Hospital Visalia, CA

Kaweah Health Medical Center

Kaweah Health Medical Center in Visalia, CA publishes cash prices for 269 common procedures listed here, from its own machine-readable price file updated Jul 14, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 169 of 269 procedures and above it for 97. By typical cash price it ranks #53 of 217 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

400 W Mineral King Ave Visalia CA 93291 Collected Sep 29, 2026 Source price file (559) 624-2000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050057 · CMS hospital register NPI 1588663769

The price file shows no self-pay discount

For 1314 of the 1314 prices listed here, the cash price in Kaweah Health Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Chest X-ray, 2 views both sides CPT 71046 71046 Chest Bilat Decubitus	$87.00	$87.00	$52.20–$111.93	—	—
Chest X-ray, 2 views CPT 71046 71046 Chest Pa Lat & Oblique	$87.00	$87.00	$52.20–$111.93	79% below	—
Chest X-ray, 2 views CPT 71046 71046 Chest Lat Decubitus	$87.00	$87.00	$52.20–$111.93	79% below	—
Chest X-ray, 2 views inpatient both sides CPT 71046 71046 Chest Bilat Decubitus	$87.00	$87.00	$41.50–$87.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 71046 Chest Lat Decubitus	$87.00	$87.00	$41.50–$87.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 71046 Chest Pa Lat & Oblique	$87.00	$87.00	$41.50–$87.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Complete Echo W/ Doppler	$1,929.00	$1,929.00	$702.78–$14,573.00	28% below	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Complete Echo W/ Doppler	$1,929.00	$1,929.00	$920.13–$1,929.00	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home Sleep Test Type 3	$1,575.00	$1,575.00	$277.71–$2,279.00	105% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Home Sleep Test Type 3	$1,575.00	$1,575.00	$751.28–$1,575.00	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomography With Cpap	$5,432.00	$5,432.00	$1,073.86–$5,432.00	49% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomography With Cpap	$5,432.00	$5,432.00	$2,591.06–$5,432.00	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 Ret Cam Rop Exam	$149.00	$149.00	$75.87–$149.00	51% above	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Ret Cam Rop Exam	$149.00	$149.00	$71.07–$149.00	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Init Skul Bas Canc	$5,127.00	$5,127.00	$1,839.15–$9,567.00	29% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Sub Cance Skul Bas	$5,127.00	$5,127.00	$1,839.15–$9,567.00	29% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Skull Base Thigh Nopr Sub	$5,127.00	$5,127.00	$1,839.15–$9,567.00	29% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Skull Base Thigh Nopr Int	$5,127.00	$5,127.00	$1,839.15–$9,567.00	29% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Skull Base Thigh	$5,127.00	$5,127.00	$1,839.15–$9,567.00	29% below	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Skull Base Thigh	$5,127.00	$5,127.00	$2,445.58–$5,127.00	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Skull Base Thigh Nopr Sub	$5,127.00	$5,127.00	$2,445.58–$5,127.00	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Sub Cance Skul Bas	$5,127.00	$5,127.00	$2,445.58–$5,127.00	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Init Skul Bas Canc	$5,127.00	$5,127.00	$2,445.58–$5,127.00	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Skull Base Thigh Nopr Int	$5,127.00	$5,127.00	$2,445.58–$5,127.00	—	—
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography	$5,187.00	$5,187.00	$932.20–$5,187.00	6% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography	$5,187.00	$5,187.00	$2,474.20–$5,187.00	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress TTE Complete Tech	$1,371.00	$1,371.00	$702.78–$2,911.32	57% below	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress TTE Complete Tech	$1,371.00	$1,371.00	$653.97–$1,371.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt)-ARUP	$8.00	$8.00	$4.00–$69.93	81% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt (Alt)	$76.00	$76.00	$5.30–$76.00	76% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt)-ARUP	$8.00	$8.00	$3.82–$8.00	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt (Alt)	$76.00	$76.00	$36.25–$76.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot)-ARUP	$8.00	$8.00	$4.00–$69.12	82% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot (Ast)	$77.00	$77.00	$5.18–$77.00	70% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot)-ARUP	$8.00	$8.00	$3.82–$8.00	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot (Ast)	$77.00	$77.00	$36.73–$77.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute-ARUP	$42.00	$42.00	$21.00–$540.63	85% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel	$463.00	$463.00	$47.63–$540.63	70% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute-ARUP	$42.00	$42.00	$20.03–$42.00	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel	$463.00	$463.00	$220.85–$463.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Avocado-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Pecan Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Meadow Fescue-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bent Grass/Redtop Grass-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pineapple-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pine (Pinon) Nut-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Chicken Feather-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tuna-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insects & Venom, Cockroach, German-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Walnut Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Fus. moniliforme-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Epicoccum-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Cockroach, American-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Culitvated Oat Pollen-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Egg Cmpnts-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Latex/Cross-Reactive-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Sagebrush/Wormwood-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Russian Thistle-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Nettle-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Giant Ragweed-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Dandelion-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Hazelnut-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Eucalyptus Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Birch Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, American Beech, IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Occupational, Latex IgE Enh.-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Perennial Rye Grass-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Johnson Grass-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Cultivated Wheat Pollen-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Cultivated Corn Pollen-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Molds, A. Niger IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Watermelon IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Vanilla-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Turkey-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Sweet Potato IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Spinach-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Rye-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Raspberry IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Quinoa IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pumpkin Seed IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Poppy Seed IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Plum-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pistachio-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pecan-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pear-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Peach-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pea-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oregano IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Orange IgG-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Onion-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Hops-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Halibut-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cinnamon-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chocolate IgG-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chickpea (Garbanzo) IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chestnut-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cashew-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Canola(Rapeseed) Oil IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Buckwheat-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Broccoli-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Brazil Nut-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blackberry IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Pepper-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Olive IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beet Root IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Bay Leaf IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Basil IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Barley-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Baker's/Brewer's Yeast-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Asparagus IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Apricot-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Apple-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Anchovy IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Lamb's Quarters-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Japanese Cedar Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Alder Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Honey Bee Venom IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, June/Kentucky Blue-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Alfalfa IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, T. viride-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Phoma betae IgE-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. alternatas-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Scallop-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Red Dye-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oyster-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lobster-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lobster IgG-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Kiwi-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Food, Honeydew/Cantaloupe Melon-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Goat Milk-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clam-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blue Mussel-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Cat Dander-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Wheat-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Walnut/Black Walnut-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tomato-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Timothy Grass-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Sycamore Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Strawberry-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Soybean-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Shrimp-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Scale-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Salmon-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Potato-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pork-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Pigweed-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Drugs, Penicillin V (minor)-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Drugs, Penicillin G (major)-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Peanut-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Orange-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Olive Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Oak Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Mugwort-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Milk (Cow's)-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lime-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lemon-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Kochia/Firebush-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Hormodendrum-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Grape-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Gluten-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, False Ragweed-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, English Plantain-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Elm Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Yolk-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg White-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Whole-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Dog Dander-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. pteronyssinus-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. farinae-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crab-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Cow Hair/Dander-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Cottonwood Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Corn-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Common/Short Ragweed-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Codfish-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chocolate-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chicken-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cherry-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Carrot-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Box Elder/Maple Tree-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blueberry-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bermuda Grass-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beef-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Banana-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Almond-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, P. notatum-ARUP	$5.00	$5.00	$2.50–$211.32	40% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Bass Black IgE-ARUP	$17.00	$17.00	$5.22–$211.32	104% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Bean IgE-ARUP	$24.00	$24.00	$5.22–$211.32	188% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Oak Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Sycamore Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Pecan Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Cow Hair/Dander-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Meadow Fescue-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Strawberry-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bent Grass/Redtop Grass-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pineapple-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Soybean-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pine (Pinon) Nut-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Cottonwood Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Chicken Feather-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Shrimp-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tuna-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bermuda Grass-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insects & Venom, Cockroach, German-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Walnut Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Fus. moniliforme-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Scale-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Epicoccum-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Corn-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Cockroach, American-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Salmon-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Culitvated Oat Pollen-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, P. notatum-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Food, Egg Cmpnts-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Potato-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Latex/Cross-Reactive-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Common/Short Ragweed-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Sagebrush/Wormwood-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pork-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Russian Thistle-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beef-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Nettle-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Pigweed-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Giant Ragweed-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Codfish-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Dandelion-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Hazelnut-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Eucalyptus Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Birch Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, American Beech, IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Drugs, Penicillin V (minor)-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Occupational, Latex IgE Enh.