removal with instruments, one ear CPT 69210 RMVL CERUMEN IMPACTED W/ INSTRUMENTATN ED NSG | $147.75 | $197.00 | $48.15–$179.27 | 10% below | 25% |
| Earwax removal with instruments, one ear CPT 69210 Cerumen Removal w/ Instrumentation - ENT Epistaxis RN | $147.75 | $197.00 | $48.15–$179.27 | 10% below | 25% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 RMVL CERUMEN W/INSTRUMENTATION | $127.50 | $170.00 | $48.15–$154.70 | — | 25% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Cerumen Removal w/ Instrumentation - ENT Epistaxis RN | $147.75 | $197.00 | $48.15–$179.27 | — | 25% |
| Earwax removal with instruments, one ear inpatient CPT 69210 RMVL CERUMEN IMPACTED W/ INSTRUMENTATN ED NSG | $147.75 | $197.00 | $48.15–$179.27 | — | 25% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $1,542.75 | $2,057.00 | $506.30–$7,314.00 | 77% below | 25% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $1,542.75 | $2,057.00 | $506.30–$7,314.00 | — | 25% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $2,074.50 | $2,766.00 | $679.24–$7,314.00 | 77% below | 25% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBLE | $2,074.50 | $2,766.00 | $679.24–$7,314.00 | — | 25% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 RPR AA HERNIA 1ST <3CM REDUCIBLE | $921.75 | $1,229.00 | $305.43–$4,045.07 | 77% below | 25% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 RPR AA HERNIA 1ST <3CM REDUCIBLE | $921.75 | $1,229.00 | $305.43–$4,045.07 | — | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 SIGMOIDOSCOPY DIAGNOSTIC | $352.50 | $470.00 | $221.78–$1,050.65 | 53% below | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY, DIAGNOSTIC FLEXIBLE 45330 | $1,310.25 | $1,747.00 | $221.78–$1,589.77 | 73% above | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 SIGMOIDOSCOPY DIAGNOSTIC | $352.50 | $470.00 | $221.78–$1,050.65 | — | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY, DIAGNOSTIC FLEXIBLE 45330 | $1,310.25 | $1,747.00 | $221.78–$1,589.77 | — | 25% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAP CHOLECYSTECTOMY | $1,632.75 | $2,177.00 | $616.83–$6,830.12 | 80% below | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAP CHOLECYSTECTOMY | $1,632.75 | $2,177.00 | $616.83–$6,830.12 | — | 25% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 LAP CHOLECYSTECTOMY/GRAPH | $1,772.25 | $2,363.00 | $667.36–$6,830.12 | 83% below | 25% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 47563 LAP CHOLECYSTECTOMY/GRAPH | $1,772.25 | $2,363.00 | $667.36–$6,830.12 | — | 25% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 47600 RMVL GALLBLADDER | $2,784.75 | $3,713.00 | $984.24–$3,378.83 | 83% below | 25% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 47600 RMVL GALLBLADDER | $2,784.75 | $3,713.00 | $984.24–$3,378.83 | — | 25% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 HEMORRHOID LIGATION INTERNAL W/ RUBBER BAND | $661.50 | $882.00 | $332.32–$1,050.65 | 73% below | 25% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 46221 HEMORRHOID LIGATION INTERNAL W/ RUBBER BAND | $661.50 | $882.00 | $332.32–$1,050.65 | — | 25% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 46255 HEMORRHOIDECTOMY SINGLE GRP | $1,245.75 | $1,661.00 | $588.99–$3,135.89 | 72% below | 25% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $4,083.00 | $5,444.00 | $588.99–$4,954.04 | 9% below | 25% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 46255 HEMORRHOIDECTOMY SINGLE GRP | $1,245.75 | $1,661.00 | $588.99–$3,135.89 | — | 25% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $4,083.00 | $5,444.00 | $588.99–$4,954.04 | — | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US HSG Radiologist | $470.25 | $627.00 | $244.17–$570.57 | 35% above | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR HSG Radiologist | $470.25 | $627.00 | $244.17–$570.57 | 35% above | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR HSG Radiologist | $470.25 | $627.00 | $244.17–$570.57 | — | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US HSG Radiologist | $470.25 | $627.00 | $244.17–$570.57 | — | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 ID ABCESS SIMPLE/SINGLE | $298.50 | $398.00 | $130.86–$362.18 | 2% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ID ABSCESS SMPL/SNGL (aka Paronchia/Cyst) NSG | $393.75 | $525.00 | $130.86–$477.75 | 29% above | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 ID ABCESS SIMPLE/SINGLE | $298.50 | $398.00 | $130.86–$362.18 | — | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ID ABSCESS SMPL/SNGL (aka Paronchia/Cyst) NSG | $393.75 | $525.00 | $130.86–$477.75 | — | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 RPR HERNIA ING INIT >5 YR RDCBL | $1,290.00 | $1,720.00 | $497.54–$4,045.07 | 85% below | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 RPR HERNIA ING INIT >5 YR RDCBL | $1,290.00 | $1,720.00 | $497.54–$4,045.07 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJ SINGLE TENDON SHEATH/LIGAMENT | $151.50 | $202.00 | $60.97–$346.79 | 74% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON OR LIGAMENT ED NSG | $275.25 | $367.00 | $60.97–$346.79 | 52% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON OR LIGAMENT | $275.25 | $367.00 | $60.97–$346.79 | 52% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Tendon or Ligament | $275.25 | $367.00 | $60.97–$346.79 | 52% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJ SINGLE TENDON SHEATH/LIGAMENT | $151.50 | $202.00 | $60.97–$346.79 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON OR LIGAMENT | $275.25 | $367.00 | $60.97–$346.79 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON OR LIGAMENT ED NSG | $275.25 | $367.00 | $60.97–$346.79 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection Tendon or Ligament | $275.25 | $367.00 | $60.97–$346.79 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR Arthrocentesis Aspiration or Injection | $138.75 | $185.00 | $69.23–$346.79 | 79% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASP/INJ JOINT/BURSA LARGE JOINT | $267.75 | $357.00 | $69.23–$346.79 | 60% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 WC Aspiration/Injection Joint Large | $267.75 | $357.00 | $69.23–$346.79 | 60% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TRAY PERITONEAL LAVAGE ED NSG | $511.50 | $682.00 | $69.23–$620.62 | 24% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJ JOINT LARGE W/O US GUIDE ED NSG | $511.50 | $682.00 | $69.23–$620.62 | 24% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration/Injection Joint Large - Aspiration/Injection Procedures RN | $511.50 | $682.00 | $69.23–$620.62 | 24% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJ JOINT LARGE W/O US GUIDE NSG | $511.50 | $682.00 | $69.23–$620.62 | 24% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJ JOINT LARGE W/O US GUIDE | $511.50 | $682.00 | $69.23–$620.62 | 24% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR Arthrocentesis Aspiration or Injection | $138.75 | $185.00 | $69.23–$346.79 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ASP/INJ JOINT/BURSA LARGE JOINT | $267.75 | $357.00 | $69.23–$346.79 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 WC Aspiration/Injection Joint Large | $267.75 | $357.00 | $69.23–$346.79 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration/Injection Joint Large - Aspiration/Injection Procedures RN | $511.50 | $682.00 | $69.23–$620.62 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TRAY PERITONEAL LAVAGE ED NSG | $511.50 | $682.00 | $69.23–$620.62 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR/INJ JOINT LARGE W/O US GUIDE | $511.50 | $682.00 | $69.23–$620.62 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR/INJ JOINT LARGE W/O US GUIDE ED NSG | $511.50 | $682.00 | $69.23–$620.62 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR/INJ JOINT LARGE W/O US GUIDE NSG | $511.50 | $682.00 | $69.23–$620.62 | — | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 INSERT DRUG IMPLANT DEVICE | $361.50 | $482.00 | $108.31–$438.62 | 7% above | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 INSERT DRUG IMPLANT DEVICE | $361.50 | $482.00 | $108.31–$438.62 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WC Aspiration/Injection Joint Intermediate | $249.75 | $333.00 | $57.69–$346.79 | 64% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASP/INJ JNT INTRMD AC/WRIST/ELBOW/ANKLE | $249.75 | $333.00 | $57.69–$346.79 | 64% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration/Injection Joint Intermediate - Aspiration/Injection Procedures RN | $659.25 | $879.00 | $57.69–$799.89 | 5% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR/INJ JOINT INTERMED W/O US GUIDE | $659.25 | $879.00 | $57.69–$799.89 | 5% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR/INJ JOINT INTERMED W/O US GUIDE NSG | $659.25 | $879.00 | $57.69–$799.89 | 5% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 WC Aspiration/Injection Joint Intermediate | $249.75 | $333.00 | $57.69–$346.79 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ASP/INJ JNT INTRMD AC/WRIST/ELBOW/ANKLE | $249.75 | $333.00 | $57.69–$346.79 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIR/INJ JOINT INTERMED W/O US GUIDE | $659.25 | $879.00 | $57.69–$799.89 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIR/INJ JOINT INTERMED W/O US GUIDE NSG | $659.25 | $879.00 | $57.69–$799.89 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration/Injection Joint Intermediate - Aspiration/Injection Procedures RN | $659.25 | $879.00 | $57.69–$799.89 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 WC Aspiration/Injection Joint Small | $213.75 | $285.00 | $56.68–$346.79 | 55% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ASP/INJ JOINT/BURSA SMALL FINGER/TOE | $213.75 | $285.00 | $56.68–$346.79 | 55% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIR/INJ JOINT SMALL W/O US GUIDE | $259.50 | $346.00 | $56.68–$346.79 | 46% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIR/INJ JOINT SMALL W/O US GUIDE ED NSG | $579.75 | $773.00 | $56.68–$703.43 | 21% above | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration/Injection Joint Small - Aspiration/Injection Procedures RN | $579.75 | $773.00 | $56.68–$703.43 | 21% above | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 ASP/INJ JOINT/BURSA SMALL FINGER/TOE | $213.75 | $285.00 | $56.68–$346.79 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 WC Aspiration/Injection Joint Small | $213.75 | $285.00 | $56.68–$346.79 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIR/INJ JOINT SMALL W/O US GUIDE | $259.50 | $346.00 | $56.68–$346.79 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIR/INJ JOINT SMALL W/O US GUIDE ED NSG | $579.75 | $773.00 | $56.68–$703.43 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration/Injection Joint Small - Aspiration/Injection Procedures RN | $579.75 | $773.00 | $56.68–$703.43 | — | 25% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 LAP APPENDECTOMY | $1,490.25 | $1,987.00 | $565.15–$6,830.12 | 78% below | 25% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 44970 LAP APPENDECTOMY | $1,490.25 | $1,987.00 | $565.15–$6,830.12 | — | 25% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 43280 LAPS SURG ESOPG/GSTR FUNDOPLASTY | $3,049.50 | $4,066.00 | $982.63–$12,009.38 | 54% below | 25% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 43280 LAPS SURG ESOPG/GSTR FUNDOPLASTY | $3,049.50 | $4,066.00 | $982.63–$12,009.38 | — | 25% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 LAP HERNIA RPR INITIAL | $1,061.25 | $1,415.00 | $416.66–$6,830.12 | 85% below | 25% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650 LAP HERNIA RPR INITIAL | $1,061.25 | $1,415.00 | $416.66–$6,830.12 | — | 25% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 LAP HERNIA RPR RECUR | $1,379.25 | $1,839.00 | $539.79–$6,830.12 | 78% below | 25% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 49651 LAP HERNIA RPR RECUR | $1,379.25 | $1,839.00 | $539.79–$6,830.12 | — | 25% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $1,750.50 | $2,334.00 | $572.65–$6,830.12 | 88% below | 25% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $1,750.50 | $2,334.00 | $572.65–$6,830.12 | — | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 0 - 2.5 cm. - Lac - Axilla Trunk Arms Legs&Scalp - Intermediate RN | $399.75 | $533.00 | $265.51–$485.03 | 17% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC INTER SCALP/TRNK/ARM/LEG 0-2.5 CM ED NSG | $399.75 | $533.00 | $265.51–$485.03 | 17% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 LAC RPR ATALS INTERMED 0-2.5CM | $571.50 | $762.00 | $265.51–$693.42 | 19% above | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 0 - 2.5 cm. - Lac - Axilla Trunk Arms Legs&Scalp - Intermediate RN | $399.75 | $533.00 | $265.51–$485.03 | — | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC INTER SCALP/TRNK/ARM/LEG 0-2.5 CM ED NSG | $399.75 | $533.00 | $265.51–$485.03 | — | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 LAC RPR ATALS INTERMED 0-2.5CM | $571.50 | $762.00 | $265.51–$693.42 | — | 25% |
