Hospital Lakeland-Winter Haven, FL

Bartow Regional Medical Center

Bartow Regional Medical Center in Bartow, FL publishes cash prices for 285 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 207 of 281 procedures and above it for 35. By typical cash price it ranks #57 of 175 Florida hospitals and #3 of 5 hospitals in the Lakeland, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

2200 Osprey Blvd Bartow FL 33830 Collected Sep 29, 2026 Source price file (863) 533-8111

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 100121 · CMS hospital register NPI 1558734095

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Bartow Regional Medical Center in Bartow, FL:

Aug 25, 2021 Warning notice
May 4, 2022 Corrective action plan requested
Jun 15, 2023 Case closed
Aug 22, 2025 Warning notice
Aug 26, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 DX ANKLE COMP 3 VIEW MIN	$467.40	$779.00	$140.22–$779.00	5% below	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 DX ANKLE COMP 3 VIEW MIN	$467.40	$779.00	$438.58–$779.00	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WC PVST ART UP LOW EXT LMT BIL	$531.60	$886.00	$159.48–$886.00	10% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US PVST ART UP LOW EXT LMT BIL	$531.60	$886.00	$159.48–$886.00	10% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 IR PVST ART UP LOW EXT LMT BIL	$531.60	$886.00	$159.48–$886.00	10% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WC PVST ART UP LOW EXT LMT BIL	$531.60	$886.00	$498.82–$886.00	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US PVST ART UP LOW EXT LMT BIL	$531.60	$886.00	$498.82–$886.00	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 IR PVST ART UP LOW EXT LMT BIL	$531.60	$886.00	$498.82–$886.00	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 DX ESOPHOGRAM	$628.80	$1,048.00	$188.64–$1,048.00	25% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 DX ESOPHOGRAM	$628.80	$1,048.00	$590.02–$1,048.00	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$2,181.00	$3,635.00	$654.30–$3,635.00	14% below	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY	$2,181.00	$3,635.00	$2,046.50–$3,635.00	—	40%
Breast ultrasound, complete, one breast CPT 76641 US US BREAST UNILATER COMPLETE	$204.60	$341.00	$61.38–$341.00	59% below	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 US US BREAST UNILATER COMPLETE	$204.60	$341.00	$191.98–$341.00	—	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US US BREAST UNILATERAL LMTD	$155.40	$259.00	$46.62–$259.00	59% below	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US US BREAST UNILATERAL LMTD	$155.40	$259.00	$145.82–$259.00	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W PP	$3,283.80	$5,473.00	$985.14–$5,473.00	29% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W PP	$3,283.80	$5,473.00	$3,081.30–$5,473.00	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO CARDIAC CORONARY W/3D	$1,641.60	$2,736.00	$492.48–$2,736.00	15% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO CARDIAC CORONARY W/3D	$1,641.60	$2,736.00	$1,540.37–$2,736.00	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORING	$1,395.60	$2,326.00	$418.68–$2,326.00	159% above	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORING	$1,395.60	$2,326.00	$1,309.54–$2,326.00	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$3,398.85	$5,664.75	$1,019.66–$5,664.75	39% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$3,398.85	$5,664.75	$3,189.25–$5,664.75	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CONTRAST	$4,531.80	$7,553.00	$1,359.54–$7,553.00	24% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CONTRAST	$4,531.80	$7,553.00	$4,252.34–$7,553.00	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WOW CONTRAST	$5,664.75	$9,441.25	$1,699.42–$9,441.25	19% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WOW CONTRAST	$5,664.75	$9,441.25	$5,315.42–$9,441.25	—	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W	$3,172.20	$5,287.00	$951.66–$5,287.00	13% below	40%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W	$3,172.20	$5,287.00	$2,976.58–$5,287.00	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O	$2,266.20	$3,777.00	$679.86–$3,777.00	29% below	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O	$2,266.20	$3,777.00	$2,126.45–$3,777.00	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACE SINUS TMJ W/O	$2,631.60	$4,386.00	$789.48–$4,386.00	8% below	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACE SINUS TMJ W/O	$2,631.60	$4,386.00	$2,469.32–$4,386.00	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O	$2,655.00	$4,425.00	$796.50–$4,425.00	13% below	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O	$2,655.00	$4,425.00	$2,491.27–$4,425.00	—	40%
CT scan of the head with contrast CPT 70460 CT BRAIN W	$3,743.40	$6,239.00	$1,123.02–$6,239.00	at median	40%
CT scan of the head with contrast CPT 70460 CT GU BLADDER INJECTION	$3,743.40	$6,239.00	$1,123.02–$6,239.00	at median	40%
CT scan of the head with contrast inpatient CPT 70460 CT GU BLADDER INJECTION	$3,743.40	$6,239.00	$3,512.56–$6,239.00	—	40%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W	$3,743.40	$6,239.00	$3,512.56–$6,239.00	—	40%
CT scan of the head without and with contrast CPT 70470 CT BRAIN W/O W	$4,407.60	$7,346.00	$1,322.28–$7,346.00	at median	40%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W/O W	$4,407.60	$7,346.00	$4,135.80–$7,346.00	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O	$3,241.20	$5,402.00	$972.36–$5,402.00	1% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O	$3,241.20	$5,402.00	$3,041.33–$5,402.00	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O	$3,004.20	$5,007.00	$901.26–$5,007.00	12% below	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O	$3,004.20	$5,007.00	$2,818.94–$5,007.00	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$4,722.00	$7,870.00	$1,416.60–$7,870.00	12% above	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$4,722.00	$7,870.00	$4,430.81–$7,870.00	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER BILATERAL	$1,348.20	$2,247.00	$404.46–$2,247.00	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DOPPLER BILATERAL	$1,348.20	$2,247.00	$1,265.06–$2,247.00	—	40%
Chest X-ray, 2 views CPT 71046 DX X-RAY EXAM CHEST 2 VIEWS	$455.40	$759.00	$136.62–$759.00	8% below	40%
Chest X-ray, 2 views inpatient CPT 71046 DX X-RAY EXAM CHEST 2 VIEWS	$455.40	$759.00	$427.32–$759.00	—	40%
Chest X-ray, single view CPT 71045 DX X-RAY EXAM CHEST 1 VIEW	$358.80	$598.00	$107.64–$598.00	12% below	40%
Chest X-ray, single view inpatient CPT 71045 DX X-RAY EXAM CHEST 1 VIEW	$358.80	$598.00	$336.67–$598.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$898.20	$1,497.00	$269.46–$1,497.00	29% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$898.20	$1,497.00	$842.81–$1,497.00	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DX DEXA BONE DENSITY SCAN	$175.20	$292.00	$52.56–$292.00	71% below	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DX DEXA BONE DENSITY SCAN	$175.20	$292.00	$164.40–$292.00	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DX DEXA BONE DENSITY PERIPHERL	$96.60	$161.00	$28.98–$161.00	66% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DX DEXA BONE DENSITY PERIPHERL	$96.60	$161.00	$90.64–$161.00	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB LEVEL II>14 WKS SNGL FET	$687.00	$1,145.00	$206.10–$1,145.00	26% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB LEVEL II>14 WKS SNGL FET	$687.00	$1,145.00	$644.64–$1,145.00	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O	$2,712.60	$4,521.00	$813.78–$4,521.00	11% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O	$2,712.60	$4,521.00	$2,545.32–$4,521.00	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W	$3,348.60	$5,581.00	$1,004.58–$5,581.00	13% below	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W	$3,348.60	$5,581.00	$3,142.10–$5,581.00	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 DX DIAGNOSTIC MAMMO INCL CAD BILATERAL	$295.20	$492.00	$88.56–$492.00	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX DIAGNOSTIC MAMMO INCL CAD BILATERAL	$295.20	$492.00	$277.00–$492.00	—	40%
Diagnostic mammogram, one breast one side CPT 77065 DX DIAGNOSTIC MAMMO INCL CAD UNILATERAL	$196.80	$328.00	$59.04–$328.00	50% below	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX DIAGNOSTIC MAMMO INCL CAD UNILATERAL	$196.80	$328.00	$184.66–$328.00	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ARTERIAL LOWER EXT DOP BIL	$1,211.40	$2,019.00	$363.42–$2,019.00	40% below	40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ARTERIAL LOWER EXT DOP BIL	$1,211.40	$2,019.00	$1,136.70–$2,019.00	—	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEINS DUPLEX EXT COMPLE BIL	$1,093.80	$1,823.00	$328.14–$1,823.00	40% below	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEINS DUPLEX EXT COMPLE BIL	$1,093.80	$1,823.00	$1,026.35–$1,823.00	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI ECHO TTE W/DOPPLER COMPLETE	$1,957.20	$3,262.00	$587.16–$3,262.00	40% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI ECHO TTE W/DOPPLER COMPLETE	$1,957.20	$3,262.00	$1,836.51–$3,262.00	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTM IMAGING	$1,977.60	$3,296.00	$593.28–$3,296.00	at median	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTM IMAGING	$1,977.60	$3,296.00	$1,855.65–$3,296.00	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 ND SLEEP STUDY UNATT & RESP EFFT	$733.80	$1,223.00	$220.14–$1,223.00	12% above	40%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 ND SLEEP STUDY UNATT & RESP EFFT	$733.80	$1,223.00	$688.55–$1,223.00	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 ND POLYSOMNOGRAPHY W CPAP - ADULT	$740.40	$1,234.00	$222.12–$1,234.00	86% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 ND POLYSOMNOGRAPHY W CPAP	$4,735.20	$7,892.00	$1,420.56–$7,892.00	11% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 ND POLYSOMNOGRAPHY W CPAP - ADULT	$740.40	$1,234.00	$694.74–$1,234.00	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 ND POLYSOMNOGRAPHY W CPAP	$4,735.20	$7,892.00	$4,443.20–$7,892.00	—	40%
Knee X-ray, 3 views CPT 73562 DX KNEE 3 VIEWS	$695.40	$1,159.00	$208.62–$1,159.00	33% above	40%
Knee X-ray, 3 views inpatient CPT 73562 DX KNEE 3 VIEWS	$695.40	$1,159.00	$652.52–$1,159.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR LTD SINGLE ORGAN QUAD OR FU	$455.40	$759.00	$136.62–$759.00	60% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LTD SINGLE ORGAN QUAD OR FU	$909.00	$1,515.00	$272.70–$1,515.00	19% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 IR LTD SINGLE ORGAN QUAD OR FU	$455.40	$759.00	$427.32–$759.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LTD SINGLE ORGAN QUAD OR FU	$909.00	$1,515.00	$852.94–$1,515.00	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREEN W/O CONTRAST	$158.40	$264.00	$47.52–$264.00	78% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CANCER SCREEN W/O CONTRAST	$158.40	$264.00	$148.63–$264.00	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W/O W/CAD	$2,938.20	$4,897.00	$881.46–$4,897.00	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILAT W/O W/CAD	$2,938.20	$4,897.00	$2,757.01–$4,897.00	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTREM ANY JNT WO	$2,922.60	$4,871.00	$876.78–$4,871.00	6% above	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXTREM ANY JNT WO	$2,922.60	$4,871.00	$2,742.37–$4,871.00	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTREM ANY JNT WO W	$4,881.00	$8,135.00	$1,464.30–$8,135.00	25% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXTREM ANY JNT WO W	$4,881.00	$8,135.00	$4,580.00–$8,135.00	—	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O	$2,038.20	$3,397.00	$611.46–$3,397.00	42% below	40%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O	$2,038.20	$3,397.00	$1,912.51–$3,397.00	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O W	$3,396.60	$5,661.00	$1,018.98–$5,661.00	18% below	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O W	$3,396.60	$5,661.00	$3,187.14–$5,661.00	—	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O	$2,671.80	$4,453.00	$801.54–$4,453.00	23% below	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O	$2,671.80	$4,453.00	$2,507.04–$4,453.00	—	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O W	$4,354.80	$7,258.00	$1,306.44–$7,258.00	11% below	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O W	$4,354.80	$7,258.00	$4,086.25–$7,258.00	—	40%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W/O	$2,511.00	$4,185.00	$753.30–$4,185.00	32% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE W/O	$2,511.00	$4,185.00	$2,356.15–$4,185.00	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W/O W	$4,185.00	$6,975.00	$1,255.50–$6,975.00	16% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W/O W	$4,185.00	$6,975.00	$3,926.92–$6,975.00	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE W/O	$2,199.00	$3,665.00	$659.70–$3,665.00	42% below	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE W/O	$2,199.00	$3,665.00	$2,063.40–$3,665.00	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W/O W	$3,064.80	$5,108.00	$919.44–$5,108.00	36% below	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W/O W	$3,064.80	$5,108.00	$2,875.80–$5,108.00	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O	$1,839.00	$3,065.00	$551.70–$3,065.00	51% below	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE W/O	$1,839.00	$3,065.00	$1,725.59–$3,065.00	—	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O W	$3,090.60	$5,151.00	$927.18–$5,151.00	17% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O W	$3,090.60	$5,151.00	$2,900.01–$5,151.00	—	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O	$1,854.60	$3,091.00	$556.38–$3,091.00	43% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O	$1,854.60	$3,091.00	$1,740.23–$3,091.00	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI U EXTRE ANY JOINT WO	$2,458.20	$4,097.00	$737.46–$4,097.00	at median	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI U EXTRE ANY JOINT WO	$2,458.20	$4,097.00	$2,306.61–$4,097.00	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF STRESS REST	$5,370.00	$8,950.00	$1,611.00–$8,950.00	6% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PERF STRESS REST	$5,370.00	$8,950.00	$5,038.85–$8,950.00	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM PET CT SKULL BASE-MID THIGH	$5,149.20	$8,582.00	$1,544.76–$8,582.00	19% below	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM PET CT SKULL BASE-MID THIGH	$5,149.20	$8,582.00	$4,831.67–$8,582.00	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$882.00	$1,470.00	$264.60–$1,470.00	at median	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED	$882.00	$1,470.00	$827.61–$1,470.00	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$882.00	$1,470.00	$264.60–$1,470.00	34% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE	$882.00	$1,470.00	$827.61–$1,470.00	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14 WEEKS SINGLE FETUS	$643.80	$1,073.00	$193.14–$1,073.00	21% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14 WEEKS SINGLE FETUS	$643.80	$1,073.00	$604.10–$1,073.00	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WKS SINGLE FETUS	$559.80	$933.00	$167.94–$933.00	26% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 WKS SINGLE FETUS	$559.80	$933.00	$525.28–$933.00	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB US LTD 1OR MORE FETUSES	$501.60	$836.00	$150.48–$836.00	22% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 NS ULTRASOUND LIMITED BEDSIDE	$501.60	$836.00	$150.48–$836.00	22% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ED ULTRASOUND LIMITED BEDSIDE	$501.60	$836.00	$150.48–$836.00	22% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 NS ULTRASOUND LIMITED BEDSIDE	$501.60	$836.00	$470.67–$836.00	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ED ULTRASOUND LIMITED BEDSIDE	$501.60	$836.00	$470.67–$836.00	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB US LTD 1OR MORE FETUSES	$501.60	$836.00	$470.67–$836.00	—	40%