-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Banana-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Perennial Rye Grass-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Drugs, Penicillin G (major)-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Johnson Grass-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chocolate-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Cultivated Wheat Pollen-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Peanut-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Cultivated Corn Pollen-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Molds, A. Niger IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Orange-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Watermelon IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chicken-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Vanilla-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Olive Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Turkey-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Sweet Potato IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Spinach-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cherry-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Rye-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Mugwort-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Raspberry IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Quinoa IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Milk (Cow's)-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pumpkin Seed IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Carrot-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Poppy Seed IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lime-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Plum-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pistachio-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lemon-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pecan-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pear-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Kochia/Firebush-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Peach-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pea-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Hormodendrum-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oregano IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Orange IgG-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Grape-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Onion-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Hops-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Gluten-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Halibut-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cinnamon-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, False Ragweed-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chocolate IgG-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chickpea (Garbanzo) IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chestnut-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cashew-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Canola(Rapeseed) Oil IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Buckwheat-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Broccoli-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Brazil Nut-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blackberry IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Pepper-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Olive IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beet Root IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, English Plantain-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Bay Leaf IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Basil IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Elm Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Barley-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Baker's/Brewer's Yeast-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Yolk-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Asparagus IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Box Elder/Maple Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Apricot-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Apple-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Anchovy IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Lamb's Quarters-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg White-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Japanese Cedar Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Almond-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Alder Tree-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Whole-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Honey Bee Venom IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, June/Kentucky Blue-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Dog Dander-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Alfalfa IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, T. viride-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. pteronyssinus-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Phoma betae IgE-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blueberry-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. alternatas-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. farinae-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Scallop-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Avocado-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Red Dye-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oyster-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lobster-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lobster IgG-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Kiwi-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Food, Honeydew/Cantaloupe Melon-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Goat Milk-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clam-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blue Mussel-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Cat Dander-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Wheat-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Walnut/Black Walnut-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tomato-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crab-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Timothy Grass-ARUP	$5.00	$5.00	$2.39–$5.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Bass Black IgE-ARUP	$17.00	$17.00	$8.11–$17.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Bean IgE-ARUP	$24.00	$24.00	$11.45–$24.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antibody Nuclear Ana Scrn	$187.00	$187.00	$12.09–$187.00	252% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antibody Nuclear Ana Scrn	$187.00	$187.00	$89.20–$187.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp Brain Natiuretic Pep	$289.00	$289.00	$39.26–$453.87	38% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp Brain Natiuretic Pep	$289.00	$289.00	$137.85–$289.00	—	—
Basic metabolic panel (blood test) CPT 80048 Panel Basic Metabolic Rpi	$193.00	$193.00	$8.46–$193.00	at median	—
Basic metabolic panel (blood test) CPT 80048 Panel Renal Ii & Mg	$193.00	$193.00	$8.46–$193.00	at median	—
Basic metabolic panel (blood test) inpatient CPT 80048 Panel Renal Ii & Mg	$193.00	$193.00	$92.06–$193.00	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 Panel Basic Metabolic Rpi	$193.00	$193.00	$92.06–$193.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level Iv Path	$32.00	$32.00	$16.00–$430.84	75% below	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level Iv Path	$32.00	$32.00	$15.26–$32.00	—	—
Blood culture for bacteria CPT 87040 Culture Blood Aer/Anaerob	$218.00	$218.00	$10.32–$218.00	20% below	—
Blood culture for bacteria inpatient CPT 87040 Culture Blood Aer/Anaerob	$218.00	$218.00	$103.99–$218.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipunct, Routine*	$33.00	$33.00	$9.34–$33.00	64% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture	$38.00	$38.00	$9.34–$38.00	89% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Venipunct, Routine*	$33.00	$33.00	$15.74–$33.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture	$38.00	$38.00	$18.13–$38.00	—	—
Blood glucose (sugar) test CPT 82947 Glucose, Quantitative, blood-ARUP	$7.00	$7.00	$3.50–$52.56	81% below	—
Blood glucose (sugar) test CPT 82947 Glucose Alert Panel	$64.00	$64.00	$3.93–$64.00	71% above	—
Blood glucose (sugar) test CPT 82947 Glucose Blood	$64.00	$64.00	$3.93–$64.00	71% above	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Quantitative, blood-ARUP	$7.00	$7.00	$3.34–$7.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Blood	$64.00	$64.00	$30.53–$64.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Alert Panel	$64.00	$64.00	$30.53–$64.00	—	—
Blood lead test CPT 83655 Lead Blood 20098	$7.00	$7.00	$3.50–$161.82	42% below	—
Blood lead test CPT 83655 Lead, Whole Blood Venous-ARUP	$7.00	$7.00	$3.50–$161.82	42% below	—
Blood lead test CPT 83655 Lead Urine-ARUP	$10.00	$10.00	$5.00–$161.82	17% below	—
Blood lead test inpatient CPT 83655 Lead, Whole Blood Venous-ARUP	$7.00	$7.00	$3.34–$7.00	—	—
Blood lead test inpatient CPT 83655 Lead Blood 20098	$7.00	$7.00	$3.34–$7.00	—	—
Blood lead test inpatient CPT 83655 Lead Urine-ARUP	$10.00	$10.00	$4.77–$10.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Gonadotropin Self Ref	$150.00	$150.00	$7.52–$150.00	14% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 Hcg Gonadotropin Qual	$150.00	$150.00	$7.52–$150.00	14% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 84703 Hcg Gonadotropin Qual	$150.00	$150.00	$71.55–$150.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Gonadotropin Self Ref	$150.00	$150.00	$71.55–$150.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$225.00	$225.00	$13.89–$225.00	106% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Abo	$225.00	$225.00	$107.33–$225.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$173.00	$173.00	$5.18–$173.00	149% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$173.00	$173.00	$82.52–$173.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C.Difficile Amplifi Probe	$422.00	$422.00	$37.27–$587.70	176% above	—
C. difficile toxin gene test (stool PCR) one side CPT 87493 C. difficile toxin B gene (tcdB), RT-PCR Stool-ARUP	$29.00	$29.00	$14.50–$587.70	81% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.Difficile Amplifi Probe	$422.00	$422.00	$201.29–$422.00	—	—
C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 C. difficile toxin B gene (tcdB), RT-PCR Stool-ARUP	$29.00	$29.00	$13.83–$29.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$34.00	$34.00	$17.00–$278.01	40% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9	$34.00	$34.00	$16.22–$34.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$212.00	$212.00	$20.81–$278.01	54% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125	$212.00	$212.00	$101.12–$212.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis & N. gonorrhoeae by TMA-ARUP	$20.00	$20.00	$10.00–$453.96	63% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe-ARUP	$31.00	$31.00	$15.50–$453.96	43% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydid Probe PCR	$159.00	$159.00	$35.09–$453.96	191% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis & N. gonorrhoeae by TMA-ARUP	$20.00	$20.00	$9.54–$20.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe-ARUP	$31.00	$31.00	$14.79–$31.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydid Probe PCR	$159.00	$159.00	$75.84–$159.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel-ARUP	$12.00	$12.00	$6.00–$179.01	90% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Panel Lipid	$216.00	$216.00	$13.39–$216.00	89% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel-ARUP	$12.00	$12.00	$5.72–$12.00	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Panel Lipid	$216.00	$216.00	$103.03–$216.00	—	—
Complete blood count (CBC) with differential CPT 85025 Blood Count Diff (Cbc)	$125.00	$125.00	$7.77–$125.00	13% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Diff (Cbc)	$125.00	$125.00	$59.63–$125.00	—	—
Complete blood count (CBC), no differential CPT 85027 Blood Count Auto	$116.00	$116.00	$6.47–$116.00	32% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Auto	$116.00	$116.00	$55.33–$116.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Panel Add Comp Meta	$277.00	$277.00	$10.56–$277.00	8% above	—
Comprehensive metabolic panel (blood test) CPT 80053 Panel Comp Metabolic	$277.00	$277.00	$10.56–$277.00	8% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Panel Comp Metabolic	$277.00	$277.00	$132.13–$277.00	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Panel Add Comp Meta	$277.00	$277.00	$132.13–$277.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$143.00	$143.00	$10.18–$143.00	at median	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$143.00	$143.00	$68.21–$143.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate-ARUP	$13.00	$13.00	$6.50–$297.18	87% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate-ARUP	$13.00	$13.00	$6.20–$13.00	—	—
Estradiol blood test CPT 82670 Estradiol	$228.00	$228.00	$27.94–$373.59	148% above	—
Estradiol blood test inpatient CPT 82670 Estradiol	$228.00	$228.00	$108.76–$228.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Fsh Follicle Stim Hormone	$234.00	$234.00	$18.58–$248.40	126% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh Follicle Stim Hormone	$234.00	$234.00	$111.62–$234.00	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool-ARUP	$18.00	$18.00	$9.00–$262.35	75% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool-ARUP	$18.00	$18.00	$8.59–$18.00	—	—
Ferritin blood test (iron stores) CPT 82728 Assay of Ferritin-ARUP	$10.00	$10.00	$5.00–$182.16	91% below	—
Ferritin blood test (iron stores) CPT 82728 Ferritin-Serum Ria	$196.00	$196.00	$13.63–$196.00	81% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Assay of Ferritin-ARUP	$10.00	$10.00	$4.77–$10.00	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin-Serum Ria	$196.00	$196.00	$93.49–$196.00	—	—
Folate (folic acid) blood test CPT 82746 Folic Acid	$199.00	$199.00	$14.70–$199.00	82% above	—
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid	$199.00	$199.00	$94.92–$199.00	—	—
Free T3 thyroid hormone test CPT 84481 T3 Free Triiodthronine	$224.00	$224.00	$16.94–$226.53	118% above	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free Triiodthronine	$224.00	$224.00	$106.85–$224.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Equil Dialysis-TMS-ARUP	$8.00	$8.00	$4.00–$120.51	88% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free (Ft4)	$147.00	$147.00	$9.02–$147.00	116% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Equil Dialysis-TMS-ARUP	$8.00	$8.00	$3.82–$8.00	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free (Ft4)	$147.00	$147.00	$70.12–$147.00	—	—