| Left heart catheterization, diagnostic CPT 93452 93452 L HEART CATH W/ VENTRCLGRPHY | $2,151.00 | $2,868.00 | $897.72–$3,662.67 | 69% below | 25% |
| Left heart catheterization, diagnostic inpatient CPT 93452 93452 L HEART CATH W/ VENTRCLGRPHY | $2,151.00 | $2,868.00 | $897.72–$3,662.67 | — | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL LUMBAR/SACRAL W/O IMG NSG | $1,699.50 | $2,266.00 | $147.89–$2,062.06 | 48% above | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL LUMBAR/SACRAL W/O IMG | $1,699.50 | $2,266.00 | $147.89–$2,062.06 | 48% above | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL LUMBAR/SACRAL W/O IMG NSG | $1,699.50 | $2,266.00 | $147.89–$2,062.06 | — | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL LUMBAR/SACRAL W/O IMG | $1,699.50 | $2,266.00 | $147.89–$2,062.06 | — | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NRV BLK TRNSFRMNL LUMB/SAC SNGL W/IMG | $1,688.25 | $2,251.00 | $271.46–$2,048.41 | at median | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Spinal for C Section | $1,688.25 | $2,251.00 | $271.46–$2,048.41 | at median | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Spinal for C Section | $1,688.25 | $2,251.00 | $271.46–$2,048.41 | — | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NRV BLK TRNSFRMNL LUMB/SAC SNGL W/IMG | $1,688.25 | $2,251.00 | $271.46–$2,048.41 | — | 25% |
| Lumpectomy (partial mastectomy) CPT 19301 19301 MASTECTOMY PARTIAL | $1,608.75 | $2,145.00 | $619.29–$4,423.58 | 37% below | 25% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301 MASTECTOMY PARTIAL | $1,608.75 | $2,145.00 | $619.29–$4,423.58 | — | 25% |
| Mastectomy (total removal of the breast) CPT 19303 19303 MASTECTOMY SIMPLE COMPLETE | $2,493.75 | $3,325.00 | $895.34–$7,501.94 | 36% below | 25% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 19303 MASTECTOMY SIMPLE COMPLETE | $2,493.75 | $3,325.00 | $895.34–$7,501.94 | — | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXC LESION TAL 0.5CM/< | $316.50 | $422.00 | $130.87–$800.04 | 46% below | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 EXC LESION TAL 0.5CM/< | $316.50 | $422.00 | $130.87–$800.04 | — | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXC FACE-MM B9 MARG 0.5CM/< | $342.00 | $456.00 | $145.27–$800.04 | 54% below | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 EXC FACE-MM B9 MARG 0.5CM/< | $342.00 | $456.00 | $145.27–$800.04 | — | 25% |
| Nail removal (partial or complete), one nail CPT 11730 11730 NAIL PLATE RMVL AVLSN PRTL/CMPLT | $251.25 | $335.00 | $113.85–$304.85 | 21% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION PARTIAL/COMPLETE 1 ED NSG | $332.25 | $443.00 | $113.85–$403.13 | 4% above | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Nail Plate Removal (avulsion), partial or complete | $332.25 | $443.00 | $113.85–$403.13 | 4% above | 25% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 NAIL PLATE RMVL AVLSN PRTL/CMPLT | $251.25 | $335.00 | $113.85–$304.85 | — | 25% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Nail Plate Removal (avulsion), partial or complete | $332.25 | $443.00 | $113.85–$403.13 | — | 25% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION PARTIAL/COMPLETE 1 ED NSG | $332.25 | $443.00 | $113.85–$403.13 | — | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION AA/STRD GREATER OCCIPITAL NERVE | $524.25 | $699.00 | $78.68–$636.09 | 30% below | 25% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION AA/STRD GREATER OCCIPITAL NERVE | $524.25 | $699.00 | $78.68–$636.09 | — | 25% |
| Pacemaker implant (dual chamber) CPT 33208 33208 INSERT HEART PM ATRIAL VENTRICULAR | $1,325.25 | $1,767.00 | $443.20–$11,808.46 | 94% below | 25% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 33208 INSERT HEART PM ATRIAL VENTRICULAR | $1,325.25 | $1,767.00 | $443.20–$11,808.46 | — | 25% |
| Paracentesis with imaging guidance CPT 49083 49083 ABD PARACENTESIS W/IMAGING | $714.00 | $952.00 | $291.12–$1,024.69 | 57% below | 25% |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis w/Img Gdnc NSG | $1,341.75 | $1,789.00 | $291.12–$1,627.99 | 19% below | 25% |
| Paracentesis with imaging guidance CPT 49083 POCUS Abdominal Paracentesis | $1,341.75 | $1,789.00 | $291.12–$1,627.99 | 19% below | 25% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/IMG NSG | $1,341.75 | $1,789.00 | $291.12–$1,627.99 | 19% below | 25% |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 ABD PARACENTESIS W/IMAGING | $714.00 | $952.00 | $291.12–$1,024.69 | — | 25% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis w/Img Gdnc NSG | $1,341.75 | $1,789.00 | $291.12–$1,627.99 | — | 25% |
| Paracentesis with imaging guidance inpatient CPT 49083 POCUS Abdominal Paracentesis | $1,341.75 | $1,789.00 | $291.12–$1,627.99 | — | 25% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/IMG NSG | $1,341.75 | $1,789.00 | $291.12–$1,627.99 | — | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL BED PERMANENT MD | $398.25 | $531.00 | $160.47–$483.21 | 50% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXC NAIL/NAIL MATRIX | $539.25 | $719.00 | $160.47–$654.29 | 32% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL BED PERMANENT ED NSG | $1,043.25 | $1,391.00 | $160.47–$1,265.81 | 31% above | 25% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL NAIL BED PERMANENT MD | $398.25 | $531.00 | $160.47–$483.21 | — | 25% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 EXC NAIL/NAIL MATRIX | $539.25 | $719.00 | $160.47–$654.29 | — | 25% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL NAIL BED PERMANENT ED NSG | $1,043.25 | $1,391.00 | $160.47–$1,265.81 | — | 25% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT | $2,607.00 | $3,476.00 | $1,064.58–$12,009.38 | — | 25% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT | $2,607.00 | $3,476.00 | $1,064.58–$12,009.38 | — | 25% |
| Removal of a breast lump, open surgery CPT 19120 19120 EXC BREAST LESION 1/> | $1,207.50 | $1,610.00 | $574.39–$4,423.58 | 47% below | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 EXC BREAST LESION 1/> | $1,207.50 | $1,610.00 | $574.39–$4,423.58 | — | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 SKIN/SUB Q SIMPLE | $387.75 | $517.00 | $160.72–$470.47 | 19% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 FB SKIN SUBQ SMPL ED NSG | $755.25 | $1,007.00 | $160.72–$916.37 | 57% above | 25% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 SKIN/SUB Q SIMPLE | $387.75 | $517.00 | $160.72–$470.47 | — | 25% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FB SKIN SUBQ SMPL ED NSG | $755.25 | $1,007.00 | $160.72–$916.37 | — | 25% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 60220 THYROID RMVL LOBECTOMY UNI | $1,748.25 | $2,331.00 | $629.35–$6,830.12 | 42% below | 25% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220 THYROID RMVL LOBECTOMY UNI | $1,748.25 | $2,331.00 | $629.35–$6,830.12 | — | 25% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 COLON CA SCRN NOT HI RISK IND | $352.50 | $470.00 | $314.90–$1,050.65 | 84% below | 25% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121 COLON CA SCRN NOT HI RISK IND | $352.50 | $470.00 | $314.90–$1,050.65 | — | 25% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLORECTAL SCREEN HI RISK | $352.50 | $470.00 | $314.90–$1,050.65 | 82% below | 25% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105 COLORECTAL SCREEN HI RISK | $352.50 | $470.00 | $314.90–$1,050.65 | — | 25% |
| Septoplasty to straighten the nasal septum CPT 30520 30520 RPR NASAL SEPTUM | $1,521.75 | $2,029.00 | $618.46–$3,745.74 | 58% below | 25% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 30520 RPR NASAL SEPTUM | $1,521.75 | $2,029.00 | $618.46–$3,745.74 | — | 25% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM ED NSG | $402.75 | $537.00 | $99.13–$488.67 | 31% above | 25% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM NSG | $402.75 | $537.00 | $99.13–$488.67 | 31% above | 25% |
| Short arm cast (elbow to hand) CPT 29075 Cast Application - Gauntlet - Casting Charges Downtime RN | $402.75 | $537.00 | $99.13–$488.67 | 31% above | 25% |
| Short arm cast (elbow to hand) CPT 29075 Cast Application - Short arm - Casting Charges Downtime RN | $402.75 | $537.00 | $99.13–$488.67 | 31% above | 25% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM NSG | $402.75 | $537.00 | $99.13–$488.67 | 31% above | 25% |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM PT | $436.50 | $582.00 | $99.13–$529.62 | 42% above | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Cast Application - Short arm - Casting Charges Downtime RN | $402.75 | $537.00 | $99.13–$488.67 | — | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM ED NSG | $402.75 | $537.00 | $99.13–$488.67 | — | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM NSG | $402.75 | $537.00 | $99.13–$488.67 | — | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Cast Application - Gauntlet - Casting Charges Downtime RN | $402.75 | $537.00 | $99.13–$488.67 | — | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM NSG | $402.75 | $537.00 | $99.13–$488.67 | — | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST ELBOW-FINGER SHORT ARM PT | $436.50 | $582.00 | $99.13–$529.62 | — | 25% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $167.25 | $223.00 | $80.87–$202.93 | 44% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND STATIC PT | $216.75 | $289.00 | $80.87–$262.99 | 27% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND STATIC OT | $216.75 | $289.00 | $80.87–$262.99 | 27% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 Splint Application - Sugar Tong Arm - Splinting Charges Downtime RN | $391.50 | $522.00 | $80.87–$475.02 | 31% above | 25% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND STATIC NSG | $391.50 | $522.00 | $80.87–$475.02 | 31% above | 25% |
| Short arm splint (forearm and hand) CPT 29125 Splint Application - Radial Gutter - Splinting Charges Downtime RN | $391.50 | $522.00 | $80.87–$475.02 | 31% above | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $167.25 | $223.00 | $80.87–$202.93 | — | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND STATIC PT | $216.75 | $289.00 | $80.87–$262.99 | — | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND STATIC OT | $216.75 | $289.00 | $80.87–$262.99 | — | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Splint Application - Radial Gutter - Splinting Charges Downtime RN | $391.50 | $522.00 | $80.87–$475.02 | — | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Splint Application - Sugar Tong Arm - Splinting Charges Downtime RN | $391.50 | $522.00 | $80.87–$475.02 | — | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND STATIC NSG | $391.50 | $522.00 | $80.87–$475.02 | — | 25% |
| Short leg cast (below the knee) CPT 29405 APPLY CAST BELOW KNEE-TOES SHORT NSG | $400.50 | $534.00 | $89.06–$485.94 | 1% above | 25% |
| Short leg cast (below the knee) CPT 29405 APPLY CAST BELOW KNEE-TOES SHORT PT | $400.50 | $534.00 | $89.06–$485.94 | 1% above | 25% |
| Short leg cast (below the knee) CPT 29405 Cast Application - Short leg - Casting Charges Downtime RN | $400.50 | $534.00 | $89.06–$485.94 | 1% above | 25% |
| Short leg cast (below the knee) CPT 29405 APPLY CAST BELOW KNEE-TOES SHORT ED NSG | $400.50 | $534.00 | $89.06–$485.94 | 1% above | 25% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY CAST BELOW KNEE-TOES SHORT PT | $400.50 | $534.00 | $89.06–$485.94 | — | 25% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY CAST BELOW KNEE-TOES SHORT ED NSG | $400.50 | $534.00 | $89.06–$485.94 | — | 25% |
| Short leg cast (below the knee) inpatient CPT 29405 Cast Application - Short leg - Casting Charges Downtime RN | $400.50 | $534.00 | $89.06–$485.94 | — | 25% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY CAST BELOW KNEE-TOES SHORT NSG | $400.50 | $534.00 | $89.06–$485.94 | — | 25% |
| Short leg splint (calf to foot) CPT 29515 APPLY SPLINT CALF-FOOT SHORT LEG ED NSG | $368.25 | $491.00 | $83.70–$446.81 | 61% above | 25% |
| Short leg splint (calf to foot) CPT 29515 Splint Application - Short leg - Splinting Charges Downtime RN | $368.25 | $491.00 | $83.70–$446.81 | 61% above | 25% |
