Hospital New Philadelphia-Dover, OH

Twin City Hospital

Listed in its price file as “Twin City Hospital Corporation”.

Twin City Hospital in Dennison, OH publishes cash prices for 291 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 225 of 288 procedures and above it for 61. By typical cash price it ranks #8 of 131 Ohio hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

819 North First St, Dennison, OH 44621 Collected Sep 29, 2026 Source price file (740) 922-2800

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 361302 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL INDEX	$217.25	$438.00	$21.51–$381.06	55% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE BRACHIAL INDEX	$217.25	$438.00	$81.00–$398.58	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$310.00	$625.00	$29.70–$543.75	28% below	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$310.00	$625.00	$93.00–$568.75	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY PLANAR	$936.45	$1,888.00	$67.04–$1,642.56	39% below	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY PLANAR	$936.45	$1,888.00	$272.00–$1,718.08	—	50%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$304.55	$614.00	$17.75–$534.18	9% below	50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$304.55	$614.00	$98.00–$558.74	—	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$249.49	$503.00	$14.69–$437.61	40% below	50%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$249.49	$503.00	$81.00–$457.73	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/ CONTRAST	$1,383.35	$2,789.00	$29.70–$2,426.43	2% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/ CONTRAST	$1,383.35	$2,789.00	$251.00–$2,537.99	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST	$1,276.21	$2,573.00	$40.33–$2,238.51	19% below	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CONTRAST	$1,276.21	$2,573.00	$189.00–$2,341.43	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W CONTRAST	$1,595.14	$3,216.00	$59.58–$2,797.92	17% below	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W CONTRAST	$1,595.14	$3,216.00	$316.00–$2,926.56	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W&WO CONTRAST	$1,914.07	$3,859.00	$59.58–$3,357.33	10% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W&WO CONTRAST	$1,914.07	$3,859.00	$354.00–$3,511.69	—	50%
CT scan of the abdomen with contrast CPT 74160 ABDOM SCAN	$997.46	$2,011.00	$29.70–$1,749.57	14% below	50%
CT scan of the abdomen with contrast CPT 74160 CT ABD W/ CONTRAST	$1,231.08	$2,482.00	$29.70–$2,159.34	6% above	50%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOM SCAN	$997.46	$2,011.00	$224.00–$1,830.01	—	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/ CONTRAST	$1,231.08	$2,482.00	$224.00–$2,258.62	—	50%
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONTRAST	$923.56	$1,862.00	$17.75–$1,619.94	12% below	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O CONTRAST	$923.56	$1,862.00	$141.00–$1,694.42	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO	$800.05	$1,613.00	$17.75–$1,403.31	9% below	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO	$800.05	$1,613.00	$131.00–$1,467.83	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$799.56	$1,612.00	$17.75–$1,402.44	4% below	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$799.56	$1,612.00	$109.00–$1,466.92	—	50%
CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONTRAST	$1,327.30	$2,676.00	$29.70–$2,328.12	19% above	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONTRAST	$1,327.30	$2,676.00	$179.00–$2,435.16	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$1,233.56	$2,487.00	$17.75–$2,163.69	13% above	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$1,233.56	$2,487.00	$133.00–$2,263.17	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$982.08	$1,980.00	$17.75–$1,722.60	8% below	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$982.08	$1,980.00	$134.00–$1,801.80	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$902.72	$1,820.00	$29.70–$1,583.40	22% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$902.72	$1,820.00	$219.00–$1,656.20	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US DUPLEX EXTRACRANIAL ARTERIES BILAT	$800.55	$1,614.00	$40.33–$1,404.18	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US DUPLEX EXTRACRANIAL ARTERIES BILAT	$800.55	$1,614.00	$189.00–$1,468.74	—	50%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$160.21	$323.00	$14.69–$281.01	39% below	50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$160.21	$323.00	$31.00–$293.93	—	50%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$123.51	$249.00	$14.69–$216.63	43% below	50%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW	$123.51	$249.00	$24.00–$226.59	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL/AORTA/NODES COMPLETE	$458.80	$925.00	$17.75–$804.75	33% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL/AORTA/NODES COMPLETE	$458.80	$925.00	$103.00–$841.75	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY DEXA STUDY	$289.67	$584.00	$17.75–$508.08	36% below	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY DEXA STUDY	$289.67	$584.00	$35.00–$531.44	—	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG COMPLETE	$548.58	$1,106.00	$40.33–$962.22	35% below	50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG COMPLETE	$548.58	$1,106.00	$163.00–$1,006.46	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$895.28	$1,805.00	$17.75–$1,570.35	2% below	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST	$895.28	$1,805.00	$137.00–$1,642.55	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST	$1,137.33	$2,293.00	$29.70–$1,994.91	at median	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ CONTRAST	$1,137.33	$2,293.00	$172.00–$2,086.63	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX DIGITAL BILATERAL	$362.08	$730.00	$149.00–$635.10	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX DIGITAL BILATERAL	$362.08	$730.00	$149.00–$664.30	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ARTERIAL BILATERAL LOWER EXTREMITIES	$388.87	$784.00	$40.33–$682.08	—	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US-DUPLEX LOWER EXTREM ARTERIES BILATER	$621.49	$1,253.00	$40.33–$1,090.11	28% below	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ARTERIAL BILATERAL LOWER EXTREMITIES	$388.87	$784.00	$240.00–$713.44	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US-DUPLEX LOWER EXTREM ARTERIES BILATER	$621.49	$1,253.00	$240.00–$1,140.23	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX EXTREM VEINS COMPLETE BILATER	$802.04	$1,617.00	$40.33–$1,406.79	11% below	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX EXTREM VEINS COMPLETE BILATER	$802.04	$1,617.00	$185.00–$1,471.47	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO ASHRAF TT 2D COMPLETE W/ DOPPLER	$1,156.68	$2,332.00	$91.47–$2,028.84	31% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TT 2D COMPLETE W/DOPPLER	$1,584.23	$3,194.00	$91.47–$2,778.78	6% below	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO ASHRAF TT 2D COMPLETE W/ DOPPLER	$1,156.68	$2,332.00	$204.00–$2,122.12	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TT 2D COMPLETE W/DOPPLER	$1,584.23	$3,194.00	$204.00–$2,906.54	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED TYPE III MONITOR	$340.26	$686.00	$26.11–$596.82	49% below	50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED TYPE III MONITOR	$340.26	$686.00	$111.00–$624.26	—	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP INTERPRETATION	$595.70	$1,201.00	$169.72–$1,598.09	83% below	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 ZZSLEEP-CPAP TITRATION SLEEP-BIPAP	$2,794.47	$5,634.00	$169.72–$4,901.58	22% below	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP INTERPRETATION	$595.70	$1,201.00	$468.39–$1,092.91	—	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 ZZSLEEP-CPAP TITRATION SLEEP-BIPAP	$2,794.47	$5,634.00	$700.00–$5,126.94	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED (SINGLE ORGAN)	$441.94	$891.00	$17.75–$775.17	20% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED (SINGLE ORGAN)	$441.94	$891.00	$84.00–$810.81	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREEN	$143.35	$289.00	$17.75–$251.43	46% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREEN	$143.35	$289.00	$112.71–$262.99	—	50%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 ZZMRI BREAST BILATERAL W WO INCL CAD	$902.72	$1,820.00	$354.00–$1,583.40	—	50%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 ZZMRI BREAST BILATERAL W WO INCL CAD	$902.72	$1,820.00	$354.00–$1,656.20	—	50%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,286.63	$2,594.00	$40.33–$2,256.78	23% below	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,286.63	$2,594.00	$208.00–$2,360.54	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$2,256.80	$4,550.00	$59.58–$3,958.50	7% above	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$2,256.80	$4,550.00	$363.00–$4,140.50	—	50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$1,564.39	$3,154.00	$40.33–$2,743.98	10% above	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$1,564.39	$3,154.00	$206.00–$2,870.14	—	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$2,564.82	$5,171.00	$59.58–$4,498.77	26% above	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$2,564.82	$5,171.00	$339.00–$4,705.61	—	50%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$2,032.12	$4,097.00	$40.33–$3,564.39	36% above	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$2,032.12	$4,097.00	$202.00–$3,728.27	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$3,434.31	$6,924.00	$59.58–$6,023.88	52% above	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$3,434.31	$6,924.00	$341.00–$6,300.84	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRAST	$1,259.35	$2,539.00	$40.33–$2,208.93	16% below	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CONTRAST	$1,259.35	$2,539.00	$202.00–$2,310.49	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONTRAST	$2,917.48	$5,882.00	$59.58–$5,117.34	31% above	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO CONTRAST	$2,917.48	$5,882.00	$342.00–$5,352.62	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRAST	$1,726.08	$3,480.00	$40.33–$3,027.60	23% above	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CONTRAST	$1,726.08	$3,480.00	$202.00–$3,166.80	—	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$1,910.10	$3,851.00	$59.58–$3,350.37	2% below	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$1,910.10	$3,851.00	$363.00–$3,504.41	—	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$1,259.35	$2,539.00	$40.33–$2,208.93	13% below	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$1,259.35	$2,539.00	$246.00–$2,310.49	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF IMAGING (SPECT) MULTI	$2,621.36	$5,285.00	$217.78–$4,597.95	31% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF IMAGING (SPECT) MULTI	$2,621.36	$5,285.00	$432.00–$4,809.35	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US LIMITED NONOBSTETRIC PELVIC	$434.00	$875.00	$17.75–$761.25	at median	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US LIMITED NONOBSTETRIC PELVIC	$434.00	$875.00	$44.00–$796.25	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OBSTETRIC	$434.00	$875.00	$17.75–$761.25	9% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OBSTETRIC	$434.00	$875.00	$101.00–$796.25	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY > 14 WEEKS SINGLE GESTATIO	$346.71	$699.00	$17.75–$608.13	34% below	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANCY > 14 WEEKS SINGLE GESTATIO	$346.71	$699.00	$129.00–$636.09	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTERUS < 14 WEEKS	$312.48	$630.00	$17.75–$548.10	39% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTERUS < 14 WEEKS	$312.48	$630.00	$112.00–$573.30	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG LIMITED	$219.73	$443.00	$17.75–$385.41	54% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULT PREGNANCY/EARLY LTD	$251.48	$507.00	$17.75–$441.09	47% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG LIMITED	$219.73	$443.00	$78.00–$403.13	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULT PREGNANCY/EARLY LTD	$251.48	$507.00	$78.00–$461.37	—	50%
Screening mammogram, both breasts CPT 77067 MAMMOGRAM WELLNESS SCREENING	$215.76	$435.00	$14.20–$369.75	18% above	50%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM WELLNESS SCREENING	$215.76	$435.00	$120.00–$395.85	—	50%
Sleep study in a lab (polysomnography) CPT 95810 PSG INTERPRETATION	$541.14	$1,091.00	$169.72–$1,598.09	84% below	50%
Sleep study in a lab (polysomnography) CPT 95810 ZZSLEEP- PSG	$2,686.84	$5,417.00	$169.72–$4,712.79	21% below	50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG INTERPRETATION	$541.14	$1,091.00	$425.49–$992.81	—	50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 ZZSLEEP- PSG	$2,686.84	$5,417.00	$671.00–$4,929.47	—	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO TT REST & STRESS W/REPORT & SUPERV	$690.44	$1,392.00	$91.47–$1,211.04	66% below	50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO TT REST & STRESS W/REPORT & SUPERV	$690.44	$1,392.00	$239.00–$1,266.72	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MOD	$344.72	$695.00	$29.70–$604.65	34% below	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW MOD	$344.72	$695.00	$121.00–$632.45	—	50%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$497.00	$1,002.00	$17.75–$871.74	7% below	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$497.00	$1,002.00	$114.00–$911.82	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS TRANSVAGINAL	$219.73	$443.00	$17.75–$385.41	55% below	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG UTERUS TRANSVAGINAL	$219.73	$443.00	$89.00–$403.13	—	50%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$596.69	$1,203.00	$17.75–$1,046.61	3% above	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$596.69	$1,203.00	$112.00–$1,094.73	—	50%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$458.80	$925.00	$17.75–$804.75	10% below	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$458.80	$925.00	$96.00–$841.75	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US S.T. NECK (THYROID PAROTID)	$456.32	$920.00	$17.75–$800.40	17% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US S.T. NECK (THYROID PAROTID)	$456.32	$920.00	$107.00–$837.20	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI TRACT UPPER	$367.54	$741.00	$29.70–$644.67	38% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI TRACT UPPER	$367.54	$741.00	$115.00–$674.31	—	50%