Free testosterone test CPT 84402 Testosterone Free by LC-MS/MS-ARUP	$13.00	$13.00	$6.50–$347.67	70% below	—
Free testosterone test inpatient CPT 84402 Testosterone Free by LC-MS/MS-ARUP	$13.00	$13.00	$6.20–$13.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Dose	$71.00	$71.00	$4.75–$71.00	44% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Dose	$71.00	$71.00	$33.87–$71.00	—	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 1st Hr	$156.00	$156.00	$12.87–$172.08	14% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 1st Hr	$156.00	$156.00	$74.41–$156.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob-ARUP	$30.00	$30.00	$15.00–$453.96	54% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae PCR	$174.00	$174.00	$35.09–$453.96	164% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob-ARUP	$30.00	$30.00	$14.31–$30.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae PCR	$174.00	$174.00	$83.00–$174.00	—	—
H. pylori antibody blood test CPT 86677 H. Pylori Antibody	$173.00	$173.00	$16.85–$199.08	52% above	—
H. pylori antibody blood test inpatient CPT 86677 H. Pylori Antibody	$173.00	$173.00	$82.52–$173.00	—	—
H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag, Stool by EIA-ARUP	$14.00	$14.00	$7.00–$213.12	83% below	—
H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag, Stool by EIA-ARUP	$14.00	$14.00	$6.68–$14.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 by Quantitative NAAT, Plasma-ARUP	$60.00	$60.00	$30.00–$929.43	46% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 PCR, Qualitative-ARUP	$76.00	$76.00	$38.00–$929.43	32% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 by Quantitative NAAT, Plasma-ARUP	$60.00	$60.00	$28.62–$60.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 PCR, Qualitative-ARUP	$76.00	$76.00	$36.25–$76.00	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 Single Result	$71.00	$71.00	$13.71–$188.91	19% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 Single Result	$71.00	$71.00	$33.87–$71.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1&Hiv-2 Ab	$108.00	$108.00	$24.08–$268.35	24% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1&Hiv-2 Ab	$108.00	$108.00	$51.52–$108.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C-ARUP	$9.00	$9.00	$4.50–$129.78	86% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C	$152.00	$152.00	$9.71–$152.00	133% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C	$152.00	$152.00	$72.50–$152.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Virus Surface Antibody-ARUP	$8.00	$8.00	$4.00–$138.87	82% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab	$113.00	$113.00	$10.74–$138.87	155% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Virus Surface Antibody-ARUP	$8.00	$8.00	$3.82–$8.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab	$113.00	$113.00	$53.90–$113.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/ Reflex to Conf-ARUP	$7.00	$7.00	$3.50–$133.56	90% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Ag (Hbsag)	$139.00	$139.00	$10.33–$139.00	94% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/ Reflex to Conf-ARUP	$7.00	$7.00	$3.34–$7.00	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Ag (Hbsag)	$139.00	$139.00	$66.30–$139.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Igg	$146.00	$146.00	$14.27–$184.68	141% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Igg	$146.00	$146.00	$69.64–$146.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV by Quantitative NAAT-ARUP	$38.00	$38.00	$19.00–$467.85	57% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus by Quantitative PCR-ARUP	$38.00	$38.00	$19.00–$467.85	57% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus by Quantitative PCR-ARUP	$38.00	$38.00	$18.13–$38.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV by Quantitative NAAT-ARUP	$38.00	$38.00	$18.13–$38.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test-ARUP	$12.00	$12.00	$6.00–$176.31	45% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 Glycoprotein G IgG Ab-ARUP	$12.00	$12.00	$6.00–$176.31	45% below	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test-ARUP	$12.00	$12.00	$5.72–$12.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 Glycoprotein G IgG Ab-ARUP	$12.00	$12.00	$5.72–$12.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 Glycoprotein G IgG Ab-ARUP	$17.00	$17.00	$8.50–$258.57	29% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IgG Inhibition, by Immunoassay-ARUP	$159.00	$159.00	$19.35–$258.57	562% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 Glycoprotein G IgG Ab-ARUP	$17.00	$17.00	$8.11–$17.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IgG Inhibition, by Immunoassay-ARUP	$159.00	$159.00	$75.84–$159.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, High Sensitivity (hsCRP)	$173.00	$173.00	$12.95–$173.00	152% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, High Sensitivity (hsCRP)	$173.00	$173.00	$82.52–$173.00	—	—
Homocysteine blood test CPT 83090 Homocysteine Total-ARUP	$15.00	$15.00	$7.50–$225.36	79% below	—
Homocysteine blood test inpatient CPT 83090 Homocysteine Total-ARUP	$15.00	$15.00	$7.16–$15.00	—	—
Insulin blood test CPT 83525 Assay of insulin-ARUP	$9.00	$9.00	$4.50–$152.82	80% below	—
Insulin blood test CPT 83525 Insulin, Fasting-ARUP	$9.00	$9.00	$4.50–$152.82	80% below	—
Insulin blood test CPT 83525 Insulin, Random-ARUP	$9.00	$9.00	$4.50–$152.82	80% below	—
Insulin blood test CPT 83525 Insulin 120 Minutes-ARUP	$9.00	$9.00	$4.50–$152.82	80% below	—
Insulin blood test CPT 83525 Total Insulin70092	$9.00	$9.00	$4.50–$152.82	80% below	—
Insulin blood test CPT 83525 Insulin 30 Minutes-ARUP	$9.00	$9.00	$4.50–$152.82	80% below	—
Insulin blood test CPT 83525 Insulin 60 Minutes-ARUP	$9.00	$9.00	$4.50–$152.82	80% below	—
Insulin blood test inpatient CPT 83525 Insulin, Fasting-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Insulin blood test inpatient CPT 83525 Insulin 60 Minutes-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Insulin blood test inpatient CPT 83525 Insulin 30 Minutes-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Insulin blood test inpatient CPT 83525 Insulin 120 Minutes-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Insulin blood test inpatient CPT 83525 Insulin, Random-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Insulin blood test inpatient CPT 83525 Total Insulin70092	$9.00	$9.00	$4.29–$9.00	—	—
Insulin blood test inpatient CPT 83525 Assay of insulin-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Iron blood test (serum iron) CPT 83540 Iron Serum	$91.00	$91.00	$6.47–$91.00	56% above	—
Iron blood test (serum iron) inpatient CPT 83540 Iron Serum	$91.00	$91.00	$43.41–$91.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$93.00	$93.00	$8.74–$95.45	26% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$93.00	$93.00	$44.36–$93.00	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$237.00	$237.00	$8.68–$237.00	67% above	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$237.00	$237.00	$113.05–$237.00	—	—
LH (luteinizing hormone) test CPT 83002 Lh Lutenizing Hormone	$268.00	$268.00	$18.52–$268.00	142% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Lh Lutenizing Hormone	$268.00	$268.00	$127.84–$268.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum/Misc Fluid	$97.00	$97.00	$6.89–$97.00	18% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Serum/Misc Fluid	$97.00	$97.00	$46.27–$97.00	—	—
Liver function blood test panel CPT 80076 Panel Hepatic Function	$318.00	$318.00	$8.17–$318.00	110% above	—
Liver function blood test panel inpatient CPT 80076 Panel Hepatic Function	$318.00	$318.00	$151.69–$318.00	—	—
Lyme disease antibody test CPT 86618 REFLEX LYME Modified 2-Tier Testing, 2nd Tier-ARUP	$25.00	$25.00	$12.50–$215.37	8% above	—
Lyme disease antibody test CPT 86618 Lyme Disease Ab Reflex IgM, IgG-ARUP	$55.00	$55.00	$17.03–$215.37	137% above	—
Lyme disease antibody test inpatient CPT 86618 REFLEX LYME Modified 2-Tier Testing, 2nd Tier-ARUP	$25.00	$25.00	$11.93–$25.00	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab Reflex IgM, IgG-ARUP	$55.00	$55.00	$26.24–$55.00	—	—
Magnesium blood test CPT 83735 Assay of magnesium-ARUP	$6.00	$6.00	$3.00–$89.01	92% below	—
Magnesium blood test CPT 83735 Magnesium Urine-ARUP	$6.00	$6.00	$3.00–$89.01	92% below	—
Magnesium blood test CPT 83735 Magnesium, RBC-ARUP	$6.00	$6.00	$3.00–$89.01	92% below	—
Magnesium blood test CPT 83735 Magnesium Blood Chemical	$123.00	$123.00	$6.70–$123.00	55% above	—
Magnesium blood test inpatient CPT 83735 Assay of magnesium-ARUP	$6.00	$6.00	$2.86–$6.00	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Urine-ARUP	$6.00	$6.00	$2.86–$6.00	—	—
Magnesium blood test inpatient CPT 83735 Magnesium, RBC-ARUP	$6.00	$6.00	$2.86–$6.00	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Blood Chemical	$123.00	$123.00	$58.67–$123.00	—	—
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) IgM Ab-ARUP	$11.00	$11.00	$5.50–$172.26	67% below	—
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) IgM Ab CSF-ARUP	$11.00	$11.00	$5.50–$172.26	67% below	—
Measles (rubeola) antibody test CPT 86765 Rubeola antibody-ARUP	$11.00	$11.00	$5.50–$172.26	67% below	—
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) IgG Ab CSF-ARUP	$11.00	$11.00	$5.50–$172.26	67% below	—
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) IgG Antibody-ARUP	$11.00	$11.00	$5.50–$172.26	67% below	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) IgG Ab CSF-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) IgM Ab-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) IgG Antibody-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) IgM Ab CSF-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Obstetric blood test panel CPT 80055 Panel Obstetric	$362.00	$362.00	$47.81–$522.24	58% above	—
Obstetric blood test panel inpatient CPT 80055 Panel Obstetric	$362.00	$362.00	$172.67–$362.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free Only80207	$12.00	$12.00	$6.00–$244.80	79% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free Only80207	$12.00	$12.00	$5.72–$12.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen-ARUP	$16.00	$16.00	$8.00–$245.88	73% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultra Sensitive-ARUP	$16.00	$16.00	$8.00–$245.88	73% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Screening	$228.00	$228.00	$18.39–$245.88	281% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Psa	$228.00	$228.00	$18.39–$245.88	281% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen-ARUP	$16.00	$16.00	$7.63–$16.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultra Sensitive-ARUP	$16.00	$16.00	$7.63–$16.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Psa	$228.00	$228.00	$108.76–$228.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Screening	$228.00	$228.00	$108.76–$228.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Intactparathyroid Hormone	$107.00	$107.00	$41.28–$551.79	3% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Intactparathyroid Hormone	$107.00	$107.00	$51.04–$107.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Part	$110.00	$110.00	$6.01–$110.00	51% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Part	$110.00	$110.00	$52.47–$110.00	—	—
Progesterone blood test CPT 84144 Progesterone Quant-ARUP	$18.00	$18.00	$9.00–$278.91	81% below	—
Progesterone blood test CPT 84144 Assay of Progesterone	$64.00	$64.00	$20.86–$278.91	31% below	—
Progesterone blood test inpatient CPT 84144 Progesterone Quant-ARUP	$18.00	$18.00	$8.59–$18.00	—	—
Progesterone blood test inpatient CPT 84144 Assay of Progesterone	$64.00	$64.00	$30.53–$64.00	—	—
Prolactin blood test CPT 84146 Prolactin	$252.00	$252.00	$19.38–$259.02	135% above	—
Prolactin blood test inpatient CPT 84146 Prolactin	$252.00	$252.00	$120.20–$252.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$77.00	$77.00	$4.29–$77.00	17% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$77.00	$77.00	$36.73–$77.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 80305 Drug Screening Qual Urine (Occ Med)	$50.00	$50.00	$12.60–$160.97	41% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 80305 Drug Screening Qual Urine (Occ Med)	$50.00	$50.00	$23.85–$50.00	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Body Fluid-ARUP	$11.00	$11.00	$5.50–$74.70	17% below	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Ra Quan	$70.00	$70.00	$5.67–$74.70	430% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Body Fluid-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Ra Quan	$70.00	$70.00	$33.39–$70.00	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Ab Igg50771 (3)	$11.00	$11.00	$5.50–$191.79	82% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella IgM Antibody-ARUP	$11.00	$11.00	$5.50–$191.79	82% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Ab Igm50551 (2)	$11.00	$11.00	$5.50–$191.79	82% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody-ARUP	$11.00	$11.00	$5.50–$191.79	82% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella	$148.00	$148.00	$14.39–$191.79	143% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab Igg50771 (3)	$11.00	$11.00	$5.25–$11.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab Igm50551 (2)	$11.00	$11.00	$5.25–$11.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgM Antibody-ARUP	$11.00	$11.00	$5.25–$11.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$148.00	$148.00	$70.60–$148.00	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Complete	$217.00	$217.00	$12.31–$217.00	56% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis Complete	$217.00	$217.00	$103.51–$217.00	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 Occult Blood Feces Colorectal Screening	$13.00	$13.00	$4.38–$35.53	67% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces Colorectal Screening	$52.00	$52.00	$4.38–$52.00	33% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 Occult Blood Feces Colorectal Screening	$13.00	$13.00	$6.20–$13.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces Colorectal Screening	$52.00	$52.00	$24.80–$52.00	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood by Immunoassay-ARUP	$14.00	$14.00	$7.00–$173.71	64% below	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Immunochemical Test (FIT)	$50.00	$50.00	$11.81–$173.71	28% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood by Immunoassay-ARUP	$14.00	$14.00	$6.68–$14.00	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Immunochemical Test (FIT)	$50.00	$50.00	$23.85–$50.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL with Reflex to Titer CSF-ARUP	$4.00	$4.00	$2.00–$57.06	83% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Qual	$63.00	$63.00	$4.27–$63.00	173% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL with Reflex to Titer CSF-ARUP	$4.00	$4.00	$1.91–$4.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr Qual	$63.00	$63.00	$30.05–$63.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus-ARUP	$54.00	$54.00	$27.00–$810.45	44% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantferon Tb Test Confir	$54.00	$54.00	$27.00–$810.45	44% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 QuantiFeron Gold (Occ Med)	$155.00	$155.00	$61.98–$810.45	60% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus	$160.00	$160.00	$61.98–$810.45	65% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus-ARUP	$54.00	$54.00	$25.76–$54.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantferon Tb Test Confir	$54.00	$54.00	$25.76–$54.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 86480 QuantiFeron Gold (Occ Med)	$155.00	$155.00	$73.94–$155.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus	$160.00	$160.00	$76.32–$160.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone-ARUP	$10.00	$10.00	$5.00–$345.06	80% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone by Mass Spec-ARUP	$13.00	$13.00	$6.50–$345.06	74% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone 70130	$23.00	$23.00	$11.50–$345.06	53% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$42.00	$42.00	$21.00–$345.06	15% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone-ARUP	$10.00	$10.00	$4.77–$10.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone by Mass Spec-ARUP	$13.00	$13.00	$6.20–$13.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone 70130	$23.00	$23.00	$10.97–$23.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$42.00	$42.00	$20.03–$42.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Antibody-ARUP	$9.00	$9.00	$4.50–$195.75	61% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsome IgG Abs-ARUP	$13.00	$13.00	$6.50–$195.75	43% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each-ARUP	$13.00	$13.00	$6.50–$195.75	43% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsome-1 IgG Antibody-ARUP	$13.00	$13.00	$6.50–$195.75	43% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Thyroid Peroxidase (aTPO)	$45.00	$45.00	$14.55–$195.75	97% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Antibody-ARUP	$9.00	$9.00	$4.29–$9.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsome-1 IgG Antibody-ARUP	$13.00	$13.00	$6.20–$13.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsome IgG Abs-ARUP	$13.00	$13.00	$6.20–$13.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each-ARUP	$13.00	$13.00	$6.20–$13.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-Thyroid Peroxidase (aTPO)	$45.00	$45.00	$21.46–$45.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stim Hormone	$14.00	$14.00	$7.00–$224.64	87% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stim Hormone Tsh	$195.00	$195.00	$16.80–$224.64	79% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stim Hormone	$14.00	$14.00	$6.68–$14.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stim Hormone Tsh	$195.00	$195.00	$93.02–$195.00	—	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vag	$155.00	$155.00	$35.09–$383.32	55% above	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis	$155.00	$155.00	$35.09–$383.32	55% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vag	$155.00	$155.00	$73.94–$155.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis	$155.00	$155.00	$73.94–$155.00	—	—