Screening mammogram, both breasts both sides CPT 77067 DX SCREENING MAMMO BILATERAL INCL CAD	$273.00	$455.00	$81.90–$455.00	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 DX SCREENING MAMMO BILATERAL INCL CAD	$273.00	$455.00	$256.16–$455.00	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 DX SHOULDER COMPLETE 2V MIN	$524.40	$874.00	$157.32–$874.00	15% below	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 DX SHOULDER COMPLETE 2V MIN	$524.40	$874.00	$492.06–$874.00	—	40%
Sleep study in a lab (polysomnography) CPT 95810 ND POLYSOMNOGRAM - ADULT	$707.40	$1,179.00	$212.22–$1,179.00	88% below	40%
Sleep study in a lab (polysomnography) CPT 95810 ND POLYSOMNOGRAM	$4,516.80	$7,528.00	$1,355.04–$7,528.00	20% below	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 ND POLYSOMNOGRAM - ADULT	$707.40	$1,179.00	$663.78–$1,179.00	—	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 ND POLYSOMNOGRAM	$4,516.80	$7,528.00	$4,238.26–$7,528.00	—	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI ECHO STRESS TEST COMPLETE	$2,657.40	$4,429.00	$797.22–$4,429.00	at median	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI ECHO STRESS TEST COMPLETE	$2,657.40	$4,429.00	$2,493.53–$4,429.00	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 DX SWALLOW FUNCT W CINE VIDEO	$786.00	$1,310.00	$235.80–$1,310.00	13% below	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 DX SWALLOW FUNCT W CINE VIDEO	$786.00	$1,310.00	$737.53–$1,310.00	—	40%
Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL NON-OB	$753.60	$1,256.00	$226.08–$1,256.00	19% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAGINAL NON-OB	$753.60	$1,256.00	$707.13–$1,256.00	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$576.60	$961.00	$172.98–$961.00	37% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$576.60	$961.00	$541.04–$961.00	—	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$1,218.00	$2,030.00	$365.40–$2,030.00	21% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$1,218.00	$2,030.00	$1,142.89–$2,030.00	—	40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM TESTICAL	$921.60	$1,536.00	$276.48–$1,536.00	5% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM TESTICAL	$921.60	$1,536.00	$864.77–$1,536.00	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID HEAD NECK SOFT TIS	$1,206.00	$2,010.00	$361.80–$2,010.00	8% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID HEAD NECK SOFT TIS	$1,206.00	$2,010.00	$1,131.63–$2,010.00	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 DX UGI W/O KUB	$706.80	$1,178.00	$212.04–$1,178.00	35% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 DX UGI W/O KUB	$706.80	$1,178.00	$663.21–$1,178.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEINS DUPLEX EXT UNIL LIMIT	$678.00	$1,130.00	$203.40–$1,130.00	at median	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEINS DUPLEX EXT UNIL LIMIT	$678.00	$1,130.00	$636.19–$1,130.00	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 DX WRIST COMP 3 VIEW MIN	$709.20	$1,182.00	$212.76–$1,182.00	12% above	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 DX WRIST COMP 3 VIEW MIN	$709.20	$1,182.00	$665.47–$1,182.00	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 DX HIP UNI W PELVIS 2-3 VWS	$582.60	$971.00	$174.78–$971.00	4% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 DX HIP UNI W PELVIS 2-3 VWS	$582.60	$971.00	$546.67–$971.00	—	40%
X-ray of the abdomen, 1 view CPT 74018 DX X-RAY EXAM ABDOMEN 1 VIEW	$351.00	$585.00	$105.30–$585.00	29% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 DX X-RAY EXAM ABDOMEN 1 VIEW	$351.00	$585.00	$329.35–$585.00	—	40%
X-ray of the ankle, 2 views CPT 73600 DX ANKLE 2 VIEWS	$434.40	$724.00	$130.32–$724.00	at median	40%
X-ray of the ankle, 2 views inpatient CPT 73600 DX ANKLE 2 VIEWS	$434.40	$724.00	$407.61–$724.00	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 DX FINGER(S) 2 VIEW MIN	$424.20	$707.00	$127.26–$707.00	at median	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 DX FINGER(S) 2 VIEW MIN	$424.20	$707.00	$398.04–$707.00	—	40%
X-ray of the foot, 2 views CPT 73620 DX FOOT 2 VIEWS	$457.20	$762.00	$137.16–$762.00	3% above	40%
X-ray of the foot, 2 views inpatient CPT 73620 DX FOOT 2 VIEWS	$457.20	$762.00	$429.01–$762.00	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 DX FOOT COMP 3 VIEW MIN	$531.60	$886.00	$159.48–$886.00	at median	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 DX FOOT COMP 3 VIEW MIN	$531.60	$886.00	$498.82–$886.00	—	40%
X-ray of the hand, 3 or more views CPT 73130 DX HAND 3 VIEW MIN	$547.20	$912.00	$164.16–$912.00	at median	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 DX HAND 3 VIEW MIN	$547.20	$912.00	$513.46–$912.00	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 DX KNEE 1 OR 2 VIEWS	$603.00	$1,005.00	$180.90–$1,005.00	22% above	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 DX KNEE 1 OR 2 VIEWS	$603.00	$1,005.00	$565.81–$1,005.00	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 DX L SPINE 2 OR 3 VIEWS	$630.60	$1,051.00	$189.18–$1,051.00	9% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 DX L SPINE 2 OR 3 VIEWS	$630.60	$1,051.00	$591.71–$1,051.00	—	40%
X-ray of the lower back, 4 or more views CPT 72110 DX L SPINE 4 VIEW MIN	$882.60	$1,471.00	$264.78–$1,471.00	21% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 DX L SPINE 4 VIEW MIN	$882.60	$1,471.00	$828.17–$1,471.00	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DX T SPINE 2 VIEWS	$618.60	$1,031.00	$185.58–$1,031.00	at median	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DX T SPINE 2 VIEWS	$618.60	$1,031.00	$580.45–$1,031.00	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 DX NASAL BONES COMP 3V MIN	$477.00	$795.00	$143.10–$795.00	26% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 DX NASAL BONES COMP 3V MIN	$477.00	$795.00	$447.58–$795.00	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 DX C SPINE 2 OR 3 VIEWS	$594.60	$991.00	$178.38–$991.00	11% below	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 DX C SPINE 2 OR 3 VIEWS	$594.60	$991.00	$557.93–$991.00	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 DX PELVIS 1 OR 2 VIEWS	$472.80	$788.00	$141.84–$788.00	21% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 DX PELVIS 1 OR 2 VIEWS	$472.80	$788.00	$443.64–$788.00	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 DX SACRUM COCCYX 2 VIEW MIN	$535.80	$893.00	$160.74–$893.00	17% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 DX SACRUM COCCYX 2 VIEW MIN	$535.80	$893.00	$502.76–$893.00	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 NASH FIBROSIS LC P9	$9.60	$16.00	$2.88–$16.00	75% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO TRANSFERASE	$15.00	$25.00	$4.50–$25.00	61% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 NASH FIBROSIS PANEL P9	$25.80	$43.00	$7.74–$43.00	33% below	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 NASH FIBROSIS LC P9	$9.60	$16.00	$9.01–$16.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO TRANSFERASE	$15.00	$25.00	$14.08–$25.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 NASH FIBROSIS PANEL P9	$25.80	$43.00	$24.21–$43.00	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 NASH FIBROSIS LC P8	$9.60	$16.00	$2.88–$16.00	82% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE	$15.00	$25.00	$4.50–$25.00	73% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 NASH FIBROSIS PANEL P8	$25.80	$43.00	$7.74–$43.00	53% below	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 NASH FIBROSIS LC P8	$9.60	$16.00	$9.01–$16.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE	$15.00	$25.00	$14.08–$25.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 NASH FIBROSIS PANEL P8	$25.80	$43.00	$24.21–$43.00	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE	$126.00	$210.00	$37.80–$210.00	23% below	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL, ACUTE	$126.00	$210.00	$118.23–$210.00	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN HICKORY IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO PTERONYSS IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED COMMON IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 DERM FARINAE IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZILIAN NUT ALLERGEN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO ALLERGEN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA ALLERGEN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON ALLERGEN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT ALLEREGN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT ALLERGEN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND ALLERGEN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BLOMIA TROPICALIS IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEIN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE BOX ELDER IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME IgE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BENTGRASS REDTOP IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN (ENGLISH) RIBWORT IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST-GREER IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW GRASS IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEYBEE IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE FACED HORNET IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON WASP IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COW MILK IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 AUSTRALIAN PINE IGE	$7.80	$13.00	$2.34–$13.00	at median	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CURVULARIA IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL V IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL G IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CEPHALO IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN IGE	$17.40	$29.00	$5.22–$29.00	123% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE BOX ELDER IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROTEIN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLOMIA TROPICALIS IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND ALLERGEN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT ALLERGEN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT ALLEREGN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON ALLERGEN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA ALLERGEN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO ALLERGEN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERM FARINAE IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED COMMON IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATO PTERONYSS IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM NOTATUM IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN HICKORY IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUSTRALIAN PINE IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW MILK IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZILIAN NUT ALLERGEN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEYBEE IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE FACED HORNET IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON WASP IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW GRASS IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST-GREER IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLANTAIN (ENGLISH) RIBWORT IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BENTGRASS REDTOP IGE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME IgE	$7.80	$13.00	$7.32–$13.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOYL V IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEPHALO IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CURVULARIA IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOYL G IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN IGE	$17.40	$29.00	$16.33–$29.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANA ANALYZER QUEST P24	$9.60	$16.00	$2.88–$16.00	65% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 *CCP IGG ANTIBODY	$27.00	$45.00	$8.10–$45.00	1% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$54.00	$90.00	$16.20–$90.00	98% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG/IGA TOTAL AB	$65.40	$109.00	$19.62–$109.00	140% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANA ANALYZER QUEST P24	$9.60	$16.00	$9.01–$16.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 *CCP IGG ANTIBODY	$27.00	$45.00	$25.33–$45.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$54.00	$90.00	$50.67–$90.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG/IGA TOTAL AB	$65.40	$109.00	$61.37–$109.00	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANALYZER QUEST P1	$9.60	$16.00	$2.88–$16.00	65% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN W/ REFLEX TO TITER	$29.40	$49.00	$8.82–$49.00	7% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CASCADE P1	$37.20	$62.00	$11.16–$62.00	35% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID	$64.80	$108.00	$19.44–$108.00	136% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$78.00	$130.00	$23.40–$130.00	184% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANALYZER QUEST P1	$9.60	$16.00	$9.01–$16.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN W/ REFLEX TO TITER	$29.40	$49.00	$27.59–$49.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA CASCADE P1	$37.20	$62.00	$34.91–$62.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BODY FLUID	$64.80	$108.00	$60.80–$108.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$78.00	$130.00	$73.19–$130.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$100.80	$168.00	$30.24–$168.00	45% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 POC JH BN PEP	$100.80	$168.00	$30.24–$168.00	45% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP	$100.80	$168.00	$30.24–$168.00	45% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP LC	$132.00	$220.00	$39.60–$220.00	27% below	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO BNP	$100.80	$168.00	$94.58–$168.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$100.80	$168.00	$94.58–$168.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 POC JH BN PEP	$100.80	$168.00	$94.58–$168.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PRO BNP LC	$132.00	$220.00	$123.86–$220.00	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$19.20	$32.00	$5.76–$32.00	95% below	40%
Basic metabolic panel (blood test) CPT 80048 RT BASIC METABOLIC PANEL	$154.20	$257.00	$46.26–$257.00	56% below	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$19.20	$32.00	$18.02–$32.00	—	40%