X-ray of the abdomen, 1 view CPT 74018 ABD SINGLE VIEW	$163.19	$329.00	$14.69–$286.23	36% below	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD SINGLE VIEW	$163.19	$329.00	$27.00–$299.39	—	50%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER	$163.19	$329.00	$14.69–$286.23	37% below	50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER	$163.19	$329.00	$34.00–$299.39	—	50%
X-ray of the knee, 1 or 2 views CPT 73560 ZZKNEE 1-2 VIEWS	$207.33	$418.00	$14.69–$363.66	27% below	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 ZZKNEE 1-2 VIEWS	$207.33	$418.00	$31.00–$380.38	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LS 2-3 VIEWS	$254.45	$513.00	$17.75–$446.31	19% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LS 2-3 VIEWS	$254.45	$513.00	$36.00–$466.83	—	50%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBARSACRAL MIN 4 VIEWS	$322.40	$650.00	$17.75–$565.50	30% below	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBARSACRAL MIN 4 VIEWS	$322.40	$650.00	$46.00–$591.50	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEW	$190.47	$384.00	$17.75–$334.08	35% below	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEW	$190.47	$384.00	$30.00–$349.44	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE	$182.53	$368.00	$14.69–$320.16	37% below	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE	$182.53	$368.00	$35.00–$334.88	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEW OR LESS	$222.71	$449.00	$14.69–$390.63	31% below	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEW OR LESS	$222.71	$449.00	$36.00–$408.59	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$169.64	$342.00	$17.75–$297.54	32% below	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$169.64	$342.00	$25.00–$311.22	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS	$231.14	$466.00	$14.69–$405.42	21% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS	$231.14	$466.00	$29.00–$424.06	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 GPT (SGPT)	$26.79	$54.00	$0.96–$46.98	4% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$38.69	$78.00	$0.96–$67.86	39% above	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 GPT (SGPT)	$26.79	$54.00	$4.00–$49.14	—	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$38.69	$78.00	$4.00–$70.98	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 GOT (SGOT)	$25.80	$52.00	$0.94–$45.24	2% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$38.69	$78.00	$0.94–$67.86	54% above	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 GOT (SGOT)	$25.80	$52.00	$4.00–$47.32	—	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$38.69	$78.00	$4.00–$70.98	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL (TWL)	$208.82	$421.00	$8.61–$366.27	4% below	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL (TWL)	$208.82	$421.00	$38.00–$383.11	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST HONEY BEE IGE	$18.36	$37.00	$0.95–$32.19	22% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INDIVIDUAL	$28.28	$57.00	$0.95–$49.59	21% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST DOG EPITHELIA	$30.76	$62.00	$0.95–$53.94	31% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST YEAST BAKERS	$38.69	$78.00	$0.95–$67.86	65% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX (K82) IGE QUANT	$42.66	$86.00	$0.95–$74.82	82% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST BARLEY	$44.15	$89.00	$0.95–$77.43	89% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST MUCOR RACEMOSUS (M4)	$48.61	$98.00	$0.95–$85.26	108% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGEQUANTEA ALLERGEN	$51.59	$104.00	$0.95–$90.48	120% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST DUCK FEATHERS IGE	$52.58	$106.00	$0.95–$92.22	125% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST DOG DANDER	$63.99	$129.00	$0.95–$112.23	173% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST HARTMAN MOSQUITO(LABCORP)	$65.48	$132.00	$0.95–$114.84	180% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TILAPIA IGE	$82.34	$166.00	$0.95–$144.42	252% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 STINGING INSECT PANEL	$98.21	$198.00	$0.95–$172.26	320% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HONEY BEE IGE	$18.36	$37.00	$4.00–$33.67	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN INDIVIDUAL	$28.28	$57.00	$4.00–$51.87	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST DOG EPITHELIA	$30.76	$62.00	$4.00–$56.42	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST YEAST BAKERS	$38.69	$78.00	$4.00–$70.98	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX (K82) IGE QUANT	$42.66	$86.00	$4.00–$78.26	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BARLEY	$44.15	$89.00	$4.00–$80.99	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST MUCOR RACEMOSUS (M4)	$48.61	$98.00	$4.00–$89.18	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGEQUANTEA ALLERGEN	$51.59	$104.00	$4.00–$94.64	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST DUCK FEATHERS IGE	$52.58	$106.00	$4.00–$96.46	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST DOG DANDER	$63.99	$129.00	$4.00–$117.39	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HARTMAN MOSQUITO(LABCORP)	$65.48	$132.00	$4.00–$120.12	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TILAPIA IGE	$82.34	$166.00	$4.00–$151.06	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STINGING INSECT PANEL	$98.21	$198.00	$4.00–$180.18	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (ARUP)	$127.97	$258.00	$2.34–$224.46	121% above	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$131.94	$266.00	$2.34–$231.42	128% above	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE (ARUP)	$127.97	$258.00	$10.00–$234.78	—	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$131.94	$266.00	$10.00–$242.06	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$79.36	$160.00	$2.19–$139.20	47% above	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CASCADE REFLEX	$87.30	$176.00	$2.19–$153.12	62% above	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$79.36	$160.00	$10.00–$145.60	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA CASCADE REFLEX	$87.30	$176.00	$10.00–$160.16	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP	$147.81	$298.00	$7.09–$259.26	at median	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PROBNP	$147.81	$298.00	$31.00–$271.18	—	50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$65.48	$132.00	$1.53–$114.84	2% above	50%
Basic metabolic panel (blood test) CPT 80048 DAILY BASIC METABOLIC PANEL	$68.95	$139.00	$1.53–$120.93	7% above	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$65.48	$132.00	$7.00–$120.12	—	50%
Basic metabolic panel (blood test) inpatient CPT 80048 DAILY BASIC METABOLIC PANEL	$68.95	$139.00	$7.00–$126.49	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 QUEST SURG PATH LEVEL IV	$96.23	$194.00	$8.92–$168.78	47% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 FLUID WITH CELL BLOCK	$132.93	$268.00	$8.92–$233.16	27% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 G/M IV SURG PATH LEV IV	$141.36	$285.00	$8.92–$247.95	22% below	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 QUEST SURG PATH LEVEL IV	$96.23	$194.00	$54.00–$176.54	—	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 FLUID WITH CELL BLOCK	$132.93	$268.00	$54.00–$243.88	—	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 G/M IV SURG PATH LEV IV	$141.36	$285.00	$54.00–$259.35	—	50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD WITH ARD	$56.55	$114.00	$1.87–$99.18	40% below	50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD (TWL)	$107.14	$216.00	$1.87–$187.92	14% above	50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD WITH ARD	$56.55	$114.00	$8.00–$103.74	—	50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD (TWL)	$107.14	$216.00	$8.00–$196.56	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRUG SCREEN COLLECTION	$17.36	$35.00	$1.65–$30.45	16% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION VENOUS	$17.36	$35.00	$1.65–$30.45	16% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW/SPECIMEN PREP (30 MINS)	$47.62	$96.00	$1.65–$83.52	217% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW/SPECIMEN PREP (1HR)	$92.26	$186.00	$1.65–$161.82	515% above	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRUG SCREEN COLLECTION	$17.36	$35.00	$2.00–$31.85	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION VENOUS	$17.36	$35.00	$2.00–$31.85	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW/SPECIMEN PREP (30 MINS)	$47.62	$96.00	$2.00–$87.36	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW/SPECIMEN PREP (1HR)	$92.26	$186.00	$2.00–$169.26	—	50%
Blood glucose (sugar) test CPT 82947 KSU GLUCOSE	$3.97	$8.00	$0.71–$6.96	82% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE - FINGERSTICK	$10.92	$22.00	$0.71–$19.14	51% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE 31/2HR PP	$17.36	$35.00	$0.71–$30.45	23% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE FINGERSTICK	$23.32	$47.00	$0.71–$40.89	4% above	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR PP	$25.30	$51.00	$0.71–$44.37	13% above	50%
Blood glucose (sugar) test CPT 82947 GTT 1HR(GESTATIONAL SCREEN)	$30.26	$61.00	$0.71–$53.07	35% above	50%
Blood glucose (sugar) test inpatient CPT 82947 KSU GLUCOSE	$3.97	$8.00	$3.00–$7.28	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE - FINGERSTICK	$10.92	$22.00	$3.00–$20.02	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 31/2HR PP	$17.36	$35.00	$3.00–$31.85	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FINGERSTICK	$23.32	$47.00	$3.00–$42.77	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2HR PP	$25.30	$51.00	$3.00–$46.41	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GTT 1HR(GESTATIONAL SCREEN)	$30.26	$61.00	$3.00–$55.51	—	50%
Blood lead test CPT 83655 LEAD PEDIATRIC	$28.28	$57.00	$2.19–$49.59	37% below	50%
Blood lead test CPT 83655 LEAD URINE	$42.66	$86.00	$2.19–$74.82	5% below	50%
Blood lead test CPT 83655 LEAD CAPILLARY (ARUP)	$60.02	$121.00	$2.19–$105.27	34% above	50%
Blood lead test CPT 83655 LEAD	$62.00	$125.00	$2.19–$108.75	38% above	50%
Blood lead test CPT 83655 LEAD (TWL)	$74.40	$150.00	$2.19–$130.50	66% above	50%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC	$28.28	$57.00	$10.00–$51.87	—	50%
Blood lead test inpatient CPT 83655 LEAD URINE	$42.66	$86.00	$10.00–$78.26	—	50%
Blood lead test inpatient CPT 83655 LEAD CAPILLARY (ARUP)	$60.02	$121.00	$10.00–$110.11	—	50%
Blood lead test inpatient CPT 83655 LEAD	$62.00	$125.00	$10.00–$113.75	—	50%
Blood lead test inpatient CPT 83655 LEAD (TWL)	$74.40	$150.00	$10.00–$136.50	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUALITATIVE	$46.63	$94.00	$1.36–$81.78	14% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUALITATIVE	$46.63	$94.00	$6.00–$85.54	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE	$38.20	$77.00	$2.00–$202.47	33% below	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE	$38.20	$77.00	$2.00–$70.07	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 QUEST C REACTIVE PROTEIN	$21.33	$43.00	$0.94–$37.41	57% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUANTITATIVE (TWL)	$48.12	$97.00	$0.94–$84.39	3% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 QUEST C REACTIVE PROTEIN	$21.33	$43.00	$4.00–$39.13	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP QUANTITATIVE (TWL)	$48.12	$97.00	$4.00–$88.27	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B PCR	$78.87	$159.00	$6.73–$138.33	39% below	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF BY PCR	$123.01	$248.00	$6.73–$215.76	5% below	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF PCR (STOOL) (TWL)	$138.39	$279.00	$6.73–$242.73	6% above	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B PCR	$78.87	$159.00	$30.00–$144.69	—	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF BY PCR	$123.01	$248.00	$30.00–$225.68	—	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF PCR (STOOL) (TWL)	$138.39	$279.00	$30.00–$253.89	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9	$60.52	$122.00	$3.76–$106.14	11% below	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19-9	$60.52	$122.00	$17.00–$111.02	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 (TWL)	$88.79	$179.00	$3.76–$155.73	5% below	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 (TWL)	$88.79	$179.00	$17.00–$162.89	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 NOVEL CORONAVIRUS (COVID-19) NAA	$144.34	$291.00	$9.27–$253.17	2% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID NOVEL CORONAVIRUS (COVID-19) TWL	$148.80	$300.00	$9.27–$261.00	6% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 NOVEL CORONAVIRUS (COVID-19) NAA	$144.34	$291.00	$51.00–$264.81	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RAPID NOVEL CORONAVIRUS (COVID-19) TWL	$148.80	$300.00	$51.00–$273.00	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 (TWL) CHLAMYDIA TRACH RNA PROBE	$61.51	$124.00	$6.34–$107.88	34% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS BY PCR	$96.72	$195.00	$6.34–$169.65	3% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS AMPLIFIED PROBE CHARGE	$150.29	$303.00	$6.34–$263.61	61% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH RNA PROBE	$185.51	$374.00	$6.34–$325.38	98% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH THROAT RNA PROBE	$205.84	$415.00	$6.34–$361.05	120% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 (TWL) CHLAMYDIA TRACH RNA PROBE	$61.51	$124.00	$28.00–$112.84	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS BY PCR	$96.72	$195.00	$28.00–$177.45	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS AMPLIFIED PROBE CHARGE	$150.29	$303.00	$28.00–$275.73	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH RNA PROBE	$185.51	$374.00	$28.00–$340.34	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH THROAT RNA PROBE	$205.84	$415.00	$28.00–$377.65	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LABCORP LIPID PANEL	$45.14	$91.00	$2.42–$79.17	15% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 ROTARY LIPID PANEL	$52.58	$106.00	$2.42–$92.22	1% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 QUEST LIPID PANEL	$55.56	$112.00	$2.42–$97.44	5% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (QUEST)	$63.99	$129.00	$2.42–$112.23	21% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$67.46	$136.00	$2.42–$118.32	27% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID CASCADE(LABCORP)	$69.44	$140.00	$2.42–$121.80	31% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL WITH REFLEX TO DIRECT LDL	$74.90	$151.00	$2.42–$131.37	42% above	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LABCORP LIPID PANEL	$45.14	$91.00	$11.00–$82.81	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 ROTARY LIPID PANEL	$52.58	$106.00	$11.00–$96.46	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 QUEST LIPID PANEL	$55.56	$112.00	$11.00–$101.92	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL (QUEST)	$63.99	$129.00	$11.00–$117.39	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$67.46	$136.00	$11.00–$123.76	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID CASCADE(LABCORP)	$69.44	$140.00	$11.00–$127.40	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL WITH REFLEX TO DIRECT LDL	$74.90	$151.00	$11.00–$137.41	—	50%