| Short leg splint (calf to foot) CPT 29515 APPLY SPLINT CALF-FOOT SHORT LEG NSG | $368.25 | $491.00 | $83.70–$446.81 | 61% above | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT CALF-FOOT SHORT LEG ED NSG | $368.25 | $491.00 | $83.70–$446.81 | — | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT CALF-FOOT SHORT LEG NSG | $368.25 | $491.00 | $83.70–$446.81 | — | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 Splint Application - Short leg - Splinting Charges Downtime RN | $368.25 | $491.00 | $83.70–$446.81 | — | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 LAC RPR ATALS/HFEG 0-2.5CM SIMPLE | $228.75 | $305.00 | $115.70–$277.55 | 49% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 0 - 2.5 cm. - Lac - Axilla, Trunk, Arms, Legs & Scalp - Simple RN | $366.75 | $489.00 | $115.70–$444.99 | 18% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SMPL S/N/AX/GEN/TRNK 0-2.5 CM ED NSG | $366.75 | $489.00 | $115.70–$444.99 | 18% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 0 - 2.5 cm. - Lac - Hands, Feet,External Genitalia - Simple RN | $366.75 | $489.00 | $115.70–$444.99 | 18% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 LAC RPR ATALS/HFEG 0-2.5CM SIMPLE | $228.75 | $305.00 | $115.70–$277.55 | — | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC SMPL S/N/AX/GEN/TRNK 0-2.5 CM ED NSG | $366.75 | $489.00 | $115.70–$444.99 | — | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 0 - 2.5 cm. - Lac - Axilla, Trunk, Arms, Legs & Scalp - Simple RN | $366.75 | $489.00 | $115.70–$444.99 | — | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 0 - 2.5 cm. - Lac - Hands, Feet,External Genitalia - Simple RN | $366.75 | $489.00 | $115.70–$444.99 | — | 25% |
| Skin biopsy, punch, one lesion CPT 11104 11104 BX SKIN LESION PUNCH SINGLE | $236.25 | $315.00 | $124.22–$459.28 | 56% below | 25% |
| Skin biopsy, punch, one lesion CPT 11104 Bx Skin Lsn Punch Single NSG | $332.25 | $443.00 | $124.22–$459.28 | 39% below | 25% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 BX SKIN LESION PUNCH SINGLE | $236.25 | $315.00 | $124.22–$459.28 | — | 25% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Bx Skin Lsn Punch Single NSG | $332.25 | $443.00 | $124.22–$459.28 | — | 25% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 EXC TR-EXT MLG MARG 0.5CM/< | $490.50 | $654.00 | $202.22–$800.04 | 70% below | 25% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 EXC TR-EXT MLG MARG 0.5CM/< | $490.50 | $654.00 | $202.22–$800.04 | — | 25% |
| Skin tag removal, up to 15 tags CPT 11200 11200 SKIN TAG REMOVAL 1-15 LESIONS | $224.25 | $299.00 | $94.02–$272.09 | 22% below | 25% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 SKIN TAG REMOVAL 1-15 LESIONS | $224.25 | $299.00 | $94.02–$272.09 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINE PNXR LMBR DX | $736.50 | $982.00 | $167.34–$893.62 | 19% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR Lumbar Puncture | $774.00 | $1,032.00 | $167.34–$939.12 | 15% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP LUMBAR DX NSG | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | 28% above | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP LUMBAR DX | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | 28% above | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP LUMBAR DX ED NSG | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | 28% above | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP LUMBAR DX NSG | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | 28% above | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 SPINE PNXR LMBR DX | $736.50 | $982.00 | $167.34–$893.62 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR Lumbar Puncture | $774.00 | $1,032.00 | $167.34–$939.12 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP LUMBAR DX NSG | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP LUMBAR DX | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP LUMBAR DX NSG | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP LUMBAR DX ED NSG | $1,172.25 | $1,563.00 | $167.34–$1,422.33 | — | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 LAC RPR ATALS/HFEG 2.6-7.5CM SIMPLE | $279.00 | $372.00 | $141.12–$338.52 | 34% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SMPL S/N/AX/GEN/TRNK 2.6-7.5 CM ED NSG | $385.50 | $514.00 | $141.12–$467.74 | 9% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2.6 - 7.5 cm - Lac - Hands, Feet,External Genitalia - Simple RN | $385.50 | $514.00 | $141.12–$467.74 | 9% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2.6 - 7.5 cm - Lac - Axilla, Trunk, Arms, Legs & Scalp - Simple RN | $385.50 | $514.00 | $141.12–$467.74 | 9% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 LAC RPR ATALS/HFEG 2.6-7.5CM SIMPLE | $279.00 | $372.00 | $141.12–$338.52 | — | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 2.6 - 7.5 cm - Lac - Axilla, Trunk, Arms, Legs & Scalp - Simple RN | $385.50 | $514.00 | $141.12–$467.74 | — | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 2.6 - 7.5 cm - Lac - Hands, Feet,External Genitalia - Simple RN | $385.50 | $514.00 | $141.12–$467.74 | — | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC SMPL S/N/AX/GEN/TRNK 2.6-7.5 CM ED NSG | $385.50 | $514.00 | $141.12–$467.74 | — | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 LAC RPR FEMM 0-2.5CM SIMPLE | $279.75 | $373.00 | $141.68–$339.43 | 19% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Lac-Face,EarsMucous Membranes - Simple RN:0 - 2.5 cm. | $366.75 | $489.00 | $141.68–$444.99 | 6% above | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC SMPL F/E/E/N/L/M 0-2.5 CM ED NSG | $366.75 | $489.00 | $141.68–$444.99 | 6% above | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 LAC RPR FEMM 0-2.5CM SIMPLE | $279.75 | $373.00 | $141.68–$339.43 | — | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Lac-Face,EarsMucous Membranes - Simple RN:0 - 2.5 cm. | $366.75 | $489.00 | $141.68–$444.99 | — | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC SMPL F/E/E/N/L/M 0-2.5 CM ED NSG | $366.75 | $489.00 | $141.68–$444.99 | — | 25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 BX SKIN LESION TANGENTIAL SINGLE | $187.50 | $250.00 | $97.96–$459.28 | 58% below | 25% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 BX SKIN LESION TANGENTIAL SINGLE | $187.50 | $250.00 | $97.96–$459.28 | — | 25% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis | $375.00 | $500.00 | $318.45–$708.71 | 83% below | 25% |
| Thoracentesis with imaging guidance CPT 32555 32555 ASPIRATE PLEURA W/IMAGING | $702.00 | $936.00 | $318.45–$851.76 | 67% below | 25% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging | $1,554.00 | $2,072.00 | $318.45–$1,885.52 | 28% below | 25% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis | $375.00 | $500.00 | $318.45–$708.71 | — | 25% |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 ASPIRATE PLEURA W/IMAGING | $702.00 | $936.00 | $318.45–$851.76 | — | 25% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging | $1,554.00 | $2,072.00 | $318.45–$1,885.52 | — | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ TRIGGER POINTS 1-2 MUSCLE | $143.25 | $191.00 | $52.24–$346.79 | 72% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT(S) 1-2 MUSCLE ED NSG | $566.25 | $755.00 | $52.24–$687.05 | 12% above | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point, 1/2 muscle | $566.25 | $755.00 | $52.24–$687.05 | 12% above | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ TRIGGER POINTS 1-2 MUSCLE | $143.25 | $191.00 | $52.24–$346.79 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT(S) 1-2 MUSCLE ED NSG | $566.25 | $755.00 | $52.24–$687.05 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point, 1/2 muscle | $566.25 | $755.00 | $52.24–$687.05 | — | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 BX BREAST 1ST LESION US GUID | $1,576.50 | $2,102.00 | $487.66–$1,912.82 | 53% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Bx Breast 1st Lesion US LT PF | $890.25 | $1,187.00 | $487.66–$1,865.94 | 73% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Bx Breast 1st Lesion US RT PF | $890.25 | $1,187.00 | $487.66–$1,865.94 | 73% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Bx Breast 1st Lesion US LT | $3,059.25 | $4,079.00 | $487.66–$3,711.89 | 9% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Bx Breast 1st Lesion US RT | $3,059.25 | $4,079.00 | $487.66–$3,711.89 | 9% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BBUS US Bx Breast 1st Lesion Right | $3,835.50 | $5,114.00 | $487.66–$4,653.74 | 14% above | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 19083 BBUS US BX BREAST 1ST LESION LEFT | $3,835.50 | $5,114.00 | $487.66–$4,653.74 | 14% above | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 BX BREAST 1ST LESION US GUID | $1,576.50 | $2,102.00 | $487.66–$1,912.82 | — | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Bx Breast 1st Lesion US RT PF | $890.25 | $1,187.00 | $487.66–$1,865.94 | — | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Bx Breast 1st Lesion US LT PF | $890.25 | $1,187.00 | $487.66–$1,865.94 | — | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Bx Breast 1st Lesion US LT | $3,059.25 | $4,079.00 | $487.66–$3,711.89 | — | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Bx Breast 1st Lesion US RT | $3,059.25 | $4,079.00 | $487.66–$3,711.89 | — | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 19083 BBUS US BX BREAST 1ST LESION LEFT | $3,835.50 | $5,114.00 | $487.66–$4,653.74 | — | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BBUS US Bx Breast 1st Lesion Right | $3,835.50 | $5,114.00 | $487.66–$4,653.74 | — | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 ENDOSCOPY W/ BIOPSY (SINGLE OR MULTIPLE) | $954.75 | $1,273.00 | $430.27–$1,158.43 | 49% below | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $983.25 | $1,311.00 | $430.27–$1,193.01 | 47% below | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ENDOSCOPY W/ BIOPSY (SINGLE OR MULTIPLE) | $954.75 | $1,273.00 | $430.27–$1,158.43 | — | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $983.25 | $1,311.00 | $430.27–$1,193.01 | — | 25% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 EGD RMVL TUMOR/POLYP/LESION W/ SNARE | $1,235.25 | $1,647.00 | $559.72–$2,167.94 | 53% below | 25% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 ENDOSCOPY W/LESION BY SNARE TECHN | $1,642.50 | $2,190.00 | $559.72–$2,167.94 | 38% below | 25% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 EGD RMVL TUMOR/POLYP/LESION W/ SNARE | $1,235.25 | $1,647.00 | $559.72–$2,167.94 | — | 25% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 ENDOSCOPY W/LESION BY SNARE TECHN | $1,642.50 | $2,190.00 | $559.72–$2,167.94 | — | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 ESOPHAGOSCOPY LESION REMOVAL | $770.25 | $1,027.00 | $330.74–$1,024.69 | 58% below | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 ESOPHAGOSCOPY LESION REMOVAL | $770.25 | $1,027.00 | $330.74–$1,024.69 | — | 25% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $615.00 | $820.00 | $352.03–$2,361.67 | — | 25% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $615.00 | $820.00 | $352.03–$2,361.67 | — | 25% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION UP TO 14 LESIONS ED NSG | $199.50 | $266.00 | $114.17–$242.06 | 27% below | 25% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCTION FLAT WART MOLUS MILIA | $282.00 | $376.00 | $114.17–$342.16 | 3% above | 25% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION UP TO 14 LESIONS ED NSG | $199.50 | $266.00 | $114.17–$242.06 | — | 25% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 DESTRUCTION FLAT WART MOLUS MILIA | $282.00 | $376.00 | $114.17–$342.16 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDE SUBQ TISSUE < 20SQCM | $298.50 | $398.00 | $135.40–$459.28 | 50% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN TISSUE 1ST 20 SQ CM/< ED NSG | $1,151.25 | $1,535.00 | $135.40–$1,396.85 | 94% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDE SUBQ TISSUE < 20SQCM | $298.50 | $398.00 | $135.40–$459.28 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN TISSUE 1ST 20 SQ CM/< ED NSG | $1,151.25 | $1,535.00 | $135.40–$1,396.85 | — | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 - TRANSFUSION BLD/BLD COMPONENTS | $402.00 | $536.00 | $49.18–$498.43 | 73% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATN 1-2 HOURS ED NSG | $421.50 | $562.00 | $49.18–$511.42 | 72% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS 1-2HR | $421.50 | $562.00 | $49.18–$511.42 | 72% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Charge | $421.50 | $562.00 | $49.18–$511.42 | 72% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATN 1-2 HOURS NSG | $421.50 | $562.00 | $49.18–$511.42 | 72% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATN 1-2 HOURS | $1,270.50 | $1,694.00 | $49.18–$1,541.54 | 15% below | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 - TRANSFUSION BLD/BLD COMPONENTS | $402.00 | $536.00 | $49.18–$498.43 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Charge | $421.50 | $562.00 | $49.18–$511.42 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATN 1-2 