Miami Valley Hospital
Miami Valley Hospital in Dayton, OH publishes cash prices for 299 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 276 of 296 procedures and below it for 20. By typical cash price it ranks #129 of 131 Ohio hospitals and #9 of 10 hospitals in the Dayton, OH area, cheapest first. Click a procedure to compare it with other hospitals nearby.
One Wyoming Street, Dayton, OH 45409 Collected Sep 29, 2026 Source price file (937) 208-3023
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 360051 · CMS hospital register NPI 1073688354
The price file shows no self-pay discount
For 960 of the 960 prices listed here, the cash price in Miami Valley Hospital'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.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Miami Valley Hospital in Dayton, OH:
- Sep 29, 2021 Warning notice
- Jun 29, 2022 Corrective action plan requested
- Jul 15, 2022 Case closed
- Aug 10, 2023 Met requirements
- Jun 18, 2025 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | 267% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC ANKLE MIN 3 VIEWS RT | $640.00 | $640.00 | — | 84% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC ANKLE MIN 3 VIEWS LT | $640.00 | $640.00 | — | 84% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC ANKLE MIN 3 VIEWS LT | $640.00 | $640.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC ANKLE MIN 3 VIEWS RT | $640.00 | $640.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC WRIST BRACHIAL INDICES | $950.00 | $950.00 | — | 97% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRACHIAL INDICES | $972.00 | $972.00 | — | 102% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC WRIST BRACHIAL INDICES | $950.00 | $950.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRACHIAL INDICES | $972.00 | $972.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGUS | $959.00 | $959.00 | — | 123% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGUS | $959.00 | $959.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN WHOLE BODY | $1,860.00 | $1,860.00 | — | 21% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN WHOLE BODY | $1,860.00 | $1,860.00 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST, UNILATERAL, COMPLETE RT | $1,081.00 | $1,081.00 | — | 224% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST, UNILATERAL, COMPLETE LT | $1,081.00 | $1,081.00 | — | 224% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST, UNILATERAL, COMPLETE BIL | $2,165.00 | $2,165.00 | — | 550% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST, UNILATERAL, COMPLETE LT | $1,081.00 | $1,081.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST, UNILATERAL, COMPLETE RT | $1,081.00 | $1,081.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST, UNILATERAL, COMPLETE BIL | $2,165.00 | $2,165.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC POCUS SOFT TISSUE BREAST | $876.00 | $876.00 | — | 111% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST, UNILATERAL, LIMITED, RT | $1,081.00 | $1,081.00 | — | 161% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST, UNILATERAL, LIMITED, LT | $1,081.00 | $1,081.00 | — | 161% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST, UNILATERAL, LIMITED, BIL | $2,165.00 | $2,165.00 | — | 422% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC POCUS SOFT TISSUE BREAST | $876.00 | $876.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST, UNILATERAL, LIMITED, LT | $1,081.00 | $1,081.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST, UNILATERAL, LIMITED, RT | $1,081.00 | $1,081.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST, UNILATERAL, LIMITED, BIL | $2,165.00 | $2,165.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/O W/CONTRAST | $2,682.00 | $2,682.00 | — | 90% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/O W/CONTRAST | $2,682.00 | $2,682.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT-CORONARY ANGIOGRAPHY | $2,682.00 | $2,682.00 | — | 67% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT-CORONARY ANGIO+CALCIUM SCORING | $2,682.00 | $2,682.00 | — | 67% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT-CORONARY ANGIOGRAPHY+3D HEART | $2,682.00 | $2,682.00 | — | 67% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT-COR ANGIO+3D HEART+CALC SCORING | $2,682.00 | $2,682.00 | — | 67% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT-CORONARY ANGIO+CALCIUM SCORING | $2,682.00 | $2,682.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT-CORONARY ANGIOGRAPHY | $2,682.00 | $2,682.