Complete blood count (CBC) with differential CPT 85025 ABX CBC WITH DIFF	$24.31	$49.00	$1.41–$42.63	31% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC/PARTIAL DIFF	$29.27	$59.00	$1.41–$51.33	17% below	50%
Complete blood count (CBC) with differential CPT 85025 SYSMEX CBC WITH DIFF	$58.53	$118.00	$1.41–$102.66	67% above	50%
Complete blood count (CBC) with differential CPT 85025 ROTARY CBC WITH DIFF	$59.52	$120.00	$1.41–$104.40	70% above	50%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF	$64.98	$131.00	$1.41–$113.97	85% above	50%
Complete blood count (CBC) with differential CPT 85025 DAILY CBC WITH DIFF	$71.92	$145.00	$1.41–$126.15	105% above	50%
Complete blood count (CBC) with differential inpatient CPT 85025 ABX CBC WITH DIFF	$24.31	$49.00	$6.00–$44.59	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PARTIAL DIFF	$29.27	$59.00	$6.00–$53.69	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 SYSMEX CBC WITH DIFF	$58.53	$118.00	$6.00–$107.38	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 ROTARY CBC WITH DIFF	$59.52	$120.00	$6.00–$109.20	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF	$64.98	$131.00	$6.00–$119.21	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 DAILY CBC WITH DIFF	$71.92	$145.00	$6.00–$131.95	—	50%
Complete blood count (CBC), no differential CPT 85027 ABX CBC/NO DIFF	$25.80	$52.00	$1.17–$45.24	20% below	50%
Complete blood count (CBC), no differential CPT 85027 CBC/NO DIFF	$52.08	$105.00	$1.17–$91.35	61% above	50%
Complete blood count (CBC), no differential inpatient CPT 85027 ABX CBC/NO DIFF	$25.80	$52.00	$5.00–$47.32	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC/NO DIFF	$52.08	$105.00	$5.00–$95.55	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 DAILY COMPREHENSIVE METABOLIC PANEL	$138.88	$280.00	$1.91–$243.60	122% above	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE (QUEST) METABOLIC PANEL	$140.37	$283.00	$1.91–$246.21	124% above	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE-QUEST METABOLIC PANEL	$147.81	$298.00	$1.91–$259.26	136% above	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 DAILY COMPREHENSIVE METABOLIC PANEL	$138.88	$280.00	$8.00–$254.80	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE (QUEST) METABOLIC PANEL	$140.37	$283.00	$8.00–$257.53	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE-QUEST METABOLIC PANEL	$147.81	$298.00	$8.00–$271.18	—	50%
D-dimer blood test (blood clot marker) CPT 85379 T DIMER	$53.57	$108.00	$1.84–$93.96	26% below	50%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER	$100.69	$203.00	$1.84–$176.61	40% above	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 T DIMER	$53.57	$108.00	$8.00–$98.28	—	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER	$100.69	$203.00	$8.00–$184.73	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (ARUP)	$78.87	$159.00	$4.02–$138.33	21% below	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$86.31	$174.00	$4.02–$151.38	13% below	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (ARUP)	$78.87	$159.00	$18.00–$144.69	—	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$86.31	$174.00	$18.00–$158.34	—	50%
Estradiol blood test CPT 82670 ESTRADIOL (ARUP)	$84.82	$171.00	$5.05–$148.77	20% below	50%
Estradiol blood test CPT 82670 ESTRADIOL	$93.25	$188.00	$5.05–$163.56	12% below	50%
Estradiol blood test CPT 82670 ZINC TRANSPORTER 8 ANTIBODY	$115.57	$233.00	$5.05–$202.71	10% above	50%
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE	$120.04	$242.00	$5.05–$210.54	14% above	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (ARUP)	$84.82	$171.00	$22.00–$155.61	—	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$93.25	$188.00	$22.00–$171.08	—	50%
Estradiol blood test inpatient CPT 82670 ZINC TRANSPORTER 8 ANTIBODY	$115.57	$233.00	$22.00–$212.03	—	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SENSITIVE	$120.04	$242.00	$22.00–$220.22	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (ARUP)	$96.72	$195.00	$3.36–$169.65	13% above	50%
FSH (follicle-stimulating hormone) test CPT 83001 FSHPEDIATRICS	$99.70	$201.00	$3.36–$174.87	16% above	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (ARUP)	$96.72	$195.00	$15.00–$177.45	—	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSHPEDIATRICS	$99.70	$201.00	$15.00–$182.91	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$242.05	$488.00	$3.55–$424.56	62% above	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$242.05	$488.00	$16.00–$444.08	—	50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$68.45	$138.00	$2.47–$120.06	7% below	50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$68.45	$138.00	$11.00–$125.58	—	50%
Folate (folic acid) blood test CPT 82746 FOLATES (FOLIC ACID)	$82.34	$166.00	$2.66–$144.42	25% above	50%
Folate (folic acid) blood test inpatient CPT 82746 FOLATES (FOLIC ACID)	$82.34	$166.00	$12.00–$151.06	—	50%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$98.71	$199.00	$3.06–$173.13	39% above	50%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$98.71	$199.00	$14.00–$181.09	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE (TWL)	$73.91	$149.00	$1.64–$129.63	82% above	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 DIRECT DIALYSIS FREE T4	$77.38	$156.00	$1.64–$135.72	90% above	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE EQUILIBRIUM DIALYSIS	$77.88	$157.00	$1.64–$136.59	92% above	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$81.35	$164.00	$1.64–$142.68	100% above	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE (TWL)	$73.91	$149.00	$7.00–$135.59	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 DIRECT DIALYSIS FREE T4	$77.38	$156.00	$7.00–$141.96	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE EQUILIBRIUM DIALYSIS	$77.88	$157.00	$7.00–$142.87	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$81.35	$164.00	$7.00–$149.24	—	50%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$103.67	$209.00	$4.60–$181.83	10% above	50%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$103.67	$209.00	$20.00–$190.19	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 31/2 PP INCLUDES FBS	$19.84	$40.00	$0.86–$34.80	32% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP INCLUDES FBS	$29.27	$59.00	$0.86–$51.33	at median	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 31/2 PP INCLUDES FBS	$19.84	$40.00	$4.00–$36.40	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PP INCLUDES FBS	$29.27	$59.00	$4.00–$53.69	—	50%
Glucose tolerance test, 3 samples CPT 82951 GTT FIRST THREE SPECIMENS	$71.43	$144.00	$2.33–$125.28	18% above	50%
Glucose tolerance test, 3 samples CPT 82951 GTT 2HR(GESTATIONAL SCREEN)	$101.68	$205.00	$2.33–$178.35	68% above	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT FIRST THREE SPECIMENS	$71.43	$144.00	$10.00–$131.04	—	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2HR(GESTATIONAL SCREEN)	$101.68	$205.00	$10.00–$186.55	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 (TWL) NEISSERIA GONORR RNA PROBE	$61.51	$124.00	$6.34–$107.88	34% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPLIFIED PROBE CHARGE	$71.92	$145.00	$6.34–$126.15	23% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE BY PCR	$83.83	$169.00	$6.34–$147.03	10% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR BY PCR	$96.72	$195.00	$6.34–$169.65	4% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR THROAT RNA PROBE	$165.17	$333.00	$6.34–$289.71	78% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR RNA PROBE	$185.51	$374.00	$6.34–$325.38	100% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 (TWL) NEISSERIA GONORR RNA PROBE	$61.51	$124.00	$28.00–$112.84	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMPLIFIED PROBE CHARGE	$71.92	$145.00	$28.00–$131.95	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE BY PCR	$83.83	$169.00	$28.00–$153.79	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORR BY PCR	$96.72	$195.00	$28.00–$177.45	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORR THROAT RNA PROBE	$165.17	$333.00	$28.00–$303.03	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORR RNA PROBE	$185.51	$374.00	$28.00–$340.34	—	50%
H. pylori antibody blood test CPT 86677 H PYLORI IGA	$55.56	$112.00	$3.05–$97.44	20% below	50%
H. pylori antibody blood test CPT 86677 H PYLORI IGG	$63.49	$128.00	$3.05–$111.36	8% below	50%
H. pylori antibody blood test CPT 86677 H PYLORI IGM (LABCORP)	$114.08	$230.00	$3.05–$200.10	65% above	50%
H. pylori antibody blood test CPT 86677 H PYLORI IGA (LABCORP)	$126.48	$255.00	$3.05–$221.85	83% above	50%
H. pylori antibody blood test CPT 86677 H PYLORI IGG (LABCORP)	$130.45	$263.00	$3.05–$228.81	89% above	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA	$55.56	$112.00	$13.00–$101.92	—	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG	$63.49	$128.00	$13.00–$116.48	—	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM (LABCORP)	$114.08	$230.00	$13.00–$209.30	—	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA (LABCORP)	$126.48	$255.00	$13.00–$232.05	—	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG (LABCORP)	$130.45	$263.00	$13.00–$239.33	—	50%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN STOOL (ARUP)	$135.91	$274.00	$2.60–$238.38	99% above	50%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN (STOOL)	$142.85	$288.00	$2.60–$250.56	109% above	50%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN STOOL (ARUP)	$135.91	$274.00	$12.00–$249.34	—	50%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN (STOOL)	$142.85	$288.00	$12.00–$262.08	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD	$372.50	$751.00	$15.37–$653.37	4% above	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD	$372.50	$751.00	$68.00–$683.41	—	50%
HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV1/2 AG/AB COMBO	$79.86	$161.00	$2.48–$140.07	29% above	50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 RAPID HIV1/2 AG/AB COMBO	$79.86	$161.00	$11.00–$146.51	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/HIV-2 AG AB WITH REFLEXES	$83.33	$168.00	$4.35–$146.16	18% above	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/HIV-2 AG AB WITH REFLEXES	$83.33	$168.00	$19.00–$152.88	—	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMP PROBE HIGH RISK (TWL)	$131.94	$266.00	$6.34–$231.42	17% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK CHARGE	$135.91	$274.00	$6.34–$238.38	21% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMP PROBE 1618 (TWL)	$288.18	$581.00	$6.34–$505.47	156% above	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMP PROBE HIGH RISK (TWL)	$131.94	$266.00	$28.00–$242.06	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK CHARGE	$135.91	$274.00	$28.00–$249.34	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMP PROBE 1618 (TWL)	$288.18	$581.00	$28.00–$528.71	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HEMOGLOBIN TEST	$24.80	$50.00	$1.76–$43.50	46% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$48.12	$97.00	$1.76–$84.39	6% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (QUEST)	$63.49	$128.00	$1.76–$111.36	39% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$70.44	$142.00	$1.76–$123.54	54% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 QUEST HEMOGLOBIN A1C	$78.87	$159.00	$1.76–$138.33	73% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED HEMOGLOBIN TEST	$24.80	$50.00	$8.00–$45.50	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$48.12	$97.00	$8.00–$88.27	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C (QUEST)	$63.49	$128.00	$8.00–$116.48	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$70.44	$142.00	$8.00–$129.22	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 QUEST HEMOGLOBIN A1C	$78.87	$159.00	$8.00–$144.69	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB QUALITATIVE	$48.61	$98.00	$1.94–$85.26	1% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (TWL)	$54.07	$109.00	$1.94–$94.83	12% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB QUALITATIVE	$48.61	$98.00	$9.00–$89.18	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (TWL)	$54.07	$109.00	$9.00–$99.19	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG(TWL)W RFLX CONFIRM	$54.56	$110.00	$1.87–$95.70	18% above	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG(TWL)W RFLX CONFIRM	$54.56	$110.00	$8.00–$100.10	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY (TWL)	$71.43	$144.00	$2.58–$125.28	12% above	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C (TWL) ABW/RFLX TO RNA	$88.79	$179.00	$2.58–$155.73	39% above	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY (TWL)	$71.43	$144.00	$11.00–$131.04	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C (TWL) ABW/RFLX TO RNA	$88.79	$179.00	$11.00–$162.89	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C AB RNA	$141.86	$286.00	$7.74–$248.82	26% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C W REFLEX TO TMA	$148.80	$300.00	$7.74–$261.00	23% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA W/ REFLEX TO GENOTYPE	$151.28	$305.00	$7.74–$265.35	21% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C BY PCR (QUANTITATIVE) (TWL)	$232.63	$469.00	$7.74–$408.03	21% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 RELFEX TWL HEP C BY PCR (QUANT)	$249.00	$502.00	$7.74–$436.74	29% above	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C AB RNA	$141.86	$286.00	$34.00–$260.26	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C W REFLEX TO TMA	$148.80	$300.00	$34.00–$273.00	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA W/ REFLEX TO GENOTYPE	$151.28	$305.00	$34.00–$277.55	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C BY PCR (QUANTITATIVE) (TWL)	$232.63	$469.00	$34.00–$426.79	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RELFEX TWL HEP C BY PCR (QUANT)	$249.00	$502.00	$34.00–$456.82	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 ANTIBODY	$55.56	$112.00	$2.39–$97.44	6% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM ANTIBODY TITER	$69.94	$141.00	$2.39–$122.67	18% above	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 ANTIBODY	$55.56	$112.00	$11.00–$101.92	—	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM ANTIBODY TITER	$69.94	$141.00	$11.00–$128.31	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM ANTIBODY TITER	$52.08	$105.00	$3.50–$91.35	21% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 ANTIBODY	$61.01	$123.00	$3.50–$107.01	8% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG ANTIBODY	$85.32	$172.00	$3.50–$149.64	29% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 INHIBITION	$186.00	$375.00	$3.50–$326.25	181% above	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM ANTIBODY TITER	$52.08	$105.00	$15.00–$95.55	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 ANTIBODY	$61.01	$123.00	$15.00–$111.93	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG ANTIBODY	$85.32	$172.00	$15.00–$156.52	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 INHIBITION	$186.00	$375.00	$15.00–$341.25	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 KSU CRP CARDIAC	$12.90	$26.00	$2.34–$22.62	80% below	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HSCARDIO (AMLS)	$32.24	$65.00	$2.34–$56.55	50% below	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC	$50.10	$101.00	$2.34–$87.87	22% below	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HSCARDIO	$63.49	$128.00	$2.34–$111.36	1% below	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 KSU CRP CARDIAC	$12.90	$26.00	$10.00–$23.66	—	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HSCARDIO (AMLS)	$32.24	$65.00	$10.00–$59.15	—	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIAC	$50.10	$101.00	$10.00–$91.91	—	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HSCARDIO	$63.49	$128.00	$10.00–$116.48	—	50%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (TWL)	$86.80	$175.00	$3.24–$152.25	8% above	50%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL&CONGENITAL	$87.80	$177.00	$3.24–$153.99	9% above	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE (TWL)	$86.80	$175.00	$14.00–$159.25	—	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTRITIONAL&CONGENITAL	$87.80	$177.00	$14.00–$161.07	—	50%