HOURS ED NSG | $421.50 | $562.00 | $49.18–$511.42 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS 1-2HR | $421.50 | $562.00 | $49.18–$511.42 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATN 1-2 HOURS NSG | $421.50 | $562.00 | $49.18–$511.42 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATN 1-2 HOURS | $1,270.50 | $1,694.00 | $49.18–$1,541.54 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 INHLATN TX NEB/IPPB/AEROSOL | $48.75 | $65.00 | $8.97–$247.40 | 85% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EzPAP Therapy initial | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB Initial | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB Treatment | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI Subsequent | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB Subsequent | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Vapotherm Initial Day | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Vapotherm Subsequent Aerosol Treatment | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Vapotherm Subsequent Aersol Treatment | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Vapotherm Subsequent Day | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Subsequent Treatment | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Cool Heated Initial Tx | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Heated High-Flow Nasal Cannula Initial Day | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Tx (Neb/IPPB/Aerosol) Subsq Tx NSG | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Heated High-Flow Nasal Cannula Subsequent Day | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Tx (Neb/IPPB/Aerosol) NSG | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Initial Treatment | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EzPAP Therapy Subsequent | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Hand-Held Treatment | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Vapotherm Initial Aerosol Treatment | $187.50 | $250.00 | $8.97–$247.40 | 43% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 INHLATN TX NEB/IPPB/AEROSOL | $48.75 | $65.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Vapotherm Subsequent Aerosol Treatment | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EzPAP Therapy initial | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EzPAP Therapy Subsequent | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Tx (Neb/IPPB/Aerosol) NSG | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Tx (Neb/IPPB/Aerosol) Subsq Tx NSG | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Cool Heated Initial Tx | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Heated High-Flow Nasal Cannula Initial Day | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Heated High-Flow Nasal Cannula Subsequent Day | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Initial Treatment | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Hand-Held Treatment | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Vapotherm Initial Aerosol Treatment | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB Initial | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB Treatment | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB Subsequent | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Vapotherm Initial Day | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI Subsequent | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Subsequent Treatment | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Vapotherm Subsequent Day | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Vapotherm Subsequent Aersol Treatment | $187.50 | $250.00 | $8.97–$247.40 | — | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $1,268.25 | $1,691.00 | $137.84–$1,538.81 | 6% above | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $1,268.25 | $1,691.00 | $137.84–$1,538.81 | — | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE 31-74 MINUTES | $1,212.75 | $1,617.00 | $310.24–$1,471.47 | 66% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE EVAL/MGMT 30-74MIN ED NSG | $3,336.00 | $4,448.00 | $310.24–$4,047.68 | 6% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE EVAL/MGMT 30-74MIN URG | $3,336.00 | $4,448.00 | $310.24–$4,047.68 | 6% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care | $3,336.00 | $4,448.00 | $310.24–$4,047.68 | 6% below | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 CRITICAL CARE 31-74 MINUTES | $1,212.75 | $1,617.00 | $310.24–$1,471.47 | — | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care | $3,336.00 | $4,448.00 | $310.24–$4,047.68 | — | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE EVAL/MGMT 30-74MIN ED NSG | $3,336.00 | $4,448.00 | $310.24–$4,047.68 | — | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE EVAL/MGMT 30-74MIN URG | $3,336.00 | $4,448.00 | $310.24–$4,047.68 | — | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 ELECTROCARDIOGRAM COMPLETE | $44.25 | $59.00 | $15.54–$53.69 | 73% below | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12-Lead w/ IR O/P URG/VHC | $58.50 | $78.00 | $15.54–$70.98 | 64% below | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG Acquisition | $237.75 | $317.00 | $15.54–$288.47 | 47% above | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 ELECTROCARDIOGRAM COMPLETE | $44.25 | $59.00 | $15.54–$53.69 | — | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12-Lead w/ IR O/P URG/VHC | $58.50 | $78.00 | $15.54–$70.98 | — | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG Acquisition | $237.75 | $317.00 | $15.54–$288.47 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 TRACING W/O INTERPRETATION | $44.25 | $59.00 | $7.22–$66.65 | 83% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12-Lead Acquisition | $237.75 | $317.00 | $7.22–$288.47 | 8% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Acquisition | $237.75 | $317.00 | $7.22–$288.47 | 8% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 IP/OP EKG Lead Tracing Only | $237.75 | $317.00 | $7.22–$288.47 | 8% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $237.75 | $317.00 | $7.22–$288.47 | 8% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Pediatric | $237.75 | $317.00 | $7.22–$288.47 | 8% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 TRACING W/O INTERPRETATION | $44.25 | $59.00 | $7.22–$66.65 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Acquisition | $237.75 | $317.00 | $7.22–$288.47 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $237.75 | $317.00 | $7.22–$288.47 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 IP/OP EKG Lead Tracing Only | $237.75 | $317.00 | $7.22–$288.47 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Pediatric | $237.75 | $317.00 | $7.22–$288.47 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12-Lead Acquisition | $237.75 | $317.00 | $7.22–$288.47 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 CONSULTATION ED LVL 1 LMTD/MINOR | $56.25 | $75.00 | $10.79–$95.27 | 84% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - ED Level 1 | $201.00 | $268.00 | $10.79–$243.88 | 42% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL I ED NSG | $201.00 | $268.00 | $10.79–$243.88 | 42% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 CONSULTATION ED LVL 1 LMTD/MINOR | $56.25 | $75.00 | $10.79–$95.27 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - ED Level 1 | $201.00 | $268.00 | $10.79–$243.88 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL I ED NSG | $201.00 | $268.00 | $10.79–$243.88 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 CONSULTATION ED LVL 2 LOW/MOD | $321.00 | $428.00 | $39.54–$389.48 | 45% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL II ED NSG | $395.25 | $527.00 | $39.54–$479.57 | 32% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - ED Level 2 | $395.25 | $527.00 | $39.54–$479.57 | 32% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 CONSULTATION ED LVL 2 LOW/MOD | $321.00 | $428.00 | $39.54–$389.48 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - ED Level 2 | $395.25 | $527.00 | $39.54–$479.57 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL II ED NSG | $395.25 | $527.00 | $39.54–$479.57 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 CONSULTATION ED LVL 3 MODERATE | $162.75 | $217.00 | $67.86–$308.41 | 85% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - ED Level 3 | $846.75 | $1,129.00 | $67.86–$1,027.39 | 22% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL III ED NSG | $846.75 | $1,129.00 | $67.86–$1,027.39 | 22% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 CONSULTATION ED LVL 3 MODERATE | $162.75 | $217.00 | $67.86–$308.41 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL III ED NSG | $846.75 | $1,129.00 | $67.86–$1,027.39 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - ED Level 3 | $846.75 | $1,129.00 | $67.86–$1,027.39 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 CONSULTATION ED LVL 4 HIGH/URGENT | $308.25 | $411.00 | $115.39–$471.41 | 82% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - ED Level 4 | $1,446.00 | $1,928.00 | $115.39–$1,754.48 | 15% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL IV ED NSG | $1,446.00 | $1,928.00 | $115.39–$1,754.48 | 15% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 CONSULTATION ED LVL 4 HIGH/URGENT | $308.25 | $411.00 | $115.39–$471.41 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL IV ED NSG | $1,446.00 | $1,928.00 | $115.39–$1,754.48 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - ED Level 4 | $1,446.00 | $1,928.00 | $115.39–$1,754.48 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 CONSULTATION ED LVL 5 HIGH/LIFE THRTN | $456.75 | $609.00 | $167.41–$672.82 | 82% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL V ED NSG | $2,661.75 | $3,549.00 | $167.41–$3,229.59 | 7% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - ED Level 5 | $2,661.75 | $3,549.00 | $167.41–$3,229.59 | 7% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 CONSULTATION ED LVL 5 HIGH/LIFE THRTN | $456.75 | $609.00 | $167.41–$672.82 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - ED Level 5 | $2,661.75 | $3,549.00 | $167.41–$3,229.59 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL V ED NSG | $2,661.75 | $3,549.00 | $167.41–$3,229.59 | — | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 CARDIOVASC STRESS TEST TRACING ONLY | $102.00 | $136.00 | $40.56–$243.94 | 92% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG/PHARMACOLOGICAL STRESS | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG/Treadmill Stress | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT Stress Test | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiolite Stress Test Treadmill | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Treadmill | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Ergometer Stress (Bicycle) | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Stress Echo Testing Only | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiolite Ergometer Stress (Bicycle) | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Nuclear Med/Lexiscan Stress Test | $668.25 | $891.00 | $40.56–$810.81 | 46% below | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 CARDIOVASC STRESS TEST TRACING ONLY | $102.00 | $136.00 | $40.56–$243.94 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Nuclear Med/Lexiscan Stress Test | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiolite Stress Test Treadmill | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 GXT Stress Test | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Treadmill | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 Stress Echo Testing Only | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG/Treadmill Stress | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG/PHARMACOLOGICAL STRESS | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiolite Ergometer Stress (Bicycle) | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Ergometer Stress (Bicycle) | $668.25 | $891.00 | $40.56–$810.81 | — | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY COUPLES PSYCHOTHERAPY WITH PATIENT | $232.50 | $310.00 | $109.18–$282.10 | 55% below | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 FAMILY COUPLES PSYCHOTHERAPY WITH PATIENT | $232.50 | $310.00 | $109.18–$282.10 | — | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY COUPLES PSYCHOTHERAPY W/O PATIENT | $222.75 | $297.00 | $105.46–$270.27 | 54% below | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY COUPLES PSYCHOTHERAPY W/O PATIENT | $222.75 | $297.00 | $105.46–$270.27 | — | 25% |
| Group psychotherapy session CPT 90853 90853 GROUP THERAPY | $63.00 | $84.00 | $30.46–$114.78 | 79% below | 25% |