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT-CORONARY ANGIOGRAPHY+3D HEART | $2,682.00 | $2,682.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT-COR ANGIO+3D HEART+CALC SCORING | $2,682.00 | $2,682.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT-CARDIAC CALCIUM SCORING | $99.00 | $99.00 | — | 65% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT-CARDIAC CALCIUM SCORING | $99.00 | $99.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN AND PELVIS WITHOUT CONTRAST | $2,175.00 | $2,175.00 | — | 38% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN AND PELVIS WITHOUT CONTRAST | $2,175.00 | $2,175.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST | $3,941.00 | $3,941.00 | — | 104% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST | $3,941.00 | $3,941.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN AND PELVIS WITHOUT & WITH CONTRAST ONE OR BOTH REGIONS | $3,941.00 | $3,941.00 | — | 84% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN AND PELVIS WITHOUT & WITH CONTRAST ONE OR BOTH REGIONS | $3,941.00 | $3,941.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST | $2,682.00 | $2,682.00 | — | 132% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $2,682.00 | $2,682.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $1,274.00 | $1,274.00 | — | 21% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $1,274.00 | $1,274.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLO AREA W/O CO | $1,396.00 | $1,396.00 | — | 59% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLO AREA W/O CO | $1,396.00 | $1,396.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST | $1,396.00 | $1,396.00 | — | 67% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD FOR MRGFUS WO CONTRAST | $1,396.00 | $1,396.00 | — | 67% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD FOR MRGFUS WO CONTRAST | $1,396.00 | $1,396.00 | — | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST | $1,396.00 | $1,396.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST | $2,938.00 | $2,938.00 | — | 192% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST | $2,938.00 | $2,938.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD W&WO CONTRAST | $2,938.00 | $2,938.00 | — | 163% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W&WO CONTRAST | $2,938.00 | $2,938.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR W/O CONTRAST | $1,274.00 | $1,274.00 | — | 16% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR W/O CONTRAST | $1,274.00 | $1,274.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL W/O CONTRAST | $1,396.00 | $1,396.00 | — | 30% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL W/O CONTRAST | $1,396.00 | $1,396.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $2,682.00 | $2,682.00 | — | 130% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $2,682.00 | $2,682.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DPX SCAN EXTRACRAN ART BIL | $1,632.00 | $1,632.00 | — | 125% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DPX SCAN EXTRACRAN ART BIL | $1,632.00 | $1,632.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HC CHEST; 2 VIEWS | $765.00 | $765.00 | — | 193% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST; 2 VIEWS | $765.00 | $765.00 | — | — | — |
| Chest X-ray, single view CPT 71045 HC CHEST; SINGLE VIEW | $765.00 | $765.00 | — | 254% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST; SINGLE VIEW | $765.00 | $765.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC POCUS RENAL WITH BLADDER SURVEY | $1,463.00 | $1,463.00 | — | 112% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $1,806.00 | $1,806.00 | — | 162% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC POCUS RENAL WITH BLADDER SURVEY | $1,463.00 | $1,463.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $1,806.00 | $1,806.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENS,DUAL ENERGY;AXI | $1,057.00 | $1,057.00 | — | 133% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENS,DUAL ENERGY;AXI | $1,057.00 | $1,057.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA SCAN PERIPHERAL | $640.00 | $640.00 | — | 150% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA SCAN PERIPHERAL | $640.00 | $640.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC ULTRASOUND,FETAL ANATOMIC EXAM, TRANSABDOMINAL; SINGLE/FIRST GEST* | $1,806.00 | $1,806.00 | — | 112% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC ULTRASOUND,FETAL ANATOMIC EXAM, TRANSABDOMINAL; SINGLE/FIRST GEST* | $1,806.00 | $1,806.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST | $1,274.00 | $1,274.00 | — | 40% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST | $1,274.00 | $1,274.