Insulin blood test CPT 83525 INSULIN LEVEL	$20.84	$42.00	$2.07–$36.54	59% below	50%
Insulin blood test CPT 83525 INSULIN FASTING (ARUP)	$55.56	$112.00	$2.07–$97.44	8% above	50%
Insulin blood test CPT 83525 INSULIN	$61.01	$123.00	$2.07–$107.01	19% above	50%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$20.84	$42.00	$9.00–$38.22	—	50%
Insulin blood test inpatient CPT 83525 INSULIN FASTING (ARUP)	$55.56	$112.00	$9.00–$101.92	—	50%
Insulin blood test inpatient CPT 83525 INSULIN	$61.01	$123.00	$9.00–$111.93	—	50%
Iron blood test (serum iron) CPT 83540 IRON	$47.12	$95.00	$1.17–$82.65	31% above	50%
Iron blood test (serum iron) CPT 83540 IRON(URINE)	$267.35	$539.00	$1.17–$468.93	641% above	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$47.12	$95.00	$5.00–$86.45	—	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON(URINE)	$267.35	$539.00	$5.00–$490.49	—	50%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$34.23	$69.00	$1.58–$60.03	12% below	50%
Iron-binding capacity (TIBC) test CPT 83550 TIBC (INCLUDES IRON)	$66.47	$134.00	$1.58–$116.58	70% above	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$34.23	$69.00	$7.00–$62.79	—	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC (INCLUDES IRON)	$66.47	$134.00	$7.00–$121.94	—	50%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$99.70	$201.00	$1.57–$174.87	46% above	50%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$99.70	$201.00	$7.00–$182.91	—	50%
LH (luteinizing hormone) test CPT 83002 LH (ARUP)	$96.72	$195.00	$3.35–$169.65	1% above	50%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE(PEDIATRICS)	$99.70	$201.00	$3.35–$174.87	4% above	50%
LH (luteinizing hormone) test inpatient CPT 83002 LH (ARUP)	$96.72	$195.00	$15.00–$177.45	—	50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE(PEDIATRICS)	$99.70	$201.00	$15.00–$182.91	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE	$51.59	$104.00	$1.25–$90.48	11% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$56.55	$114.00	$1.25–$99.18	2% below	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE URINE	$51.59	$104.00	$6.00–$94.64	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$56.55	$114.00	$6.00–$103.74	—	50%
Liver function blood test panel CPT 80076 LIVER-QUEST (HEPATIC) FUNCTION PANEL	$82.34	$166.00	$1.48–$144.42	38% above	50%
Liver function blood test panel inpatient CPT 80076 LIVER-QUEST (HEPATIC) FUNCTION PANEL	$82.34	$166.00	$7.00–$151.06	—	50%
Lyme disease antibody test CPT 86618 LYME DISEASE IGG/IGM	$74.90	$151.00	$3.08–$131.37	2% below	50%
Lyme disease antibody test CPT 86618 LYME DISEASE/REFLEX WESTERN BLOT	$94.74	$191.00	$3.08–$166.17	24% above	50%
Lyme disease antibody test CPT 86618 LYME AB WEST BLOT IGM	$121.52	$245.00	$3.08–$213.15	59% above	50%
Lyme disease antibody test CPT 86618 LYME AB WEST BLOT IGG	$123.51	$249.00	$3.08–$216.63	61% above	50%
Lyme disease antibody test CPT 86618 (TWL) LYME DISEASE/REFLEX WESTERN BLOT	$150.29	$303.00	$3.08–$263.61	96% above	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGG/IGM	$74.90	$151.00	$14.00–$137.41	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE/REFLEX WESTERN BLOT	$94.74	$191.00	$14.00–$173.81	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME AB WEST BLOT IGM	$121.52	$245.00	$14.00–$222.95	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME AB WEST BLOT IGG	$123.51	$249.00	$14.00–$226.59	—	50%
Lyme disease antibody test inpatient CPT 86618 (TWL) LYME DISEASE/REFLEX WESTERN BLOT	$150.29	$303.00	$14.00–$275.73	—	50%
Magnesium blood test CPT 83735 QUEST MAGNESIUM URINE	$9.92	$20.00	$1.22–$17.40	70% below	50%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE	$31.25	$63.00	$1.22–$54.81	6% below	50%
Magnesium blood test CPT 83735 MAGNESIUM	$34.23	$69.00	$1.22–$60.03	3% above	50%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$63.00	$127.00	$1.22–$110.49	90% above	50%
Magnesium blood test inpatient CPT 83735 QUEST MAGNESIUM URINE	$9.92	$20.00	$5.00–$18.20	—	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDOM URINE	$31.25	$63.00	$5.00–$57.33	—	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$34.23	$69.00	$5.00–$62.79	—	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$63.00	$127.00	$5.00–$115.57	—	50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ABS	$57.04	$115.00	$2.33–$100.05	8% above	50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ABS	$72.42	$146.00	$2.33–$127.02	37% above	50%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG ABS	$57.04	$115.00	$10.00–$104.65	—	50%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM ABS	$72.42	$146.00	$10.00–$132.86	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST	$48.61	$98.00	$0.94–$85.26	6% below	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST	$48.61	$98.00	$4.00–$89.18	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$44.15	$89.00	$3.33–$77.43	45% below	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$44.15	$89.00	$15.00–$80.99	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$45.14	$91.00	$3.33–$79.17	41% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$63.99	$129.00	$3.33–$112.23	17% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN	$79.86	$161.00	$3.33–$140.07	4% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 QUEST PSA TOTAL	$144.84	$292.00	$3.33–$254.04	89% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$219.73	$443.00	$3.33–$385.41	186% above	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA	$45.14	$91.00	$15.00–$82.81	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$63.99	$129.00	$15.00–$117.39	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREEN	$79.86	$161.00	$15.00–$146.51	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 QUEST PSA TOTAL	$144.84	$292.00	$15.00–$265.72	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE	$219.73	$443.00	$15.00–$403.13	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST (THINPREP) (TWL)	$97.72	$197.00	$3.66–$171.39	7% above	50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP TEST (THINPREP) (TWL)	$97.72	$197.00	$16.00–$179.27	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 INTERLEUKIN-10 (SERUM)	$146.82	$296.00	$7.46–$257.52	4% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 BUPROPION & METABOLITE SERUM/PLASMA	$153.76	$310.00	$7.46–$269.70	9% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT	$176.58	$356.00	$7.46–$309.72	25% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH WITH CALCIUM	$196.42	$396.00	$7.46–$344.52	39% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 PARANEOPLASTIC AB EVAL	$1,213.22	$2,446.00	$7.46–$2,128.02	760% above	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTERLEUKIN-10 (SERUM)	$146.82	$296.00	$33.00–$269.36	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 BUPROPION & METABOLITE SERUM/PLASMA	$153.76	$310.00	$33.00–$282.10	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT	$176.58	$356.00	$33.00–$323.96	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH WITH CALCIUM	$196.42	$396.00	$33.00–$360.36	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARANEOPLASTIC AB EVAL	$1,213.22	$2,446.00	$33.00–$2,225.86	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LABCORP	$14.39	$29.00	$1.09–$25.23	60% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 QUEST APTT	$17.86	$36.00	$1.09–$31.32	51% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 DAILY APTT	$42.66	$86.00	$1.09–$74.82	18% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN TIME	$46.63	$94.00	$1.09–$81.78	28% above	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LABCORP	$14.39	$29.00	$5.00–$26.39	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 QUEST APTT	$17.86	$36.00	$5.00–$32.76	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 DAILY APTT	$42.66	$86.00	$5.00–$78.26	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN TIME	$46.63	$94.00	$5.00–$85.54	—	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL ADVANCED	$1,423.52	$2,870.00	$137.05–$2,496.90	2% below	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL ADVANCED	$1,423.52	$2,870.00	$607.00–$2,611.70	—	50%
Progesterone blood test CPT 84144 PROGESTERONE (ARUP)	$80.85	$163.00	$3.77–$141.81	12% above	50%
Progesterone blood test CPT 84144 PROGESTERONE	$88.79	$179.00	$3.77–$155.73	23% above	50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE (ARUP)	$80.85	$163.00	$17.00–$148.33	—	50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$88.79	$179.00	$17.00–$162.89	—	50%
Prolactin blood test CPT 84146 PROLACTIN (TWL)	$103.17	$208.00	$3.50–$180.96	18% above	50%
Prolactin blood test inpatient CPT 84146 PROLACTIN (TWL)	$103.17	$208.00	$16.00–$189.28	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 PT-LABCORP	$13.40	$27.00	$0.78–$23.49	44% below	50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR	$36.21	$73.00	$0.78–$63.51	51% above	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-LABCORP	$13.40	$27.00	$3.00–$24.57	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME WITH INR	$36.21	$73.00	$3.00–$66.43	—	50%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE	$14.39	$29.00	$1.03–$25.23	56% below	50%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE (ARUP)	$45.14	$91.00	$1.03–$79.17	39% above	50%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE (TWL)	$46.63	$94.00	$1.03–$81.78	43% above	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANTITATIVE	$14.39	$29.00	$5.00–$26.39	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANTITATIVE (ARUP)	$45.14	$91.00	$5.00–$82.81	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANTITATIVE (TWL)	$46.63	$94.00	$5.00–$85.54	—	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$68.45	$138.00	$2.60–$120.06	78% above	50%
Rubella antibody test (immunity check) CPT 86762 (TWL) RUBELLA IGM	$116.56	$235.00	$2.60–$204.45	203% above	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM	$68.45	$138.00	$12.00–$125.58	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 (TWL) RUBELLA IGM	$116.56	$235.00	$12.00–$213.85	—	50%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$43.65	$88.00	$1.61–$76.56	10% above	50%
Stool ova and parasites exam CPT 87177 (TWL) OVA AND PARASITES	$48.12	$97.00	$1.61–$84.39	21% above	50%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$43.65	$88.00	$7.00–$80.08	—	50%
Stool ova and parasites exam inpatient CPT 87177 (TWL) OVA AND PARASITES	$48.12	$97.00	$7.00–$88.27	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD#1 CANCER SCREEN	$45.64	$92.00	$0.80–$80.04	75% above	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD (3 SPEC) CANCER SCREEN	$55.06	$111.00	$0.80–$96.57	111% above	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD#1 CANCER SCREEN	$45.64	$92.00	$4.00–$83.72	—	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD (3 SPEC) CANCER SCREEN	$55.06	$111.00	$4.00–$101.01	—	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNO FECAL OCCULT BLD (TWL)	$48.61	$98.00	$2.88–$85.26	6% below	50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IMMUNO FECAL OCCULT BLD (TWL)	$48.61	$98.00	$13.00–$89.18	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRLCSF	$24.31	$49.00	$0.78–$42.63	9% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRLSERUM	$27.78	$56.00	$0.78–$48.72	25% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$31.25	$63.00	$0.78–$54.81	40% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 (TWL) RPR WITH REFLEX	$48.12	$97.00	$0.78–$84.39	116% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRLCSF	$24.31	$49.00	$3.00–$44.59	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRLSERUM	$27.78	$56.00	$3.00–$50.96	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$31.25	$63.00	$3.00–$57.33	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 (TWL) RPR WITH REFLEX	$48.12	$97.00	$3.00–$88.27	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 (TWL) QUANTIFERON TB GOLD 4 TUBE	$117.06	$236.00	$11.19–$205.32	5% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$264.87	$534.00	$11.19–$464.58	138% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$294.13	$593.00	$11.19–$515.91	165% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 (TWL) QUANTIFERON TB GOLD 4 TUBE	$117.06	$236.00	$50.00–$214.76	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 4 TUBE	$264.87	$534.00	$50.00–$485.94	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 1 TUBE	$294.13	$593.00	$50.00–$539.63	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (ARUP)	$81.84	$165.00	$4.67–$143.55	4% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$90.28	$182.00	$4.67–$158.34	6% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE OR PEDIATRIC	$115.08	$232.00	$4.67–$201.84	36% above	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (ARUP)	$81.84	$165.00	$21.00–$150.15	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$90.28	$182.00	$21.00–$165.62	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL FEMALE OR PEDIATRIC	$115.08	$232.00	$21.00–$211.12	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME ANTIBODY	$88.79	$179.00	$2.63–$155.73	37% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODY (ARUP)	$89.78	$181.00	$2.63–$157.47	38% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES	$92.26	$186.00	$2.63–$161.82	42% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AUTOANTIBODY	$280.24	$565.00	$2.63–$491.55	331% above	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME ANTIBODY	$88.79	$179.00	$12.00–$162.89	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODY (ARUP)	$89.78	$181.00	$12.00–$164.71	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES	$92.26	$186.00	$12.00–$169.26	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AUTOANTIBODY	$280.24	$565.00	$12.00–$514.15	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 3RD GENERATION	$58.04	$117.00	$3.04–$101.79	22% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$82.84	$167.00	$3.04–$145.29	11% above	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 QUEST TSH	$91.76	$185.00	$3.04–$160.95	23% above	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 3RD GENERATION	$58.04	$117.00	$13.00–$106.47	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$82.84	$167.00	$13.00–$151.97	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 QUEST TSH	$91.76	$185.00	$13.00–$168.35	—	50%