Uric acid blood test CPT 84550 Uric Acid Blood Chemical	$68.00	$68.00	$4.52–$68.00	3% above	—
Uric acid blood test inpatient CPT 84550 Uric Acid Blood Chemical	$68.00	$68.00	$32.44–$68.00	—	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Complete	$70.00	$70.00	$3.17–$70.00	16% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Complete	$70.00	$70.00	$33.39–$70.00	—	—
Urine culture for bacteria, with colony count CPT 87086 Culture&Colony Count Urin	$165.00	$165.00	$8.07–$165.00	18% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture&Colony Count Urin	$165.00	$165.00	$78.71–$165.00	—	—
Urine pregnancy test, read by color change CPT 81025 81025 Urine Pregnancy Test	$56.00	$56.00	$8.61–$69.09	36% below	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy (Hcg)	$119.00	$119.00	$8.61–$119.00	35% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 81025 Urine Pregnancy Test	$56.00	$56.00	$26.71–$56.00	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy (Hcg)	$119.00	$119.00	$56.76–$119.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$192.00	$192.00	$15.08–$201.51	106% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$192.00	$192.00	$91.58–$192.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D2 and D3 Level-ARUP	$25.00	$25.00	$12.50–$395.73	61% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$139.00	$139.00	$29.60–$395.73	117% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D2 and D3 Level-ARUP	$25.00	$25.00	$11.93–$25.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$139.00	$139.00	$66.30–$139.00	—	—
Zinc blood test CPT 84630 Zinc Level-ARUP	$10.00	$10.00	$5.00–$152.28	28% below	—
Zinc blood test CPT 84630 Zinc Timed Urine-ARUP	$10.00	$10.00	$5.00–$152.28	28% below	—
Zinc blood test inpatient CPT 84630 Zinc Level-ARUP	$10.00	$10.00	$4.77–$10.00	—	—
Zinc blood test inpatient CPT 84630 Zinc Timed Urine-ARUP	$10.00	$10.00	$4.77–$10.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Conadotropin Quant	$273.00	$273.00	$15.05–$273.00	52% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Conadotropin Quant	$273.00	$273.00	$130.22–$273.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 Spinfuscerv Below C2	$3,248.00	$3,248.00	$1,948.80–$3,248.00	67% below	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 Neck Spine F&R Bel C2 Pro	$3,248.00	$3,248.00	$1,948.80–$3,248.00	67% below	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 22551 Neck Spine F&R Bel C2 Pro	$3,248.00	$3,248.00	$1,549.30–$3,248.00	—	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 22551 Spinfuscerv Below C2	$3,248.00	$3,248.00	$1,549.30–$3,248.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 Bx Breast 1St Lesion Strtctc	$1,001.00	$1,001.00	$600.60–$2,124.23	77% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1St Lesion Strt	$6,214.00	$6,214.00	$2,124.23–$8,800.00	43% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 19081 Bx Breast 1St Lesion Strtctc	$1,001.00	$1,001.00	$477.48–$1,001.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1St Lesion Strt	$6,214.00	$6,214.00	$2,964.08–$6,214.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Treat Of Distal Fib Fract W/O Manip	$605.00	$605.00	$317.26–$605.00	13% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 Treat Of Distal Fib Fract W/O Manip	$605.00	$605.00	$288.59–$605.00	—	—
Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Artery/Ventri Angio	$17,700.00	$17,700.00	$4,169.67–$17,700.00	37% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L Hrt Artery/Ventri Angio	$17,700.00	$17,700.00	$8,442.90–$17,700.00	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Ccl/Cardioversion Pro	$211.00	$211.00	$126.60–$850.08	89% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Ccl/Cardioversion	$1,636.00	$1,636.00	$850.08–$14,573.00	13% below	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 Ccl/Cardioversion Pro	$211.00	$211.00	$100.65–$211.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Ccl/Cardioversion	$1,636.00	$1,636.00	$780.37–$1,636.00	—	—
Catheter ablation for atrial fibrillation CPT 93656 Icc Ablat For Afib	$61,331.00	$61,331.00	$7,047.20–$61,331.00	83% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 Icc Ablat For Afib	$61,331.00	$61,331.00	$29,254.89–$61,331.00	—	—
Cervical biopsy CPT 57500 57500 Biopsy Of Cervix	$147.00	$147.00	$35.00–$1,184.62	91% below	—
Cervical biopsy CPT 57500 Biopsy Of Cervix	$2,177.00	$2,177.00	$35.00–$2,177.00	37% above	—
Cervical biopsy inpatient CPT 57500 57500 Biopsy Of Cervix	$147.00	$147.00	$70.12–$147.00	—	—
Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix	$2,177.00	$2,177.00	$1,038.43–$2,177.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 Circum 28 Days Or Older	$391.00	$391.00	$236.95–$2,688.58	89% below	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 Days Or Older	$5,121.00	$5,121.00	$2,129.00–$7,521.00	39% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 54161 Circum 28 Days Or Older	$391.00	$391.00	$186.51–$391.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 Days Or Older	$5,121.00	$5,121.00	$2,442.72–$5,121.00	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 Circumcis W/Regnl Blk	$185.00	$185.00	$35.00–$2,688.58	82% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Regnl Blk	$4,852.00	$4,852.00	$35.00–$4,852.00	368% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 Circumcis W/Regnl Blk	$185.00	$185.00	$88.25–$185.00	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Regnl Blk	$4,852.00	$4,852.00	$2,314.40–$4,852.00	—	—
Circumcision, surgical, older than a newborn CPT 54160 54160 Circumcis Neo<=28 Day	$286.00	$286.00	$35.00–$896.84	30% below	—
Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neo<=28 Days	$1,627.00	$1,627.00	$35.00–$1,627.00	300% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 54160 Circumcis Neo<=28 Day	$286.00	$286.00	$136.42–$286.00	—	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neo<=28 Days	$1,627.00	$1,627.00	$776.08–$1,627.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Tx Distal Radial Fx	$600.00	$600.00	$240.00–$600.00	3% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$698.00	$698.00	$317.26–$698.00	19% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Tx Distal Radial Fx	$600.00	$600.00	$286.20–$600.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$698.00	$698.00	$332.95–$698.00	—	—
Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy W/Endo Us	$4,052.00	$4,052.00	$1,539.08–$5,200.00	77% above	—
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy W/Endo Us	$4,052.00	$4,052.00	$1,932.80–$4,052.00	—	—
Colonoscopy with polyp removal CPT 45385 Colonoscopy W/Rem Snare	$3,039.00	$3,039.00	$1,200.00–$4,948.00	33% above	—
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy W/Rem Snare	$3,039.00	$3,039.00	$1,449.60–$3,039.00	—	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/ Bx	$3,039.00	$3,039.00	$1,200.00–$4,948.00	46% above	—
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/ Bx	$3,039.00	$3,039.00	$1,449.60–$3,039.00	—	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy Dx	$3,039.00	$3,039.00	$1,196.08–$4,948.00	46% above	—
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Dx	$3,039.00	$3,039.00	$1,449.60–$3,039.00	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$309.00	$309.00	$185.40–$4,163.48	93% below	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$9,765.00	$9,765.00	$35.00–$9,765.00	110% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$309.00	$309.00	$147.39–$309.00	—	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$9,765.00	$9,765.00	$4,657.91–$9,765.00	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$259.00	$259.00	$35.00–$391.93	73% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colp Cervix W Bx & Curett	$760.00	$760.00	$35.00–$760.00	20% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$259.00	$259.00	$123.54–$259.00	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colp Cervix W Bx & Curett	$760.00	$760.00	$362.52–$760.00	—	—
Coronary stent placement, one artery CPT 92928 Pci Des Stnt W/Ptca Sgl	$28,351.00	$28,351.00	$3,974.00–$29,641.00	90% above	—
Coronary stent placement, one artery CPT 92928 Pci Stnt W/Ptca 1 Vsl	$28,351.00	$28,351.00	$3,974.00–$29,641.00	90% above	—
Coronary stent placement, one artery inpatient CPT 92928 Pci Des Stnt W/Ptca Sgl	$28,351.00	$28,351.00	$13,523.43–$28,351.00	—	—
Coronary stent placement, one artery inpatient CPT 92928 Pci Stnt W/Ptca 1 Vsl	$28,351.00	$28,351.00	$13,523.43–$28,351.00	—	—
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy, W/ Insertion Of Indwelling Stent	$8,622.00	$8,622.00	$2,129.00–$13,828.00	47% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy, W/ Insertion Of Indwelling Stent	$8,622.00	$8,622.00	$4,112.69–$8,622.00	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystourethroscopy	$155.00	$155.00	$114.86–$13,828.00	90% below	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$1,669.00	$1,669.00	$896.84–$13,828.00	3% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Cystourethroscopy	$155.00	$155.00	$73.94–$155.00	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$1,669.00	$1,669.00	$796.11–$1,669.00	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 Dilation and Curettage, Nonobstetrical	$459.00	$459.00	$35.00–$4,163.48	89% below	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and Curettage, Nonobstetrical	$7,447.00	$7,447.00	$35.00–$7,447.00	76% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 Dilation and Curettage, Nonobstetrical	$459.00	$459.00	$218.94–$459.00	—	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and Curettage, Nonobstetrical	$7,447.00	$7,447.00	$3,552.22–$7,447.00	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destroy Benign/Premlg Lesion	$113.00	$113.00	$35.00–$258.05	65% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Lesion Destruction-1St	$497.00	$497.00	$240.00–$497.00	55% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destroy Benign/Premlg Lesion	$113.00	$113.00	$53.90–$113.00	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Lesion Destruction-1St	$497.00	$497.00	$237.07–$497.00	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rem Impacted Ear Wax Uni	$33.00	$33.00	$19.80–$75.87	81% below	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Impacted Ear Wax Uni	$149.00	$149.00	$75.87–$278.00	16% below	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rem Impacted Ear Wax Uni	$33.00	$33.00	$15.74–$33.00	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rem Impacted Ear Wax Uni	$149.00	$149.00	$71.07–$149.00	—	—
Earwax removal with instruments, one ear CPT 69210 69210 Rem Impacted Ear Wax Pro	$62.00	$62.00	$37.20–$75.87	65% below	—
Earwax removal with instruments, one ear CPT 69210 69210 Remove Impacted Ear Wax Using Instrumentation	$62.00	$62.00	$35.00–$75.87	65% below	—
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax	$149.00	$149.00	$75.87–$278.00	15% below	—
Earwax removal with instruments, one ear inpatient CPT 69210 69210 Rem Impacted Ear Wax Pro	$62.00	$62.00	$29.57–$62.00	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 69210 Remove Impacted Ear Wax Using Instrumentation	$62.00	$62.00	$29.57–$62.00	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax	$149.00	$149.00	$71.07–$149.00	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Biopsy Of Uterus Lining	$121.00	$121.00	$35.00–$260.03	78% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometral Bx Wo Cerv Dil	$503.00	$503.00	$35.00–$503.00	8% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Biopsy Of Uterus Lining	$121.00	$121.00	$57.72–$121.00	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometral Bx Wo Cerv Dil	$503.00	$503.00	$239.93–$503.00	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 Njx Interlaminar Crv/Thrc	$211.00	$211.00	$126.60–$907.88	89% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX Interlaminar Crv/Thrc	$1,731.00	$1,731.00	$907.88–$6,700.00	11% below	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 Njx Interlaminar Crv/Thrc	$211.00	$211.00	$100.65–$211.00	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX Interlaminar Crv/Thrc	$1,731.00	$1,731.00	$825.69–$1,731.00	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 Inj Paravert F Jnt L/S 1 Lev	$180.00	$180.00	$108.00–$1,137.58	91% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet Jt Lu/Sa 1 Lev	$2,226.00	$2,226.00	$1,137.58–$5,200.00	8% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 Inj Paravert F Jnt L/S 1 Lev	$180.00	$180.00	$85.86–$180.00	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Facet Jt Lu/Sa 1 Lev	$2,226.00	$2,226.00	$1,061.80–$2,226.00	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 Rpr AA Hernia 1st Less Than 3cm Reducible	$648.00	$648.00	$388.80–$4,604.99	86% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 Rpr AA Hernia 1st Less Than 3cm Reducible	$648.00	$648.00	$309.10–$648.00	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Dx	$3,039.00	$3,039.00	$1,196.08–$8,200.00	88% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Dx	$3,039.00	$3,039.00	$1,449.60–$3,039.00	—	—
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132 Conv Prev Hip Total Hip Arthrp W/WO Agrft/Algrft	$3,262.00	$3,262.00	$1,957.20–$3,262.00	31% below	—
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 27132 Conv Prev Hip Total Hip Arthrp W/WO Agrft/Algrft	$3,262.00	$3,262.00	$1,555.97–$3,262.00	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 58150 Total Abdominal Hysterectomy W/WO Rmvl Tube Ovary	$1,982.00	$1,982.00	$1,189.20–$1,982.00	24% below	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 58150 Total Abdominal Hysterectomy W/WO Rmvl Tube Ovary	$1,982.00	$1,982.00	$945.41–$1,982.00	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 Catheter For Hysterography	$484.00	$484.00	$290.40–$484.00	25% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath Hysterosalpingogram	$627.00	$627.00	$379.96–$6,700.00	2% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 Catheter For Hysterography	$484.00	$484.00	$230.87–$484.00	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath Hysterosalpingogram	$627.00	$627.00	$299.08–$627.00	—	—