Basic metabolic panel (blood test) inpatient CPT 80048 RT BASIC METABOLIC PANEL	$154.20	$257.00	$144.69–$257.00	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW MLS P9	$28.20	$47.00	$8.46–$47.00	76% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW MLS P8	$28.20	$47.00	$8.46–$47.00	76% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BX ARKANA P1	$33.00	$55.00	$9.90–$55.00	72% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BX ARKANA LAB P1	$40.80	$68.00	$12.24–$68.00	65% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BX ORMC P1	$55.80	$93.00	$16.74–$93.00	52% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 C LEVEL IV	$57.60	$96.00	$17.28–$96.00	50% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 NERVE BX ARKANA LAB P1	$75.60	$126.00	$22.68–$126.00	35% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 NERVE BX ORMC P1	$77.40	$129.00	$23.22–$129.00	33% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BIOP B&W HOSPITAL P4	$84.60	$141.00	$25.38–$141.00	27% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BIOP CELLIGENT P1	$138.60	$231.00	$41.58–$231.00	19% above	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW MLS P8	$28.20	$47.00	$26.46–$47.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW MLS P9	$28.20	$47.00	$26.46–$47.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BX ARKANA P1	$33.00	$55.00	$30.96–$55.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BX ARKANA LAB P1	$40.80	$68.00	$38.28–$68.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BX ORMC P1	$55.80	$93.00	$52.36–$93.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 C LEVEL IV	$57.60	$96.00	$54.05–$96.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NERVE BX ARKANA LAB P1	$75.60	$126.00	$70.94–$126.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NERVE BX ORMC P1	$77.40	$129.00	$72.63–$129.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BIOP B&W HOSPITAL P4	$84.60	$141.00	$79.38–$141.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BIOP CELLIGENT P1	$138.60	$231.00	$130.05–$231.00	—	40%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$89.40	$149.00	$26.82–$149.00	73% below	40%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$89.40	$149.00	$83.89–$149.00	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW TRANSGENOM	$9.00	$15.00	$2.70–$15.00	53% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE CHG	$12.00	$20.00	$3.60–$20.00	38% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED VENIPUNCTURE	$19.20	$32.00	$5.76–$32.00	at median	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL VENIPUNCTURE	$19.20	$32.00	$5.76–$32.00	at median	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAW TRANSGENOM	$9.00	$15.00	$8.44–$15.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE CHG	$12.00	$20.00	$11.26–$20.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED VENIPUNCTURE	$19.20	$32.00	$18.02–$32.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL VENIPUNCTURE	$19.20	$32.00	$18.02–$32.00	—	40%
Blood glucose (sugar) test CPT 82947 *PC CG8 P4	$7.20	$12.00	$2.16–$12.00	84% below	40%
Blood glucose (sugar) test CPT 82947 NASH FIBROSIS LC P4	$9.60	$16.00	$2.88–$16.00	79% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE TT 2HR GLUCOLA P2	$10.80	$18.00	$3.24–$18.00	76% below	40%
Blood glucose (sugar) test CPT 82947 POC GLUCOSE	$12.00	$20.00	$3.60–$20.00	74% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$12.60	$21.00	$3.78–$21.00	72% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$12.60	$21.00	$3.78–$21.00	72% below	40%
Blood glucose (sugar) test CPT 82947 NASH FIBROSIS PANEL P4	$25.80	$43.00	$7.74–$43.00	43% below	40%
Blood glucose (sugar) test CPT 82947 RT GLUCOSE	$66.60	$111.00	$19.98–$111.00	47% above	40%
Blood glucose (sugar) test inpatient CPT 82947 *PC CG8 P4	$7.20	$12.00	$6.76–$12.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 NASH FIBROSIS LC P4	$9.60	$16.00	$9.01–$16.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TT 2HR GLUCOLA P2	$10.80	$18.00	$10.13–$18.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 POC GLUCOSE	$12.00	$20.00	$11.26–$20.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$12.60	$21.00	$11.82–$21.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$12.60	$21.00	$11.82–$21.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 NASH FIBROSIS PANEL P4	$25.80	$43.00	$24.21–$43.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 RT GLUCOSE	$66.60	$111.00	$62.49–$111.00	—	40%
Blood lead test CPT 83655 UR LEAD R	$7.80	$13.00	$2.34–$13.00	42% below	40%
Blood lead test CPT 83655 UR HEAVY METAL SCR 24 HR P2	$7.80	$13.00	$2.34–$13.00	42% below	40%
Blood lead test CPT 83655 HEAVY METAL SCR WB P2	$7.80	$13.00	$2.34–$13.00	42% below	40%
Blood lead test CPT 83655 URLEAD LEVEL 24H	$17.40	$29.00	$5.22–$29.00	29% above	40%
Blood lead test CPT 83655 LEAD LEVEL	$17.40	$29.00	$5.22–$29.00	29% above	40%
Blood lead test inpatient CPT 83655 HEAVY METAL SCR WB P2	$7.80	$13.00	$7.32–$13.00	—	40%
Blood lead test inpatient CPT 83655 UR LEAD R	$7.80	$13.00	$7.32–$13.00	—	40%
Blood lead test inpatient CPT 83655 UR HEAVY METAL SCR 24 HR P2	$7.80	$13.00	$7.32–$13.00	—	40%
Blood lead test inpatient CPT 83655 LEAD LEVEL	$17.40	$29.00	$16.33–$29.00	—	40%
Blood lead test inpatient CPT 83655 URLEAD LEVEL 24H	$17.40	$29.00	$16.33–$29.00	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QL	$19.80	$33.00	$5.94–$33.00	84% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QL	$19.80	$33.00	$18.58–$33.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$7.80	$13.00	$2.34–$13.00	85% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO (ABO/RH PANEL)	$39.00	$65.00	$11.70–$65.00	27% below	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$7.80	$13.00	$7.32–$13.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO (ABO/RH PANEL)	$39.00	$65.00	$36.60–$65.00	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$19.20	$32.00	$5.76–$32.00	75% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD SGI PROMETHEUS P9	$24.00	$40.00	$7.20–$40.00	69% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$19.20	$32.00	$18.02–$32.00	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IBD SGI PROMETHEUS P9	$24.00	$40.00	$22.52–$40.00	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOX PCR	$60.60	$101.00	$18.18–$101.00	49% below	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOX PCR	$60.60	$101.00	$56.86–$101.00	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$33.00	$55.00	$9.90–$55.00	40% below	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$33.00	$55.00	$30.96–$55.00	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$61.80	$103.00	$18.54–$103.00	33% below	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$61.80	$103.00	$57.99–$103.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID	$101.40	$169.00	$30.42–$169.00	16% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR	$101.40	$169.00	$30.42–$169.00	16% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR	$101.40	$169.00	$95.15–$169.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID RAPID	$101.40	$169.00	$95.15–$169.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TMA CHLAMYD TRACH AMP PROBE	$13.20	$22.00	$3.96–$22.00	78% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM/GC PCR P1	$27.00	$45.00	$8.10–$45.00	55% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 VAGINOSIS DNA PLUS PANEL P1	$27.60	$46.00	$8.28–$46.00	54% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM/GC/TRICH DNA P1	$40.80	$68.00	$12.24–$68.00	31% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS AMP PRB	$54.60	$91.00	$16.38–$91.00	8% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TMA CHLAMYD TRACH AMP PROBE	$13.20	$22.00	$12.39–$22.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM/GC PCR P1	$27.00	$45.00	$25.33–$45.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 VAGINOSIS DNA PLUS PANEL P1	$27.60	$46.00	$25.90–$46.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM/GC/TRICH DNA P1	$40.80	$68.00	$38.28–$68.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS AMP PRB	$54.60	$91.00	$51.23–$91.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ LIPID W INFLAM P1	$25.80	$43.00	$7.74–$43.00	75% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID CASCADE LC	$31.20	$52.00	$9.36–$52.00	69% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ ADVA LIPID P1	$34.20	$57.00	$10.26–$57.00	66% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHOLESTEROL FRACTIONATION	$34.80	$58.00	$10.44–$58.00	66% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 QUEST LIPID W/REFLEX LDL	$34.80	$58.00	$10.44–$58.00	66% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROTEIN P1	$37.20	$62.00	$11.16–$62.00	63% below	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ LIPID W INFLAM P1	$25.80	$43.00	$24.21–$43.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID CASCADE LC	$31.20	$52.00	$29.28–$52.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ ADVA LIPID P1	$34.20	$57.00	$32.09–$57.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 QUEST LIPID W/REFLEX LDL	$34.80	$58.00	$32.65–$58.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHOLESTEROL FRACTIONATION	$34.80	$58.00	$32.65–$58.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROTEIN P1	$37.20	$62.00	$34.91–$62.00	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFF	$16.20	$27.00	$4.86–$27.00	77% below	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFF	$16.20	$27.00	$15.20–$27.00	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC W/OUT DIFF	$13.80	$23.00	$4.14–$23.00	86% below	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/OUT DIFF	$13.80	$23.00	$12.95–$23.00	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 CMP 2ND HALF	$18.60	$31.00	$5.58–$31.00	96% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 CMP 3rd	$18.60	$31.00	$5.58–$31.00	96% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PNL	$27.00	$45.00	$8.10–$45.00	95% below	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP 2ND HALF	$18.60	$31.00	$17.45–$31.00	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP 3rd	$18.60	$31.00	$17.45–$31.00	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PNL	$27.00	$45.00	$25.33–$45.00	—	40%
D-dimer blood test (blood clot marker) CPT 85379 POC D-DIMER	$20.40	$34.00	$6.12–$34.00	91% below	40%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER TEST	$21.60	$36.00	$6.48–$36.00	90% below	40%
D-dimer blood test (blood clot marker) CPT 85379 POC JH D-DIMER	$84.00	$140.00	$25.20–$140.00	61% below	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 POC D-DIMER	$20.40	$34.00	$19.14–$34.00	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER TEST	$21.60	$36.00	$20.27–$36.00	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 POC JH D-DIMER	$84.00	$140.00	$78.82–$140.00	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-S	$21.00	$35.00	$6.30–$35.00	53% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$27.60	$46.00	$8.28–$46.00	39% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S PEDI	$43.80	$73.00	$13.14–$73.00	3% below	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE-S	$21.00	$35.00	$19.70–$35.00	—	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$27.60	$46.00	$25.90–$46.00	—	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S PEDI	$43.80	$73.00	$41.10–$73.00	—	40%
Estradiol blood test CPT 82670 ESTRADIOL LCMS LC	$22.20	$37.00	$6.66–$37.00	36% below	40%
Estradiol blood test CPT 82670 QVC, ESTRADIOL, SERUM (SST <72 HOURS OLD)	$24.60	$41.00	$7.38–$41.00	29% below	40%
Estradiol blood test CPT 82670 ESTRADIOL	$41.40	$69.00	$12.42–$69.00	20% above	40%
Estradiol blood test CPT 82670 ESTRADIOL PEDI	$54.00	$90.00	$16.20–$90.00	56% above	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL LCMS LC	$22.20	$37.00	$20.83–$37.00	—	40%
Estradiol blood test inpatient CPT 82670 QVC, ESTRADIOL, SERUM (SST <72 HOURS OLD)	$24.60	$41.00	$23.08–$41.00	—	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$41.40	$69.00	$38.85–$69.00	—	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL PEDI	$54.00	$90.00	$50.67–$90.00	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDI	$31.20	$52.00	$9.36–$52.00	51% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$37.80	$63.00	$11.34–$63.00	40% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PEDI	$31.20	$52.00	$29.28–$52.00	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$37.80	$63.00	$35.47–$63.00	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN	$48.00	$80.00	$14.40–$80.00	60% below	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 STOOL CALPROTECTIN	$48.00	$80.00	$45.04–$80.00	—	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$27.60	$46.00	$8.28–$46.00	80% below	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$27.60	$46.00	$25.90–$46.00	—	40%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$29.40	$49.00	$8.82–$49.00	79% below	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL	$29.40	$49.00	$27.59–$49.00	—	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$62.40	$104.00	$18.72–$104.00	11% below	40%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$62.40	$104.00	$58.55–$104.00	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE(T4) FR DIRECT DIALYS	$22.80	$38.00	$6.84–$38.00	75% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4/FREE	$25.20	$42.00	$7.56–$42.00	72% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$25.20	$42.00	$7.56–$42.00	72% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE/UPTAKE	$25.20	$42.00	$7.56–$42.00	72% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 DIRECT DIALYSIS PEDI	$78.00	$130.00	$23.40–$130.00	14% below	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE(T4) FR DIRECT DIALYS	$22.80	$38.00	$21.39–$38.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$25.20	$42.00	$23.65–$42.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE/UPTAKE	$25.20	$42.00	$23.65–$42.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4/FREE	$25.20	$42.00	$23.65–$42.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 DIRECT DIALYSIS PEDI	$78.00	$130.00	$73.19–$130.00	—	40%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$13.80	$23.00	$4.14–$23.00	55% below	40%
Free testosterone test CPT 84402 TEST F+T PEDI 2	$25.20	$42.00	$7.56–$42.00	19% below	40%
Free testosterone test CPT 84402 TESTOST F EQUIL	$35.40	$59.00	$10.62–$59.00	14% above	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$13.80	$23.00	$12.95–$23.00	—	40%
Free testosterone test inpatient CPT 84402 TEST F+T PEDI 2	$25.20	$42.00	$23.65–$42.00	—	40%
Free testosterone test inpatient CPT 84402 TESTOST F EQUIL	$35.40	$59.00	$33.22–$59.00	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL	$80.40	$134.00	$24.12–$134.00	46% below	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HEALTH PANEL	$80.40	$134.00	$75.44–$134.00	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR POST	$9.00	$15.00	$2.70–$15.00	85% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TT 2HR GLUCOLA P1	$10.80	$18.00	$3.24–$18.00	82% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR PREGNANT	$14.40	$24.00	$4.32–$24.00	76% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HOUR POST	$9.00	$15.00	$8.44–$15.00	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TT 2HR GLUCOLA P1	$10.80	$18.00	$10.13–$18.00	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HOUR PREGNANT	$14.40	$24.00	$13.51–$24.00	—	40%
Glucose tolerance test, 3 samples CPT 82951 GLUC TOL - INITAL 3 SPECIMEN	$52.80	$88.00	$15.84–$88.00	57% below	40%
Glucose tolerance test, 3 samples CPT 82951 LACT TOL - INITAL 3 SPECIMEN	$52.80	$88.00	$15.84–$88.00	57% below	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACT TOL - INITAL 3 SPECIMEN	$52.80	$88.00	$49.54–$88.00	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC TOL - INITAL 3 SPECIMEN	$52.80	$88.00	$49.54–$88.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TMA NEISS GONORR AMP PROBE	$12.60	$21.00	$3.78–$21.00	70% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAM/GC PCR P2	$27.00	$45.00	$8.10–$45.00	36% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 VAGINOSIS DNA PLUS PANEL P3	$27.60	$46.00	$8.28–$46.00	34% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAM/GC/TRICH DNA P2	$40.80	$68.00	$12.24–$68.00	3% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORREHOEAE AMP PRB	$54.60	$91.00	$16.38–$91.00	30% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TMA NEISS GONORR AMP PROBE	$12.60	$21.00	$11.82–$21.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAM/GC PCR P2	$27.00	$45.00	$25.33–$45.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 VAGINOSIS DNA PLUS PANEL P3	$27.60	$46.00	$25.90–$46.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAM/GC/TRICH DNA P2	$40.80	$68.00	$38.28–$68.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORREHOEAE AMP PRB	$54.60	$91.00	$51.23–$91.00	—	40%
H. pylori stool antigen test CPT 87338 STOOL H PYLORI AG	$33.00	$55.00	$9.90–$55.00	26% below	40%