| Group psychotherapy session inpatient CPT 90853 90853 GROUP THERAPY | $63.00 | $84.00 | $30.46–$114.78 | — | 25% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 ECG XTRNL CONTINOUS 48HR/< RECORD/SCAN/RI | $234.75 | $313.00 | $72.56–$284.83 | 27% above | 25% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 93224 ECG XTRNL CONTINOUS 48HR/< RECORD/SCAN/RI | $234.75 | $313.00 | $72.56–$284.83 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUSION HYDRATION INIT 31-60MIN | $147.75 | $197.00 | $34.45–$240.31 | 68% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 SAH - IV INFUSION HYDRAT INITIAL 31MIN-1HR | $333.00 | $444.00 | $34.45–$404.04 | 27% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $333.00 | $444.00 | $34.45–$404.04 | 27% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration, first hour | $348.75 | $465.00 | $34.45–$423.15 | 24% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV hydration Initial 31 min to 1hr | $348.75 | $465.00 | $34.45–$423.15 | 24% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSN HYDRATN INIT 31-60 MIN ED NSG | $348.75 | $465.00 | $34.45–$423.15 | 24% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSN HYDRATN INIT 31-60 MIN NSG | $348.75 | $465.00 | $34.45–$423.15 | 24% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSN HYDRATN INIT 31-60 MIN | $348.75 | $465.00 | $34.45–$423.15 | 24% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUSION HYDRATION INIT 31-60MIN | $147.75 | $197.00 | $34.45–$240.31 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 SAH - IV INFUSION HYDRAT INITIAL 31MIN-1HR | $333.00 | $444.00 | $34.45–$404.04 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV hydration Initial 31 min to 1hr | $348.75 | $465.00 | $34.45–$423.15 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSN HYDRATN INIT 31-60 MIN ED NSG | $348.75 | $465.00 | $34.45–$423.15 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSN HYDRATN INIT 31-60 MIN NSG | $348.75 | $465.00 | $34.45–$423.15 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSN HYDRATN INIT 31-60 MIN | $348.75 | $465.00 | $34.45–$423.15 | — | 25% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION THERAPY/DX INIT TO 1 HR | $179.25 | $239.00 | $69.28–$240.31 | 66% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR | $403.50 | $538.00 | $69.28–$489.58 | 24% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSN THER/PROPH INIT 1HR NSG | $423.00 | $564.00 | $69.28–$513.24 | 21% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSN THER/PROPH INIT 1HR | $423.00 | $564.00 | $69.28–$513.24 | 21% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSN THER/PROPH INIT 1HR ED NSG | $423.00 | $564.00 | $69.28–$513.24 | 21% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSN THER/PROPH INIT 1HR NSG | $423.00 | $564.00 | $69.28–$513.24 | 21% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour | $423.00 | $564.00 | $69.28–$513.24 | 21% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV Infusion Therapy Initial to 1hr RN | $423.00 | $564.00 | $69.28–$513.24 | 21% below | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUSION THERAPY/DX INIT TO 1 HR | $179.25 | $239.00 | $69.28–$240.31 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSN THER/PROPH INIT 1HR NSG | $423.00 | $564.00 | $69.28–$513.24 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSN THER/PROPH INIT 1HR | $423.00 | $564.00 | $69.28–$513.24 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSN THER/PROPH INIT 1HR NSG | $423.00 | $564.00 | $69.28–$513.24 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Infusion Therapy Initial to 1hr RN | $423.00 | $564.00 | $69.28–$513.24 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSN THER/PROPH INIT 1HR ED NSG | $423.00 | $564.00 | $69.28–$513.24 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION TX PROPHYLAXIS IM OR SUCUT | $33.75 | $45.00 | $15.64–$81.34 | 79% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ SUBQ/IM EA | $66.00 | $88.00 | $15.64–$81.34 | 60% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $86.25 | $115.00 | $15.64–$104.65 | 47% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SAH - INJ THER/PROPH/DIAG SUBQ/IM NSG | $90.75 | $121.00 | $15.64–$110.11 | 45% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Inj Procedures IM/SQ | $93.00 | $124.00 | $15.64–$112.84 | 43% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Inj Procedures IM Antibiotic | $93.00 | $124.00 | $15.64–$112.84 | 43% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ OR IM TX/PROPH/DX INJECTION | $93.00 | $124.00 | $15.64–$112.84 | 43% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SUBQ/IM | $93.00 | $124.00 | $15.64–$112.84 | 43% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM injection | $93.00 | $124.00 | $15.64–$112.84 | 43% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SUBQ/IM ED NSG | $93.00 | $124.00 | $15.64–$112.84 | 43% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SUBQ/IM NSG | $93.00 | $124.00 | $15.64–$112.84 | 43% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJECTION TX PROPHYLAXIS IM OR SUCUT | $33.75 | $45.00 | $15.64–$81.34 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ SUBQ/IM EA | $66.00 | $88.00 | $15.64–$81.34 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Inj Procedures IM/SQ | $93.00 | $124.00 | $15.64–$112.84 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SUBQ/IM ED NSG | $93.00 | $124.00 | $15.64–$112.84 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SUBQ/IM | $93.00 | $124.00 | $15.64–$112.84 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM injection | $93.00 | $124.00 | $15.64–$112.84 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Inj Procedures IM Antibiotic | $93.00 | $124.00 | $15.64–$112.84 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SQ OR IM TX/PROPH/DX INJECTION | $93.00 | $124.00 | $15.64–$112.84 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SUBQ/IM NSG | $93.00 | $124.00 | $15.64–$112.84 | — | 25% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCH DIAGNOSTIC EVAL W/O MED MGMT | $391.50 | $522.00 | $174.04–$475.02 | 50% below | 25% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 PSYCH DIAGNOSTIC EVAL W/O MED MGMT | $391.50 | $522.00 | $174.04–$475.02 | — | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION EA 15 MIN OT | $77.25 | $103.00 | $33.18–$93.73 | 34% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuro Ed Charge VH PT | $77.25 | $103.00 | $33.18–$93.73 | 34% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION EA 15 MIN PT | $77.25 | $103.00 | $33.18–$93.73 | 34% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Education Charge VH OT | $77.25 | $103.00 | $33.18–$93.73 | 34% below | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION EA 15 MIN PT | $77.25 | $103.00 | $33.18–$93.73 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Education Charge VH OT | $77.25 | $103.00 | $33.18–$93.73 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION EA 15 MIN OT | $77.25 | $103.00 | $33.18–$93.73 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuro Ed Charge VH PT | $77.25 | $103.00 | $33.18–$93.73 | — | 25% |
| New patient office visit, about 30 minutes CPT 99203 Z-PHYSICAL EXAM MODERATE 30MIN | $204.00 | $272.00 | $118.38–$247.52 | 14% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 TC LVL III NEW PT 30MIN | $206.25 | $275.00 | $118.38–$250.25 | 13% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 OUTPATIENT VISIT NEW LEVEL 3 RAD ONC | $216.00 | $288.00 | $118.38–$262.08 | 9% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT NEW PT LVL 3 30MIN | $216.00 | $288.00 | $118.38–$262.08 | 9% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT NEW PT LVL 3 30MIN-BATCH CHARGE | $216.00 | $288.00 | $118.38–$262.08 | 9% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 WC LVL III NEW PT 30MIN | $288.75 | $385.00 | $118.38–$350.35 | 21% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 EM NEW LEVEL 3 PF | $289.50 | $386.00 | $118.38–$351.26 | 22% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LVL III - OCC HEALTH MD E/M 30MIN | $296.25 | $395.00 | $118.38–$359.45 | 25% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 99203 VISIT NEW PT LVL 3 30MIN | $314.25 | $419.00 | $118.38–$381.29 | 32% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 OB NEW PT LVL 3 30MIN | $454.50 | $606.00 | $118.38–$551.46 | 91% above | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Z-PHYSICAL EXAM MODERATE 30MIN | $204.00 | $272.00 | $118.38–$247.52 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 TC LVL III NEW PT 30MIN | $206.25 | $275.00 | $118.38–$250.25 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WC LVL III NEW PT 30MIN | $288.75 | $385.00 | $118.38–$350.35 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 EM NEW LEVEL 3 PF | $289.50 | $386.00 | $118.38–$351.26 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LVL III - OCC HEALTH MD E/M 30MIN | $296.25 | $395.00 | $118.38–$359.45 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 VISIT NEW PT LVL 3 30MIN | $314.25 | $419.00 | $118.38–$381.29 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OB NEW PT LVL 3 30MIN | $454.50 | $606.00 | $118.38–$551.46 | — | 25% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW PT LVL 4 45MIN-BATCH CHARGE | $280.50 | $374.00 | $178.29–$340.34 | 14% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW PT LVL 4 45MIN | $280.50 | $374.00 | $178.29–$340.34 | 14% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 OUTPATIENT VISIT NEW LEVEL 4 RAD ONC | $280.50 | $374.00 | $178.29–$340.34 | 14% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 Z-PHYSICAL EXAM COMPLEX 45MIN | $301.50 | $402.00 | $178.29–$365.82 | 8% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 EM NEW LEVEL 4 PF | $350.25 | $467.00 | $178.29–$424.97 | 7% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 TC LVL IV NEW PT 45MIN | $427.50 | $570.00 | $178.29–$518.70 | 30% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 WC LVL IV NEW PT 45MIN | $427.50 | $570.00 | $178.29–$518.70 | 30% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 99204 VISIT NEW PT LVL 4 45MIN | $440.25 | $587.00 | $178.29–$534.17 | 34% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LVL IV - OCC HEALTH MD E/M 45MIN | $440.25 | $587.00 | $178.29–$534.17 | 34% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 OB NEW PT LVL 4 45MIN | $650.25 | $867.00 | $178.29–$788.97 | 98% above | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Z-PHYSICAL EXAM COMPLEX 45MIN | $301.50 | $402.00 | $178.29–$365.82 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 EM NEW LEVEL 4 PF | $350.25 | $467.00 | $178.29–$424.97 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WC LVL IV NEW PT 45MIN | $427.50 | $570.00 | $178.29–$518.70 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 TC LVL IV NEW PT 45MIN | $427.50 | $570.00 | $178.29–$518.70 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 VISIT NEW PT LVL 4 45MIN | $440.25 | $587.00 | $178.29–$534.17 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LVL IV - OCC HEALTH MD E/M 45MIN | $440.25 | $587.00 | $178.29–$534.17 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OB NEW PT LVL 4 45MIN | $650.25 | $867.00 | $178.29–$788.97 | — | 25% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT NEW PT LVL 5 60MIN | $327.00 | $436.00 | $237.64–$396.76 | 26% below | 25% |
| New patient office visit, about 60 minutes CPT 99205 OUTPATIENT VISIT NEW LEVEL 5 RAD ONC | $327.00 | $436.00 | $237.64–$396.76 | 26% below | 25% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT NEW PT LVL 5 60MIN-BATCH CHARGE | $327.00 | $436.00 | $237.64–$396.76 | 26% below | 25% |
| New patient office visit, about 60 minutes CPT 99205 EM NEW LEVEL 5 PF | $430.50 | $574.00 | $237.64–$522.34 | 3% below | 25% |