Hysteroscopy with endometrial ablation CPT 58563 58563 Hysteroscopy Endometrial Ablation	$472.00	$472.00	$283.20–$6,433.99	93% below	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 58563 Hysteroscopy Endometrial Ablation	$472.00	$472.00	$225.14–$472.00	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 Hysteroscopy BX Endometrium & Polypc W/WO D&C	$445.00	$445.00	$267.00–$4,163.48	94% below	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy BX Endometrium & Polypc W/WO D&C	$10,100.00	$10,100.00	$35.00–$10,100.00	43% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 Hysteroscopy BX Endometrium & Polypc W/WO D&C	$445.00	$445.00	$212.27–$445.00	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy BX Endometrium & Polypc W/WO D&C	$10,100.00	$10,100.00	$4,817.70–$10,100.00	—	—
IUD insertion (the device itself billed separately) CPT 58300 58300 Insert Iud W/ Device	$209.00	$209.00	$35.00–$209.00	64% below	—
IUD insertion (the device itself billed separately) CPT 58300 Iud Insertion	$212.00	$212.00	$43.32–$278.00	64% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insert Iud W/ Device	$209.00	$209.00	$99.69–$209.00	—	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Iud Insertion	$212.00	$212.00	$101.12–$212.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Drainage Of Skin Abscess	$218.00	$218.00	$35.00–$258.05	53% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D Abcess Pro	$218.00	$218.00	$130.80–$258.05	53% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abcess	$497.00	$497.00	$240.00–$497.00	6% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I & D Abcess Pro	$218.00	$218.00	$103.99–$218.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 Drainage Of Skin Abscess	$218.00	$218.00	$103.99–$218.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Abcess	$497.00	$497.00	$237.07–$497.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Inj Tendon Sheath/Ligament	$75.00	$75.00	$35.00–$394.79	89% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Trigger Point Injection	$738.00	$738.00	$240.00–$738.00	12% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Inj Tendon Sheath/Ligament	$75.00	$75.00	$35.78–$75.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Trigger Point Injection	$738.00	$738.00	$352.03–$738.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Drain/Inject, Joint/Bursa	$88.00	$88.00	$35.00–$394.79	91% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Drain/Inject, Joint/Bursa (IP Only)	$88.00	$88.00	$52.80–$394.79	91% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj/Asp Large Joint	$738.00	$738.00	$240.00–$738.00	22% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Lg Joint	$738.00	$738.00	$394.79–$4,921.00	22% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Drain/Inject, Joint/Bursa (IP Only)	$88.00	$88.00	$41.98–$88.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Drain/Inject, Joint/Bursa	$88.00	$88.00	$41.98–$88.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Lg Joint	$738.00	$738.00	$352.03–$738.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Inj/Asp Large Joint	$738.00	$738.00	$352.03–$738.00	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device	$121.00	$121.00	$35.00–$171.12	57% below	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant	$322.00	$322.00	$35.00–$322.00	13% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device	$121.00	$121.00	$57.72–$121.00	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant	$322.00	$322.00	$153.59–$322.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Drain/Inject, Joint/Bursa	$72.00	$72.00	$35.00–$394.79	88% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj/Asp Intermed Joint	$738.00	$738.00	$240.00–$738.00	21% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Md Joint	$738.00	$738.00	$394.79–$6,700.00	21% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Drain/Inject, Joint/Bursa	$72.00	$72.00	$34.34–$72.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Md Joint	$738.00	$738.00	$352.03–$738.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inj/Asp Intermed Joint	$738.00	$738.00	$352.03–$738.00	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Drain/Inject, Joint/Bursa	$70.00	$70.00	$35.00–$394.79	90% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Sm. Joint	$738.00	$738.00	$394.79–$6,700.00	1% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Inj/Asp Small Joint	$738.00	$738.00	$240.00–$738.00	1% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Drain/Inject, Joint/Bursa	$70.00	$70.00	$33.39–$70.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Sm. Joint	$738.00	$738.00	$352.03–$738.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Inj/Asp Small Joint	$738.00	$738.00	$352.03–$738.00	—	—
Knee arthroscopy with meniscus trim CPT 29881 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$1,093.00	$1,093.00	$655.80–$4,208.34	79% below	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$1,093.00	$1,093.00	$521.36–$1,093.00	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving	$1,132.00	$1,132.00	$679.20–$4,208.34	73% below	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving	$1,132.00	$1,132.00	$539.96–$1,132.00	—	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm or Less	$1,578.00	$1,578.00	$946.80–$13,671.74	91% below	—
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm or Less	$1,578.00	$1,578.00	$752.71–$1,578.00	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$1,774.00	$1,774.00	$1,064.40–$13,671.74	87% below	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$1,774.00	$1,774.00	$846.20–$1,774.00	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$847.00	$847.00	$508.20–$13,071.00	95% below	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$847.00	$847.00	$404.02–$847.00	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 Laparoscopy W/Rmvl Adnexal Structures	$1,266.00	$1,266.00	$759.60–$13,071.00	86% below	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 Laparoscopy W/Rmvl Adnexal Structures	$1,266.00	$1,266.00	$603.88–$1,266.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Int Wnd Rep S/A/T 2.5< Pro	$305.00	$305.00	$35.00–$522.85	65% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Int Wnd Repair S/A/T/E To 2.5 Cm	$999.00	$999.00	$240.00–$999.00	15% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Int Wnd Rep S/A/T 2.5< Pro	$305.00	$305.00	$145.49–$305.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Int Wnd Repair S/A/T/E To 2.5 Cm	$999.00	$999.00	$476.52–$999.00	—	—
Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclgr	$17,700.00	$17,700.00	$4,169.67–$17,700.00	79% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclgr	$17,700.00	$17,700.00	$8,442.90–$17,700.00	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 62323 Njx Interlaminar Lmbr/Sac	$524.00	$524.00	$314.40–$907.88	76% below	—
Lower-back epidural injection, with imaging guidance CPT 62323 Epidural Steroid Injection	$1,731.00	$1,731.00	$907.88–$6,700.00	22% below	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 Njx Interlaminar Lmbr/Sac	$524.00	$524.00	$249.95–$524.00	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Epidural Steroid Injection	$1,731.00	$1,731.00	$825.69–$1,731.00	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 62322 Insertion Intrathecal Cath	$152.00	$152.00	$91.20–$1,137.58	91% below	—
Lower-back epidural injection, without imaging guidance CPT 62322 Non-Neurolytic Ls Sp	$2,226.00	$2,226.00	$1,137.58–$6,700.00	32% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 Insertion Intrathecal Cath	$152.00	$152.00	$72.50–$152.00	—	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Non-Neurolytic Ls Sp	$2,226.00	$2,226.00	$1,061.80–$2,226.00	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 Njx Aa&/Strd Tfrm Epi L/S 1	$220.00	$220.00	$132.00–$1,137.58	89% below	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Nervrtblk Lumbar One	$2,226.00	$2,226.00	$1,137.58–$5,200.00	15% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 Njx Aa&/Strd Tfrm Epi L/S 1	$220.00	$220.00	$104.94–$220.00	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Nervrtblk Lumbar One	$2,226.00	$2,226.00	$1,061.80–$2,226.00	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 Low Back Disk Surg	$1,790.00	$1,790.00	$1,074.00–$9,332.70	78% below	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 63030 Low Back Disk Surg	$1,790.00	$1,790.00	$853.83–$1,790.00	—	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 Removal of Spinal Lamina Sgl Lumbar	$2,147.00	$2,147.00	$1,288.20–$9,332.70	77% below	—
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 63047 Removal of Spinal Lamina Sgl Lumbar	$2,147.00	$2,147.00	$1,024.12–$2,147.00	—	—
Lumbar spinal fusion (posterior), one level CPT 22612 22612 Lumbar Spine Fusion Pro	$3,047.00	$3,047.00	$1,828.20–$3,047.00	83% below	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 22612 Lumbar Spine Fusion Pro	$3,047.00	$3,047.00	$1,453.42–$3,047.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Bn Les T/A/L 0.5 Pro	$173.00	$173.00	$35.00–$910.78	87% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les T/A/L 0.5Cm/<	$1,759.00	$1,759.00	$35.00–$1,759.00	33% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Bn Les T/A/L 0.5 Pro	$173.00	$173.00	$82.52–$173.00	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Ben Les T/A/L 0.5Cm/<	$1,759.00	$1,759.00	$839.04–$1,759.00	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Bl Face Marg 0.5 Pro	$221.00	$221.00	$35.00–$910.78	85% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Bles Face Marg 0.5Cm<	$1,759.00	$1,759.00	$35.00–$1,759.00	19% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exc Bl Face Marg 0.5 Pro	$221.00	$221.00	$105.42–$221.00	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Bles Face Marg 0.5Cm<	$1,759.00	$1,759.00	$839.04–$1,759.00	—	—
Nail removal (partial or complete), one nail CPT 11730 11730 Removal Of Nail Plate	$106.00	$106.00	$35.00–$258.05	78% below	—
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Pro	$106.00	$106.00	$63.60–$258.05	78% below	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate	$497.00	$497.00	$240.00–$497.00	3% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion Nail Plate Pro	$106.00	$106.00	$50.56–$106.00	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Removal Of Nail Plate	$106.00	$106.00	$50.56–$106.00	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Of Nail Plate	$497.00	$497.00	$237.07–$497.00	—	—
Occipital nerve block (injection for headaches) CPT 64405 64405 Inj Anes Grtr Occ Nrv	$100.00	$100.00	$60.00–$394.79	89% below	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Inj Anes Grtr Occ Nrv	$100.00	$100.00	$47.70–$100.00	—	—
Pacemaker implant (dual chamber) CPT 33208 Pacer/Insert Gen/Dual Lea	$28,165.00	$28,165.00	$3,135.00–$28,165.00	69% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Pacer/Insert Gen/Dual Lea	$28,165.00	$28,165.00	$13,434.71–$28,165.00	—	—
Paracentesis with imaging guidance CPT 49083 49083 Abd Paracentesis W/Imaging	$589.00	$589.00	$353.40–$1,166.53	68% below	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imag	$2,344.00	$2,344.00	$1,166.53–$2,344.00	28% above	—
Paracentesis with imaging guidance CPT 49083 Paracentesis Therapeutic	$2,344.00	$2,344.00	$1,166.53–$6,700.00	28% above	—
Paracentesis with imaging guidance CPT 49083 Paracentesis Diagnostic	$2,344.00	$2,344.00	$326.00–$2,344.00	28% above	—
Paracentesis with imaging guidance inpatient CPT 49083 49083 Abd Paracentesis W/Imaging	$589.00	$589.00	$280.95–$589.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis Diagnostic	$2,344.00	$2,344.00	$1,118.09–$2,344.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis Therapeutic	$2,344.00	$2,344.00	$1,118.09–$2,344.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imag	$2,344.00	$2,344.00	$1,118.09–$2,344.00	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Removal Of Nail Bed	$205.00	$205.00	$35.00–$522.85	84% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excise Nail W/ Matrix	$999.00	$999.00	$240.00–$999.00	23% below	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Removal Of Nail Bed	$205.00	$205.00	$97.79–$205.00	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excise Nail W/ Matrix	$999.00	$999.00	$476.52–$999.00	—	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 Laps Surg Prst8Ect Rpbic Rad	$2,319.00	$2,319.00	$1,391.40–$13,671.74	94% below	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparo Radical Prostatectomy	$26,028.00	$26,028.00	$2,360.64–$26,028.00	32% below	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 Laps Surg Prst8Ect Rpbic Rad	$2,319.00	$2,319.00	$1,106.16–$2,319.00	—	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laparo Radical Prostatectomy	$26,028.00	$26,028.00	$12,415.36–$26,028.00	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 Destroy Lumb/Sac Facet Jnt	$381.00	$381.00	$228.60–$2,511.53	89% below	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$4,882.00	$4,882.00	$2,511.53–$7,521.00	42% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 Destroy Lumb/Sac Facet Jnt	$381.00	$381.00	$181.74–$381.00	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$4,882.00	$4,882.00	$2,328.71–$4,882.00	—	—
Removal of a breast lump, open surgery CPT 19120 19120 Removal of Breast Lesion 1 or More	$822.00	$822.00	$35.00–$5,035.90	80% below	—
Removal of a breast lump, open surgery CPT 19120 Removal of Breast Lesion 1 or More	$12,164.00	$12,164.00	$35.00–$12,164.00	190% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 19120 Removal of Breast Lesion 1 or More	$822.00	$822.00	$392.09–$822.00	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of Breast Lesion 1 or More	$12,164.00	$12,164.00	$5,802.23–$12,164.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 10120 Fb Removal - Sub Sim Pro	$215.00	$215.00	$35.00–$522.85	78% below	—
Removal of a foreign object under the skin, simple CPT 10120 Fb Removal - Subqu Simple	$999.00	$999.00	$240.00–$999.00	2% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Fb Removal - Sub Sim Pro	$215.00	$215.00	$102.56–$215.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Fb Removal - Subqu Simple	$999.00	$999.00	$476.52–$999.00	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 50590 Fragmenting Of Kidney Stone	$1,129.00	$1,129.00	$677.40–$13,828.00	83% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting Of Kidney Stone	$8,622.00	$8,622.00	$4,533.71–$13,828.00	32% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 50590 Fragmenting Of Kidney Stone	$1,129.00	$1,129.00	$538.53–$1,129.00	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Fragmenting Of Kidney Stone	$8,622.00	$8,622.00	$4,112.69–$8,622.00	—	—
Short arm cast (elbow to hand) CPT 29075 29075 Application Of Forearm Cast	$127.00	$127.00	$35.00–$359.73	75% below	—
Short arm cast (elbow to hand) CPT 29075 Apply Short Arm Cast	$664.00	$664.00	$35.00–$664.00	33% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 29075 Application Of Forearm Cast	$127.00	$127.00	$60.58–$127.00	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Short Arm Cast	$664.00	$664.00	$316.73–$664.00	—	—
Short arm splint (forearm and hand) CPT 29125 29125 App Short Arm Splint	$82.00	$82.00	$35.00–$171.12	80% below	—
Short arm splint (forearm and hand) CPT 29125 App Short Arm Splint	$322.00	$322.00	$171.12–$322.00	21% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 29125 App Short Arm Splint	$82.00	$82.00	$39.11–$82.00	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 App Short Arm Splint	$322.00	$322.00	$153.59–$322.00	—	—
Short leg cast (below the knee) CPT 29405 29405 Apply Short Leg Cast	$118.00	$118.00	$35.00–$359.73	76% below	—
Short leg cast (below the knee) CPT 29405 Apply Sh Leg Cast	$664.00	$664.00	$35.00–$664.00	33% above	—
Short leg cast (below the knee) inpatient CPT 29405 29405 Apply Short Leg Cast	$118.00	$118.00	$56.29–$118.00	—	—
Short leg cast (below the knee) inpatient CPT 29405 Apply Sh Leg Cast	$664.00	$664.00	$316.73–$664.00	—	—
Short leg splint (calf to foot) CPT 29515 29515 Application Lower Leg Splint	$100.00	$100.00	$60.00–$209.00	80% below	—
Short leg splint (calf to foot) CPT 29515 App Short Leg Splint	$394.00	$394.00	$209.00–$394.00	20% below	—
Short leg splint (calf to foot) inpatient CPT 29515 29515 Application Lower Leg Splint	$100.00	$100.00	$47.70–$100.00	—	—