H. pylori stool antigen test inpatient CPT 87338 STOOL H PYLORI AG	$33.00	$55.00	$30.96–$55.00	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VL PCR ULTRA SENSITIVE	$71.40	$119.00	$21.42–$119.00	34% below	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 VL PCR ULTRA SENSITIVE	$71.40	$119.00	$67.00–$119.00	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 + 2	$34.20	$57.00	$10.26–$57.00	32% below	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 + 2	$34.20	$57.00	$32.09–$57.00	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB + AG	$37.20	$62.00	$11.16–$62.00	52% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV RAPID AB	$46.20	$77.00	$13.86–$77.00	41% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AB + AG	$37.20	$62.00	$34.91–$62.00	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV RAPID AB	$46.20	$77.00	$43.35–$77.00	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV GENOTYPE 1	$20.40	$34.00	$6.12–$34.00	51% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK	$88.80	$148.00	$26.64–$148.00	112% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV TUMOR A	$228.00	$380.00	$68.40–$380.00	445% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV GENOTYPE 1	$20.40	$34.00	$19.14–$34.00	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK	$88.80	$148.00	$83.32–$148.00	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV TUMOR A	$228.00	$380.00	$213.94–$380.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LC	$18.60	$31.00	$5.58–$31.00	73% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$25.20	$42.00	$7.56–$42.00	64% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C LC	$18.60	$31.00	$17.45–$31.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$25.20	$42.00	$23.65–$42.00	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$33.60	$56.00	$10.08–$56.00	34% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$33.60	$56.00	$31.53–$56.00	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$28.20	$47.00	$8.46–$47.00	32% below	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$28.20	$47.00	$26.46–$47.00	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY IGM + IGG	$44.40	$74.00	$13.32–$74.00	5% below	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY IGM + IGG	$44.40	$74.00	$41.66–$74.00	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV VL REFLEX GENOTYPE	$99.60	$166.00	$29.88–$166.00	14% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV VIRAL LOAD ULTRASEN	$99.60	$166.00	$29.88–$166.00	14% below	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV VIRAL LOAD ULTRASEN	$99.60	$166.00	$93.46–$166.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV VL REFLEX GENOTYPE	$99.60	$166.00	$93.46–$166.00	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIR 1 IGG, BLD	$23.40	$39.00	$7.02–$39.00	at median	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG	$29.40	$49.00	$8.82–$49.00	26% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 IGG	$32.40	$54.00	$9.72–$54.00	38% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIR 1 IGG, BLD	$23.40	$39.00	$21.96–$39.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG	$29.40	$49.00	$27.59–$49.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1 IGG	$32.40	$54.00	$30.40–$54.00	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIR 2 IGG, BLD	$34.20	$57.00	$10.26–$57.00	at median	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG	$34.20	$57.00	$10.26–$57.00	at median	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$34.20	$57.00	$10.26–$57.00	at median	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG	$34.20	$57.00	$32.09–$57.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIR 2 IGG, BLD	$34.20	$57.00	$32.09–$57.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$34.20	$57.00	$32.09–$57.00	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO IQ LIPID W INFLAM P5	$25.80	$43.00	$7.74–$43.00	45% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGHLY SEN	$38.40	$64.00	$11.52–$64.00	18% below	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO IQ LIPID W INFLAM P5	$25.80	$43.00	$24.21–$43.00	—	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGHLY SEN	$38.40	$64.00	$36.03–$64.00	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL	$58.80	$98.00	$17.64–$98.00	8% above	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE TOTAL	$58.80	$98.00	$55.17–$98.00	—	40%
Insulin blood test CPT 83525 INSULIN BOUND	$12.60	$21.00	$3.78–$21.00	50% below	40%
Insulin blood test CPT 83525 INSULIN	$19.20	$32.00	$5.76–$32.00	24% below	40%
Insulin blood test CPT 83525 CARDIO IQ INSULIN RESIST P1	$43.80	$73.00	$13.14–$73.00	74% above	40%
Insulin blood test CPT 83525 INSULIN PEDI	$53.40	$89.00	$16.02–$89.00	112% above	40%
Insulin blood test inpatient CPT 83525 INSULIN BOUND	$12.60	$21.00	$11.82–$21.00	—	40%
Insulin blood test inpatient CPT 83525 INSULIN	$19.20	$32.00	$18.02–$32.00	—	40%
Insulin blood test inpatient CPT 83525 CARDIO IQ INSULIN RESIST P1	$43.80	$73.00	$41.10–$73.00	—	40%
Insulin blood test inpatient CPT 83525 INSULIN PEDI	$53.40	$89.00	$50.11–$89.00	—	40%
Iron blood test (serum iron) CPT 83540 IRON+TIBC	$17.40	$29.00	$5.22–$29.00	68% below	40%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$17.40	$29.00	$5.22–$29.00	68% below	40%
Iron blood test (serum iron) CPT 83540 UR IRON 24 Hr	$41.40	$69.00	$12.42–$69.00	24% below	40%
Iron blood test (serum iron) CPT 83540 IRON TISSUE LC	$82.80	$138.00	$24.84–$138.00	52% above	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON+TIBC	$17.40	$29.00	$16.33–$29.00	—	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON LEVEL	$17.40	$29.00	$16.33–$29.00	—	40%
Iron blood test (serum iron) inpatient CPT 83540 UR IRON 24 Hr	$41.40	$69.00	$38.85–$69.00	—	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON TISSUE LC	$82.80	$138.00	$77.69–$138.00	—	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL	$16.20	$27.00	$4.86–$27.00	82% below	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL	$16.20	$27.00	$15.20–$27.00	—	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION (COS)	$25.80	$43.00	$7.74–$43.00	94% below	40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION (COS)	$25.80	$43.00	$24.21–$43.00	—	40%
LH (luteinizing hormone) test CPT 83002 LH PEDI	$30.00	$50.00	$9.00–$50.00	52% below	40%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$39.00	$65.00	$11.70–$65.00	38% below	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH PEDI	$30.00	$50.00	$28.15–$50.00	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$39.00	$65.00	$36.60–$65.00	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$25.20	$42.00	$7.56–$42.00	62% below	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$25.20	$42.00	$23.65–$42.00	—	40%
Liver function blood test panel CPT 80076 LIVER FUNCTION PANEL	$23.40	$39.00	$7.02–$39.00	91% below	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION (COS)	$24.60	$41.00	$7.38–$41.00	91% below	40%
Liver function blood test panel inpatient CPT 80076 LIVER FUNCTION PANEL	$23.40	$39.00	$21.96–$39.00	—	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION (COS)	$24.60	$41.00	$23.08–$41.00	—	40%
Lyme disease antibody test CPT 86618 LYME AB P2	$9.60	$16.00	$2.88–$16.00	67% below	40%
Lyme disease antibody test CPT 86618 LYME AB P1	$9.60	$16.00	$2.88–$16.00	67% below	40%
Lyme disease antibody test inpatient CPT 86618 LYME AB P2	$9.60	$16.00	$9.01–$16.00	—	40%
Lyme disease antibody test inpatient CPT 86618 LYME AB P1	$9.60	$16.00	$9.01–$16.00	—	40%
Magnesium blood test CPT 83735 UR STN RSK-MAG UR	$6.00	$10.00	$1.80–$10.00	57% below	40%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$16.20	$27.00	$4.86–$27.00	17% above	40%
Magnesium blood test CPT 83735 BF MAGNESIUM	$16.80	$28.00	$5.04–$28.00	21% above	40%
Magnesium blood test CPT 83735 UR MAGNESIUM LEVEL 24 HOUR	$16.80	$28.00	$5.04–$28.00	21% above	40%
Magnesium blood test CPT 83735 UR MAGNESIUM LEVEL	$16.80	$28.00	$5.04–$28.00	21% above	40%
Magnesium blood test CPT 83735 MAGNESIUM, RBC,INTRACELLULAR	$18.60	$31.00	$5.58–$31.00	34% above	40%
Magnesium blood test inpatient CPT 83735 UR STN RSK-MAG UR	$6.00	$10.00	$5.63–$10.00	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL	$16.20	$27.00	$15.20–$27.00	—	40%
Magnesium blood test inpatient CPT 83735 UR MAGNESIUM LEVEL 24 HOUR	$16.80	$28.00	$15.76–$28.00	—	40%
Magnesium blood test inpatient CPT 83735 BF MAGNESIUM	$16.80	$28.00	$15.76–$28.00	—	40%
Magnesium blood test inpatient CPT 83735 UR MAGNESIUM LEVEL	$16.80	$28.00	$15.76–$28.00	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC,INTRACELLULAR	$18.60	$31.00	$17.45–$31.00	—	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$28.20	$47.00	$8.46–$47.00	at median	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$38.40	$64.00	$11.52–$64.00	36% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM	$28.20	$47.00	$26.46–$47.00	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$38.40	$64.00	$36.03–$64.00	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT	$25.20	$42.00	$7.56–$42.00	85% below	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT	$25.20	$42.00	$23.65–$42.00	—	40%
Obstetric blood test panel CPT 80055 OB PANEL	$144.60	$241.00	$43.38–$241.00	at median	40%
Obstetric blood test panel inpatient CPT 80055 OB PANEL	$144.60	$241.00	$135.68–$241.00	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG, FREE	$22.20	$37.00	$6.66–$37.00	34% below	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG, FREE	$22.20	$37.00	$20.83–$37.00	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA POST PROSTECTOMY	$24.00	$40.00	$7.20–$40.00	56% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG	$38.40	$64.00	$11.52–$64.00	30% below	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA POST PROSTECTOMY	$24.00	$40.00	$22.52–$40.00	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG	$38.40	$64.00	$36.03–$64.00	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 THIN PREP DIAG 88142	$58.80	$98.00	$17.64–$98.00	23% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP OUTREACH DIAG	$67.20	$112.00	$20.16–$112.00	40% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 THIN PREP DIAG 88142	$58.80	$98.00	$55.17–$98.00	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP OUTREACH DIAG	$67.20	$112.00	$63.06–$112.00	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT PEDI 2	$34.80	$58.00	$10.44–$58.00	66% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 IPTH ADDITIONAL	$89.40	$149.00	$26.82–$149.00	14% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 IPTH BASELINE	$89.40	$149.00	$26.82–$149.00	14% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact ONLY	$93.60	$156.00	$28.08–$156.00	10% below	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT PEDI 2	$34.80	$58.00	$32.65–$58.00	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 IPTH BASELINE	$89.40	$149.00	$83.89–$149.00	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 IPTH ADDITIONAL	$89.40	$149.00	$83.89–$149.00	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH Intact ONLY	$93.60	$156.00	$87.83–$156.00	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$16.80	$28.00	$5.04–$28.00	59% below	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$16.80	$28.00	$15.76–$28.00	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNAL SCRN GENE QUEST	$366.00	$610.00	$109.80–$610.00	5% below	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNAL SCRN GENE QUEST	$366.00	$610.00	$343.43–$610.00	—	40%
Progesterone blood test CPT 84144 PROGESTERONE	$30.60	$51.00	$9.18–$51.00	35% below	40%
Progesterone blood test CPT 84144 PROGES PED	$43.80	$73.00	$13.14–$73.00	7% below	40%
Progesterone blood test CPT 84144 PROGESTERONE LCMS (SENDOUT)	$63.00	$105.00	$18.90–$105.00	33% above	40%
Progesterone blood test CPT 84144 PROGESTER FREE P1	$67.80	$113.00	$20.34–$113.00	43% above	40%
Progesterone blood test CPT 84144 PROGESTERONE FREE P2	$67.80	$113.00	$20.34–$113.00	43% above	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$30.60	$51.00	$28.71–$51.00	—	40%
Progesterone blood test inpatient CPT 84144 PROGES PED	$43.80	$73.00	$41.10–$73.00	—	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LCMS (SENDOUT)	$63.00	$105.00	$59.11–$105.00	—	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE FREE P2	$67.80	$113.00	$63.62–$113.00	—	40%
Progesterone blood test inpatient CPT 84144 PROGESTER FREE P1	$67.80	$113.00	$63.62–$113.00	—	40%
Prolactin blood test CPT 84146 PROL DILUTION P1	$11.40	$19.00	$3.42–$19.00	83% below	40%
Prolactin blood test CPT 84146 PROL DILUTION P2	$11.40	$19.00	$3.42–$19.00	83% below	40%
Prolactin blood test CPT 84146 PROL PEDI	$49.80	$83.00	$14.94–$83.00	25% below	40%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$57.60	$96.00	$17.28–$96.00	13% below	40%
Prolactin blood test inpatient CPT 84146 PROL DILUTION P1	$11.40	$19.00	$10.70–$19.00	—	40%
Prolactin blood test inpatient CPT 84146 PROL DILUTION P2	$11.40	$19.00	$10.70–$19.00	—	40%
Prolactin blood test inpatient CPT 84146 PROL PEDI	$49.80	$83.00	$46.73–$83.00	—	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL	$57.60	$96.00	$54.05–$96.00	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTIME	$13.20	$22.00	$3.96–$22.00	61% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$13.80	$23.00	$4.14–$23.00	59% below	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTIME	$13.20	$22.00	$12.39–$22.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$13.80	$23.00	$12.95–$23.00	—	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$24.00	$40.00	$7.20–$40.00	5% below	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$24.00	$40.00	$22.52–$40.00	—	40%
Rubella antibody test (immunity check) CPT 86762 TORCH IGM RUBELLA	$10.80	$18.00	$3.24–$18.00	43% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$16.80	$28.00	$5.04–$28.00	11% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG SENDOUT	$36.60	$61.00	$10.98–$61.00	94% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$38.40	$64.00	$11.52–$64.00	104% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH IGM RUBELLA	$10.80	$18.00	$10.13–$18.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM	$16.80	$28.00	$15.76–$28.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG SENDOUT	$36.60	$61.00	$34.34–$61.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$38.40	$64.00	$36.03–$64.00	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE WESTERGREN	$13.80	$23.00	$4.14–$23.00	83% below	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE WESTERGREN	$13.80	$23.00	$12.95–$23.00	—	40%
Stool ova and parasites exam CPT 87177 SO O+P EVAL Probe 1	$10.20	$17.00	$3.06–$17.00	76% below	40%
Stool ova and parasites exam CPT 87177 O&P DIRECT SMR, CONC AND ID	$14.40	$24.00	$4.32–$24.00	65% below	40%
Stool ova and parasites exam inpatient CPT 87177 SO O+P EVAL Probe 1	$10.20	$17.00	$9.57–$17.00	—	40%
Stool ova and parasites exam inpatient CPT 87177 O&P DIRECT SMR, CONC AND ID	$14.40	$24.00	$13.51–$24.00	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 POC HEMAPROMPT STOOL	$7.20	$12.00	$2.16–$12.00	84% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$7.20	$12.00	$2.16–$12.00	84% below	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 POC HEMAPROMPT STOOL	$7.20	$12.00	$6.76–$12.00	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL	$7.20	$12.00	$6.76–$12.00	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCBLOOD IMMASSAY	$33.60	$56.00	$10.08–$56.00	45% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 POC OCCULT BLOOD	$49.20	$82.00	$14.76–$82.00	20% below	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCBLOOD IMMASSAY	$33.60	$56.00	$31.53–$56.00	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 POC OCCULT BLOOD	$49.20	$82.00	$46.17–$82.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL SENDOUT	$19.80	$33.00	$5.94–$33.00	at median	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL	$25.20	$42.00	$7.56–$42.00	27% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$25.20	$42.00	$7.56–$42.00	27% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL SENDOUT	$19.80	$33.00	$18.58–$33.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL	$25.20	$42.00	$23.65–$42.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$25.20	$42.00	$23.65–$42.00	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD	$60.00	$100.00	$18.00–$100.00	4% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD	$60.00	$100.00	$56.30–$100.00	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$11.40	$19.00	$3.42–$19.00	69% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE REFERRAL	$13.20	$22.00	$3.96–$22.00	64% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TEST F+T PEDI 3	$25.20	$42.00	$7.56–$42.00	31% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE PEDI	$29.40	$49.00	$8.82–$49.00	20% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOST T EQUIL	$35.40	$59.00	$10.62–$59.00	4% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE	$36.60	$61.00	$10.98–$61.00	at median	40%