Trichomonas test (NAAT) CPT 87661 (TWL) TRICHOMONAS VAGINALIS RNA PROBE	$52.08	$105.00	$6.34–$91.35	39% below	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS DNA PROBE	$63.00	$127.00	$6.34–$110.49	26% below	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA PROBE THINPREP	$120.04	$242.00	$6.34–$210.54	40% above	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA FEMALE	$124.50	$251.00	$6.34–$218.37	45% above	50%
Trichomonas test (NAAT) inpatient CPT 87661 (TWL) TRICHOMONAS VAGINALIS RNA PROBE	$52.08	$105.00	$28.00–$95.55	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS DNA PROBE	$63.00	$127.00	$28.00–$115.57	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA PROBE THINPREP	$120.04	$242.00	$28.00–$220.22	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA FEMALE	$124.50	$251.00	$28.00–$228.41	—	50%
Uric acid blood test CPT 84550 URIC ACID	$38.69	$78.00	$0.82–$67.86	10% above	50%
Uric acid blood test inpatient CPT 84550 URIC ACID	$38.69	$78.00	$4.00–$70.98	—	50%
Urinalysis with microscope exam, automated CPT 81001 URINE MICRO CHARGE	$18.85	$38.00	$0.58–$33.06	30% below	50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC CHARGE	$52.08	$105.00	$0.58–$91.35	93% above	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE MICRO CHARGE	$18.85	$38.00	$3.00–$34.58	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC CHARGE	$52.08	$105.00	$3.00–$95.55	—	50%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE	$7.94	$16.00	$0.41–$13.92	66% below	50%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE QUALITATIVE	$11.91	$24.00	$0.41–$20.88	49% below	50%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITH MICROSCOPIC	$24.31	$49.00	$0.41–$42.63	4% above	50%
Urinalysis without microscope exam, automated CPT 81003 KETONES URINE QUALITATIVE	$29.27	$59.00	$0.41–$51.33	25% above	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE URINE	$7.94	$16.00	$2.00–$14.56	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE URINE QUALITATIVE	$11.91	$24.00	$2.00–$21.84	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITH MICROSCOPIC	$24.31	$49.00	$2.00–$44.59	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES URINE QUALITATIVE	$29.27	$59.00	$2.00–$53.69	—	50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE (TWL)	$65.48	$132.00	$1.46–$114.84	15% above	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE (TWL)	$65.48	$132.00	$6.00–$120.12	—	50%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$52.58	$106.00	$1.56–$92.22	16% above	50%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$52.58	$106.00	$7.00–$96.46	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 (TWL)	$71.43	$144.00	$2.73–$125.28	at median	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$73.41	$148.00	$2.73–$128.76	2% above	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 (TWL)	$71.43	$144.00	$12.00–$131.04	—	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$73.41	$148.00	$12.00–$134.68	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D HYDROXY	$109.62	$221.00	$5.35–$192.27	21% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY (TWL)	$120.53	$243.00	$5.35–$211.41	33% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 D3 (TWL)	$137.40	$277.00	$5.35–$240.99	51% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D HYDROXY	$109.62	$221.00	$24.00–$201.11	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY (TWL)	$120.53	$243.00	$24.00–$221.13	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 D3 (TWL)	$137.40	$277.00	$24.00–$252.07	—	50%
Zinc blood test CPT 84630 ZINC (ARUP)	$70.93	$143.00	$2.06–$124.41	50% above	50%
Zinc blood test CPT 84630 ZINC	$77.88	$157.00	$2.06–$136.59	65% above	50%
Zinc blood test inpatient CPT 84630 ZINC (ARUP)	$70.93	$143.00	$9.00–$130.13	—	50%
Zinc blood test inpatient CPT 84630 ZINC	$77.88	$157.00	$9.00–$142.87	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE - MALE/NON-PREG	$78.37	$158.00	$2.72–$137.46	16% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$89.28	$180.00	$2.72–$156.60	32% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG TUMOR MARKER	$90.28	$182.00	$2.72–$158.34	34% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE (TWL)	$91.76	$185.00	$2.72–$160.95	36% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANTITATIVE - MALE/NON-PREG	$78.37	$158.00	$12.00–$143.78	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$89.28	$180.00	$12.00–$163.80	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG TUMOR MARKER	$90.28	$182.00	$12.00–$165.62	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANTITATIVE (TWL)	$91.76	$185.00	$12.00–$168.35	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 EXCISION FOR RUPTURED APPENDIX W/ABSCESS	$607.60	$1,225.00	$416.50–$5,668.07	55% below	50%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 EXCISION FOR RUPTURED APPENDIX W/ABSCESS	$607.60	$1,225.00	$477.75–$5,668.07	—	50%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$453.35	$914.00	$310.76–$9,801.18	77% below	50%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$453.35	$914.00	$356.46–$5,668.07	—	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 C/T DISTAL FIBULAR FRACTURE	$161.70	$326.00	$88.18–$4,072.01	55% below	50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 C/T DISTAL FIBULAR FRACTURE	$161.70	$326.00	$127.14–$4,072.01	—	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX CARE METATARSAL	$141.86	$286.00	$88.18–$4,072.01	61% below	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX METATARSAL W/O MANIPULATION/EACH	$179.56	$362.00	$88.18–$4,072.01	51% below	50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FX CARE METATARSAL	$141.86	$286.00	$111.54–$4,072.01	—	50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FX METATARSAL W/O MANIPULATION/EACH	$179.56	$362.00	$141.18–$4,072.01	—	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE	$182.53	$368.00	$109.17–$1,027.88	91% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$189.97	$383.00	$109.17–$1,027.88	91% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$693.41	$1,398.00	$109.17–$1,216.26	66% below	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE	$182.53	$368.00	$113.00–$334.88	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$189.97	$383.00	$113.00–$348.53	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$693.41	$1,398.00	$113.00–$1,272.18	—	50%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL DECOMPRESSION-MEDIAL	$290.66	$586.00	$199.24–$4,808.01	96% below	50%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL DECOMPRESSION-MEDIAL	$290.66	$586.00	$228.54–$4,808.01	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DISTAL RADIAL FX	$189.48	$382.00	$88.18–$4,072.01	52% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 C/T DIST RADIUS/FX W/WO FX ULN	$231.64	$467.00	$88.18–$4,072.01	41% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TREAT DISTAL RADIAL FX W/O MANIP	$240.07	$484.00	$88.18–$4,072.01	39% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DISTAL RADIAL FX W/O MANIPULATION	$518.32	$1,045.00	$88.18–$4,072.01	31% above	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TX DISTAL RADIAL FX	$189.48	$382.00	$148.98–$4,072.01	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 C/T DIST RADIUS/FX W/WO FX ULN	$231.64	$467.00	$182.13–$4,072.01	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TREAT DISTAL RADIAL FX W/O MANIP	$240.07	$484.00	$188.76–$4,072.01	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TX DISTAL RADIAL FX W/O MANIPULATION	$518.32	$1,045.00	$309.00–$4,072.01	—	50%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE REMOVAL	$358.61	$723.00	$245.82–$4,753.00	89% below	50%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE REMOVAL	$358.61	$723.00	$253.00–$657.93	—	50%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX	$317.44	$640.00	$200.00–$4,753.00	90% below	50%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX	$317.44	$640.00	$200.00–$582.40	—	50%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC	$264.37	$533.00	$181.22–$4,510.00	90% below	50%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC	$264.37	$533.00	$185.00–$485.03	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY AND CURETTAGE	$114.08	$230.00	$78.20–$4,072.01	87% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY AND CURETTAGE	$114.08	$230.00	$89.70–$4,072.01	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$162.20	$327.00	$80.00–$4,072.01	92% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$162.20	$327.00	$80.00–$4,072.01	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF LESION	$52.58	$106.00	$36.04–$4,072.01	74% below	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION OF LESION	$52.58	$106.00	$41.34–$4,072.01	—	50%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY W/VENT TUBE LOCAL ANES	$132.93	$268.00	$91.12–$4,072.01	81% below	50%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY W/VENT TUBE LOCAL ANES	$132.93	$268.00	$104.52–$4,072.01	—	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR IRRIGATION W/ LAVAGE	$13.40	$27.00	$9.18–$4,072.01	91% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE CERUMEN W IRRIGATION	$21.83	$44.00	$13.00–$4,072.01	86% below	50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 EAR IRRIGATION W/ LAVAGE	$13.40	$27.00	$10.53–$4,072.01	—	50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE CERUMEN W IRRIGATION	$21.83	$44.00	$13.00–$4,072.01	—	50%
Earwax removal with instruments, one ear CPT 69210 EAR IRRIGATION W/ INSTRUMENT	$36.71	$74.00	$21.84–$4,072.01	76% below	50%
Earwax removal with instruments, one ear CPT 69210 REMOVE CERUMEN	$49.11	$99.00	$21.84–$4,072.01	68% below	50%
Earwax removal with instruments, one ear CPT 69210 EAR IMPACTED CERUMEN	$142.85	$288.00	$21.84–$4,072.01	8% below	50%
Earwax removal with instruments, one ear inpatient CPT 69210 EAR IRRIGATION W/ INSTRUMENT	$36.71	$74.00	$28.86–$4,072.01	—	50%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE CERUMEN	$49.11	$99.00	$31.00–$4,072.01	—	50%
Earwax removal with instruments, one ear inpatient CPT 69210 EAR IMPACTED CERUMEN	$142.85	$288.00	$31.00–$4,072.01	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 EXCISION ENDOMETRIAL SAMPLING BIOPSY	$80.85	$163.00	$55.42–$4,072.01	79% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 EXCISION ENDOMETRIAL SAMPLING BIOPSY	$80.85	$163.00	$63.57–$4,072.01	—	50%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL/SINUS ENDOSCOPY W/ETHMOID TOTAL	$304.55	$614.00	$208.76–$11,233.98	95% below	50%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL/SINUS ENDOSCOPY W/ETHMOID TOTAL	$304.55	$614.00	$239.46–$11,233.98	—	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR ANTERIOR ABDOMINAL HERNIA	$372.00	$750.00	$255.00–$5,668.07	98% below	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPAIR ANTERIOR ABDOMINAL HERNIA	$372.00	$750.00	$292.50–$5,668.07	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIGMOIDOSCOPY	$93.75	$189.00	$55.00–$4,072.01	96% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIGMOIDOSCOPY	$93.75	$189.00	$55.00–$4,072.01	—	50%
Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAP	$517.83	$1,044.00	$354.96–$12,188.00	97% below	50%
Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY LAP	$517.83	$1,044.00	$407.16–$950.04	—	50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY W/ CHOLANGIOGRAPH	$531.22	$1,071.00	$364.14–$12,188.00	97% below	50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLECYSTECTOMY W/ CHOLANGIOGRAPH	$531.22	$1,071.00	$417.69–$974.61	—	50%