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST | $2,682.00 | $2,682.00 | — | 136% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST | $2,682.00 | $2,682.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIGITAL MAMMO DIAG BILATERAL INCLUDING CAD | $569.00 | $569.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIGITAL MAMMO DIAG BILATERAL INCLUDING CAD | $569.00 | $569.00 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 HC DIGITAL MAMMO DIAG UNITLAT SAME DAY AS SCRN INCLUDING CAD | $468.00 | $468.00 | — | 37% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIGITAL MAMMO DIAG UNILATERAL INCLUDING CAD | $468.00 | $468.00 | — | 37% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIGITAL MAMMO DIAG UNITLAT SAME DAY AS SCRN INCLUDING CAD | $468.00 | $468.00 | — | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIGITAL MAMMO DIAG UNILATERAL INCLUDING CAD | $468.00 | $468.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DPX SCAN ART LOW EXT BILAT COMPL | $3,894.00 | $3,894.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DPX SCAN ART LOW EXT BILAT COMPL | $3,894.00 | $3,894.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC POCUS DVT LOWER EXTREMITY BILAT | $2,337.00 | $2,337.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC POCUS DVT UPPER EXTREMITY BILAT | $2,337.00 | $2,337.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC DPX SCAN VEN EXT BIL | $2,885.00 | $2,885.00 | — | 221% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC POCUS DVT LOWER EXTREMITY BILAT | $2,337.00 | $2,337.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC POCUS DVT UPPER EXTREMITY BILAT | $2,337.00 | $2,337.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC DPX SCAN VEN EXT BIL | $2,885.00 | $2,885.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHOCARDIOGRAM - 2D W DOP&COL FLOW | $3,383.00 | $3,383.00 | — | 100% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHOCARD - 2D W DOP&COL FLOW W CON | $3,383.00 | $3,383.00 | — | 100% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHOCARD - 2D W DOP&COL FLOW W CON | $3,383.00 | $3,383.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHOCARDIOGRAM - 2D W DOP&COL FLOW | $3,383.00 | $3,383.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING, INCLUDING GALLBLADDER WHEN PRESENT; | $1,860.00 | $1,860.00 | — | 23% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING, INCLUDING GALLBLADDER WHEN PRESENT; | $1,860.00 | $1,860.00 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC UNATTENDED HOME SLEEP STUDY | $1,164.00 | $1,164.00 | — | 73% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC UNATTENDED HOME SLEEP STUDY | $1,164.00 | $1,164.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOG 4+PARA W CPAP INT & TECH | $6,050.00 | $6,050.00 | — | 68% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOG 4+PARA W CPAP INT & TECH | $6,050.00 | $6,050.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HC XR KNEE 3V BIL | $1,275.00 | $1,275.00 | — | 258% above | — |
| Knee X-ray, 3 views one side CPT 73562 HC XR KNEE 3V LT | $640.00 | $640.00 | — | 80% above | — |
| Knee X-ray, 3 views one side CPT 73562 HC XR KNEE 3V RT | $640.00 | $640.00 | — | 80% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3V BIL | $1,275.00 | $1,275.00 | — | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC XR KNEE 3V RT | $640.00 | $640.00 | — | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC XR KNEE 3V LT | $640.00 | $640.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS RUQ ABDOMEN | $1,463.00 | $1,463.00 | — | 165% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS SOFT TISSUE ABDOMINAL WALL | $1,463.00 | $1,463.00 | — | 165% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS SOFT TISSUE LOWER BACK | $1,463.00 | $1,463.00 | — | 165% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS ABDOMEN, OTHER | $1,463.00 | $1,463.00 | — | 165% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABD PRE-SCREENING HISTOTRIPSY | $1,750.00 | $1,750.00 | — | 217% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US-ABDOMEN, LIMITED | $1,806.00 | $1,806.00 | — | 227% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS ABDOMEN, OTHER | $1,463.00 | $1,463.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS SOFT TISSUE ABDOMINAL WALL | $1,463.00 | $1,463.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS SOFT TISSUE LOWER BACK | $1,463.00 | $1,463.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS RUQ ABDOMEN | $1,463.00 | $1,463.