Testosterone blood test, total (not free testosterone) CPT 84403 FREE ANDROGEN IND P2	$74.40	$124.00	$22.32–$124.00	102% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$11.40	$19.00	$10.70–$19.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE REFERRAL	$13.20	$22.00	$12.39–$22.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TEST F+T PEDI 3	$25.20	$42.00	$23.65–$42.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE PEDI	$29.40	$49.00	$27.59–$49.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOST T EQUIL	$35.40	$59.00	$33.22–$59.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FREE	$36.60	$61.00	$34.34–$61.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 FREE ANDROGEN IND P2	$74.40	$124.00	$69.81–$124.00	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANA ANALYZER QUEST P25	$9.60	$16.00	$2.88–$16.00	37% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO AB LC	$22.80	$38.00	$6.84–$38.00	49% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME ABS	$24.00	$40.00	$7.20–$40.00	57% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO AB	$29.40	$49.00	$8.82–$49.00	92% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB PEDI	$33.60	$56.00	$10.08–$56.00	119% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS	$36.60	$61.00	$10.98–$61.00	139% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANA ANALYZER QUEST P25	$9.60	$16.00	$9.01–$16.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO AB LC	$22.80	$38.00	$21.39–$38.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME ABS	$24.00	$40.00	$22.52–$40.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO AB	$29.40	$49.00	$27.59–$49.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB PEDI	$33.60	$56.00	$31.53–$56.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS	$36.60	$61.00	$34.34–$61.00	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NEWBORN COMP SCREEN P6	$19.80	$33.00	$5.94–$33.00	85% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SCREEN	$37.20	$62.00	$11.16–$62.00	72% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 3RD GENERATION	$37.20	$62.00	$11.16–$62.00	72% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH HAMA TREATMENT P1	$48.60	$81.00	$14.58–$81.00	64% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH HAMA TREATMENT P2	$48.60	$81.00	$14.58–$81.00	64% below	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NEWBORN COMP SCREEN P6	$19.80	$33.00	$18.58–$33.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 3RD GENERATION	$37.20	$62.00	$34.91–$62.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH SCREEN	$37.20	$62.00	$34.91–$62.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH HAMA TREATMENT P2	$48.60	$81.00	$45.60–$81.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH HAMA TREATMENT P1	$48.60	$81.00	$45.60–$81.00	—	40%
Trichomonas test (NAAT) CPT 87661 CHLAM/GC/TRICH DNA P3	$40.80	$68.00	$12.24–$68.00	17% below	40%
Trichomonas test (NAAT) CPT 87661 T. VAGINALS PCR	$42.00	$70.00	$12.60–$70.00	14% below	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS DNA	$69.00	$115.00	$20.70–$115.00	41% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 CHLAM/GC/TRICH DNA P3	$40.80	$68.00	$38.28–$68.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALS PCR	$42.00	$70.00	$39.41–$70.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS DNA	$69.00	$115.00	$64.74–$115.00	—	40%
Uric acid blood test CPT 84550 URIC ACID	$15.00	$25.00	$4.50–$25.00	85% below	40%
Uric acid blood test CPT 84550 URIC/ACID RAS	$37.20	$62.00	$11.16–$62.00	63% below	40%
Uric acid blood test inpatient CPT 84550 URIC ACID	$15.00	$25.00	$14.08–$25.00	—	40%
Uric acid blood test inpatient CPT 84550 URIC/ACID RAS	$37.20	$62.00	$34.91–$62.00	—	40%
Urinalysis with microscope exam, automated CPT 81001 UA W/ MICRO REF CULT	$16.80	$28.00	$5.04–$28.00	90% below	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPIC	$18.00	$30.00	$5.40–$30.00	89% below	40%
Urinalysis with microscope exam, automated CPT 81001 URINE MICROSCOPIC	$18.00	$30.00	$5.40–$30.00	89% below	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/ MICRO REF CULT	$16.80	$28.00	$15.76–$28.00	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE MICROSCOPIC	$18.00	$30.00	$16.89–$30.00	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPIC	$18.00	$30.00	$16.89–$30.00	—	40%
Urinalysis without microscope exam, automated CPT 81003 LACTOSE - UR RED SUB F	$4.20	$7.00	$1.26–$7.00	95% below	40%
Urinalysis without microscope exam, automated CPT 81003 LACTOSE - UR RED SUB 20	$4.20	$7.00	$1.26–$7.00	95% below	40%
Urinalysis without microscope exam, automated CPT 81003 LACTOSE - UR RED SUB 30	$4.20	$7.00	$1.26–$7.00	95% below	40%
Urinalysis without microscope exam, automated CPT 81003 UR. NITRITE	$4.20	$7.00	$1.26–$7.00	95% below	40%
Urinalysis without microscope exam, automated CPT 81003 LACTOSE - UR RED SUB 40	$4.20	$7.00	$1.26–$7.00	95% below	40%
Urinalysis without microscope exam, automated CPT 81003 LACTOSE - UR RED SUB 60	$4.20	$7.00	$1.26–$7.00	95% below	40%
Urinalysis without microscope exam, automated CPT 81003 LACTOSE - UR RED SUB 90	$4.20	$7.00	$1.26–$7.00	95% below	40%
Urinalysis without microscope exam, automated CPT 81003 UR KETONE QUALITATIVE	$6.60	$11.00	$1.98–$11.00	92% below	40%
Urinalysis without microscope exam, automated CPT 81003 PC Urinalysis	$6.60	$11.00	$1.98–$11.00	92% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINE PH DIPSTICK	$6.60	$11.00	$1.98–$11.00	92% below	40%
Urinalysis without microscope exam, automated CPT 81003 UR UROBILINOGEN	$6.60	$11.00	$1.98–$11.00	92% below	40%
Urinalysis without microscope exam, automated CPT 81003 UR PROTEIN QUALITATIVE	$6.60	$11.00	$1.98–$11.00	92% below	40%
Urinalysis without microscope exam, automated CPT 81003 UR HEMOGLOBIN FREE	$6.60	$11.00	$1.98–$11.00	92% below	40%
Urinalysis without microscope exam, automated CPT 81003 UR GLUCOSE QUALITATIVE	$6.60	$11.00	$1.98–$11.00	92% below	40%
Urinalysis without microscope exam, automated CPT 81003 UF-100	$18.00	$30.00	$5.40–$30.00	78% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$18.00	$30.00	$5.40–$30.00	78% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITH REFLEX CULTURE	$18.00	$30.00	$5.40–$30.00	78% below	40%
Urinalysis without microscope exam, automated CPT 81003 UR SPECIFIC GRAVITY	$19.20	$32.00	$5.76–$32.00	77% below	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 LACTOSE - UR RED SUB 60	$4.20	$7.00	$3.94–$7.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 LACTOSE - UR RED SUB F	$4.20	$7.00	$3.94–$7.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 LACTOSE - UR RED SUB 20	$4.20	$7.00	$3.94–$7.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR. NITRITE	$4.20	$7.00	$3.94–$7.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 LACTOSE - UR RED SUB 40	$4.20	$7.00	$3.94–$7.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 LACTOSE - UR RED SUB 90	$4.20	$7.00	$3.94–$7.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 LACTOSE - UR RED SUB 30	$4.20	$7.00	$3.94–$7.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR GLUCOSE QUALITATIVE	$6.60	$11.00	$6.19–$11.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 PC Urinalysis	$6.60	$11.00	$6.19–$11.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR HEMOGLOBIN FREE	$6.60	$11.00	$6.19–$11.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR KETONE QUALITATIVE	$6.60	$11.00	$6.19–$11.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR PROTEIN QUALITATIVE	$6.60	$11.00	$6.19–$11.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH DIPSTICK	$6.60	$11.00	$6.19–$11.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR UROBILINOGEN	$6.60	$11.00	$6.19–$11.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITH REFLEX CULTURE	$18.00	$30.00	$16.89–$30.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UF-100	$18.00	$30.00	$16.89–$30.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$18.00	$30.00	$16.89–$30.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 UR SPECIFIC GRAVITY	$19.20	$32.00	$18.02–$32.00	—	40%
Urinalysis without microscope exam, manual CPT 81002 UR BILIRUBIN	$19.20	$32.00	$5.76–$32.00	13% below	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 UR BILIRUBIN	$19.20	$32.00	$18.02–$32.00	—	40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$34.80	$58.00	$10.44–$58.00	82% below	40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE REFLEXED	$34.80	$58.00	$10.44–$58.00	82% below	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$34.80	$58.00	$32.65–$58.00	—	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE REFLEXED	$34.80	$58.00	$32.65–$58.00	—	40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST UR	$13.80	$23.00	$4.14–$23.00	88% below	40%
Urine pregnancy test, read by color change CPT 81025 POC PREGNANCY TEST	$51.60	$86.00	$15.48–$86.00	54% below	40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST UR	$13.80	$23.00	$12.95–$23.00	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 POC PREGNANCY TEST	$51.60	$86.00	$48.42–$86.00	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL	$29.40	$49.00	$8.82–$49.00	79% below	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL	$29.40	$49.00	$27.59–$49.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 LEVEL	$27.00	$45.00	$8.10–$45.00	43% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH	$50.40	$84.00	$15.12–$84.00	7% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 OH PEDI	$63.60	$106.00	$19.08–$106.00	35% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 LEVEL	$27.00	$45.00	$25.33–$45.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH	$50.40	$84.00	$47.29–$84.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 OH PEDI	$63.60	$106.00	$59.68–$106.00	—	40%
Zinc blood test CPT 84630 ZINC LEVEL	$17.40	$29.00	$5.22–$29.00	14% above	40%
Zinc blood test CPT 84630 ZINC RBC	$18.00	$30.00	$5.40–$30.00	18% above	40%
Zinc blood test CPT 84630 UR ZINC 24 H	$19.80	$33.00	$5.94–$33.00	30% above	40%
Zinc blood test inpatient CPT 84630 ZINC LEVEL	$17.40	$29.00	$16.33–$29.00	—	40%
Zinc blood test inpatient CPT 84630 ZINC RBC	$18.00	$30.00	$16.89–$30.00	—	40%
Zinc blood test inpatient CPT 84630 UR ZINC 24 H	$19.80	$33.00	$18.58–$33.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE	$24.60	$41.00	$7.38–$41.00	68% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG TUMOR MARKER	$24.60	$41.00	$7.38–$41.00	68% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (TUMOR MARKER)	$25.80	$43.00	$7.74–$43.00	67% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CSF HCG	$33.00	$55.00	$9.90–$55.00	58% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 1ST TRIMESTER SCREEN P2	$44.40	$74.00	$13.32–$74.00	43% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SEQUENTIAL 1 P2	$67.20	$112.00	$20.16–$112.00	14% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SEQUENTIAL 2 P2	$78.00	$130.00	$23.40–$130.00	at median	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 INTEGRATED SCREEN 2 PROBE 2	$78.60	$131.00	$23.58–$131.00	1% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANTITATIVE	$24.60	$41.00	$23.08–$41.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG TUMOR MARKER	$24.60	$41.00	$23.08–$41.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG (TUMOR MARKER)	$25.80	$43.00	$24.21–$43.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CSF HCG	$33.00	$55.00	$30.96–$55.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 1ST TRIMESTER SCREEN P2	$44.40	$74.00	$41.66–$74.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SEQUENTIAL 1 P2	$67.20	$112.00	$63.06–$112.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SEQUENTIAL 2 P2	$78.00	$130.00	$73.19–$130.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 INTEGRATED SCREEN 2 PROBE 2	$78.60	$131.00	$73.75–$131.00	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Botox injections for chronic migraine CPT 64615 IR CHEMODENERV MUSC MIGRAINE	$586.80	$978.00	$176.04–$978.00	at median	40%
Botox injections for chronic migraine CPT 64615 CL CHEMODENERV MUSC MIGRAINE	$586.80	$978.00	$176.04–$978.00	at median	40%
Botox injections for chronic migraine CPT 64615 DX CHEMODENERV MUSC MIGRAINE	$586.80	$978.00	$176.04–$978.00	at median	40%
Botox injections for chronic migraine inpatient CPT 64615 DX CHEMODENERV MUSC MIGRAINE	$586.80	$978.00	$550.61–$978.00	—	40%
Botox injections for chronic migraine inpatient CPT 64615 IR CHEMODENERV MUSC MIGRAINE	$586.80	$978.00	$550.61–$978.00	—	40%
Botox injections for chronic migraine inpatient CPT 64615 CL CHEMODENERV MUSC MIGRAINE	$586.80	$978.00	$550.61–$978.00	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 DX BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$307.98–$1,711.00	71% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 IR BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$307.98–$1,711.00	71% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 CT BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$307.98–$1,711.00	71% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MRI BX BREAST 1ST LESION STRTC	$1,026.60	$1,711.00	$307.98–$1,711.00	71% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 US BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$307.98–$1,711.00	71% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 DX BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$963.29–$1,711.00	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 IR BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$963.29–$1,711.00	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 CT BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$963.29–$1,711.00	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 US BX BREAST 1ST LESION STRTCT	$1,026.60	$1,711.00	$963.29–$1,711.00	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MRI BX BREAST 1ST LESION STRTC	$1,026.60	$1,711.00	$963.29–$1,711.00	—	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ED CLSD DISL FIB FX W/O MANI	$1,303.80	$2,173.00	$391.14–$2,173.00	77% above	40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ED CLSD DISL FIB FX W/O MANI	$1,303.80	$2,173.00	$1,223.40–$2,173.00	—	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ED CLD TX METAT FX W/O MANI EA	$281.40	$469.00	$84.42–$469.00	62% below	40%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ED CLD TX METAT FX W/O MANI EA	$281.40	$469.00	$264.05–$469.00	—	40%
Cardiac catheterization with coronary angiogram CPT 93458 CL LHC W OR WO LV, CA	$12,321.00	$20,535.00	$3,696.30–$20,535.00	at median	40%
Cardiac catheterization with coronary angiogram CPT 93458 IR LHC W OR WO LV, CA	$12,321.00	$20,535.00	$3,696.30–$20,535.00	at median	40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CL LHC W OR WO LV, CA	$12,321.00	$20,535.00	$11,561.20–$20,535.00	—	40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 IR LHC W OR WO LV, CA	$12,321.00	$20,535.00	$11,561.20–$20,535.00	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CC CARDIOVERSION EXT	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EN CARDIOVERSION EXT	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 RR CARDIOVERSION EXT	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CL CARDIOVERSION EXT	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 IR CARDIOVERSION	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED CARDIOVERSION EXT	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI CARDIOVERSION EXT	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NS CARDIOVERSION EXT	$1,062.00	$1,770.00	$318.60–$1,770.00	49% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI CARDIOVERSION EXT	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 IR CARDIOVERSION	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CL CARDIOVERSION EXT	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 RR CARDIOVERSION EXT	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EN CARDIOVERSION EXT	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CC CARDIOVERSION EXT	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NS CARDIOVERSION EXT	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION EXT	$1,062.00	$1,770.00	$996.51–$1,770.00	—	40%