Short leg splint (calf to foot) inpatient CPT 29515 App Short Leg Splint	$394.00	$394.00	$187.94–$394.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Laceration >2Cm	$85.00	$85.00	$35.00–$258.05	85% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Srep S/N/A/G/Tr/E 2.5 Pro	$85.00	$85.00	$35.00–$278.00	85% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Wnd Repair S/N/A/G/T To 2.5 Cm	$497.00	$497.00	$240.00–$497.00	10% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Laceration >2Cm	$85.00	$85.00	$40.55–$85.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Srep S/N/A/G/Tr/E 2.5 Pro	$85.00	$85.00	$40.55–$85.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simp Wnd Repair S/N/A/G/T To 2.5 Cm	$497.00	$497.00	$237.07–$497.00	—	—
Skin biopsy, punch, one lesion CPT 11104 11104 Skin Biopsy - Punch, Single Lesion	$91.00	$91.00	$35.00–$522.85	87% below	—
Skin biopsy, punch, one lesion CPT 11104 Skin Biopsy - Punch, Single	$999.00	$999.00	$240.00–$999.00	38% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Skin Biopsy - Punch, Single Lesion	$91.00	$91.00	$43.41–$91.00	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Skin Biopsy - Punch, Single	$999.00	$999.00	$476.52–$999.00	—	—
Skin tag removal, up to 15 tags CPT 11200 11200 Removal Of Skin Tags	$158.00	$158.00	$35.00–$258.05	60% below	—
Skin tag removal, up to 15 tags CPT 11200 11200 Skin Tag Remov 1-15 Pro	$158.00	$158.00	$94.80–$258.05	60% below	—
Skin tag removal, up to 15 tags CPT 11200 Skin Tag Removal 1-15	$497.00	$497.00	$240.00–$497.00	26% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Removal Of Skin Tags	$158.00	$158.00	$75.37–$158.00	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Skin Tag Remov 1-15 Pro	$158.00	$158.00	$75.37–$158.00	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Skin Tag Removal 1-15	$497.00	$497.00	$237.07–$497.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spine Punc Lum Diag	$121.00	$121.00	$72.60–$907.88	91% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Diagnostic	$1,731.00	$1,731.00	$907.88–$5,800.00	31% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Fluid Tap Remvl	$1,731.00	$1,731.00	$865.50–$2,089.00	31% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Spine Punc Lum Diag	$121.00	$121.00	$57.72–$121.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Fluid Tap Remvl	$1,731.00	$1,731.00	$825.69–$1,731.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Diagnostic	$1,731.00	$1,731.00	$825.69–$1,731.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$111.00	$111.00	$35.00–$258.05	85% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simp Wnd Repair S/N/A/G/T 2.6-7.5 Cm	$497.00	$497.00	$240.00–$497.00	34% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$111.00	$111.00	$52.95–$111.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simp Wnd Repair S/N/A/G/T 2.6-7.5 Cm	$497.00	$497.00	$237.07–$497.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Repair Superficial Wound(S)	$105.00	$105.00	$35.00–$258.05	84% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Wound Repair To 2.5Cm	$497.00	$497.00	$240.00–$497.00	25% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Repair Superficial Wound(S)	$105.00	$105.00	$50.09–$105.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Wound Repair To 2.5Cm	$497.00	$497.00	$237.07–$497.00	—	—
TURP (transurethral resection of the prostate) CPT 52601 52601 Prostatectomy (Turp)	$1,424.00	$1,424.00	$854.40–$6,896.17	87% below	—
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (Turp)	$12,709.00	$12,709.00	$3,135.00–$12,709.00	19% above	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 52601 Prostatectomy (Turp)	$1,424.00	$1,424.00	$679.25–$1,424.00	—	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 Prostatectomy (Turp)	$12,709.00	$12,709.00	$6,062.19–$12,709.00	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Skin Biopsy - Shave, Scoop, Sauce - Single	$74.00	$74.00	$35.00–$522.85	87% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Skin Biopsy - Shave, Scoop, Sauce - Single	$497.00	$497.00	$298.20–$522.85	10% below	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 Skin Biopsy - Shave, Scoop, Sauce - Single	$74.00	$74.00	$35.30–$74.00	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Skin Biopsy - Shave, Scoop, Sauce - Single	$497.00	$497.00	$237.07–$497.00	—	—
Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis Needle/Cath Pleura W/Imag	$208.00	$208.00	$124.80–$806.82	90% below	—
Thoracentesis with imaging guidance CPT 32555 Focused Thoracentesis	$1,774.00	$1,774.00	$806.82–$2,089.00	13% below	—
Thoracentesis with imaging guidance CPT 32555 Thorancentesis/Tube Insr	$1,774.00	$1,774.00	$806.82–$8,800.00	13% below	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis For Aspir	$1,774.00	$1,774.00	$806.82–$8,800.00	13% below	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Pnc Pleurl Ca	$1,774.00	$1,774.00	$806.82–$8,800.00	13% below	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Tube Insrt	$1,774.00	$1,774.00	$806.82–$8,800.00	13% below	—
Thoracentesis with imaging guidance inpatient CPT 32555 32555 Thoracentesis Needle/Cath Pleura W/Imag	$208.00	$208.00	$99.22–$208.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Focused Thoracentesis	$1,774.00	$1,774.00	$846.20–$1,774.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Tube Insrt	$1,774.00	$1,774.00	$846.20–$1,774.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis For Aspir	$1,774.00	$1,774.00	$846.20–$1,774.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thorancentesis/Tube Insr	$1,774.00	$1,774.00	$846.20–$1,774.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Pnc Pleurl Ca	$1,774.00	$1,774.00	$846.20–$1,774.00	—	—
Total hip replacement CPT 27130 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$2,515.00	$2,515.00	$1,509.00–$2,515.00	73% below	—
Total hip replacement inpatient CPT 27130 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$2,515.00	$2,515.00	$1,199.66–$2,515.00	—	—
Total knee replacement CPT 27447 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$2,512.00	$2,512.00	$1,507.20–$12,337.00	90% below	—
Total knee replacement inpatient CPT 27447 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$2,512.00	$2,512.00	$1,198.22–$2,512.00	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inject Trigger Point, 1 Or 2	$71.00	$71.00	$35.00–$394.79	89% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Pnt 1/2 Muscl	$738.00	$738.00	$240.00–$738.00	18% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inject Trigger Point, 1 Or 2	$71.00	$71.00	$33.87–$71.00	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Pnt 1/2 Muscl	$738.00	$738.00	$352.03–$738.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 Bx Breast 1St Lesion Us Imag	$992.00	$992.00	$595.20–$2,124.23	69% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1St Lesion Us	$6,214.00	$6,214.00	$2,124.23–$11,400.00	93% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 Bx Breast 1St Lesion Us Imag	$992.00	$992.00	$473.18–$992.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1St Lesion Us	$6,214.00	$6,214.00	$2,964.08–$6,214.00	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Ugi W/ Balloon Esoph	$4,742.00	$4,742.00	$1,200.00–$4,948.00	99% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Ugi W/ Balloon Esoph	$4,742.00	$4,742.00	$2,261.93–$4,742.00	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 Ugi W/ Biopsy	$4,052.00	$4,052.00	$1,166.53–$4,948.00	129% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Ugi W/ Biopsy	$4,052.00	$4,052.00	$1,932.80–$4,052.00	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 Ugi W Submucos Inj	$4,052.00	$4,052.00	$1,166.53–$4,948.00	116% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Ugi W Submucos Inj	$4,052.00	$4,052.00	$1,932.80–$4,052.00	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Ugi W/ T/P/Les By Snare	$4,742.00	$4,742.00	$1,200.00–$4,948.00	45% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Ugi W/ T/P/Les By Snare	$4,742.00	$4,742.00	$2,261.93–$4,742.00	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Upper Gi Endoscopy W Guid	$4,052.00	$4,052.00	$1,166.53–$4,948.00	144% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Upper Gi Endoscopy W Guid	$4,052.00	$4,052.00	$1,932.80–$4,052.00	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 Ugi Diagnostic Brush/Wash	$4,052.00	$4,052.00	$1,166.53–$4,948.00	116% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Ugi Diagnostic Brush/Wash	$4,052.00	$4,052.00	$1,932.80–$4,052.00	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD Transoral Transmural Drainage Pseudocyst	$14,882.00	$14,882.00	$1,200.00–$14,882.00	154% above	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD Transoral Transmural Drainage Pseudocyst	$14,882.00	$14,882.00	$7,098.71–$14,882.00	—	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 52353 Cystouretero W/Lithotripsy	$751.00	$751.00	$450.60–$13,828.00	89% below	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero W/Lithotripsy Ureteral Cath Incl	$12,709.00	$12,709.00	$3,135.00–$13,828.00	80% above	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 52353 Cystouretero W/Lithotripsy	$751.00	$751.00	$358.23–$751.00	—	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero W/Lithotripsy Ureteral Cath Incl	$12,709.00	$12,709.00	$6,062.19–$12,709.00	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 52356 Cysto/Uretero W/Lithotripsy	$797.00	$797.00	$478.20–$13,828.00	93% below	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy Insert Indwel Stent	$12,709.00	$12,709.00	$3,961.00–$13,828.00	5% above	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356 Cysto/Uretero W/Lithotripsy	$797.00	$797.00	$380.17–$797.00	—	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/Uretero W/Lithotripsy Insert Indwel Stent	$12,709.00	$12,709.00	$6,062.19–$12,709.00	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 Routine Ob Care Vag Dlvry & Postpartum Care Vb	$4,791.00	$4,791.00	$2,874.60–$4,791.00	14% above	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 Routine Ob Care Vag Dlvry & Postpartum Care Vb	$4,791.00	$4,791.00	$2,285.31–$4,791.00	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 Removal of Sperm Duct(s)	$463.00	$463.00	$35.00–$2,688.58	82% below	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of Sperm Duct(s)	$5,121.00	$5,121.00	$2,129.00–$11,400.00	98% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 Removal of Sperm Duct(s)	$463.00	$463.00	$220.85–$463.00	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of Sperm Duct(s)	$5,121.00	$5,121.00	$2,442.72–$5,121.00	—	—
Vein ablation, radiofrequency, first vein CPT 36475 36475 Endovenous rf 1st vein	$510.00	$510.00	$306.00–$4,061.05	93% below	—
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1St Vein	$7,869.00	$7,869.00	$4,061.05–$8,462.00	11% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 36475 Endovenous rf 1st vein	$510.00	$510.00	$243.27–$510.00	—	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf 1St Vein	$7,869.00	$7,869.00	$3,753.51–$7,869.00	—	—
Wart removal, up to 14 warts CPT 17110 17110 Destruction Of Lesion - Cryo, 1-14	$142.00	$142.00	$35.00–$258.05	60% below	—
Wart removal, up to 14 warts CPT 17110 Wart Destruction 1-14	$497.00	$497.00	$240.00–$497.00	39% above	—
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruction Of Lesion - Cryo, 1-14	$142.00	$142.00	$67.73–$142.00	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Wart Destruction 1-14	$497.00	$497.00	$237.07–$497.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin/Tissue	$119.00	$119.00	$35.00–$522.85	83% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Deb Subq Tissue 20 Sq Pro	$119.00	$119.00	$71.40–$2,129.00	83% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20 Sq Cm<	$999.00	$999.00	$522.85–$2,129.00	47% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Deb Subq Tissue 20 Sq Pro	$119.00	$119.00	$56.76–$119.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride Skin/Tissue	$119.00	$119.00	$56.76–$119.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tissue 20 Sq Cm<	$999.00	$999.00	$476.52–$999.00	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep	$1,503.00	$1,503.00	$901.80–$1,503.00	70% below	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep	$1,503.00	$1,503.00	$716.93–$1,503.00	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin Per Visit	$1,093.00	$1,093.00	$567.42–$1,093.00	25% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Per Visit	$1,093.00	$1,093.00	$521.36–$1,093.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment	$305.00	$305.00	$71.31–$408.00	7% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment	$305.00	$305.00	$145.49–$305.00	—	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Inf 1St Hr	$829.00	$829.00	$387.00–$924.89	5% below	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Inf 1St Hr	$829.00	$829.00	$395.43–$829.00	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 Basic Audiometry (Occ Med)	$65.00	$65.00	$39.00–$166.44	88% below	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557 Basic Audiometry (Occ Med)	$65.00	$65.00	$31.01–$65.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care 1St Hour Pr	$644.00	$644.00	$390.26–$3,000.00	86% below	—
Critical care, first 30 to 74 minutes CPT 99291 Emergency Department Visit Level VI	$6,088.00	$6,088.00	$1,062.41–$6,149.00	32% above	—
Critical care, first 30 to 74 minutes CPT 99291 Trauma Act No Pre Le 7 Ev	$6,088.00	$6,088.00	$1,062.41–$6,149.00	32% above	—
Critical care, first 30 to 74 minutes CPT 99291 Trauma Act No Pre Le 8 Li	$6,088.00	$6,088.00	$1,062.41–$6,149.00	32% above	—
Critical care, first 30 to 74 minutes CPT 99291 Trauma Act No Pre Le 9 Fu	$6,088.00	$6,088.00	$1,062.41–$6,149.00	32% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care 1St Hour Pr	$644.00	$644.00	$307.19–$644.00	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Emergency Department Visit Level VI	$6,088.00	$6,088.00	$2,903.98–$6,088.00	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Trauma Act No Pre Le 9 Fu	$6,088.00	$6,088.00	$2,903.98–$6,088.00	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Trauma Act No Pre Le 7 Ev	$6,088.00	$6,088.00	$2,903.98–$6,088.00	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Trauma Act No Pre Le 8 Li	$6,088.00	$6,088.00	$2,903.98–$6,088.00	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$1,026.00	$1,026.00	$277.71–$1,026.00	at median	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy	$1,026.00	$1,026.00	$489.40–$1,026.00	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 12 Lead Ekg; Global Pro	$29.00	$29.00	$10.82–$383.40	68% below	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 12 Lead Ekg; Global Pro	$29.00	$29.00	$13.83–$29.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ekg; Tracing Only	$200.00	$200.00	$60.57–$221.40	41% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Electrocardiogram, Tracing Only	$200.00	$200.00	$60.57–$221.40	41% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 Lead Ekg; Tracing Only	$200.00	$200.00	$95.40–$200.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 Lead Electrocardiogram, Tracing Only	$200.00	$200.00	$95.40–$200.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit Level I	$390.00	$390.00	$108.45–$2,089.00	7% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Department Visit Level I	$390.00	$390.00	$186.03–$390.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 Emergency Dept Visit Sf Mdm	$86.00	$86.00	$63.73–$750.00	89% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Department Visit Level II	$974.00	$974.00	$197.48–$2,089.00	24% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 Emergency Dept Visit Sf Mdm	$86.00	$86.00	$41.02–$86.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Department Visit Level II	$974.00	$974.00	$464.60–$974.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 Emergency Dept Visit Low Mdm	$146.00	$146.00	$108.19–$1,500.00	89% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit Level III	$1,942.00	$1,942.00	$351.09–$2,089.00	40% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 Emergency Dept Visit Low Mdm	$146.00	$146.00	$69.64–$146.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Department Visit Level III	$1,942.00	$1,942.00	$926.33–$1,942.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 Emergency Dept Visit Mod Mdm	$249.00	$249.00	$184.51–$2,089.00	88% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit Level IV	$2,773.00	$2,773.00	$536.67–$2,773.00	33% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 Emergency Dept Visit Mod Mdm	$249.00	$249.00	$118.77–$249.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Department Visit Level IV	$2,773.00	$2,773.00	$1,322.72–$2,773.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 Emergency Dept Visit Hi Mdm	$360.00	$360.00	$266.76–$3,328.00	89% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Department Visit Level V	$4,094.00	$4,094.00	$765.95–$4,094.00	25% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 Emergency Dept Visit Hi Mdm	$360.00	$360.00	$171.72–$360.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Department Visit Level V	$4,094.00	$4,094.00	$1,952.84–$4,094.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiov Stress Test Tracing Only	$1,052.00	$1,052.00	$230.73–$1,052.00	22% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiov Stress Test Tracing Only	$1,052.00	$1,052.00	$501.80–$1,052.00	—	—
Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psychotherapy, With Patient, 50 Min	$208.00	$208.00	$124.80–$228.29	39% below	—
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy, With Patient, 50 Min	$510.00	$510.00	$155.00–$510.00	49% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psychotherapy, With Patient, 50 Min	$208.00	$208.00	$99.22–$208.00	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy, With Patient, 50 Min	$510.00	$510.00	$243.27–$510.00	—	—
Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy W/O Patient, 50 Min	$199.00	$199.00	$119.40–$228.29	42% below	—
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient, 50 Min	$510.00	$510.00	$228.29–$510.00	49% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychotherapy W/O Patient, 50 Min	$199.00	$199.00	$94.92–$199.00	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient, 50 Min	$510.00	$510.00	$243.27–$510.00	—	—
Group psychotherapy session CPT 90853 90853 Group Psychotherapy	$49.00	$49.00	$29.40–$130.66	82% below	—
Group psychotherapy session CPT 90853 Group Psychotherapy	$294.00	$294.00	$130.66–$294.00	6% above	—
Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy	$49.00	$49.00	$23.37–$49.00	—	—
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$294.00	$294.00	$140.24–$294.00	—	—
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 Ecg Mnt/Rpt W/ Rec Upto 4	$146.00	$146.00	$54.46–$2,296.35	52% below	—
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 93224 Ecg Mnt/Rpt W/ Rec Upto 4	$146.00	$146.00	$69.64–$146.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Hydration Up To 1 Hr	$65.00	$65.00	$35.00–$278.00	87% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration Up To 1 Hr	$527.00	$527.00	$273.57–$527.00	5% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Iv Hydration Up To 1 Hr	$65.00	$65.00	$31.01–$65.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Hydration Up To 1 Hr	$527.00	$527.00	$251.38–$527.00	—	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion W/ Antibiotic	$587.00	$587.00	$273.57–$2,089.00	at median	—
IV infusion of a medicine, first hour CPT 96365 Infusion Therapy 1St Hr	$587.00	$587.00	$273.57–$587.00	at median	—
IV infusion of a medicine, first hour CPT 96365 Procainamide Challeng 1Hr	$587.00	$587.00	$273.57–$587.00	at median	—
IV infusion of a medicine, first hour inpatient CPT 96365 Procainamide Challeng 1Hr	$587.00	$587.00	$280.00–$587.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion W/ Antibiotic	$587.00	$587.00	$280.00–$587.00	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Therapy 1St Hr	$587.00	$587.00	$280.00–$587.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj, Sc/Im	$29.00	$29.00	$17.40–$92.60	84% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Subq/IM	$178.00	$178.00	$92.60–$438.00	1% below	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj, Sc/Im	$29.00	$29.00	$13.83–$29.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Subq/IM	$178.00	$178.00	$84.91–$178.00	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Evaluation	$289.00	$289.00	$35.00–$289.00	31% below	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation	$510.00	$510.00	$228.29–$510.00	21% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Evaluation	$289.00	$289.00	$137.85–$289.00	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation	$510.00	$510.00	$243.27–$510.00	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reed 15 Min Pt - PTA/OTA Services	$174.00	$174.00	$34.37–$415.00	37% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reed 15 Min Ot - PTA/OTA Services	$174.00	$174.00	$34.37–$387.00	37% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reed 15 Min Pt - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reed 15 Min Ot - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
New patient office visit, about 30 minutes CPT 99203 99203 New E/M Level 3	$260.00	$260.00	$35.00–$278.00	21% above	—
New patient office visit, about 30 minutes CPT 99203 New E/M Level 3 Tech	$357.00	$357.00	$35.00–$357.00	67% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 99203 New E/M Level 3	$260.00	$260.00	$124.02–$260.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 New E/M Level 3 Tech	$357.00	$357.00	$170.29–$357.00	—	—
New patient office visit, about 45 minutes CPT 99204 99204 New E/M Level 4	$387.00	$387.00	$35.00–$387.00	57% above	—
New patient office visit, about 45 minutes CPT 99204 New E/M Level 4 Tech	$465.00	$465.00	$35.00–$465.00	89% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 99204 New E/M Level 4	$387.00	$387.00	$184.60–$387.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 New E/M Level 4 Tech	$465.00	$465.00	$221.81–$465.00	—	—
New patient office visit, about 60 minutes CPT 99205 99205 New E/M Level 5	$511.00	$511.00	$35.00–$511.00	69% above	—
New patient office visit, about 60 minutes CPT 99205 New E/M Level 5 Tech	$586.00	$586.00	$35.00–$586.00	93% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 99205 New E/M Level 5	$511.00	$511.00	$243.75–$511.00	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 New E/M Level 5 Tech	$586.00	$586.00	$279.52–$586.00	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 New E/M Level 2	$170.00	$170.00	$35.00–$278.00	15% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New E/M Level 2 Tech	$274.00	$274.00	$35.00–$278.00	86% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 New E/M Level 2	$170.00	$170.00	$81.09–$170.00	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New E/M Level 2 Tech	$274.00	$274.00	$130.70–$274.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nurtition Ther Init 15Min	$73.00	$73.00	$27.34–$73.00	27% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutr Init/Sub Assess	$73.00	$73.00	$27.34–$73.00	27% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nurtition Ther Init 15Min	$73.00	$73.00	$34.82–$73.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutr Init/Sub Assess	$73.00	$73.00	$34.82–$73.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Myofacial/Mob 15 Min - PTA/OTA Services	$174.00	$174.00	$29.06–$415.00	45% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Myofacial-Soft Tissue-One - PTA/OTA Services	$174.00	$174.00	$29.06–$387.00	45% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Soft Tissue Mob 15 Min - PTA/OTA Services	$174.00	$174.00	$29.06–$387.00	45% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Soft Tissue Mob 15 Min - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Myofacial-Soft Tissue-One - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Myofacial/Mob 15 Min - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Theraputic Ex 15 Min - PTA/OTA Services	$174.00	$174.00	$30.47–$387.00	35% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise 15 M - PTA/OTA Services	$174.00	$174.00	$30.47–$415.00	35% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise 15 M - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Theraputic Ex 15 Min - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 New Icpm E/M 18-39Yr Tech	$357.00	$357.00	$35.00–$357.00	123% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 99385 Preventive Care New Pt. Age 18-39	$378.00	$378.00	$35.00–$378.00	136% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Icpm E/M 18-39Yr Tech	$357.00	$357.00	$170.29–$357.00	—	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 Preventive Care New Pt. Age 18-39	$378.00	$378.00	$180.31–$378.00	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 New Icpm E/M 40-64Yr Tech	$357.00	$357.00	$35.00–$357.00	93% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 99386 Preventive Care New Pt. Age 40-64	$408.00	$408.00	$35.00–$408.00	120% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 New Icpm E/M 40-64Yr Tech	$357.00	$357.00	$170.29–$357.00	—	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 Preventive Care New Pt. Age 40-64	$408.00	$408.00	$194.62–$408.00	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 New Icpm E/M 65+ Yrs Tech	$357.00	$357.00	$35.00–$357.00	97% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 99387 Preventive Care New Pt. Age 65 And Over	$451.00	$451.00	$35.00–$451.00	149% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 New Icpm E/M 65+ Yrs Tech	$357.00	$357.00	$170.29–$357.00	—	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 99387 Preventive Care New Pt. Age 65 And Over	$451.00	$451.00	$215.13–$451.00	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Preventive Care Est Pt. Age 18-39	$306.00	$306.00	$35.00–$306.00	97% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Est Pcpm E/M 18-39Yr Tech	$357.00	$357.00	$35.00–$357.00	130% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 Preventive Care Est Pt. Age 18-39	$306.00	$306.00	$145.96–$306.00	—	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Est Pcpm E/M 18-39Yr Tech	$357.00	$357.00	$170.29–$357.00	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Preventive Care Est Pt. Age 40-64	$319.00	$319.00	$35.00–$319.00	103% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Est Pcpm E/M 40-64Yr Tech	$357.00	$357.00	$35.00–$357.00	127% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 99396 Preventive Care Est Pt. Age 40-64	$319.00	$319.00	$152.16–$319.00	—	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Est Pcpm E/M 40-64Yr Tech	$357.00	$357.00	$170.29–$357.00	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Care Est Pt. Age 65 And Over	$276.00	$276.00	$35.00–$276.00	73% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 Est Pcpm E/M 65+ Yrs Tech	$357.00	$357.00	$35.00–$357.00	124% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 Preventive Care Est Pt. Age 65 And Over	$276.00	$276.00	$131.65–$276.00	—	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Est Pcpm E/M 65+ Yrs Tech	$357.00	$357.00	$170.29–$357.00	—	—
Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval W/Med Srvcs	$331.00	$331.00	$35.00–$331.00	at median	—
Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/Med Srvcs	$510.00	$510.00	$228.29–$510.00	54% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval W/Med Srvcs	$331.00	$331.00	$157.89–$331.00	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 Psych Diag Eval W/Med Srvcs	$510.00	$510.00	$243.27–$510.00	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 96130 Psycological Test Eval 1st Hr	$219.00	$219.00	$131.40–$277.71	67% below	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycological Test Eval 1st Hr	$989.00	$989.00	$277.71–$989.00	47% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 96130 Psycological Test Eval 1st Hr	$219.00	$219.00	$104.46–$219.00	—	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psycological Test Eval 1st Hr	$989.00	$989.00	$471.75–$989.00	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Psychotherapy for Crisis, first 60 min	$264.00	$264.00	$158.40–$264.00	23% below	—
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis, first 60 min	$510.00	$510.00	$228.29–$510.00	49% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 90839 Psychotherapy for Crisis, first 60 min	$264.00	$264.00	$125.93–$264.00	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for Crisis, first 60 min	$510.00	$510.00	$243.27–$510.00	—	—
Psychotherapy session, 30 minutes CPT 90832 90832 Lcsw, Office 16-37 Minutes	$140.00	$140.00	$35.00–$228.29	56% below	—
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes with patient	$510.00	$510.00	$228.29–$510.00	60% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Lcsw, Office 16-37 Minutes	$140.00	$140.00	$66.78–$140.00	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 minutes with patient	$510.00	$510.00	$243.27–$510.00	—	—
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt&/Family 38-52 Minutes	$184.00	$184.00	$35.00–$228.29	42% below	—
Psychotherapy session, 45 minutes CPT 90834 Psytx Pt&/Family 38-52 Minutes	$510.00	$510.00	$228.29–$510.00	60% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt&/Family 38-52 Minutes	$184.00	$184.00	$87.77–$184.00	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt&/Family 38-52 Minutes	$510.00	$510.00	$243.27–$510.00	—	—
Psychotherapy session, 60 minutes CPT 90837 90837 Lcsw Office 53 or More Minutes	$273.00	$273.00	$35.00–$273.00	26% below	—
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 minutes with patient	$510.00	$510.00	$228.29–$510.00	39% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Lcsw Office 53 or More Minutes	$273.00	$273.00	$130.22–$273.00	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy, 60 minutes with patient	$510.00	$510.00	$243.27–$510.00	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking/Tobacco Cessation Counseling 3 to 10 Min	$36.00	$36.00	$21.60–$48.19	51% below	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 Smoking/Tobacco Cessation Counseling 3 to 10 Min	$36.00	$36.00	$17.17–$36.00	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M Pharmacist Only Lvl 5	$159.00	$159.00	$35.00–$278.00	27% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Est E/M Level 5	$419.00	$419.00	$35.00–$419.00	92% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est E/M Level 5 Tech	$586.00	$586.00	$35.00–$586.00	168% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M Pharmacist Only Lvl 5	$159.00	$159.00	$75.84–$159.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 Est E/M Level 5	$419.00	$419.00	$199.86–$419.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est E/M Level 5 Tech	$586.00	$586.00	$279.52–$586.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 DOT Medical Exam (Occ Med)	$147.00	$147.00	$35.00–$278.00	1% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Treatment of Acute Injuries - Office Visit (Occ Med)	$147.00	$147.00	$35.00–$278.00	1% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Antepartum Visit Follow-Up Z1034	$159.00	$159.00	$35.00–$278.00	10% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E/M Pharmacist Only Lvl 3	$159.00	$159.00	$35.00–$278.00	10% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Z1036 10Th Antepartum	$212.00	$212.00	$35.00–$212.00	46% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Est E/M Level 3	$212.00	$212.00	$35.00–$278.00	46% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 10Th Antepartum Z1036	$224.00	$224.00	$35.00–$278.00	55% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est E/M Level 3 Tech	$357.00	$357.00	$35.00–$357.00	146% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Treatment of Acute Injuries - Office Visit (Occ Med)	$147.00	$147.00	$70.12–$147.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 DOT Medical Exam (Occ Med)	$147.00	$147.00	$70.12–$147.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Antepartum Visit Follow-Up Z1034	$159.00	$159.00	$75.84–$159.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E/M Pharmacist Only Lvl 3	$159.00	$159.00	$75.84–$159.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Z1036 10Th Antepartum	$212.00	$212.00	$101.12–$212.