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER	$738.05	$1,488.00	$505.92–$5,668.07	72% below	50%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 REMOVAL OF GALLBLADDER	$738.05	$1,488.00	$580.32–$5,668.07	—	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY BY BANDING	$163.19	$329.00	$111.86–$4,072.01	91% below	50%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY BY BANDING	$163.19	$329.00	$128.31–$4,072.01	—	50%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$732.10	$1,476.00	$501.84–$10,906.64	76% below	50%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL HYSTERECTOMY	$732.10	$1,476.00	$575.64–$10,906.64	—	50%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN/SKIN-ABCESS/SINGLE	$86.80	$175.00	$59.50–$4,072.01	77% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN/SKIN-ABSCESS/SINGLE	$155.75	$314.00	$73.04–$4,072.01	59% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS SIMPLE	$393.83	$794.00	$73.04–$4,072.01	3% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE	$393.83	$794.00	$73.04–$4,072.01	3% above	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN/SKIN-ABCESS/SINGLE	$86.80	$175.00	$68.25–$4,072.01	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN/SKIN-ABSCESS/SINGLE	$155.75	$314.00	$87.00–$4,072.01	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE	$393.83	$794.00	$87.00–$4,072.01	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABCESS SIMPLE	$393.83	$794.00	$87.00–$4,072.01	—	50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 ING HERNIA REPAIR	$361.09	$728.00	$247.52–$5,668.07	95% below	50%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 ING HERNIA REPAIR	$361.09	$728.00	$283.92–$5,668.07	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 LIGAMENTS/TRIGGER TP/TENDON	$65.97	$133.00	$38.00–$4,072.01	81% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION SINGLE TENDON SHEATH LIGAMEN	$98.21	$198.00	$38.00–$4,072.01	71% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 LIGAMENTS/TRIGGER TP/TENDON	$65.97	$133.00	$38.00–$4,072.01	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION SINGLE TENDON SHEATH LIGAMEN	$98.21	$198.00	$38.00–$4,072.01	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION/ INJ MAJOR JOINT OR BURSA	$63.99	$129.00	$43.86–$4,072.01	91% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJECTION	$64.98	$131.00	$44.54–$4,072.01	91% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJ/JOINT-BURSA	$70.44	$142.00	$45.00–$4,072.01	90% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION/ INJ MAJOR JOINT OR BURSA	$63.99	$129.00	$45.00–$4,072.01	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT INJECTION	$64.98	$131.00	$45.00–$4,072.01	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJ/JOINT-BURSA	$70.44	$142.00	$45.00–$4,072.01	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMEDIATE JOINT INJECTION	$57.54	$116.00	$37.00–$4,072.01	91% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JOINT	$62.50	$126.00	$37.00–$4,072.01	90% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARHTROCENTESIS INTERMED JOINT	$63.49	$128.00	$37.00–$4,072.01	90% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMEDIATE JOINT INJECTION	$57.54	$116.00	$37.00–$4,072.01	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMED JOINT	$62.50	$126.00	$37.00–$4,072.01	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARHTROCENTESIS INTERMED JOINT	$63.49	$128.00	$37.00–$4,072.01	—	50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUB	$747.48	$1,507.00	$512.38–$16,353.60	98% below	50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUB	$747.48	$1,507.00	$587.73–$13,449.29	—	50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 LAP SURG REPAIR INIT INGUINAL HERNIA RT	$595.20	$1,200.00	$408.00–$10,906.64	96% below	50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient one side CPT 49650 LAP SURG REPAIR INIT INGUINAL HERNIA RT	$595.20	$1,200.00	$436.00–$10,906.64	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYERED CLOSURE -INTERMEDIATE SCALP <2.5	$150.79	$304.00	$103.36–$4,072.01	68% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLS/SCALP-TRUNK EX<2.5CM	$176.08	$355.00	$120.70–$4,072.01	63% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLS/SCALP-TRUNK EX <2.5CM	$243.54	$491.00	$129.00–$4,072.01	49% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION REPAIR-INTERMEDIATE <2.5 CM	$430.53	$868.00	$129.00–$4,072.01	10% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYERED CLOSURE -INTERMEDIATE SCALP <2.5	$150.79	$304.00	$118.56–$4,072.01	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLS/SCALP-TRUNK EX<2.5CM	$176.08	$355.00	$129.00–$4,072.01	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLS/SCALP-TRUNK EX <2.5CM	$243.54	$491.00	$129.00–$4,072.01	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LACERATION REPAIR-INTERMEDIATE <2.5 CM	$430.53	$868.00	$129.00–$4,072.01	—	50%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL	$425.08	$857.00	$291.38–$6,014.91	96% below	50%
Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL	$425.08	$857.00	$334.23–$5,668.07	—	50%
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE	$656.71	$1,324.00	$450.16–$11,233.98	98% below	50%
Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY SIMPLE	$656.71	$1,324.00	$516.36–$11,233.98	—	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION TRNK .5CM OR LESS	$80.85	$163.00	$55.42–$4,072.01	94% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN LESION TRNK .5CM OR LESS	$80.85	$163.00	$63.57–$4,072.01	—	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 BENIGN EXCISION FACE/EARS/EYELIDS/NOSE	$85.32	$172.00	$58.48–$4,072.01	94% below	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 BENIGN EXCISION FACE/EARS/EYELIDS/NOSE	$85.32	$172.00	$67.08–$4,072.01	—	50%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PART OR COMP/SIN	$82.34	$166.00	$48.00–$4,072.01	74% below	50%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PART OR COMPL/SIN	$92.26	$186.00	$48.00–$4,072.01	71% below	50%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION PARTIAL/COMPLETE	$139.38	$281.00	$48.00–$4,072.01	56% below	50%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE;SINGLE	$305.54	$616.00	$48.00–$4,072.01	4% below	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PART OR COMP/SIN	$82.34	$166.00	$48.00–$4,072.01	—	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PART OR COMPL/SIN	$92.26	$186.00	$48.00–$4,072.01	—	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION PARTIAL/COMPLETE	$139.38	$281.00	$48.00–$4,072.01	—	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE;SINGLE	$305.54	$616.00	$48.00–$4,072.01	—	50%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS W/ GUIDANCE	$851.14	$1,716.00	$105.00–$4,072.01	51% below	50%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS W/ GUIDANCE	$851.14	$1,716.00	$105.00–$4,072.01	—	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL REMOVAL/PHENOL	$70.44	$142.00	$48.28–$4,072.01	91% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL/NAIL MATRIX	$169.64	$342.00	$90.00–$4,072.01	78% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL AND MATRIX PARTIAL OR COMPLETE	$815.43	$1,644.00	$90.00–$4,072.01	5% above	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL REMOVAL/PHENOL	$70.44	$142.00	$55.38–$4,072.01	—	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL/NAIL MATRIX	$169.64	$342.00	$90.00–$4,072.01	—	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL AND MATRIX PARTIAL OR COMPLETE	$815.43	$1,644.00	$90.00–$4,072.01	—	50%
Removal of a breast lump, open surgery CPT 19120 EXC OF CYST FROM BREAST	$319.92	$645.00	$219.30–$6,014.91	91% below	50%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC OF CYST FROM BREAST	$319.92	$645.00	$251.55–$5,668.07	—	50%
Removal of a foreign object under the skin, simple CPT 10120 EXCISION FB/SKIN-SIMPLE/SUBCUT	$147.81	$298.00	$88.00–$4,072.01	77% below	50%
Removal of a foreign object under the skin, simple CPT 10120 EXCISION FB/SKIN-SIMPLE/SUBCUTANEOUS	$172.61	$348.00	$88.00–$4,072.01	73% below	50%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVL FOREIGN BODY SIMPLE	$324.39	$654.00	$88.00–$4,072.01	50% below	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 EXCISION FB/SKIN-SIMPLE/SUBCUT	$147.81	$298.00	$88.00–$4,072.01	—	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 EXCISION FB/SKIN-SIMPLE/SUBCUTANEOUS	$172.61	$348.00	$88.00–$4,072.01	—	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVL FOREIGN BODY SIMPLE	$324.39	$654.00	$88.00–$4,072.01	—	50%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL REMOVAL OF THYROID	$548.58	$1,106.00	$376.04–$10,906.64	98% below	50%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 TOTAL REMOVAL OF THYROID	$548.58	$1,106.00	$431.34–$10,906.64	—	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONSCOPY MEDICARE	$264.37	$533.00	$181.22–$4,072.01	90% below	50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONSCOPY MEDICARE	$264.37	$533.00	$185.00–$4,072.01	—	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREEN	$545.60	$1,100.00	$185.00–$4,072.01	79% below	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCREEN	$545.60	$1,100.00	$185.00–$4,072.01	—	50%
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY OR SUBMUCOUS	$410.69	$828.00	$281.52–$5,094.11	98% below	50%
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY OR SUBMUCOUS	$410.69	$828.00	$322.92–$4,808.01	—	50%
Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT	$42.66	$86.00	$29.24–$4,072.01	85% below	50%
Short arm splint (forearm and hand) CPT 29125 SPLINT/ARM-SHORT STATIC	$63.00	$127.00	$38.00–$4,072.01	78% below	50%
Short arm splint (forearm and hand) CPT 29125 SPLINT/SHORT ARM	$217.25	$438.00	$38.00–$4,072.01	25% below	50%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPL/SHORT ARM STATIC	$217.25	$438.00	$38.00–$4,072.01	25% below	50%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM STATIC SPLINT	$217.25	$438.00	$38.00–$4,072.01	25% below	50%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM STATIC SPLINT OT	$262.88	$530.00	$38.00–$4,072.01	9% below	50%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM	$262.88	$530.00	$38.00–$4,072.01	9% below	50%
Short arm splint (forearm and hand) CPT 29125 SOFT BACK BRACE	$330.34	$666.00	$38.00–$4,072.01	14% above	50%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SHORT ARM SPLINT	$42.66	$86.00	$33.54–$4,072.01	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT/ARM-SHORT STATIC	$63.00	$127.00	$38.00–$4,072.01	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPL/SHORT ARM STATIC	$217.25	$438.00	$38.00–$4,072.01	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM STATIC SPLINT	$217.25	$438.00	$38.00–$4,072.01	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT/SHORT ARM	$217.25	$438.00	$38.00–$4,072.01	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM STATIC SPLINT OT	$262.88	$530.00	$38.00–$4,072.01	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM	$262.88	$530.00	$38.00–$4,072.01	—	50%
Short arm splint (forearm and hand) inpatient CPT 29125 SOFT BACK BRACE	$330.34	$666.00	$38.00–$4,072.01	—	50%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$60.52	$122.00	$41.48–$4,072.01	83% below	50%
Short leg cast (below the knee) CPT 29405 SHORT LEG CAST APPLICATION	$194.93	$393.00	$57.00–$4,072.01	46% below	50%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST	$60.52	$122.00	$47.58–$4,072.01	—	50%
Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST APPLICATION	$194.93	$393.00	$57.00–$4,072.01	—	50%
Short leg splint (calf to foot) CPT 29515 SPLINT APPL SHORT LEG	$73.66	$148.50	$48.00–$4,072.01	75% below	50%
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG	$169.64	$342.00	$48.00–$4,072.01	42% below	50%
Short leg splint (calf to foot) CPT 29515 SPLINT APPL/SHORT LEG	$256.44	$517.00	$48.00–$4,072.01	13% below	50%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPL SHORT LEG	$73.66	$148.50	$48.00–$4,072.01	—	50%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG	$169.64	$342.00	$48.00–$4,072.01	—	50%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPL/SHORT LEG	$256.44	$517.00	$48.00–$4,072.01	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REPR SCALP-TRUNK < 2.5 CM	$70.93	$143.00	$39.00–$4,072.01	79% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REPR SCALP-TRUCK<2.5CM	$124.50	$251.00	$39.00–$4,072.01	62% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR-SIMPLE <2.5 CM	$351.67	$709.00	$39.00–$4,072.01	7% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REPR SCALP-TRUNK < 2.5 CM	$70.93	$143.00	$39.00–$4,072.01	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REPR SCALP-TRUCK<2.5CM	$124.50	$251.00	$39.00–$4,072.01	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR-SIMPLE <2.5 CM	$351.67	$709.00	$39.00–$4,072.01	—	50%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$71.92	$145.00	$41.00–$4,072.01	84% below	50%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SNGLE LESION	$173.60	$350.00	$41.00–$4,072.01	61% below	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$71.92	$145.00	$41.00–$4,072.01	—	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SNGLE LESION	$173.60	$350.00	$41.00–$4,072.01	—	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MAL TRNK/ARMS/LEGS .5CM OR LESS	$118.55	$239.00	$81.26–$4,072.01	91% below	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MAL TRNK/ARMS/LEGS .5CM OR LESS	$118.55	$239.00	$93.21–$4,072.01	—	50%
Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL UP TO 15	$57.54	$116.00	$39.44–$4,072.01	80% below	50%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15	$130.45	$263.00	$63.00–$4,072.01	55% below	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAG REMOVAL UP TO 15	$57.54	$116.00	$45.24–$4,072.01	—	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS UP TO 15	$130.45	$263.00	$63.00–$4,072.01	—	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT/LUMBAR DIAG	$130.45	$263.00	$56.00–$4,072.01	88% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PPUNCT/LUMBAR DIAG	$156.24	$315.00	$56.00–$4,072.01	85% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC	$365.06	$736.00	$56.00–$4,072.01	66% below	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCT/LUMBAR DIAG	$130.45	$263.00	$56.00–$4,072.01	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PPUNCT/LUMBAR DIAG	$156.24	$315.00	$56.00–$4,072.01	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC	$365.06	$736.00	$56.00–$4,072.01	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SCALP-TRUNK 2.6-7.5CM	$92.76	$187.00	$52.00–$4,072.01	74% below	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SCALP/TRUNK 2.6-7.5CM	$130.70	$263.50	$52.00–$4,072.01	63% below	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LACERATION REPAIR-SIMPLE 2.6 TO 7.5 CM	$464.26	$936.00	$52.00–$4,072.01	32% above	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SCALP-TRUNK 2.6-7.5CM	$92.76	$187.00	$52.00–$4,072.01	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SCALP/TRUNK 2.6-7.5CM	$130.70	$263.50	$52.00–$4,072.01	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LACERATION REPAIR-SIMPLE 2.6 TO 7.5 CM	$464.26	$936.00	$52.00–$4,072.01	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL REPR/FACE TO 2.5	$87.30	$176.00	$49.00–$4,072.01	72% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE < 2.5 CM	$101.19	$204.00	$49.00–$4,072.01	68% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL REPR/FACE TO 2.5 CM	$128.47	$259.00	$49.00–$4,072.01	60% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LACERATION REPAIR SIMPL FACE < 2.5 CM	$355.64	$717.00	$49.00–$4,072.01	12% above	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL REPR/FACE TO 2.5	$87.30	$176.00	$49.00–$4,072.01	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR FACE < 2.5 CM	$101.19	$204.00	$49.00–$4,072.01	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL REPR/FACE TO 2.5 CM	$128.47	$259.00	$49.00–$4,072.01	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LACERATION REPAIR SIMPL FACE < 2.5 CM	$355.64	$717.00	$49.00–$4,072.01	—	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSIES OF SKIN	$124.00	$250.00	$32.00–$4,072.01	59% below	50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSIES OF SKIN	$124.00	$250.00	$32.00–$4,072.01	—	50%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W/ IMAGING GUIDANCE	$568.42	$1,146.00	$109.00–$4,072.01	68% below	50%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS W/ IMAGING GUIDANCE	$568.42	$1,146.00	$109.00–$4,072.01	—	50%
Trigger finger release surgery CPT 26055 TRIGGER FINGER RELEASE	$368.04	$742.00	$252.28–$4,808.01	87% below	50%