Catheter ablation for atrial fibrillation CPT 93656 CL TX ATRIAL FIB PULM VEIN ISO	$30,694.80	$51,158.00	$9,208.44–$51,158.00	38% below	40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 CL TX ATRIAL FIB PULM VEIN ISO	$30,694.80	$51,158.00	$28,801.95–$51,158.00	—	40%
Cervical biopsy CPT 57500 ED BIOPSY OF CERVIX	$1,368.60	$2,281.00	$410.58–$2,281.00	31% below	40%
Cervical biopsy inpatient CPT 57500 ED BIOPSY OF CERVIX	$1,368.60	$2,281.00	$1,284.20–$2,281.00	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CC CIRCUMCISION	$992.40	$1,654.00	$297.72–$1,654.00	at median	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NS CIRCUMCISION	$992.40	$1,654.00	$297.72–$1,654.00	at median	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CC CIRCUMCISION	$992.40	$1,654.00	$931.20–$1,654.00	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NS CIRCUMCISION	$992.40	$1,654.00	$931.20–$1,654.00	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED CLSD DIST RADL FX W/O MANI	$394.20	$657.00	$118.26–$657.00	29% below	40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ED CLSD DIST RADL FX W/O MANI	$394.20	$657.00	$369.89–$657.00	—	40%
Coronary stent placement, one artery CPT 92928 CL COR STENT/PTCA SNG ART/BRAN	$15,907.80	$26,513.00	$4,772.34–$26,513.00	32% below	40%
Coronary stent placement, one artery inpatient CPT 92928 CL COR STENT/PTCA SNG ART/BRAN	$15,907.80	$26,513.00	$14,926.82–$26,513.00	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 NS CYSTOSCOPY	$2,827.20	$4,712.00	$848.16–$4,712.00	38% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 NS CYSTOSCOPY	$2,827.20	$4,712.00	$2,652.86–$4,712.00	—	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 ED D&C NONOBSTETRICAL	$2,817.60	$4,696.00	$845.28–$4,696.00	28% below	40%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 ED D&C NONOBSTETRICAL	$2,817.60	$4,696.00	$2,643.85–$4,696.00	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ED DESTRUCT PREMALG LESION	$124.80	$208.00	$37.44–$208.00	55% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 ED DESTRUCT PREMALG LESION	$124.80	$208.00	$117.10–$208.00	—	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 WC REMOVE IMPACTED CERUMEN IRRIGATE UNI	$120.00	$200.00	$36.00–$200.00	38% below	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 ED REMOVE IMPACT CERUMEN IRRIG/LAV UNILAT	$120.00	$200.00	$36.00–$200.00	38% below	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 WC REMOVE IMPACTED CERUMEN IRRIGATE UNI	$120.00	$200.00	$112.60–$200.00	—	40%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 ED REMOVE IMPACT CERUMEN IRRIG/LAV UNILAT	$120.00	$200.00	$112.60–$200.00	—	40%
Earwax removal with instruments, one ear CPT 69210 ED REMOVE IMPACTED CERUMEN UNI	$279.00	$465.00	$83.70–$465.00	36% above	40%
Earwax removal with instruments, one ear CPT 69210 WC REMOVE IMPACTED CERUMEN INSTRUMENT UNI	$279.00	$465.00	$83.70–$465.00	36% above	40%
Earwax removal with instruments, one ear inpatient CPT 69210 WC REMOVE IMPACTED CERUMEN INSTRUMENT UNI	$279.00	$465.00	$261.79–$465.00	—	40%
Earwax removal with instruments, one ear inpatient CPT 69210 ED REMOVE IMPACTED CERUMEN UNI	$279.00	$465.00	$261.79–$465.00	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR INJ INTERLAMINAR CRV/THRC W/ IMAGING	$1,391.40	$2,319.00	$417.42–$2,319.00	37% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 DX INJ INTERLAMINAR CRV/THRC W/ IMAGING	$1,391.40	$2,319.00	$417.42–$2,319.00	37% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT INJ INTERLAMINAR CRV/THRC W/ IMAGING	$1,391.40	$2,319.00	$417.42–$2,319.00	37% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 DX INJ INTERLAMINAR CRV/THRC W/ IMAGING	$1,391.40	$2,319.00	$1,305.60–$2,319.00	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR INJ INTERLAMINAR CRV/THRC W/ IMAGING	$1,391.40	$2,319.00	$1,305.60–$2,319.00	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT INJ INTERLAMINAR CRV/THRC W/ IMAGING	$1,391.40	$2,319.00	$1,305.60–$2,319.00	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT FACET BLK LUM/SAC SNGL LVL	$1,260.00	$2,100.00	$378.00–$2,100.00	44% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR FACET BLK LUM/SAC SNGL LVL	$1,260.00	$2,100.00	$378.00–$2,100.00	44% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 DX FACET BLK LUM/SAC SNGL LVL	$1,260.00	$2,100.00	$378.00–$2,100.00	44% below	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 DX FACET BLK LUM/SAC SNGL LVL	$1,260.00	$2,100.00	$1,182.30–$2,100.00	—	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 CT FACET BLK LUM/SAC SNGL LVL	$1,260.00	$2,100.00	$1,182.30–$2,100.00	—	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR FACET BLK LUM/SAC SNGL LVL	$1,260.00	$2,100.00	$1,182.30–$2,100.00	—	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 ED HEMORHOIDECTOMY BY LIGATION	$880.80	$1,468.00	$264.24–$1,468.00	50% below	40%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 ED HEMORHOIDECTOMY BY LIGATION	$880.80	$1,468.00	$826.48–$1,468.00	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US HYSTEROSONOGRAPHY INJECTION	$330.00	$550.00	$99.00–$550.00	22% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 IR HYSTEROSONOGRAPHY INJECTION	$330.00	$550.00	$99.00–$550.00	22% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 DX HYSTEROSONOGRAPHY INJECTION	$330.00	$550.00	$99.00–$550.00	22% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 IR HYSTEROSONOGRAPHY INJECTION	$330.00	$550.00	$309.65–$550.00	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 DX HYSTEROSONOGRAPHY INJECTION	$330.00	$550.00	$309.65–$550.00	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US HYSTEROSONOGRAPHY INJECTION	$330.00	$550.00	$309.65–$550.00	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 CT I+D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$144.90–$805.00	19% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 IR I&D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$144.90–$805.00	19% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 ED I&D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$144.90–$805.00	19% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 WC I&D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$144.90–$805.00	19% below	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WC I&D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$453.22–$805.00	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED I&D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$453.22–$805.00	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 IR I&D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$453.22–$805.00	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CT I+D ABSCESS SIMPLE OR SINGL	$483.00	$805.00	$453.22–$805.00	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 ED REPR INGUINAL HRNA>=5YR RED	$8,496.60	$14,161.00	$2,548.98–$14,161.00	at median	40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 ED REPR INGUINAL HRNA>=5YR RED	$8,496.60	$14,161.00	$7,972.64–$14,161.00	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 IR INJECTION TENDON LIGAMENT	$414.60	$691.00	$124.38–$691.00	26% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ED INJECTION TENDON LIGAMENT	$414.60	$691.00	$124.38–$691.00	26% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CT INJECTION TENDON LIGAMENT	$414.60	$691.00	$124.38–$691.00	26% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 US INJECTION TENDON LIGAMENT	$414.60	$691.00	$124.38–$691.00	26% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ED INJECTION TENDON LIGAMENT	$414.60	$691.00	$389.03–$691.00	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 CT INJECTION TENDON LIGAMENT	$414.60	$691.00	$389.03–$691.00	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 US INJECTION TENDON LIGAMENT	$414.60	$691.00	$389.03–$691.00	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 IR INJECTION TENDON LIGAMENT	$414.60	$691.00	$389.03–$691.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IR MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$196.74–$1,093.00	4% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CL MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$196.74–$1,093.00	4% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$196.74–$1,093.00	4% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DX MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$196.74–$1,093.00	4% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 US MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$196.74–$1,093.00	4% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$196.74–$1,093.00	4% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$615.36–$1,093.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 US MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$615.36–$1,093.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$615.36–$1,093.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CL MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$615.36–$1,093.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DX MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$615.36–$1,093.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IR MAJOR JNT ARTHROCENT WO US	$655.80	$1,093.00	$615.36–$1,093.00	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$169.20–$940.00	3% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DX MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$169.20–$940.00	3% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$169.20–$940.00	3% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$169.20–$940.00	3% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DX MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$529.22–$940.00	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$529.22–$940.00	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CT MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$529.22–$940.00	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 IR MEDIUM JNT ARTHROCENT WO US	$564.00	$940.00	$529.22–$940.00	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$165.24–$918.00	at median	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 IR SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$165.24–$918.00	at median	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DX SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$165.24–$918.00	at median	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 US SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$165.24–$918.00	at median	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 IR SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$516.83–$918.00	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 US SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$516.83–$918.00	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DX SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$516.83–$918.00	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED SMALL JNT ARTHROCENT WO US	$550.80	$918.00	$516.83–$918.00	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED INT LAC <=2.5CM BODY SCALP	$942.60	$1,571.00	$282.78–$1,571.00	3% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED INT LAC <=2.5CM BODY SCALP	$942.60	$1,571.00	$884.47–$1,571.00	—	40%
Left heart catheterization, diagnostic CPT 93452 CL LHC W OR WO LV	$11,284.20	$18,807.00	$3,385.26–$18,807.00	at median	40%
Left heart catheterization, diagnostic CPT 93452 IR LHC W OR WO LV	$11,284.20	$18,807.00	$3,385.26–$18,807.00	at median	40%
Left heart catheterization, diagnostic inpatient CPT 93452 CL LHC W OR WO LV	$11,284.20	$18,807.00	$10,588.34–$18,807.00	—	40%
Left heart catheterization, diagnostic inpatient CPT 93452 IR LHC W OR WO LV	$11,284.20	$18,807.00	$10,588.34–$18,807.00	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 IR INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$1,391.40	$2,319.00	$417.42–$2,319.00	40% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 CT INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$1,391.40	$2,319.00	$417.42–$2,319.00	40% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 DX INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$1,391.40	$2,319.00	$417.42–$2,319.00	40% below	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$1,391.40	$2,319.00	$1,305.60–$2,319.00	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$1,391.40	$2,319.00	$1,305.60–$2,319.00	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 DX INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$1,391.40	$2,319.00	$1,305.60–$2,319.00	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 IR INJ INTERLAMINAR LMBR/SAC W/O IMAGING	$973.80	$1,623.00	$292.14–$1,623.00	56% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 CT INJ INTERLAMINAR LMBR/SAC W/O IMAGING	$973.80	$1,623.00	$292.14–$1,623.00	56% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 DX INJ INTERLAMINAR LMBR/SAC W/O IMAGING	$973.80	$1,623.00	$292.14–$1,623.00	56% below	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 DX INJ INTERLAMINAR LMBR/SAC W/O IMAGING	$973.80	$1,623.00	$913.75–$1,623.00	—	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 CT INJ INTERLAMINAR LMBR/SAC W/O IMAGING	$973.80	$1,623.00	$913.75–$1,623.00	—	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 IR INJ INTERLAMINAR LMBR/SAC W/O IMAGING	$973.80	$1,623.00	$913.75–$1,623.00	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CT L/S ESI TRANSFORM INJ SNG LVL	$1,386.60	$2,311.00	$415.98–$2,311.00	36% below	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR L/S ESI TRANSFORM INJ SNG LVL	$1,386.60	$2,311.00	$415.98–$2,311.00	36% below	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 CT L/S ESI TRANSFORM INJ SNG LVL	$1,386.60	$2,311.00	$1,301.09–$2,311.00	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IR L/S ESI TRANSFORM INJ SNG LVL	$1,386.60	$2,311.00	$1,301.09–$2,311.00	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ED EXC BN LSN TRNK/EXT <=0.5CM	$2,081.40	$3,469.00	$624.42–$3,469.00	15% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ED EXC BN LSN TRNK/EXT <=0.5CM	$2,081.40	$3,469.00	$1,953.05–$3,469.00	—	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 ED EXC BN FC ER NOS LIP<=0.5CM	$673.80	$1,123.00	$202.14–$1,123.00	32% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 ED EXC BN FC ER NOS LIP<=0.5CM	$673.80	$1,123.00	$632.25–$1,123.00	—	40%
Nail removal (partial or complete), one nail CPT 11730 WC AVULS OF NAIL PLATE SIMPLE	$702.00	$1,170.00	$210.60–$1,170.00	41% above	40%
Nail removal (partial or complete), one nail CPT 11730 ED REMOVAL NAIL PLATE SINGLE	$702.00	$1,170.00	$210.60–$1,170.00	41% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 WC AVULS OF NAIL PLATE SIMPLE	$702.00	$1,170.00	$658.71–$1,170.00	—	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 ED REMOVAL NAIL PLATE SINGLE	$702.00	$1,170.00	$658.71–$1,170.00	—	40%
Occipital nerve block (injection for headaches) CPT 64405 IR OCCIPITAL NERVE BLOCK	$455.40	$759.00	$136.62–$759.00	48% below	40%
Occipital nerve block (injection for headaches) CPT 64405 ED OCCIPITAL NERVE BLOCK	$455.40	$759.00	$136.62–$759.00	48% below	40%