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Est E/M Level 3	$212.00	$212.00	$101.12–$212.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 10Th Antepartum Z1036	$224.00	$224.00	$106.85–$224.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est E/M Level 3 Tech	$357.00	$357.00	$170.29–$357.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E/M Pharmacist Only Lvl 4	$159.00	$159.00	$35.00–$278.00	15% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Est E/M Level 4	$301.00	$301.00	$35.00–$301.00	61% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Z1032 Initial Ob Exam	$335.00	$335.00	$35.00–$335.00	79% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Initial Antepartum Visit Z1032	$335.00	$335.00	$35.00–$335.00	79% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est E/M Level 4 Tech	$465.00	$465.00	$35.00–$465.00	148% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E/M Pharmacist Only Lvl 4	$159.00	$159.00	$75.84–$159.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 Est E/M Level 4	$301.00	$301.00	$143.58–$301.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Z1032 Initial Ob Exam	$335.00	$335.00	$159.80–$335.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Initial Antepartum Visit Z1032	$335.00	$335.00	$159.80–$335.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est E/M Level 4 Tech	$465.00	$465.00	$221.81–$465.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Pre-Employment Physical (Occ Med)	$60.00	$60.00	$35.00–$278.00	46% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Non-DOT Physicals (Occ Med)	$75.00	$75.00	$35.00–$278.00	32% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Est E/M Level 2	$131.00	$131.00	$35.00–$278.00	18% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E/M Pharmacist Only Lvl 2	$159.00	$159.00	$35.00–$278.00	44% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Postpartum Follow-Up Z1038	$159.00	$159.00	$35.00–$278.00	44% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Z1038 Postpartum Visit	$161.00	$161.00	$35.00–$161.00	46% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est E/M Level 2 Tech	$274.00	$274.00	$35.00–$278.00	148% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 Pre-Employment Physical (Occ Med)	$60.00	$60.00	$28.62–$60.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 Non-DOT Physicals (Occ Med)	$75.00	$75.00	$35.78–$75.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 Est E/M Level 2	$131.00	$131.00	$62.49–$131.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Postpartum Follow-Up Z1038	$159.00	$159.00	$75.84–$159.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E/M Pharmacist Only Lvl 2	$159.00	$159.00	$75.84–$159.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Z1038 Postpartum Visit	$161.00	$161.00	$76.80–$161.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est E/M Level 2 Tech	$274.00	$274.00	$130.70–$274.00	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Office or Other OP Consult 30 Min	$197.00	$197.00	$35.00–$197.00	7% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 Office or Other OP Consult 30 Min	$197.00	$197.00	$93.97–$197.00	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Office or Other OP Consult 40 Min	$302.00	$302.00	$35.00–$302.00	14% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 Office or Other OP Consult 40 Min	$302.00	$302.00	$144.05–$302.00	—	—
Spirometry (breathing test) CPT 94010 Spirometry Simple	$391.00	$391.00	$74.15–$391.00	9% above	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry Simple	$391.00	$391.00	$186.51–$391.00	—	—
Spirometry before and after a bronchodilator CPT 94060 Spirometry Simple W/Meds	$779.00	$779.00	$138.66–$779.00	3% below	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Simple W/Meds	$779.00	$779.00	$371.58–$779.00	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activities 15 Ot - PTA/OTA Services	$174.00	$174.00	$37.09–$387.00	27% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activities 15 Pt - PTA/OTA Services	$174.00	$174.00	$37.09–$415.00	27% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Functional Activities 15 Ot - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Functional Activities 15 Pt - PTA/OTA Services	$174.00	$174.00	$83.00–$174.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$322.00	$322.00	$171.12–$322.00	1% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$322.00	$322.00	$153.59–$322.00	—	—
Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 Cardiovas Stress Test	$150.00	$150.00	$107.13–$1,582.20	45% below	—
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 Cardiovas Stress Test	$150.00	$150.00	$71.55–$150.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-CoV-2 (COVID-19) (12 years of age and older) mRNA-LNP vaccine PF 30 mcg Inj 0.3 mL	$824.00	$824.00	$123.60–$824.00	254% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-CoV-2 (COVID-19) (12 years of age and older)	$824.15	$824.15	$123.62–$824.15	254% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-CoV-2 (COVID-19) (12 years of age and older) mRNA-LNP vaccine PF 30 mcg Inj 0.3 mL	$824.00	$824.00	$320.54–$824.00	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-CoV-2 (COVID-19) (12 years of age and older)	$824.15	$824.15	$320.59–$824.15	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5 mL	$313.00	$313.00	$94.07–$313.00	at median	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL	$313.00	$313.00	$121.76–$313.00	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine (6 months of age and older) PF Tri 45 mcg Inj 0.5 mL	$110.00	$110.00	$16.50–$110.00	180% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine (6 months of age and older	$110.15	$110.15	$16.52–$110.15	180% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine (6 months of age and older) PF Tri 45 mcg Inj 0.5 mL	$110.00	$110.00	$42.79–$110.00	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine (6 months of age and older	$110.15	$110.15	$42.85–$110.15	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomavirus vaccine 9-valent Inj 0.5 mL	$978.00	$978.00	$242.06–$978.00	104% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 human papillomavirus vaccine 9-valent Inj 0.5 mL	$978.00	$978.00	$380.44–$978.00	—	—
Hepatitis A vaccine, adult dose CPT 90632 90632 hepatitis A adult vacc (Havrix) 1,440 units/mL 1 mL	$351.00	$351.00	$77.75–$351.00	152% above	—
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vacc (Havrix) 1440 units/mL 1 mL	$351.40	$351.40	$77.75–$351.40	152% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 90632 hepatitis A adult vacc (Havrix) 1,440 units/mL 1 mL	$351.00	$351.00	$136.54–$351.00	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vacc (Havrix) 1440 units/mL 1 mL	$351.40	$351.40	$136.69–$351.40	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B adult (Engerix) 20 mcg/mL	$274.00	$274.00	$41.10–$274.00	149% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B adult (Engerix) 20 mcg/mL	$274.00	$274.00	$106.59–$274.00	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine High Dose, inactivated	$319.00	$319.00	$40.16–$319.00	154% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine High Dose (> 65 years) PF Tri 180 mcg Inj 0.5 mL	$441.00	$441.00	$40.16–$441.00	252% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine High Dose (> 65 years) PF	$441.10	$441.10	$40.16–$441.10	252% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine High Dose, inactivated	$319.00	$319.00	$124.09–$319.00	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine High Dose (> 65 years) PF Tri 180 mcg Inj 0.5 mL	$441.00	$441.00	$171.55–$441.00	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine High Dose (> 65 years) PF	$441.10	$441.10	$171.59–$441.10	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 m	$361.50	$361.50	$60.27–$361.50	165% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 mL	$362.00	$362.00	$60.27–$362.00	165% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 m	$361.50	$361.50	$140.62–$361.50	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 mL	$362.00	$362.00	$140.82–$362.00	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine ACYW (Menactra)	$630.00	$630.00	$110.53–$630.00	141% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW (Menveo	$684.00	$684.00	$110.53–$684.00	162% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW (menveo) IM Inj	$684.00	$684.00	$110.53–$684.00	162% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW Inj (10	$827.90	$827.90	$110.53–$827.90	217% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW Inj (10 years - 55 years)	$828.00	$828.00	$110.53–$828.00	217% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine ACYW (Menactra)	$630.00	$630.00	$245.07–$630.00	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine group ACYW (menveo) IM Inj	$684.00	$684.00	$266.08–$684.00	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine group ACYW (Menveo	$684.00	$684.00	$266.08–$684.00	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine group ACYW Inj (10	$827.90	$827.90	$322.05–$827.90	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine group ACYW Inj (10 years - 55 years)	$828.00	$828.00	$322.09–$828.00	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vacc recomb (Bexsero) IM 0.5 mL	$897.00	$897.00	$202.35–$897.00	179% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B vacc recomb (Bexsero) IM 0.5 mL	$897.00	$897.00	$348.93–$897.00	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL	$1,432.00	$1,432.00	$214.80–$1,432.00	185% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL (K	$1,505.80	$1,505.80	$225.87–$1,505.80	200% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL	$1,432.00	$1,432.00	$557.05–$1,432.00	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL (K	$1,505.80	$1,505.80	$585.76–$1,505.80	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL	$484.00	$484.00	$25.33–$484.00	199% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL	$484.00	$484.00	$188.28–$484.00	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab (cvx 306) alip 50 mg/0.5 mL IM Inj	$2,168.00	$2,168.00	$630.77–$2,168.00	124% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab alip 50 mg/0.5 mL IM Inj	$2,168.10	$2,168.10	$630.77–$2,168.10	124% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab (cvx 306) alip 50 mg/0.5 mL IM Inj	$2,168.00	$2,168.00	$843.35–$2,168.00	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab alip 50 mg/0.5 mL IM Inj	$2,168.10	$2,168.10	$843.39–$2,168.10	—	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV vaccine, preF A-preF B, recombinant 120 mcg IM Inj	$1,646.00	$1,646.00	$325.21–$1,646.00	432% above	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV vaccine preF A-preF B recombinant 120 mcg IM I	$1,646.10	$1,646.10	$325.21–$1,646.10	433% above	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV vaccine, preF A-preF B, recombinant 120 mcg IM Inj	$1,646.00	$1,646.00	$640.29–$1,646.00	—	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV vaccine preF A-preF B recombinant 120 mcg IM I	$1,646.10	$1,646.10	$640.33–$1,646.10	—	—
Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units	$1,826.00	$1,826.00	$212.40–$1,826.00	158% above	—
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 units	$1,826.00	$1,826.00	$710.31–$1,826.00	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 zoster vaccine, inactivated adjuvanted Powder 0.5 mL	$957.00	$957.00	$171.08–$957.00	340% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine inactivated adjuvanted Powder 0.5 m	$957.35	$957.35	$171.08–$957.35	341% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 90750 zoster vaccine, inactivated adjuvanted Powder 0.5 mL	$957.00	$957.00	$372.27–$957.00	—	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine inactivated adjuvanted Powder 0.5 m	$957.35	$957.35	$372.41–$957.35	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units-2 units/0.5 mL	$144.00	$144.00	$27.33–$144.00	76% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units-	$144.40	$144.40	$27.33–$144.40	77% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 5 units-	$178.70	$178.70	$27.33–$178.70	119% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid-diphtheria (Td) adult 5 units-2 units/0.5 mL	$179.00	$179.00	$27.33–$179.00	119% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 diphtheria/tetanus toxoids (DT) pediatric	$226.00	$226.00	$27.33–$226.00	177% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units-2 units/0.5 mL	$144.00	$144.00	$56.02–$144.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units-	$144.40	$144.40	$56.17–$144.40	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 5 units-	$178.70	$178.70	$69.51–$178.70	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid-diphtheria (Td) adult 5 units-2 units/0.5 mL	$179.00	$179.00	$69.63–$179.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 diphtheria/tetanus toxoids (DT) pediatric	$226.00	$226.00	$87.91–$226.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria - tetanus - pertussis (Boostrix Tdap)	$194.00	$194.00	$45.60–$194.00	67% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 diphtheria - tetanus - pertussis (Adacel Tdap)	$559.00	$559.00	$45.60–$559.00	381% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria - tetanus - pertussis (Adacel Tdap)	$559.20	$559.20	$45.60–$559.20	381% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria - tetanus - pertussis (Boostrix Tdap)	$194.00	$194.00	$75.47–$194.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 diphtheria - tetanus - pertussis (Adacel Tdap)	$559.00	$559.00	$217.45–$559.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria - tetanus - pertussis (Adacel Tdap)	$559.20	$559.20	$217.53–$559.20	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Hepatitis B Vaccine	$43.00	$43.00	$25.80–$92.60	59% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Inj Adm-Vaccine/1St Med	$43.00	$43.00	$25.80–$92.60	59% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin	$43.00	$43.00	$25.80–$92.60	59% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Pneumonia Vaccine	$43.00	$43.00	$25.80–$92.60	59% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Inj Adm-Vaccine/1St Med	$178.00	$178.00	$92.60–$178.00	71% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Virus Vaccine	$178.00	$178.00	$92.60–$178.00	71% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumonia Vaccine	$178.00	$178.00	$92.60–$178.00	71% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hepatitis B Vaccine	$178.00	$178.00	$92.60–$178.00	71% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Tdap Vaccine	$178.00	$178.00	$92.60–$178.00	71% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hep B Vac - Esrd	$178.00	$178.00	$92.60–$178.00	71% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Admin Hepatitis B Vaccine	$43.00	$43.00	$20.51–$43.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Admin Pneumonia Vaccine	$43.00	$43.00	$20.51–$43.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Admin	$43.00	$43.00	$20.51–$43.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Inj Adm-Vaccine/1St Med	$43.00	$43.00	$20.51–$43.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hepatitis B Vaccine	$178.00	$178.00	$84.91–$178.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Tdap Vaccine	$178.00	$178.00	$84.91–$178.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hep B Vac - Esrd	$178.00	$178.00	$84.91–$178.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Inj Adm-Vaccine/1St Med	$178.00	$178.00	$84.91–$178.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Virus Vaccine	$178.00	$178.00	$84.91–$178.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumonia Vaccine	$178.00	$178.00	$84.91–$178.00	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin Ea Add Vaccine	$30.00	$30.00	$18.00–$30.00	61% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Ea Add Vaccine	$58.00	$58.00	$34.80–$58.00	25% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization Admin Ea Add Vaccine	$30.00	$30.00	$14.31–$30.00	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Ea Add Vaccine	$58.00	$58.00	$27.67–$58.00	—	—

Source file: https://www.kaweahhealth.org/sites/default/files/images/941534475-1588663769_kaweah-health-medical-center_standardcharges.csv