Trigger finger release surgery inpatient CPT 26055 TRIGGER FINGER RELEASE	$368.04	$742.00	$282.00–$4,808.01	—	50%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION	$39.68	$80.00	$27.20–$4,072.01	94% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT SING/MULT PNT 1/2 MUSCLES	$46.13	$93.00	$31.62–$4,072.01	93% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SING/MULT PNT 1/2 MUSCLES	$63.49	$128.00	$37.00–$4,072.01	91% below	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION	$39.68	$80.00	$31.20–$4,072.01	—	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT SING/MULT PNT 1/2 MUSCLES	$46.13	$93.00	$36.27–$4,072.01	—	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SING/MULT PNT 1/2 MUSCLES	$63.49	$128.00	$37.00–$4,072.01	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST INITIAL BIOPSY	$2,211.17	$4,458.00	$136.00–$4,808.01	32% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST INITIAL BIOPSY	$2,211.17	$4,458.00	$136.00–$4,808.01	—	50%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY W/BX	$230.64	$465.00	$137.00–$4,072.01	92% below	50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY W/BX	$230.64	$465.00	$137.00–$4,072.01	—	50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GI ENDOSCOPY W/ SUBMUC INJ	$259.41	$523.00	$137.00–$4,072.01	91% below	50%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPER GI ENDOSCOPY W/ SUBMUC INJ	$259.41	$523.00	$137.00–$4,072.01	—	50%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY	$208.82	$421.00	$122.00–$4,072.01	92% below	50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY	$208.82	$421.00	$122.00–$4,072.01	—	50%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESION UP TO 14	$49.60	$100.00	$34.00–$4,072.01	83% below	50%
Wart removal, up to 14 warts CPT 17110 PULSE DYE LASER 1-14 LESIONS	$179.06	$361.00	$55.00–$4,072.01	40% below	50%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESION UP TO 14	$49.60	$100.00	$39.00–$4,072.01	—	50%
Wart removal, up to 14 warts inpatient CPT 17110 PULSE DYE LASER 1-14 LESIONS	$179.06	$361.00	$55.00–$4,072.01	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN SUBQ TISSUE	$92.26	$186.00	$52.00–$4,072.01	88% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISS FIRST 20 SQ CM	$133.92	$270.00	$52.00–$4,072.01	83% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ FIRST 20 SQ CM	$235.60	$475.00	$52.00–$4,072.01	70% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ 1ST 20 SQ CM	$235.60	$475.00	$52.00–$4,072.01	70% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN SUBQ TISSUE	$92.26	$186.00	$52.00–$4,072.01	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISS FIRST 20 SQ CM	$133.92	$270.00	$52.00–$4,072.01	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ 1ST 20 SQ CM	$235.60	$475.00	$52.00–$4,072.01	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ FIRST 20 SQ CM	$235.60	$475.00	$52.00–$4,072.01	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$494.52	$997.00	$35.00–$4,072.01	58% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION	$494.52	$997.00	$35.00–$4,072.01	58% below	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$494.52	$997.00	$35.00–$4,072.01	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION	$494.52	$997.00	$35.00–$4,072.01	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB/MDI RX INITIAL	$24.31	$49.00	$13.00–$319.49	87% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$63.99	$129.00	$13.00–$319.49	65% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZ PAP TX INITIAL	$88.79	$179.00	$13.00–$319.49	52% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB/MDI RX INITIAL	$24.31	$49.00	$13.00–$44.59	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$63.99	$129.00	$13.00–$117.39	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZ PAP TX INITIAL	$88.79	$179.00	$13.00–$162.89	—	50%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO SINGLE/INITIAL DRUG >30 MIN	$231.14	$466.00	$55.34–$521.00	70% below	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO SINGLE/INITIAL DRUG >30 MIN	$231.14	$466.00	$134.00–$424.06	—	50%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR	$966.21	$1,948.00	$140.57–$2,308.80	67% below	50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR	$966.21	$1,948.00	$172.00–$1,772.68	—	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE ROUTINE	$396.80	$800.00	$51.95–$696.00	62% below	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE ROUTINE	$396.80	$800.00	$312.00–$728.00	—	50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG ROUTINE W/ 12 LEADS INTERPT & REPO	$305.54	$616.00	$15.00–$535.92	21% above	50%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG ROUTINE W/ 12 LEADS INTERPT & REPO	$305.54	$616.00	$15.00–$560.56	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$93.75	$189.00	$6.00–$164.43	49% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 .ECG TRACING ONLY	$137.89	$278.00	$6.00–$241.86	26% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY	$93.75	$189.00	$6.00–$171.99	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 .ECG TRACING ONLY	$137.89	$278.00	$6.00–$252.98	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM-GROUP 1	$206.84	$417.00	$14.69–$362.79	29% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM-GROUP 1	$206.84	$417.00	$162.63–$379.47	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM-GROUP 2	$256.44	$517.00	$26.42–$449.79	50% below	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM-GROUP 2	$256.44	$517.00	$201.63–$470.47	—	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM-GROUP 3	$356.13	$718.00	$46.19–$624.66	58% below	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM-GROUP 3	$356.13	$718.00	$280.02–$653.38	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV ER VISIT	$106.40	$214.50	$71.04–$860.00	92% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM-GROUP 4	$459.30	$926.00	$71.04–$946.40	66% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV ER VISIT	$106.40	$214.50	$83.66–$195.20	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM-GROUP 4	$459.30	$926.00	$361.14–$842.66	—	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V ER VISIT	$194.44	$392.00	$102.28–$1,453.00	87% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM-GROUP 5	$615.54	$1,241.00	$102.28–$1,453.00	59% below	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V ER VISIT	$194.44	$392.00	$152.88–$356.72	—	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM-GROUP 5	$615.54	$1,241.00	$483.99–$1,129.31	—	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST CARDIAC TRACING ONLY	$636.87	$1,284.00	$34.00–$1,117.08	29% below	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST CARDIAC TRACING ONLY	$636.87	$1,284.00	$34.00–$1,168.44	—	50%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT	$275.78	$556.00	$26.81–$483.72	7% below	50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT	$275.78	$556.00	$116.00–$505.96	—	50%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$72.42	$146.00	$15.44–$145.30	58% below	50%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$72.42	$146.00	$46.00–$132.86	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION FROM 31 TO 1 HOUR	$231.14	$466.00	$34.00–$405.42	45% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION FROM 31 TO 1 HOUR	$231.14	$466.00	$34.00–$424.06	—	50%
IV infusion of a medicine, first hour CPT 96365 IV MED INFUSION UP TO 1 HOUR	$278.26	$561.00	$35.15–$488.07	36% below	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV MED INFUSION UP TO 1 HOUR	$278.26	$561.00	$68.00–$510.51	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX INJECTION SUBQ/ IM	$17.36	$35.00	$11.88–$111.80	88% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM	$26.29	$53.00	$11.88–$111.80	81% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM ANTIBIOTIC	$80.85	$163.00	$11.88–$141.81	43% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DX INJECTION SC/IM	$80.85	$163.00	$11.88–$141.81	43% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUB Q/ IM	$80.85	$163.00	$11.88–$141.81	43% below	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX INJECTION SUBQ/ IM	$17.36	$35.00	$13.65–$31.85	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM	$26.29	$53.00	$14.00–$48.23	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM ANTIBIOTIC	$80.85	$163.00	$14.00–$148.33	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUB Q/ IM	$80.85	$163.00	$14.00–$148.33	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DX INJECTION SC/IM	$80.85	$163.00	$14.00–$148.33	—	50%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO MUSCULAR REED	$33.73	$68.00	$20.00–$59.16	69% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 BALANCE & COORDINATION EXERCISE	$42.16	$85.00	$20.00–$73.95	61% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REED BAL & COORD EA 15	$63.99	$129.00	$20.00–$112.23	40% below	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSCULAR REED	$33.73	$68.00	$20.00–$61.88	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 BALANCE & COORDINATION EXERCISE	$42.16	$85.00	$20.00–$77.35	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REED BAL & COORD EA 15	$63.99	$129.00	$20.00–$117.39	—	50%
New patient office visit, about 30 minutes CPT 99203 NEW INTERMEDIATE OV	$32.24	$65.00	$22.10–$65.00	70% below	50%
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW INTERMEDIATE	$48.61	$98.00	$33.32–$85.26	54% below	50%
New patient office visit, about 30 minutes CPT 99203 NEW INTERMEDIATE OFFICE VISIT	$66.47	$134.00	$45.56–$116.58	37% below	50%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW INTERMEDIATE OV	$32.24	$65.00	$25.35–$65.00	—	50%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC NEW INTERMEDIATE	$48.61	$98.00	$38.22–$89.18	—	50%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW INTERMEDIATE OFFICE VISIT	$66.47	$134.00	$52.26–$121.94	—	50%
New patient office visit, about 45 minutes CPT 99204 NEW EXTENDED OV	$49.60	$100.00	$34.00–$107.00	64% below	50%
New patient office visit, about 45 minutes CPT 99204 CLINIC EXTENDED OV	$75.40	$152.00	$51.68–$132.24	45% below	50%
New patient office visit, about 45 minutes CPT 99204 NEW EXTENDED OFFICE VISIT	$78.37	$158.00	$53.72–$137.46	43% below	50%
New patient office visit, about 45 minutes CPT 99204 VALLEY MINING PHYSICAL	$78.37	$158.00	$53.72–$137.46	43% below	50%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW EXTENDED OV	$49.60	$100.00	$39.00–$107.00	—	50%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC EXTENDED OV	$75.40	$152.00	$59.28–$138.32	—	50%
New patient office visit, about 45 minutes inpatient CPT 99204 VALLEY MINING PHYSICAL	$78.37	$158.00	$61.62–$143.78	—	50%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW EXTENDED OFFICE VISIT	$78.37	$158.00	$61.62–$143.78	—	50%
New patient office visit, about 60 minutes CPT 99205 NEW COMPREHENSIVE OV	$54.56	$110.00	$37.40–$145.00	71% below	50%
New patient office visit, about 60 minutes CPT 99205 CLINIC NEW COMP OV	$87.80	$177.00	$60.18–$153.99	54% below	50%
New patient office visit, about 60 minutes CPT 99205 NEW OFFICE VISIT HIGH COMPLEXITY	$104.66	$211.00	$71.74–$183.57	45% below	50%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW COMPREHENSIVE OV	$54.56	$110.00	$42.90–$145.00	—	50%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC NEW COMP OV	$87.80	$177.00	$69.03–$161.07	—	50%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW OFFICE VISIT HIGH COMPLEXITY	$104.66	$211.00	$82.29–$192.01	—	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW OFFICE VISIT	$31.25	$63.00	$21.42–$54.81	66% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW LIMITED OFFICE VISIT	$37.70	$76.00	$25.84–$66.12	59% below	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC NEW OFFICE VISIT	$31.25	$63.00	$24.57–$57.33	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW LIMITED OFFICE VISIT	$37.70	$76.00	$29.64–$69.16	—	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY 15 MINUTES	$123.01	$248.00	$6.14–$215.76	89% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY 15 MINUTES	$123.01	$248.00	$43.00–$225.68	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 JOINT MOB	$42.66	$86.00	$16.00–$74.82	60% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MFR SOFT TISSUE MOB	$44.15	$89.00	$16.00–$77.43	59% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 TRACTION MANUAL	$51.09	$103.00	$16.00–$89.61	52% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUE PER 15 MIN	$79.86	$161.00	$16.00–$140.07	26% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 JOINT MOB	$42.66	$86.00	$16.00–$78.26	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MFR SOFT TISSUE MOB	$44.15	$89.00	$16.00–$80.99	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 TRACTION MANUAL	$51.09	$103.00	$16.00–$93.73	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECHNIQUE PER 15 MIN	$79.86	$161.00	$16.00–$146.51	—	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PED REHAB BCMH PER 30 MIN	$42.16	$85.00	$17.00–$73.95	63% below	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 15 MIN OT	$43.65	$88.00	$17.00–$76.56	62% below	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 15 MIN PT	$43.65	$88.00	$17.00–$76.56	62% below	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 15 MIN	$63.99	$129.00	$17.00–$112.23	44% below	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PED REHAB BCMH PER 30 MIN	$42.16	$85.00	$17.00–$77.35	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE 15 MIN PT	$43.65	$88.00	$17.00–$80.08	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE 15 MIN OT	$43.65	$88.00	$17.00–$80.08	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE 15 MIN	$63.99	$129.00	$17.00–$117.39	—	50%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PREVENTIVE EVALUATION	$34.72	$70.00	$23.80–$75.00	71% below	50%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 NEW PREVENTIVE EVALUATION	$34.72	$70.00	$27.30–$75.00	—	50%
Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC PREVENT EVAL	$31.75	$64.00	$21.76–$91.00	79% below	50%
Preventive checkup, new patient aged 40–64 CPT 99386 PERIODIC COMP PREVENTIVE MEDICINE	$34.72	$70.00	$23.80–$91.00	77% below	50%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTATIVE EVALUATION	$52.08	$105.00	$35.70–$91.35	65% below	50%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 CLINIC PREVENT EVAL	$31.75	$64.00	$24.96–$91.00	—	50%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PERIODIC COMP PREVENTIVE MEDICINE	$34.72	$70.00	$27.30–$91.00	—	50%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 NEW PREVENTATIVE EVALUATION	$52.08	$105.00	$40.95–$95.55	—	50%
Preventive checkup, new patient aged 65 or older CPT 99387 CLINIC NEW PREVENT EVAL	$31.75	$64.00	$21.76–$98.00	80% below	50%
Preventive checkup, new patient aged 65 or older CPT 99387 ESTABLISHED PREVENTIVE EVAL	$34.72	$70.00	$23.80–$98.00	78% below	50%