| New patient office visit, about 60 minutes CPT 99205 WC LVL V NEW PT 60MIN | $568.50 | $758.00 | $237.64–$689.78 | 28% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LVL V - OCC HEALTH MD E/M 60MIN | $585.75 | $781.00 | $237.64–$710.71 | 32% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 99205 VISIT NEW PT LVL 5 60MIN | $585.75 | $781.00 | $237.64–$710.71 | 32% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 OB NEW PT LVL 5 60MIN | $702.75 | $937.00 | $237.64–$852.67 | 58% above | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 EM NEW LEVEL 5 PF | $430.50 | $574.00 | $237.64–$522.34 | — | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 WC LVL V NEW PT 60MIN | $568.50 | $758.00 | $237.64–$689.78 | — | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 VISIT NEW PT LVL 5 60MIN | $585.75 | $781.00 | $237.64–$710.71 | — | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LVL V - OCC HEALTH MD E/M 60MIN | $585.75 | $781.00 | $237.64–$710.71 | — | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OB NEW PT LVL 5 60MIN | $702.75 | $937.00 | $237.64–$852.67 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Z-PHYSICAL EXAM BRIEF | $92.25 | $123.00 | $76.13–$111.93 | 43% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 TC LVL II NEW PT 15MIN | $138.75 | $185.00 | $76.13–$168.35 | 14% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT VISIT NEW LEVEL 2 RAD ONC | $164.25 | $219.00 | $76.13–$199.29 | 2% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT NEW PT LVL 2 15MIN-BATCH CHARGE | $164.25 | $219.00 | $76.13–$199.29 | 2% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT NEW PT LVL 2 15MIN | $164.25 | $219.00 | $76.13–$199.29 | 2% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC LVL II NEW PT 15MIN | $222.75 | $297.00 | $76.13–$270.27 | 38% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LVL II - OCC HEALTH MD E/M 15MIN | $228.75 | $305.00 | $76.13–$277.55 | 42% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 VISIT NEW PT LVL 2 15MIN | $239.25 | $319.00 | $76.13–$290.29 | 48% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 EM NEW LEVEL 2 PF | $239.25 | $319.00 | $76.13–$290.29 | 48% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB NEW PT LVL 2 15MIN | $301.50 | $402.00 | $76.13–$365.82 | 87% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TC LVL II NEW PT 15MIN | $138.75 | $185.00 | $76.13–$168.35 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC LVL II NEW PT 15MIN | $222.75 | $297.00 | $76.13–$270.27 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LVL II - OCC HEALTH MD E/M 15MIN | $228.75 | $305.00 | $76.13–$277.55 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 VISIT NEW PT LVL 2 15MIN | $239.25 | $319.00 | $76.13–$290.29 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EM NEW LEVEL 2 PF | $239.25 | $319.00 | $76.13–$290.29 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB NEW PT LVL 2 15MIN | $301.50 | $402.00 | $76.13–$365.82 | — | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT Initial Assesment Ea 15 min | $55.50 | $74.00 | $37.32–$67.34 | 1% below | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRTN INIT ASSESS /15 MIN | $89.25 | $119.00 | $37.32–$108.29 | 59% above | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT Initial Assesment Ea 15 min | $55.50 | $74.00 | $37.32–$67.34 | — | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDICAL NUTRTN INIT ASSESS /15 MIN | $89.25 | $119.00 | $37.32–$108.29 | — | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 Low Complexity - Initial Eval Charge VH OT | $170.25 | $227.00 | $102.12–$206.57 | 48% below | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Low Complexity | $170.25 | $227.00 | $102.12–$206.57 | 48% below | 25% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Low Complexity | $170.25 | $227.00 | $102.12–$206.57 | — | 25% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Low Complexity - Initial Eval Charge VH OT | $170.25 | $227.00 | $102.12–$206.57 | — | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation High Complexity 97163 PT | $196.50 | $262.00 | $99.33–$238.42 | 39% below | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 High Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | 39% below | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation High Complexity 97163 PT | $196.50 | $262.00 | $99.33–$238.42 | — | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 High Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | — | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | 31% below | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Low Complexity 97161 PT | $196.50 | $262.00 | $99.33–$238.42 | 31% below | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Low Complexity 97161 PT | $196.50 | $262.00 | $99.33–$238.42 | — | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | — | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | 37% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Med Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | 37% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Med Complexity 97162 PT | $196.50 | $262.00 | $99.33–$238.42 | 37% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Med Complexity 97162 PT | $196.50 | $262.00 | $99.33–$238.42 | — | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | — | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Med Complexity - Initial Eval Charge VH PT | $196.50 | $262.00 | $99.33–$238.42 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charge VH PT | $90.00 | $120.00 | $28.09–$109.20 | 10% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY VH OT | $90.00 | $120.00 | $28.09–$109.20 | 10% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY OT | $90.00 | $120.00 | $28.09–$109.20 | 10% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY PT | $90.00 | $120.00 | $28.09–$109.20 | 10% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY VH OT | $90.00 | $120.00 | $28.09–$109.20 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charge VH PT | $90.00 | $120.00 | $28.09–$109.20 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY OT | $90.00 | $120.00 | $28.09–$109.20 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY PT | $90.00 | $120.00 | $28.09–$109.20 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN OT | $91.50 | $122.00 | $29.44–$111.02 | 17% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charge VH PT | $91.50 | $122.00 | $29.44–$111.02 | 17% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN PT | $91.50 | $122.00 | $29.44–$111.02 | 17% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN VH OT | $91.50 | $122.00 | $29.44–$111.02 | 17% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charge VH PT | $91.50 | $122.00 | $29.44–$111.02 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN PT | $91.50 | $122.00 | $29.44–$111.02 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN OT | $91.50 | $122.00 | $29.44–$111.02 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN VH OT | $91.50 | $122.00 | $29.44–$111.02 | — | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 INITIAL PM 18-39 YEARS NEW | $309.00 | $412.00 | $138.76–$374.92 | 39% above | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 INITIAL PM 18-39 YEARS NEW | $309.00 | $412.00 | $138.76–$374.92 | — | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial PM 40-64 Years VHC | $360.00 | $480.00 | $160.15–$436.80 | 45% above | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial PM 40-64 Years VHC | $360.00 | $480.00 | $160.15–$436.80 | — | 25% |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387 INITIAL PM 65> YEARS | $393.00 | $524.00 | $173.61–$476.84 | 59% above | 25% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 99387 INITIAL PM 65> YEARS | $393.00 | $524.00 | $173.61–$476.84 | — | 25% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 PERIODIC PM 18-39 YEARS ESTABL | $261.75 | $349.00 | $125.28–$317.59 | 78% above | 25% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 PERIODIC PM 18-39 YEARS ESTABL | $261.75 | $349.00 | $125.28–$317.59 | — | 25% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 PERIODIC PM 40-64 YEARS ESTABL | $288.00 | $384.00 | $132.75–$349.44 | 87% above | 25% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 99396 PERIODIC PM 40-64 YEARS ESTABL | $288.00 | $384.00 | $132.75–$349.44 | — | 25% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PERIODIC PM 65> YEARS ESTABL | $319.50 | $426.00 | $143.23–$387.66 | 74% above | 25% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 PERIODIC PM 65> YEARS ESTABL | $319.50 | $426.00 | $143.23–$387.66 | — | 25% |
| Psychiatric evaluation with medical services CPT 90792 90792 PSYCH DIAGNOSTIC EVAL WITH MED MGMT | $440.25 | $587.00 | $183.50–$534.17 | 43% below | 25% |
| Psychiatric evaluation with medical services inpatient CPT 90792 90792 PSYCH DIAGNOSTIC EVAL WITH MED MGMT | $440.25 | $587.00 | $183.50–$534.17 | — | 25% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 96130 PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $273.00 | $364.00 | $124.02–$331.24 | 15% above | 25% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 96130 PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $273.00 | $364.00 | $124.02–$331.24 | — | 25% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 90839 CRISIS PSYCHOTHERAPY | $333.75 | $445.00 | $160.80–$404.95 | 31% below | 25% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 90839 CRISIS PSYCHOTHERAPY | $333.75 | $445.00 | $160.80–$404.95 | — | 25% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTHERAPY 16-37MIN | $178.50 | $238.00 | $86.11–$216.58 | 11% below | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYCHOTHERAPY 16-37MIN | $178.50 | $238.00 | $86.11–$216.58 | — | 25% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYCHOTHERAPY 38-52MIN | $234.75 | $313.00 | $114.22–$284.83 | 16% below | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYCHOTHERAPY 38-52MIN | $234.75 | $313.00 | $114.22–$284.83 | — | 25% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYCHOTHERAPY 53+MIN | $345.75 | $461.00 | $167.52–$419.51 | 14% above | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYCHOTHERAPY 53+MIN | $345.75 | $461.00 | $167.52–$419.51 | — | 25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 BEHAV CHNG SMOKING 3-10 MIN | $37.50 | $50.00 | $15.43–$45.50 | 37% below | 25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG TOBACCO 3-10 MIN ED NSG | $58.50 | $78.00 | $15.43–$70.98 | 1% below | 25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessatn 3-10 Min | $58.50 | $78.00 | $15.43–$70.98 | 1% below | 25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking cessation 3 to 10 min. - Smoking/Tobacco Cessation Counseling | $58.50 | $78.00 | $15.43–$70.98 | 1% below | 25% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 BEHAV CHNG SMOKING 3-10 MIN | $37.50 | $50.00 | $15.43–$45.50 | — | 25% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking cessation 3 to 10 min. - Smoking/Tobacco Cessation Counseling | $58.50 | $78.00 | $15.43–$70.98 | — | 25% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG TOBACCO 3-10 MIN ED NSG | $58.50 | $78.00 | $15.43–$70.98 | — | 25% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessatn 3-10 Min | $58.50 | $78.00 | $15.43–$70.98 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT EST PT LVL 5 40MIN | $164.25 | $219.00 | $146.73–$199.29 | 41% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EM EST LEVEL 5 HIGH PF | $164.25 | $219.00 | $146.73–$199.29 | 41% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPATIENT VISIT EST LEVEL 5 RAD ONC | $164.25 | $219.00 | $146.73–$199.29 | 41% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 SAH - OFFICE/OP EST PT LVL 5 40-54MIN | $327.00 | $436.00 | $193.89–$396.76 | 18% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 SAH - CHEMO TEACHING LVL 5 PF MED ONC 40MIN | $327.00 | $436.00 | $193.89–$396.76 | 18% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 CHEMO TEACHING LVL 5 PF MED ONC 40MIN | $327.00 | $436.00 | $193.89–$396.76 | 18% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC NP LVL V EST PT 40MIN | $327.75 | $437.00 | $193.89–$397.67 | 18% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC LVL V EST PT 40MIN | $327.75 | $437.00 | $193.89–$397.67 | 18% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LVL V - OCC HEALTH NP E/M 40MIN | $337.50 | $450.00 | $193.89–$409.50 | 22% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LVL V - OCC HEALTH MD E/M 40MIN | $337.50 | $450.00 | $193.89–$409.50 | 22% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 VISIT EST PT LVL 5 40MIN | $411.00 | $548.00 | $193.89–$498.68 | 48% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB EST PT LVL 5 40MIN | $747.75 | $997.00 | $193.89–$907.27 | 170% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EM EST LEVEL 5 HIGH PF | $164.25 | $219.00 | $146.73–$199.29 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 SAH - CHEMO TEACHING LVL 5 PF MED ONC 40MIN | $327.00 | $436.00 | $193.89–$396.76 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 CHEMO TEACHING LVL 5 PF MED ONC 40MIN | $327.00 | $436.00 | $193.89–$396.76 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 SAH - OFFICE/OP EST PT LVL 5 40-54MIN | $327.00 | $436.00 | $193.89–$396.76 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC LVL V EST PT 40MIN | $327.75 | $437.00 | $193.89–$397.67 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC NP LVL V EST PT 40MIN | $327.75 | $437.00 | $193.89–$397.67 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LVL V - OCC HEALTH NP E/M 40MIN | $337.50 | $450.00 | $193.89–$409.50 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LVL V - OCC HEALTH MD E/M 40MIN | $337.50 | $450.00 | $193.89–$409.50 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 VISIT