Occipital nerve block (injection for headaches) CPT 64405 CT OCCIPITAL NERVE BLOCK	$455.40	$759.00	$136.62–$759.00	48% below	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 ED OCCIPITAL NERVE BLOCK	$455.40	$759.00	$427.32–$759.00	—	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 CT OCCIPITAL NERVE BLOCK	$455.40	$759.00	$427.32–$759.00	—	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 IR OCCIPITAL NERVE BLOCK	$455.40	$759.00	$427.32–$759.00	—	40%
Pacemaker implant (dual chamber) CPT 33208 IR INSRT/REPLC PCR& A&V LEAD	$11,415.00	$19,025.00	$3,424.50–$19,025.00	42% below	40%
Pacemaker implant (dual chamber) CPT 33208 CL INSRT/REPLC PCR& A&V LEAD	$11,415.00	$19,025.00	$3,424.50–$19,025.00	42% below	40%
Pacemaker implant (dual chamber) inpatient CPT 33208 CL INSRT/REPLC PCR& A&V LEAD	$11,415.00	$19,025.00	$10,711.08–$19,025.00	—	40%
Pacemaker implant (dual chamber) inpatient CPT 33208 IR INSRT/REPLC PCR& A&V LEAD	$11,415.00	$19,025.00	$10,711.08–$19,025.00	—	40%
Paracentesis with imaging guidance CPT 49083 ED PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$336.42–$1,869.00	28% below	40%
Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$336.42–$1,869.00	28% below	40%
Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$336.42–$1,869.00	28% below	40%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$336.42–$1,869.00	28% below	40%
Paracentesis with imaging guidance inpatient CPT 49083 IR PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$1,052.25–$1,869.00	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$1,052.25–$1,869.00	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 ED PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$1,052.25–$1,869.00	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS W IMAGE GUIDE	$1,121.40	$1,869.00	$1,052.25–$1,869.00	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED REM OF NAIL BED PERMANENT	$720.00	$1,200.00	$216.00–$1,200.00	40% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 WC REM OF NAIL BED PERMANENT	$720.00	$1,200.00	$216.00–$1,200.00	40% below	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED REM OF NAIL BED PERMANENT	$720.00	$1,200.00	$675.60–$1,200.00	—	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 WC REM OF NAIL BED PERMANENT	$720.00	$1,200.00	$675.60–$1,200.00	—	40%
Prostate biopsy CPT 55700 US BX PROSTAT NDL/PUNCH SGL/MX	$5,368.20	$8,947.00	$1,610.46–$8,947.00	at median	40%
Prostate biopsy CPT 55700 CT BX PROSTAT NDL/PUNCH SGL/MX	$5,368.20	$8,947.00	$1,610.46–$8,947.00	at median	40%
Prostate biopsy inpatient CPT 55700 US BX PROSTAT NDL/PUNCH SGL/MX	$5,368.20	$8,947.00	$5,037.16–$8,947.00	—	40%
Prostate biopsy inpatient CPT 55700 CT BX PROSTAT NDL/PUNCH SGL/MX	$5,368.20	$8,947.00	$5,037.16–$8,947.00	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CT DESTROY LUMB/SAC FACET JNT	$3,006.60	$5,011.00	$901.98–$5,011.00	11% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DX DESTROY LUMB/SAC FACET JNT	$3,006.60	$5,011.00	$901.98–$5,011.00	11% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 IR DESTROY LUMB/SAC FACET JNT	$3,006.60	$5,011.00	$901.98–$5,011.00	11% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DX DESTROY LUMB/SAC FACET JNT	$3,006.60	$5,011.00	$2,821.19–$5,011.00	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 IR DESTROY LUMB/SAC FACET JNT	$3,006.60	$5,011.00	$2,821.19–$5,011.00	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 CT DESTROY LUMB/SAC FACET JNT	$3,006.60	$5,011.00	$2,821.19–$5,011.00	—	40%
Removal of a foreign object under the skin, simple CPT 10120 IR I & REM FOREIGN BODY SIMPLE	$1,201.80	$2,003.00	$360.54–$2,003.00	9% above	40%
Removal of a foreign object under the skin, simple CPT 10120 ED I & REM FOREIGN BODY SIMPLE	$1,201.80	$2,003.00	$360.54–$2,003.00	9% above	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ED I & REM FOREIGN BODY SIMPLE	$1,201.80	$2,003.00	$1,127.69–$2,003.00	—	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 IR I & REM FOREIGN BODY SIMPLE	$1,201.80	$2,003.00	$1,127.69–$2,003.00	—	40%
Short arm cast (elbow to hand) CPT 29075 ED APPLY SHORT ARM CAST	$250.20	$417.00	$75.06–$417.00	60% below	40%
Short arm cast (elbow to hand) inpatient CPT 29075 ED APPLY SHORT ARM CAST	$250.20	$417.00	$234.77–$417.00	—	40%
Short arm splint (forearm and hand) CPT 29125 ED APPLY SHORT ARM SPLINT STATIC	$531.60	$886.00	$159.48–$886.00	34% above	40%
Short arm splint (forearm and hand) inpatient CPT 29125 ED APPLY SHORT ARM SPLINT STATIC	$531.60	$886.00	$498.82–$886.00	—	40%
Short leg cast (below the knee) CPT 29405 ED APPLY SHORT LEG CAST	$435.60	$726.00	$130.68–$726.00	30% below	40%
Short leg cast (below the knee) inpatient CPT 29405 ED APPLY SHORT LEG CAST	$435.60	$726.00	$408.74–$726.00	—	40%
Short leg splint (calf to foot) CPT 29515 ED APPLY SHORT LEG SPLINT	$294.60	$491.00	$88.38–$491.00	30% below	40%
Short leg splint (calf to foot) CPT 29515 WC APPLY SHORT LEG SPLINT	$294.60	$491.00	$88.38–$491.00	30% below	40%
Short leg splint (calf to foot) inpatient CPT 29515 WC APPLY SHORT LEG SPLINT	$294.60	$491.00	$276.43–$491.00	—	40%
Short leg splint (calf to foot) inpatient CPT 29515 ED APPLY SHORT LEG SPLINT	$294.60	$491.00	$276.43–$491.00	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED SIM LAC <=2.5CM BDY SLP EXT	$556.80	$928.00	$167.04–$928.00	11% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED SIM LAC <=2.5CM BDY SLP EXT	$556.80	$928.00	$522.46–$928.00	—	40%
Skin biopsy, punch, one lesion CPT 11104 ED PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$353.16–$1,962.00	37% above	40%
Skin biopsy, punch, one lesion CPT 11104 IR PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$353.16–$1,962.00	37% above	40%
Skin biopsy, punch, one lesion CPT 11104 US PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$353.16–$1,962.00	37% above	40%
Skin biopsy, punch, one lesion CPT 11104 WC PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$353.16–$1,962.00	37% above	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 US PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$1,104.61–$1,962.00	—	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 IR PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$1,104.61–$1,962.00	—	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 ED PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$1,104.61–$1,962.00	—	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 WC PUNCH BX SKIN SINGLE LESION	$1,177.20	$1,962.00	$1,104.61–$1,962.00	—	40%
Skin tag removal, up to 15 tags CPT 11200 ED REMOVAL SKIN TAG <= 15 LESN	$323.40	$539.00	$97.02–$539.00	27% below	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 ED REMOVAL SKIN TAG <= 15 LESN	$323.40	$539.00	$303.46–$539.00	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 CT LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$295.02–$1,639.00	21% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$295.02–$1,639.00	21% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 IR LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$295.02–$1,639.00	21% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$295.02–$1,639.00	21% below	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CT LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$922.76–$1,639.00	—	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 IR LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$922.76–$1,639.00	—	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$922.76–$1,639.00	—	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED LUMBAR PUNCTURE DIAGNOSTIC	$983.40	$1,639.00	$922.76–$1,639.00	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED SIM LAC 2.6-7.5CM BDY SCLP	$757.20	$1,262.00	$227.16–$1,262.00	25% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED SIM LAC 2.6-7.5CM BDY SCLP	$757.20	$1,262.00	$710.51–$1,262.00	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED SIM LAC<=2.5CM FAC EAR NOS	$696.00	$1,160.00	$208.80–$1,160.00	44% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED SIM LAC<=2.5CM FAC EAR NOS	$696.00	$1,160.00	$653.08–$1,160.00	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 IR TANGNTL BX SKIN SINGLE LESION	$942.00	$1,570.00	$282.60–$1,570.00	42% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 ED TANGNTL BX SKIN SINGLE LESION	$942.00	$1,570.00	$282.60–$1,570.00	42% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 US TANGNTL BX SKIN SINGLE LESION	$942.00	$1,570.00	$282.60–$1,570.00	42% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 WC TANGNTL BX SKIN SINGLE LES	$942.00	$1,570.00	$282.60–$1,570.00	42% above	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 US TANGNTL BX SKIN SINGLE LESION	$942.00	$1,570.00	$883.91–$1,570.00	—	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 ED TANGNTL BX SKIN SINGLE LESION	$942.00	$1,570.00	$883.91–$1,570.00	—	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 WC TANGNTL BX SKIN SINGLE LES	$942.00	$1,570.00	$883.91–$1,570.00	—	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 IR TANGNTL BX SKIN SINGLE LESION	$942.00	$1,570.00	$883.91–$1,570.00	—	40%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$304.38–$1,691.00	46% below	40%
Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$304.38–$1,691.00	46% below	40%
Thoracentesis with imaging guidance CPT 32555 DX THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$304.38–$1,691.00	46% below	40%
Thoracentesis with imaging guidance CPT 32555 IR THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$304.38–$1,691.00	46% below	40%
Thoracentesis with imaging guidance CPT 32555 CL THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$304.38–$1,691.00	46% below	40%
Thoracentesis with imaging guidance inpatient CPT 32555 DX THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$952.03–$1,691.00	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 IR THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$952.03–$1,691.00	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 CL THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$952.03–$1,691.00	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$952.03–$1,691.00	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS W/ IMAGING	$1,014.60	$1,691.00	$952.03–$1,691.00	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 CT INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$177.66–$987.00	17% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 IR INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$177.66–$987.00	17% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 US INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$177.66–$987.00	17% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 ED INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$177.66–$987.00	17% below	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IR INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$555.68–$987.00	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CT INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$555.68–$987.00	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 US INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$555.68–$987.00	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED INJ TRIGGER POINT 1-2 MUSC	$592.20	$987.00	$555.68–$987.00	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST 1ST LESION US	$994.80	$1,658.00	$298.44–$1,658.00	72% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 IR BX BREAST 1ST LESION US	$994.80	$1,658.00	$298.44–$1,658.00	72% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 MRI BX BREAST 1ST LESION US	$994.80	$1,658.00	$298.44–$1,658.00	72% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 DX BX BREAST 1ST LESION US	$994.80	$1,658.00	$298.44–$1,658.00	72% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 IR BX BREAST 1ST LESION US	$994.80	$1,658.00	$933.45–$1,658.00	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 DX BX BREAST 1ST LESION US	$994.80	$1,658.00	$933.45–$1,658.00	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 MRI BX BREAST 1ST LESION US	$994.80	$1,658.00	$933.45–$1,658.00	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BREAST 1ST LESION US	$994.80	$1,658.00	$933.45–$1,658.00	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ED EGD W BALLOON DILATION	$2,808.60	$4,681.00	$842.58–$4,681.00	at median	40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ED EGD W BALLOON DILATION	$2,808.60	$4,681.00	$2,635.40–$4,681.00	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 ED UGI DIAGNOSTIC	$2,287.80	$3,813.00	$686.34–$3,813.00	at median	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ED UGI DIAGNOSTIC	$2,287.80	$3,813.00	$2,146.72–$3,813.00	—	40%
Vein ablation, radiofrequency, first vein CPT 36475 CL RFC FIRST VEIN TREATED	$6,100.20	$10,167.00	$1,830.06–$10,167.00	at median	40%
Vein ablation, radiofrequency, first vein CPT 36475 IR RFC FIRST VEIN TREATED	$6,100.20	$10,167.00	$1,830.06–$10,167.00	at median	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 IR RFC FIRST VEIN TREATED	$6,100.20	$10,167.00	$5,724.02–$10,167.00	—	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 CL RFC FIRST VEIN TREATED	$6,100.20	$10,167.00	$5,724.02–$10,167.00	—	40%
Wart removal, up to 14 warts CPT 17110 ED DESTRUCT OF FIRST BEN LESN	$124.80	$208.00	$37.44–$208.00	59% below	40%
Wart removal, up to 14 warts inpatient CPT 17110 ED DESTRUCT OF FIRST BEN LESN	$124.80	$208.00	$117.10–$208.00	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DEB SKIN/SUBQ TISS < 21SQCM	$1,344.00	$2,240.00	$403.20–$2,240.00	20% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CL DEB SKIN/SUBQ TISS < 21SQCM	$1,344.00	$2,240.00	$403.20–$2,240.00	20% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED DEB SKIN/SUBQ TISS<21 SQCM	$1,344.00	$2,240.00	$403.20–$2,240.00	20% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC DEB SKIN/SUBQ TISS < 21SQCM	$1,344.00	$2,240.00	$1,261.12–$2,240.00	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 CL DEB SKIN/SUBQ TISS < 21SQCM	$1,344.00	$2,240.00	$1,261.12–$2,240.00	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED DEB SKIN/SUBQ TISS<21 SQCM	$1,344.00	$2,240.00	$1,261.12–$2,240.00	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ED BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$234.90–$1,305.00	29% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 CC BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$234.90–$1,305.00	29% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 NS BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$234.90–$1,305.00	29% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 DS BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$234.90–$1,305.00	29% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 RR BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$234.90–$1,305.00	29% below	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 DS BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$734.71–$1,305.00	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CC BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$734.71–$1,305.00	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 NS BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$734.71–$1,305.00	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$734.71–$1,305.00	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 RR BLOOD TRANSFUSION PER DAY	$783.00	$1,305.00	$734.71–$1,305.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AERO TX ANTIBIOTIC SUBSEQ	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AERO TX RIBOVIRAN INITIAL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT MDI TX INITIAL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CPT COUGH ASSIST TX INTL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AERO TX RIBOVIRAN SUBSQ	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AERO TX PULMOZYME SUBSEQ	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CPT COUGH ASSIST TX SUBS	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT MDI TX SUBSEQUENT	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AEROSOL GENERATOR	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT OXYHOOD	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT NEBULIZER TX INTL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT NEBULIZER TX SUBSEQUENT	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT NEBULIZER TX PEDI/NEO INTL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT NEBULIZER TX PEDI/NEO SUBSQ	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT NEBULIZER TX CPAP INTL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT NEBULIZER TX CPAP SUBSQUENT	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AERO TX ANTIBIOTIC INITIAL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AERO TX PULMOZYME INITIAL	$91.80	$153.00	$27.54–$153.00	63% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT NEBULIZER TX CPAP INTL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT NEBULIZER TX PEDI/NEO INTL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT NEBULIZER TX SUBSEQUENT	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT NEBULIZER TX INTL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT OXYHOOD	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AEROSOL GENERATOR	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AERO TX ANTIBIOTIC INITIAL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AERO TX ANTIBIOTIC SUBSEQ	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AERO TX PULMOZYME INITIAL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AERO TX PULMOZYME SUBSEQ	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AERO TX RIBOVIRAN SUBSQ	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT MDI TX INITIAL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT MDI TX SUBSEQUENT	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CPT COUGH ASSIST TX INTL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AERO TX RIBOVIRAN INITIAL	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CPT COUGH ASSIST TX SUBS	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT NEBULIZER TX CPAP SUBSQUENT	$91.80	$153.00	$86.14–$153.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT NEBULIZER TX PEDI/NEO SUBSQ	$91.80	$153.00	$86.14–$153.00	—	40%