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PREVENTATIVE EVALUATION	$62.00	$125.00	$42.50–$108.75	61% below	50%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 CLINIC NEW PREVENT EVAL	$31.75	$64.00	$24.96–$98.00	—	50%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 ESTABLISHED PREVENTIVE EVAL	$34.72	$70.00	$27.30–$98.00	—	50%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 NEW PREVENTATIVE EVALUATION	$62.00	$125.00	$48.75–$113.75	—	50%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PREVENTIVE EVAL 1-3	$32.74	$66.00	$22.44–$69.00	74% below	50%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 ESTABLISHED PREVENTIVE EVAL 1-3	$32.74	$66.00	$25.74–$69.00	—	50%
Preventive checkup, returning patient aged 40–64 CPT 99396 CLINIC EST PREVENT EVAL 40-64 YRS	$29.76	$60.00	$20.40–$75.00	78% below	50%
Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC COMP PREVENTIVE MEDICINE	$32.74	$66.00	$22.44–$75.00	75% below	50%
Preventive checkup, returning patient aged 40–64 CPT 99396 EST PREVENTATIVE EVAL 40-64 YRS	$47.12	$95.00	$32.30–$82.65	65% below	50%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 CLINIC EST PREVENT EVAL 40-64 YRS	$29.76	$60.00	$23.40–$75.00	—	50%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PERIODIC COMP PREVENTIVE MEDICINE	$32.74	$66.00	$25.74–$75.00	—	50%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 EST PREVENTATIVE EVAL 40-64 YRS	$47.12	$95.00	$37.05–$86.45	—	50%
Preventive checkup, returning patient aged 65 or older CPT 99397 CLINIC EST PREVENT EVAL 65 & OLDER	$29.76	$60.00	$20.40–$78.00	77% below	50%
Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PREVENTIVE EVAL	$32.74	$66.00	$22.44–$78.00	75% below	50%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PREVENTATIVE EVAL 65 & OLDER	$52.08	$105.00	$35.70–$91.35	60% below	50%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 CLINIC EST PREVENT EVAL 65 & OLDER	$29.76	$60.00	$23.40–$78.00	—	50%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 ESTABLISHED PREVENTIVE EVAL	$32.74	$66.00	$25.74–$78.00	—	50%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 EST PREVENTATIVE EVAL 65 & OLDER	$52.08	$105.00	$40.95–$95.55	—	50%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHRPY 30 MIN W/ PATIENT AND/OR FAM	$65.97	$133.00	$26.81–$252.39	64% below	50%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHRPY 30 MIN W/ PATIENT AND/OR FAM	$65.97	$133.00	$51.87–$121.03	—	50%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHRPY 45 MIN PATIENT AND/OR FAMILY	$86.31	$174.00	$26.81–$252.39	68% below	50%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHRPY 45 MIN PATIENT AND/OR FAMILY	$86.31	$174.00	$67.86–$158.34	—	50%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHRPY 60 MIN W/ PATIENT AND/OR FAM	$128.96	$260.00	$26.81–$252.39	59% below	50%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHRPY 60 MIN W/ PATIENT AND/OR FAM	$128.96	$260.00	$101.40–$236.60	—	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MINUTES	$10.42	$21.00	$4.98–$46.81	76% below	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10 MINUTES	$10.42	$21.00	$8.19–$19.11	—	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST COMPREHENSIVE OV	$44.64	$90.00	$30.60–$114.00	74% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC EST COMP OV	$53.08	$107.00	$36.38–$114.00	69% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EXT PT HIGH COMPLEXITY OFFICE VISIT	$104.66	$211.00	$71.74–$183.57	38% below	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST COMPREHENSIVE OV	$44.64	$90.00	$35.10–$114.00	—	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC EST COMP OV	$53.08	$107.00	$41.73–$114.00	—	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EXT PT HIGH COMPLEXITY OFFICE VISIT	$104.66	$211.00	$82.29–$192.01	—	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST INTERMEDIATE OV	$20.34	$41.00	$13.94–$53.00	82% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC EST INTERMED OV	$33.73	$68.00	$23.12–$59.16	71% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT EXPANDED PROBLEM OFFICE VISIT	$66.47	$134.00	$45.56–$116.58	42% below	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST INTERMEDIATE OV	$20.34	$41.00	$15.99–$53.00	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC EST INTERMED OV	$33.73	$68.00	$26.52–$61.88	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT EXPANDED PROBLEM OFFICE VISIT	$66.47	$134.00	$52.26–$121.94	—	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST EXTENDED OV	$32.24	$65.00	$22.10–$78.00	77% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC EST EXTENDED OV	$40.18	$81.00	$27.54–$78.00	72% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT MOD COMPLEXITY OFFICE VISIT	$78.37	$158.00	$53.72–$137.46	45% below	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST EXTENDED OV	$32.24	$65.00	$25.35–$78.00	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC EST EXTENDED OV	$40.18	$81.00	$31.59–$78.00	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT MOD COMPLEXITY OFFICE VISIT	$78.37	$158.00	$61.62–$143.78	—	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST LIMITED OV	$13.40	$27.00	$9.18–$28.00	86% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC EST LIMITED OV	$18.85	$38.00	$12.92–$33.06	81% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FOLLOW-UP EXAM	$37.70	$76.00	$25.84–$66.12	61% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ZZSLEEP CLINIC FACILITY VISIT	$37.70	$76.00	$25.84–$66.12	61% below	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST LIMITED OV	$13.40	$27.00	$10.53–$28.00	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC EST LIMITED OV	$18.85	$38.00	$14.82–$34.58	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ZZSLEEP CLINIC FACILITY VISIT	$37.70	$76.00	$28.00–$69.16	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FOLLOW-UP EXAM	$37.70	$76.00	$28.00–$69.16	—	50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CLINIC OFFICE CONSULT	$18.36	$37.00	$12.58–$71.00	86% below	50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3	$95.73	$193.00	$65.62–$167.91	26% below	50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CLINIC OFFICE CONSULT	$18.36	$37.00	$14.43–$71.00	—	50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3	$95.73	$193.00	$71.00–$175.63	—	50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CLINIC CONSULT LVL 4	$20.84	$42.00	$14.28–$115.00	89% below	50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4	$141.36	$285.00	$96.90–$247.95	23% below	50%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CLINIC CONSULT LVL 4	$20.84	$42.00	$16.38–$115.00	—	50%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4	$141.36	$285.00	$111.15–$259.35	—	50%
Speech therapy session, individual CPT 92507 SPEECH THERAPY 30 MINUTES	$37.20	$75.00	$25.50–$73.00	83% below	50%
Speech therapy session, individual CPT 92507 SPEECH THERAPY 45 MINUTES	$55.56	$112.00	$38.08–$97.44	75% below	50%
Speech therapy session, individual CPT 92507 VOICE PROSTHETIC TREATMENT	$67.96	$137.00	$46.58–$119.19	69% below	50%
Speech therapy session, individual CPT 92507 SPEECH THERAPY 60 MINUTES	$74.40	$150.00	$51.00–$130.50	66% below	50%
Speech therapy session, individual CPT 92507 ZZTX OF SPEECH INDIVIDUAL	$127.48	$257.00	$73.00–$223.59	42% below	50%
Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY 30 MINUTES	$37.20	$75.00	$29.25–$73.00	—	50%
Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY 45 MINUTES	$55.56	$112.00	$43.68–$101.92	—	50%
Speech therapy session, individual inpatient CPT 92507 VOICE PROSTHETIC TREATMENT	$67.96	$137.00	$53.43–$124.67	—	50%
Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY 60 MINUTES	$74.40	$150.00	$58.50–$136.50	—	50%
Speech therapy session, individual inpatient CPT 92507 ZZTX OF SPEECH INDIVIDUAL	$127.48	$257.00	$73.00–$233.87	—	50%
Spirometry (breathing test) CPT 94010 PEAK FLOW MEASUREMENT	$61.01	$123.00	$26.11–$245.77	79% below	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$63.49	$128.00	$26.11–$245.77	78% below	50%
Spirometry (breathing test) inpatient CPT 94010 PEAK FLOW MEASUREMENT	$61.01	$123.00	$28.00–$111.93	—	50%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$63.49	$128.00	$28.00–$116.48	—	50%
Spirometry before and after a bronchodilator CPT 94060 BHAIRAPPA PRE AND POST	$296.61	$598.00	$44.00–$520.26	47% below	50%
Spirometry before and after a bronchodilator CPT 94060 PRE AND POST BRONCHODILATOR STUDIES	$337.28	$680.00	$44.00–$591.60	39% below	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 BHAIRAPPA PRE AND POST	$296.61	$598.00	$44.00–$544.18	—	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE AND POST BRONCHODILATOR STUDIES	$337.28	$680.00	$44.00–$618.80	—	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY FOR FUNCTION OT	$40.18	$81.00	$22.00–$70.47	67% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY FOR FUNCTION PT	$40.18	$81.00	$22.00–$70.47	67% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN	$52.08	$105.00	$22.00–$91.35	57% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 ELECTRICAL STIM ULTRASOUND	$52.08	$105.00	$22.00–$91.35	57% below	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY FOR FUNCTION OT	$40.18	$81.00	$22.00–$73.71	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY FOR FUNCTION PT	$40.18	$81.00	$22.00–$73.71	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN	$52.08	$105.00	$22.00–$95.55	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ELECTRICAL STIM ULTRASOUND	$52.08	$105.00	$22.00–$95.55	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB PHLEBOTOMY THERAPEUTIC	$93.25	$188.00	$21.51–$202.47	61% below	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB PHLEBOTOMY THERAPEUTIC	$93.25	$188.00	$73.32–$171.08	—	50%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST-CARDIAC JAYSWAL W/ REPORT	$1,069.88	$2,157.00	$72.00–$1,876.59	70% above	50%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST CARDIAC W/REVIEW & REPORT	$1,247.94	$2,516.00	$72.00–$2,188.92	99% above	50%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 STRESS TEST-CARDIAC JAYSWAL W/ REPORT	$1,069.88	$2,157.00	$72.00–$1,962.87	—	50%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 STRESS TEST CARDIAC W/REVIEW & REPORT	$1,247.94	$2,516.00	$72.00–$2,289.56	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC PRSV FREE INC ANTIG	$32.24	$65.00	$8.28–$125.24	54% below	50%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC PRSV FREE INC ANTIG	$32.24	$65.00	$8.28–$55.25	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA-TRIVALENT(FLUARIX) 24/25	$24.80	$50.00	$6.37–$43.50	46% below	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE- TRIVALENT	$579.21	$1,167.75	$18.00–$1,015.95	1166% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA-TRIVALENT(FLUARIX) 24/25	$24.80	$50.00	$6.37–$42.50	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE- TRIVALENT	$579.21	$1,167.75	$18.00–$992.59	—	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE	$128.96	$260.00	$88.40–$461.42	75% below	50%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE	$128.96	$260.00	$101.40–$461.42	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT	$42.16	$85.00	$10.83–$105.57	73% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE	$46.13	$93.00	$11.84–$105.57	70% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT	$42.16	$85.00	$10.83–$72.25	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE	$46.13	$93.00	$11.84–$79.05	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE 12/13	$20.84	$42.00	$5.35–$125.24	80% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC PRSV FREE INC ANTIG	$32.24	$65.00	$8.28–$125.24	69% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE 12/13	$20.84	$42.00	$5.35–$73.00	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC PRSV FREE INC ANTIG	$32.24	$65.00	$8.28–$73.00	—	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VAC 20 VAL (PREVNAR 20)	$232.63	$469.00	$159.46–$447.06	65% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL VAC 20 VAL (PREVNAR 20)	$232.63	$469.00	$182.91–$447.06	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL VACCINE	$345.96	$697.50	$88.80–$606.83	26% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL VACCINE	$345.96	$697.50	$88.80–$592.88	—	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE	$520.80	$1,050.00	$114.70–$913.50	45% below	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE- HUMAN DIPLOID (IMOVAX)	$696.51	$1,404.25	$114.70–$1,221.70	27% below	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE	$520.80	$1,050.00	$325.00–$955.50	—	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE- HUMAN DIPLOID (IMOVAX)	$696.51	$1,404.25	$325.00–$1,277.87	—	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGLES VACCINE	$83.33	$168.00	$57.12–$296.85	83% below	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM NJX	$83.33	$168.00	$57.12–$296.85	83% below	50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGLES VACCINE	$83.33	$168.00	$65.52–$296.85	—	50%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM NJX	$83.33	$168.00	$65.52–$296.85	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DECAVAC VACCINE 0.5ML	$46.63	$94.00	$30.00–$81.78	48% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD INJECTION	$118.42	$238.75	$30.00–$207.72	32% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DECAVAC VACCINE 0.5ML	$46.63	$94.00	$30.00–$85.54	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD INJECTION	$118.42	$238.75	$30.00–$217.27	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP IMMUNIZATION ADMIN > 7 YRS	$52.08	$105.00	$35.70–$91.35	53% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP/ ADACEL	$89.28	$180.00	$38.00–$156.60	19% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP INJECTION	$142.98	$288.25	$38.00–$250.78	29% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP IMMUNIZATION ADMIN > 7 YRS	$52.08	$105.00	$38.00–$95.55	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP/ ADACEL	$89.28	$180.00	$38.00–$163.80	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP INJECTION	$142.98	$288.25	$38.00–$262.31	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE	$9.92	$20.00	$6.80–$111.80	74% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOVAX	$17.36	$35.00	$10.00–$111.80	55% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA	$122.02	$246.00	$10.00–$214.02	219% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE	$9.92	$20.00	$7.80–$18.20	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOVAX	$17.36	$35.00	$10.00–$31.85	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA	$122.02	$246.00	$10.00–$223.86	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADDITION	$61.01	$123.00	$10.00–$107.01	75% above	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADDITION	$61.01	$123.00	$10.00–$111.93	—	50%

Source file: https://www.trinitytwincity.org/upload/275401105-1629050240_twin-city-hospital-corporation_standardcharges.json