EST PT LVL 5 40MIN | $411.00 | $548.00 | $193.89–$498.68 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB EST PT LVL 5 40MIN | $747.75 | $997.00 | $193.89–$907.27 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPATIENT VISIT EST LEVEL 3 RAD ONC | $99.00 | $132.00 | $88.44–$120.12 | 42% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT EST PT LVL 3 20MIN | $99.00 | $132.00 | $88.44–$120.12 | 42% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT EST PT LVL 3 20MIN-BATCH CHARGE | $99.00 | $132.00 | $88.44–$120.12 | 42% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TC LVL III EST PT 20MIN | $133.50 | $178.00 | $96.22–$161.98 | 21% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC LVL III EST PT 20MIN | $143.25 | $191.00 | $96.22–$173.81 | 16% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC NP LVL III EST PT 20MIN | $143.25 | $191.00 | $96.22–$173.81 | 16% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LVL III - OCC HEALTH NP E/M 20MIN | $147.75 | $197.00 | $96.22–$179.27 | 13% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LVL III - OCC HEALTH MD E/M 20MIN | $147.75 | $197.00 | $96.22–$179.27 | 13% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LACTATION CONSULTANT LVL III 20MIN | $170.25 | $227.00 | $96.22–$206.57 | at median | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LACTATION CONSULT LVL 3 20MIN NSG | $170.25 | $227.00 | $96.22–$206.57 | at median | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 CHEMO TEACHING LVL 3 PF MED ONC 20MIN | $186.75 | $249.00 | $96.22–$226.59 | 10% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 SAH - CHEMO TEACHING LVL 3 PF MED ONC 20MIN | $186.75 | $249.00 | $96.22–$226.59 | 10% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 SAH - OFFICE/OP EST PT LVL 3 20-29MIN | $186.75 | $249.00 | $96.22–$226.59 | 10% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EM EST LEVEL 3 LOW PF | $186.75 | $249.00 | $96.22–$226.59 | 10% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 VISIT EST PT LVL 3 20MIN | $207.75 | $277.00 | $96.22–$252.07 | 22% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB EST PT LVL 3 20MIN | $387.00 | $516.00 | $96.22–$469.56 | 128% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP SPECIALTY TX ROOM LVL 3 20MIN | $387.00 | $516.00 | $96.22–$469.56 | 128% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TC LVL III EST PT 20MIN | $133.50 | $178.00 | $96.22–$161.98 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC LVL III EST PT 20MIN | $143.25 | $191.00 | $96.22–$173.81 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC NP LVL III EST PT 20MIN | $143.25 | $191.00 | $96.22–$173.81 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LVL III - OCC HEALTH MD E/M 20MIN | $147.75 | $197.00 | $96.22–$179.27 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LVL III - OCC HEALTH NP E/M 20MIN | $147.75 | $197.00 | $96.22–$179.27 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 SAH - OFFICE/OP EST PT LVL 3 20-29MIN | $186.75 | $249.00 | $96.22–$226.59 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EM EST LEVEL 3 LOW PF | $186.75 | $249.00 | $96.22–$226.59 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 CHEMO TEACHING LVL 3 PF MED ONC 20MIN | $186.75 | $249.00 | $96.22–$226.59 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 SAH - CHEMO TEACHING LVL 3 PF MED ONC 20MIN | $186.75 | $249.00 | $96.22–$226.59 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 VISIT EST PT LVL 3 20MIN | $207.75 | $277.00 | $96.22–$252.07 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP SPECIALTY TX ROOM LVL 3 20MIN | $387.00 | $516.00 | $96.22–$469.56 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB EST PT LVL 3 20MIN | $387.00 | $516.00 | $96.22–$469.56 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT EST PT LVL 4 30MIN | $123.00 | $164.00 | $109.88–$149.24 | 46% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT EST PT LVL 4 30MIN-BATCH CHARGE | $123.00 | $164.00 | $109.88–$149.24 | 46% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EM LEVEL 4 EST MODERATE PF | $123.00 | $164.00 | $109.88–$149.24 | 46% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPATIENT VISIT EST LEVEL 4 RAD ONC | $123.00 | $164.00 | $109.88–$149.24 | 46% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC NP LVL IV EST PT 30MIN | $235.50 | $314.00 | $136.84–$285.74 | 4% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC LVL IV EST PT 30MIN | $235.50 | $314.00 | $136.84–$285.74 | 4% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LVL IV - OCC HEALTH NP E/M 30MIN | $242.25 | $323.00 | $136.84–$293.93 | 6% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LVL IV - OCC HEALTH MD E/M 30MIN | $242.25 | $323.00 | $136.84–$293.93 | 6% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 SAH - CHEMO TEACHING LVL 4 PF MED ONC 30MIN | $257.25 | $343.00 | $136.84–$312.13 | 13% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 SAH - OFFICE/OP EST PT LVL 4 30-39MIN | $257.25 | $343.00 | $136.84–$312.13 | 13% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 CHEMO TEACHING LVL 4 PF MED ONC 30MIN | $257.25 | $343.00 | $136.84–$312.13 | 13% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 VISIT EST PT LVL 4 30MIN | $291.75 | $389.00 | $136.84–$353.99 | 28% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB EST PT LVL 4 30MIN | $540.75 | $721.00 | $136.84–$656.11 | 138% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EM LEVEL 4 EST MODERATE PF | $123.00 | $164.00 | $109.88–$149.24 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC NP LVL IV EST PT 30MIN | $235.50 | $314.00 | $136.84–$285.74 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC LVL IV EST PT 30MIN | $235.50 | $314.00 | $136.84–$285.74 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LVL IV - OCC HEALTH MD E/M 30MIN | $242.25 | $323.00 | $136.84–$293.93 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LVL IV - OCC HEALTH NP E/M 30MIN | $242.25 | $323.00 | $136.84–$293.93 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 SAH - CHEMO TEACHING LVL 4 PF MED ONC 30MIN | $257.25 | $343.00 | $136.84–$312.13 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 SAH - OFFICE/OP EST PT LVL 4 30-39MIN | $257.25 | $343.00 | $136.84–$312.13 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 CHEMO TEACHING LVL 4 PF MED ONC 30MIN | $257.25 | $343.00 | $136.84–$312.13 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 VISIT EST PT LVL 4 30MIN | $291.75 | $389.00 | $136.84–$353.99 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB EST PT LVL 4 30MIN | $540.75 | $721.00 | $136.84–$656.11 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT EST PT LVL 2 10 MIN-BATCH CHARGE | $75.00 | $100.00 | $60.25–$91.00 | 42% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPATIENT VISIT EST LEVEL 2 RAD ONC | $75.00 | $100.00 | $60.25–$91.00 | 42% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT EST PT LVL 2 10 MIN | $75.00 | $100.00 | $60.25–$91.00 | 42% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TC LVL II EST PT 10MIN | $84.00 | $112.00 | $60.25–$101.92 | 35% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC NP LVL II EST PT 10MIN | $97.50 | $130.00 | $60.25–$118.30 | 25% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC LVL II EST PT 10MIN | $97.50 | $130.00 | $60.25–$118.30 | 25% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LVL II - OCC HEALTH MD E/M 10MIN | $99.75 | $133.00 | $60.25–$121.03 | 23% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LVL II - OCC HEALTH NP E/M 10MIN | $99.75 | $133.00 | $60.25–$121.03 | 23% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LACTATION CONSULT LVL 2 10MIN NSG | $113.25 | $151.00 | $60.25–$137.41 | 13% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LACTATION CONSULTANT LVL II 10MIN | $113.25 | $151.00 | $60.25–$137.41 | 13% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 SAH - OFFICE/OP EST PT LVL 2 10-19MIN | $141.75 | $189.00 | $60.25–$171.99 | 9% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 VISIT EST PT LVL 2 10MIN | $141.75 | $189.00 | $60.25–$171.99 | 9% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EM LEVEL 2 STRAIGHT FORWARD PF | $141.75 | $189.00 | $60.25–$171.99 | 9% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP SPECIALTY TX ROOM LVL 2 10MIN | $259.50 | $346.00 | $60.25–$314.86 | 100% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB EST PT LVL 2 10MIN | $259.50 | $346.00 | $60.25–$314.86 | 100% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TC LVL II EST PT 10MIN | $84.00 | $112.00 | $60.25–$101.92 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WC NP LVL II EST PT 10MIN | $97.50 | $130.00 | $60.25–$118.30 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WC LVL II EST PT 10MIN | $97.50 | $130.00 | $60.25–$118.30 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LVL II - OCC HEALTH MD E/M 10MIN | $99.75 | $133.00 | $60.25–$121.03 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LVL II - OCC HEALTH NP E/M 10MIN | $99.75 | $133.00 | $60.25–$121.03 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 VISIT EST PT LVL 2 10MIN | $141.75 | $189.00 | $60.25–$171.99 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 SAH - OFFICE/OP EST PT LVL 2 10-19MIN | $141.75 | $189.00 | $60.25–$171.99 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EM LEVEL 2 STRAIGHT FORWARD PF | $141.75 | $189.00 | $60.25–$171.99 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP SPECIALTY TX ROOM LVL 2 10MIN | $259.50 | $346.00 | $60.25–$314.86 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB EST PT LVL 2 10MIN | $259.50 | $346.00 | $60.25–$314.86 | — | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 WC Consult Comprehensive 60 Min | $360.00 | $480.00 | $165.01–$436.80 | 19% above | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 WC Consult Comprehensive 60 Min | $360.00 | $480.00 | $165.01–$436.80 | — | 25% |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHE | $332.25 | $443.00 | $229.51–$403.13 | 31% below | 25% |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREH 92523 | $332.25 | $443.00 | $229.51–$403.13 | 31% below | 25% |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $332.25 | $443.00 | $229.51–$403.13 | 31% below | 25% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $332.25 | $443.00 | $229.51–$403.13 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREH 92523 | $332.25 | $443.00 | $229.51–$403.13 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHE | $332.25 | $443.00 | $229.51–$403.13 | — | 25% |
| Speech therapy session, individual CPT 92507 TX SPEECH LANG VOICE COMMJ /AUDITORY PROC IND | $200.25 | $267.00 | $77.11–$242.97 | 49% below | 25% |
| Speech therapy session, individual CPT 92507 TX SPEECH LANG VOICE COMMJ /AUDITORY PROC IND 92507 | $200.25 | $267.00 | $77.11–$242.97 | 49% below | 25% |
| Speech therapy session, individual CPT 92507 COMMJ /AUDITORY PROC | $200.25 | $267.00 | $77.11–$242.97 | 49% below | 25% |
| Speech therapy session, individual CPT 92507 SPEECH TREATMENT: COGNITIVE ACTIVITY | $210.75 | $281.00 | $77.11–$255.71 | 47% below | 25% |
| Speech therapy session, individual CPT 92507 SPEECH TREATMENT: ARTICULATION/PHONO ACTIVITY | $210.75 | $281.00 | $77.11–$255.71 | 47% below | 25% |
| Speech therapy session, individual CPT 92507 SPEECH TREATMENT: SWALLOWING ACITVITY | $210.75 | $281.00 | $77.11–$255.71 | 47% below | 25% |
| Speech therapy session, individual CPT 92507 SPEECH TREATMENT: ORAL MOTOR ACTIVITY | $210.75 | $281.00 | $77.11–$255.71 | 47% below | 25% |
| Speech therapy session, individual CPT 92507 Speech Treatment: Language Activity | $210.75 | $281.00 | $77.11–$255.71 | 47% below | 25% |
| Speech therapy session, individual inpatient CPT 92507 COMMJ /AUDITORY PROC | $200.25 | $267.00 | $77.11–$242.97 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 TX SPEECH LANG VOICE COMMJ /AUDITORY PROC IND 92507 | $200.25 | $267.00 | $77.11–$242.97 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 TX SPEECH LANG VOICE COMMJ /AUDITORY PROC IND | $200.25 | $267.00 | $77.11–$242.97 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT: COGNITIVE ACTIVITY | $210.75 | $281.00 | $77.11–$255.71 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT: SWALLOWING ACITVITY | $210.75 | $281.00 | $77.11–$255.71 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT: ARTICULATION/PHONO ACTIVITY | $210.75 | $281.00 | $77.11–$255.71 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT: ORAL MOTOR ACTIVITY | $210.75 | $281.00 | $77.11–$255.71 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 Speech Treatment: Language Activity | $210.75 | $281.00 | $77.11–$255.71 | — | 25% |
| Spirometry (breathing test) CPT 94010 94010 SPIROMETRY W/REPORT | $92.25 | $123.00 | $30.53–$243.94 | 74% below | 25% |