Chemotherapy IV infusion, first hour CPT 96413 CC CHEMO IV INFUSION UP TO 1HR	$844.20	$1,407.00	$253.26–$1,407.00	13% below	40%
Chemotherapy IV infusion, first hour CPT 96413 NS CHEMO IV INFUSION UP TO 1HR	$844.20	$1,407.00	$253.26–$1,407.00	13% below	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CC CHEMO IV INFUSION UP TO 1HR	$844.20	$1,407.00	$792.14–$1,407.00	—	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 NS CHEMO IV INFUSION UP TO 1HR	$844.20	$1,407.00	$792.14–$1,407.00	—	40%
Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE > 30 MIN	$4,877.40	$8,129.00	$1,463.22–$8,129.00	at median	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL CARE > 30 MIN	$4,877.40	$8,129.00	$4,576.63–$8,129.00	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ND EEG AWAKE & DROWSY	$931.80	$1,553.00	$279.54–$1,553.00	32% below	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ND EEG AWAKE & DROWSY	$931.80	$1,553.00	$874.34–$1,553.00	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI EKG 12 LEADS OR>TRCNG ONLY	$288.00	$480.00	$86.40–$480.00	17% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI EKG 12 LEADS OR>TRCNG ONLY	$288.00	$480.00	$270.24–$480.00	—	40%
Electroconvulsive therapy (ECT), one session CPT 90870 RR ECT PROCEDURE	$1,074.00	$1,790.00	$322.20–$1,790.00	22% below	40%
Electroconvulsive therapy (ECT), one session CPT 90870 EN ECT PROCEDURE	$1,074.00	$1,790.00	$322.20–$1,790.00	22% below	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 RR ECT PROCEDURE	$1,074.00	$1,790.00	$1,007.77–$1,790.00	—	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 EN ECT PROCEDURE	$1,074.00	$1,790.00	$1,007.77–$1,790.00	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1	$528.00	$880.00	$158.40–$880.00	7% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 LWOT	$528.00	$880.00	$158.40–$880.00	7% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1	$528.00	$880.00	$495.44–$880.00	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1 LWOT	$528.00	$880.00	$495.44–$880.00	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2	$951.60	$1,586.00	$285.48–$1,586.00	5% above	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2	$951.60	$1,586.00	$892.92–$1,586.00	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3	$1,665.60	$2,776.00	$499.68–$2,776.00	7% above	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3	$1,665.60	$2,776.00	$1,562.89–$2,776.00	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4	$2,736.60	$4,561.00	$820.98–$4,561.00	13% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4	$2,736.60	$4,561.00	$2,567.84–$4,561.00	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5	$3,966.00	$6,610.00	$1,189.80–$6,610.00	24% above	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5	$3,966.00	$6,610.00	$3,721.43–$6,610.00	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CL STRESS TEST TRACING ONLY	$1,504.20	$2,507.00	$451.26–$2,507.00	at median	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM STRESS EKG TRACING ONLY	$1,504.20	$2,507.00	$451.26–$2,507.00	at median	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI STRESS TEST TRACING ONLY	$1,504.20	$2,507.00	$451.26–$2,507.00	at median	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI STRESS TEST TRACING ONLY	$1,504.20	$2,507.00	$1,411.44–$2,507.00	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CL STRESS TEST TRACING ONLY	$1,504.20	$2,507.00	$1,411.44–$2,507.00	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM STRESS EKG TRACING ONLY	$1,504.20	$2,507.00	$1,411.44–$2,507.00	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 NS IV INF HYDRATION 31-60 MIN	$511.80	$853.00	$153.54–$853.00	12% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED IV INF HYDRATION 31-60 MIN	$511.80	$853.00	$153.54–$853.00	12% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CC IV INF HYDRATION 31-60 MIN	$511.80	$853.00	$153.54–$853.00	12% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 NS IV INF HYDRATION 31-60 MIN	$511.80	$853.00	$480.24–$853.00	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED IV INF HYDRATION 31-60 MIN	$511.80	$853.00	$480.24–$853.00	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CC IV INF HYDRATION 31-60 MIN	$511.80	$853.00	$480.24–$853.00	—	40%
IV infusion of a medicine, first hour CPT 96365 CC IV THERAPY UP TO 1HR	$634.80	$1,058.00	$190.44–$1,058.00	5% below	40%
IV infusion of a medicine, first hour CPT 96365 NS IV THERAPY UP TO 1HR	$634.80	$1,058.00	$190.44–$1,058.00	5% below	40%
IV infusion of a medicine, first hour CPT 96365 ED IV THERAPY 1ST HOUR	$634.80	$1,058.00	$190.44–$1,058.00	5% below	40%
IV infusion of a medicine, first hour CPT 96365 IR IV THERAPY 1ST HOUR	$634.80	$1,058.00	$190.44–$1,058.00	5% below	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IR IV THERAPY 1ST HOUR	$634.80	$1,058.00	$595.65–$1,058.00	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 CC IV THERAPY UP TO 1HR	$634.80	$1,058.00	$595.65–$1,058.00	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 NS IV THERAPY UP TO 1HR	$634.80	$1,058.00	$595.65–$1,058.00	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 ED IV THERAPY 1ST HOUR	$634.80	$1,058.00	$595.65–$1,058.00	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CC INJECTION SQ IM	$252.00	$420.00	$75.60–$420.00	37% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CT INJECTION SQ IM	$252.00	$420.00	$75.60–$420.00	37% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM INJECTION SQ IM	$252.00	$420.00	$75.60–$420.00	37% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IR INJECTION SQ IM	$252.00	$420.00	$75.60–$420.00	37% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RR INJ TX/DX/PROPH SUBQ/IM	$252.00	$420.00	$75.60–$420.00	37% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED INJECTION SQ IM	$252.00	$420.00	$75.60–$420.00	37% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NS INJECTION SQ IM	$252.00	$420.00	$75.60–$420.00	37% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CC INJECTION SQ IM	$252.00	$420.00	$236.46–$420.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RR INJ TX/DX/PROPH SUBQ/IM	$252.00	$420.00	$236.46–$420.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IR INJECTION SQ IM	$252.00	$420.00	$236.46–$420.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM INJECTION SQ IM	$252.00	$420.00	$236.46–$420.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CT INJECTION SQ IM	$252.00	$420.00	$236.46–$420.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NS INJECTION SQ IM	$252.00	$420.00	$236.46–$420.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED INJECTION SQ IM	$252.00	$420.00	$236.46–$420.00	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 ED DIAGNOSTIC INTERVIEW EXAM	$239.40	$399.00	$71.82–$399.00	6% below	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ED DIAGNOSTIC INTERVIEW EXAM	$239.40	$399.00	$224.64–$399.00	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 ND NERVE CNDJ TEST 7-8	$1,071.00	$1,785.00	$321.30–$1,785.00	at median	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 ND NERVE CNDJ TEST 7-8	$1,071.00	$1,785.00	$1,004.96–$1,785.00	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 FN INTL NUTRITN ASESS EA 15MIN	$54.60	$91.00	$16.38–$91.00	18% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 FN INTL NUTRITN ASESS EA 15MIN	$54.60	$91.00	$51.23–$91.00	—	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NS LACTATION CONSULT	$45.60	$76.00	$13.68–$76.00	40% below	40%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 NS LACTATION CONSULT	$45.60	$76.00	$42.79–$76.00	—	40%
Spirometry (breathing test) CPT 94010 RT PFT SPIROMETRY	$267.60	$446.00	$80.28–$446.00	13% below	40%
Spirometry (breathing test) CPT 94010 NI PFT SPIROMETRY PEDI	$267.60	$446.00	$80.28–$446.00	13% below	40%
Spirometry (breathing test) inpatient CPT 94010 NI PFT SPIROMETRY PEDI	$267.60	$446.00	$251.10–$446.00	—	40%
Spirometry (breathing test) inpatient CPT 94010 RT PFT SPIROMETRY	$267.60	$446.00	$251.10–$446.00	—	40%
Spirometry before and after a bronchodilator CPT 94060 RT PFT SPIROMETRY PRE/POST	$474.60	$791.00	$142.38–$791.00	47% below	40%
Spirometry before and after a bronchodilator CPT 94060 ED PFT SPIROMETRY PRE/POST	$474.60	$791.00	$142.38–$791.00	47% below	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 ED PFT SPIROMETRY PRE/POST	$474.60	$791.00	$445.33–$791.00	—	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 RT PFT SPIROMETRY PRE/POST	$474.60	$791.00	$445.33–$791.00	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 ED PHLEBOTOMY THERAPEUTIC	$212.40	$354.00	$63.72–$354.00	31% below	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB 86	$212.40	$354.00	$63.72–$354.00	31% below	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 NS PHLEBOTOMY THERAPEUTIC	$212.40	$354.00	$63.72–$354.00	31% below	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CC PHLEBOTOMY THERAPEUTIC	$212.40	$354.00	$63.72–$354.00	31% below	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CC PHLEBOTOMY THERAPEUTIC	$212.40	$354.00	$199.30–$354.00	—	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEB 86	$212.40	$354.00	$199.30–$354.00	—	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 ED PHLEBOTOMY THERAPEUTIC	$212.40	$354.00	$199.30–$354.00	—	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 NS PHLEBOTOMY THERAPEUTIC	$212.40	$354.00	$199.30–$354.00	—	40%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 NM STRESS TEST W/S&I	$2,505.00	$4,175.00	$751.50–$4,175.00	at median	40%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 NM STRESS TEST W/S&I	$2,505.00	$4,175.00	$2,350.52–$4,175.00	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ	$284.92	$474.87	$85.48–$474.87	at median	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ	$284.92	$474.87	$267.35–$474.87	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS (6 MONTHS AND OLDER) VAX PF (FLUARIX) 0.5	$74.05	$123.41	$22.21–$123.41	at median	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS (6 MONTHS AND OLDER) VAX PF (FLUARIX) 0.5	$74.05	$123.41	$69.48–$123.41	—	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM	$943.84	$1,573.06	$283.15–$1,573.06	at median	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 2/3 DOSE IM	$943.84	$1,573.06	$885.63–$1,573.06	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE, ADULT A	$250.88	$418.13	$75.26–$418.13	at median	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE, ADULT A	$250.88	$418.13	$235.41–$418.13	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE	$174.36	$290.60	$52.31–$290.60	20% below	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE	$174.36	$290.60	$163.61–$290.60	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM	$566.77	$944.61	$170.03–$944.61	at median	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACWYD/MENACWYCRM VACC IM	$566.77	$944.61	$531.82–$944.61	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACC 2 DOSE IM	$739.08	$1,231.79	$221.72–$1,231.79	at median	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C VACC 2 DOSE IM	$739.08	$1,231.79	$693.50–$1,231.79	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$954.69	$1,591.15	$286.41–$1,591.15	at median	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM	$954.69	$1,591.15	$895.82–$1,591.15	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL-23 VACCINE >2 YO	$397.54	$662.57	$119.26–$662.57	at median	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL-23 VACCINE >2 YO	$397.54	$662.57	$373.03–$662.57	—	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$1,874.10	$3,123.50	$562.23–$3,123.50	16% above	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$1,874.10	$3,123.50	$1,758.53–$3,123.50	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPH TOX VAC > 7YO INJ	$135.67	$226.11	$40.70–$226.11	6% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPH TOX VAC > 7YO INJ	$135.67	$226.11	$127.30–$226.11	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPH-ACEL PERT VACC >7 YO	$173.84	$289.73	$52.15–$289.73	15% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPH-ACEL PERT VACC >7 YO	$173.84	$289.73	$163.12–$289.73	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VX ADMIN 1ST VACCINE	$72.00	$120.00	$21.60–$120.00	39% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED ADMIN OF VACCINE	$72.00	$120.00	$21.60–$120.00	39% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 NS ADMIN OF VACCINE	$72.00	$120.00	$21.60–$120.00	39% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CC ADMIN OF VACCINE	$72.00	$120.00	$21.60–$120.00	39% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 NS ADMIN OF VACCINE	$72.00	$120.00	$67.56–$120.00	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CC ADMIN OF VACCINE	$72.00	$120.00	$67.56–$120.00	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED ADMIN OF VACCINE	$72.00	$120.00	$67.56–$120.00	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VX ADMIN 1ST VACCINE	$72.00	$120.00	$67.56–$120.00	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CC ADMIN OF VACCINE EA ADD	$36.00	$60.00	$10.80–$60.00	68% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 NS ADMIN OF VACCINE EA ADD	$36.00	$60.00	$10.80–$60.00	68% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED ADMIN OF VACCINE EA ADD	$36.00	$60.00	$10.80–$60.00	68% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED ADMIN OF VACCINE EA ADD	$36.00	$60.00	$33.78–$60.00	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CC ADMIN OF VACCINE EA ADD	$36.00	$60.00	$33.78–$60.00	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 NS ADMIN OF VACCINE EA ADD	$36.00	$60.00	$33.78–$60.00	—	40%

Source file: https://baycare.org/-/media/project/baycare/consumer-portal/billing-and-insurance/pricing-files-compressed/475387418_bartowregionalmedicalcenter_standardcharges.zip