| Spirometry (breathing test) CPT 94010 Simple Sirometery | $243.75 | $325.00 | $30.53–$295.75 | 31% below | 25% |
| Spirometry (breathing test) CPT 94010 Simple Spirometery | $243.75 | $325.00 | $30.53–$295.75 | 31% below | 25% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY W/REPORT ED NSG | $243.75 | $325.00 | $30.53–$295.75 | 31% below | 25% |
| Spirometry (breathing test) CPT 94010 Inhalation TX 1 hr | $243.75 | $325.00 | $30.53–$295.75 | 31% below | 25% |
| Spirometry (breathing test) inpatient CPT 94010 94010 SPIROMETRY W/REPORT | $92.25 | $123.00 | $30.53–$243.94 | — | 25% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/REPORT ED NSG | $243.75 | $325.00 | $30.53–$295.75 | — | 25% |
| Spirometry (breathing test) inpatient CPT 94010 Simple Spirometery | $243.75 | $325.00 | $30.53–$295.75 | — | 25% |
| Spirometry (breathing test) inpatient CPT 94010 Inhalation TX 1 hr | $243.75 | $325.00 | $30.53–$295.75 | — | 25% |
| Spirometry (breathing test) inpatient CPT 94010 Simple Sirometery | $243.75 | $325.00 | $30.53–$295.75 | — | 25% |
| Spirometry before and after a bronchodilator CPT 94060 94060 EVALUATION BRONCHOSPASM PRE/POST NEB | $155.25 | $207.00 | $44.74–$421.59 | 66% below | 25% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE POST BRONCHODILATOR | $647.25 | $863.00 | $44.74–$785.33 | 40% above | 25% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry W/Bronchodilator | $647.25 | $863.00 | $44.74–$785.33 | 40% above | 25% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 EVALUATION BRONCHOSPASM PRE/POST NEB | $155.25 | $207.00 | $44.74–$421.59 | — | 25% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry W/Bronchodilator | $647.25 | $863.00 | $44.74–$785.33 | — | 25% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE POST BRONCHODILATOR | $647.25 | $863.00 | $44.74–$785.33 | — | 25% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 90867 REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DELM | $420.00 | $560.00 | $223.21–$509.60 | 78% below | 25% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 90867 REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DELM | $420.00 | $560.00 | $223.21–$509.60 | — | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERRAPEUTIC ACTIVITIES | $89.25 | $119.00 | $35.73–$108.29 | 32% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES EA 15 MI PT | $107.25 | $143.00 | $35.73–$130.13 | 18% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge VH OT | $107.25 | $143.00 | $35.73–$130.13 | 18% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES EA 15 MI OT | $107.25 | $143.00 | $35.73–$130.13 | 18% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge VH PT | $107.25 | $143.00 | $35.73–$130.13 | 18% below | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 THERRAPEUTIC ACTIVITIES | $89.25 | $119.00 | $35.73–$108.29 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge VH PT | $107.25 | $143.00 | $35.73–$130.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES EA 15 MI OT | $107.25 | $143.00 | $35.73–$130.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities Charge VH OT | $107.25 | $143.00 | $35.73–$130.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES EA 15 MI PT | $107.25 | $143.00 | $35.73–$130.13 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY | $256.50 | $342.00 | $101.93–$311.22 | 45% below | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $300.75 | $401.00 | $101.93–$364.91 | 35% below | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY | $256.50 | $342.00 | $101.93–$311.22 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $300.75 | $401.00 | $101.93–$364.91 | — | 25% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 CARDIOVASC STRESS TEST SUP/INTER/RPT | $270.75 | $361.00 | $75.01–$328.51 | 63% below | 25% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 CARDIOVASC STRESS TEST SUP/INTER/RPT | $270.75 | $361.00 | $75.01–$328.51 | — | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 90653 FLU VACCINE ADJUVANT IM | $31.50 | $42.00 | $28.14–$42.00 | 89% below | 25% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 90653 FLU VACCINE ADJUVANT IM | $31.50 | $42.00 | $28.14–$42.00 | — | 25% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 ADMIN CHICKEN POX VACCINE SC | $261.75 | $349.00 | $203.24–$317.59 | 62% below | 25% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 90716 ADMIN CHICKEN POX VACCINE SC | $261.75 | $349.00 | $203.24–$317.59 | — | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 FLU VACCINE NO PRESERV 3 > | $29.25 | $39.00 | $22.76–$35.49 | 54% below | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 90656 FLU VACCINE NO PRESERV 3 > | $29.25 | $39.00 | $22.76–$35.49 | — | 25% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A/B vaccine - Comp Medications | $87.00 | $116.00 | $77.72–$116.00 | 35% below | 25% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Z-HEP A B Injection | $88.50 | $118.00 | $79.06–$118.00 | 34% below | 25% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 90636 HEPA/HEPB VACCINE ADULT IM | $276.00 | $368.00 | $145.23–$334.88 | 105% above | 25% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A/B vaccine - Comp Medications | $87.00 | $116.00 | $77.72–$116.00 | — | 25% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Z-HEP A B Injection | $88.50 | $118.00 | $79.06–$118.00 | — | 25% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 90636 HEPA/HEPB VACCINE ADULT IM | $276.00 | $368.00 | $145.23–$334.88 | — | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 Z-Vaccination Hep-A | $66.00 | $88.00 | $58.96–$80.08 | 89% below | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine - Comp Medications | $67.50 | $90.00 | $60.30–$81.90 | 89% below | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 90632 HEPA VACCINE ADULT IM | $129.00 | $172.00 | $72.07–$156.52 | 79% below | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 Z-Hepatitis A (single) | $134.25 | $179.00 | $72.07–$162.89 | 78% below | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Z-Vaccination Hep-A | $66.00 | $88.00 | $58.96–$80.08 | — | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A vaccine - Comp Medications | $67.50 | $90.00 | $60.30–$81.90 | — | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 90632 HEPA VACCINE ADULT IM | $129.00 | $172.00 | $72.07–$156.52 | — | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Z-Hepatitis A (single) | $134.25 | $179.00 | $72.07–$162.89 | — | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Z-Hepatitis B Single | $38.25 | $51.00 | $34.17–$51.00 | 76% below | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 HEPB VACCINE 3 DOSE ADULT IM | $93.75 | $125.00 | $73.64–$113.75 | 40% below | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Z-Hepatitis B Single | $38.25 | $51.00 | $34.17–$51.00 | — | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 90746 HEPB VACCINE 3 DOSE ADULT IM | $93.75 | $125.00 | $73.64–$113.75 | — | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Z-Vaccination MMR | $49.50 | $66.00 | $44.22–$66.00 | 89% below | 25% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Z-Vaccination MMR | $49.50 | $66.00 | $44.22–$66.00 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 PNEUMOCOCCAL VACC 23 VAL IM | $144.00 | $192.00 | $128.64–$174.72 | 61% below | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 PNEUMOCOCCAL VACC 23 VAL IM | $144.00 | $192.00 | $128.64–$174.72 | — | 25% |
| Rabies vaccine, one dose CPT 90675 90675 RABIES VACCINE | $623.25 | $831.00 | $308.92–$756.21 | 67% below | 25% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM ED NSG | $685.61 | $914.15 | $308.92–$831.88 | 63% below | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 90675 RABIES VACCINE | $623.25 | $831.00 | $308.92–$756.21 | — | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM ED NSG | $685.61 | $914.15 | $308.92–$831.88 | — | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Z-Tetanus/Diptheria Vaccination | $21.75 | $29.00 | $19.43–$29.00 | 93% below | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Z-Tetanus/Diptheria Vaccination | $21.75 | $29.00 | $19.43–$29.00 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 T-dap - Comp Medications | $45.00 | $60.00 | $38.90–$54.60 | 83% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 TDAP VACCINE 7YRS/> IM | $90.75 | $121.00 | $38.90–$110.11 | 66% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 T-dap - Comp Medications | $45.00 | $60.00 | $38.90–$54.60 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 TDAP VACCINE 7YRS/> IM | $90.75 | $121.00 | $38.90–$110.11 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin | $50.25 | $67.00 | $22.61–$81.34 | 40% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUN ADMIN 1 VACCINE | $50.25 | $67.00 | $22.61–$81.34 | 40% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1st Vaccine | $50.25 | $67.00 | $22.61–$81.34 | 40% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN INFLUENZA VIRUS VAC | $50.25 | $67.00 | $22.61–$81.34 | 40% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization 1st - Comp Procedures | $51.75 | $69.00 | $22.61–$81.34 | 38% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SAH - IMM ADMN 1ST DOSE | $64.50 | $86.00 | $22.61–$81.34 | 23% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SAH - IMM ADMN INFLUENZA 1ST DOSE | $64.50 | $86.00 | $22.61–$81.34 | 23% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN PRQ/SQ/IM INJ 1 VACC NSG | $67.50 | $90.00 | $22.61–$81.90 | 20% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN PRQ/SQ/IM INJ 1 VACC ED NSG | $67.50 | $90.00 | $22.61–$81.90 | 20% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tdap Vaccine Admin | $67.50 | $90.00 | $22.61–$81.90 | 20% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Infant (First) | $67.50 | $90.00 | $22.61–$81.90 | 20% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VACCINE URG | $67.50 | $90.00 | $22.61–$81.90 | 20% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tetanus Vaccine Admin - Injection Charges RN | $67.50 | $90.00 | $22.61–$81.90 | 20% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin 1st Vaccine | $50.25 | $67.00 | $22.61–$81.34 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN INFLUENZA VIRUS VAC | $50.25 | $67.00 | $22.61–$81.34 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUN ADMIN 1 VACCINE | $50.25 | $67.00 | $22.61–$81.34 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin | $50.25 | $67.00 | $22.61–$81.34 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization 1st - Comp Procedures | $51.75 | $69.00 | $22.61–$81.34 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SAH - IMM ADMN INFLUENZA 1ST DOSE | $64.50 | $86.00 | $22.61–$81.34 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SAH - IMM ADMN 1ST DOSE | $64.50 | $86.00 | $22.61–$81.34 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VACCINE URG | $67.50 | $90.00 | $22.61–$81.90 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Tetanus Vaccine Admin - Injection Charges RN | $67.50 | $90.00 | $22.61–$81.90 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN PRQ/SQ/IM INJ 1 VACC ED NSG | $67.50 | $90.00 | $22.61–$81.90 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Infant (First) | $67.50 | $90.00 | $22.61–$81.90 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN PRQ/SQ/IM INJ 1 VACC NSG | $67.50 | $90.00 | $22.61–$81.90 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Tdap Vaccine Admin | $67.50 | $90.00 | $22.61–$81.90 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN PRQ/SQ/IM INJ EA ADD'L VACC ED NSG | $14.25 | $19.00 | $12.73–$17.29 | 82% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SAH - IMM ADMN INFLUENZA SUBSQ DOSE | $14.25 | $19.00 | $12.73–$17.29 | 82% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUN ADMIN EA ADDL | $30.75 | $41.00 | $16.37–$37.31 | 62% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Add'l - Comp Procedures | $33.00 | $44.00 | $16.37–$40.04 | 59% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional Vaccine | $33.00 | $44.00 | $16.37–$40.04 | 59% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SAH - IMM ADMN INFLUENZA SUBSQ DOSE | $14.25 | $19.00 | $12.73–$17.29 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN PRQ/SQ/IM INJ EA ADD'L VACC ED NSG | $14.25 | $19.00 | $12.73–$17.29 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUN ADMIN EA ADDL | $30.75 | $41.00 | $16.37–$37.31 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional Vaccine | $33.00 | $44.00 | $16.37–$40.04 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Add'l - Comp Procedures | $33.00 | $44.00 | $16.37–$40.04 | — | 25% |
Source file: https://www.vailhealth.org/wp-content/uploads/2026/08/840563230_vail-health_standardcharges.csv