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABD PRE-SCREENING HISTOTRIPSY | $1,750.00 | $1,750.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US-ABDOMEN, LIMITED | $1,806.00 | $1,806.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LOW DOSE LUNG SCREENING | $452.00 | $452.00 | — | 70% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LOW DOSE LUNG SCREENING | $452.00 | $452.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI BREAST WO & W CONTRAST INCL CAD BIL | $7,616.00 | $7,616.00 | — | 96% above | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI BREAST WO & W CONTRAST INCL CAD BIL | $7,616.00 | $7,616.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXTRM JOINT W/O CONT BIL | $4,093.00 | $4,093.00 | — | 140% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI LOW EXTRM JOINT W/O CONT LT | $2,048.00 | $2,048.00 | — | 20% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI LOW EXTRM JOINT W/O CONT RT | $2,048.00 | $2,048.00 | — | 20% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXTRM JOINT W/O CONT BIL | $4,093.00 | $4,093.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI LOW EXTRM JOINT W/O CONT RT | $2,048.00 | $2,048.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI LOW EXTRM JOINT W/O CONT LT | $2,048.00 | $2,048.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTRM JOINT W/WO CO BIL | $6,798.00 | $6,798.00 | — | 184% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI LOWER EXTRM JOINT W/WO CO RT | $3,400.00 | $3,400.00 | — | 42% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI LOWER EXTRM JOINT W/WO CO LT | $3,400.00 | $3,400.00 | — | 42% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTRM JOINT W/WO CO BIL | $6,798.00 | $6,798.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI LOWER EXTRM JOINT W/WO CO RT | $3,400.00 | $3,400.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI LOWER EXTRM JOINT W/WO CO LT | $3,400.00 | $3,400.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $2,048.00 | $2,048.00 | — | 22% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $2,048.00 | $2,048.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONT | $3,400.00 | $3,400.00 | — | 61% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONT | $3,400.00 | $3,400.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $2,220.00 | $2,220.00 | — | 56% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $2,220.00 | $2,220.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O+W CON | $3,687.00 | $3,687.00 | — | 82% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O+W CON | $3,687.00 | $3,687.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR W/O CONT | $2,048.00 | $2,048.00 | — | 37% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR W/O CONT | $2,048.00 | $2,048.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR WO+W CON | $3,400.00 | $3,400.00 | — | 51% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR WO+W CON | $3,400.00 | $3,400.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC W/O CONTRAST | $2,048.00 | $2,048.00 | — | 37% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC W/O CONTRAST | $2,048.00 | $2,048.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL WO+W CONT | $3,687.00 | $3,687.00 | — | 65% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL WO+W CONT | $3,687.00 | $3,687.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL W/O CONTRAST | $2,220.00 | $2,220.00 | — | 58% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL W/O CONTRAST | $2,220.00 | $2,220.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONT | $3,400.00 | $3,400.00 | — | 75% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CONT | $3,400.00 | $3,400.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST | $2,048.00 | $2,048.00 | — | 42% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST | $2,048.00 | $2,048.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXTRM JNT WO CON BIL | $4,093.00 | $4,093.00 | — | 186% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI UPPER EXTRM JOINT W/O CONT LT | $2,048.00 | $2,048.00 | — | 43% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI UPPER EXTRM JOINT W/O CONT RT | $2,048.00 | $2,048.00 | — | 43% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXTRM JNT WO CON BIL | $4,093.00 | $4,093.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI UPPER EXTRM JOINT W/O CONT LT | $2,048.00 | $2,048.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI UPPER EXTRM JOINT W/O CONT RT | $2,048.00 | $2,048.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC CARDIAC STRESS IMAGING W WALL MOTION & EJECT FRACT | $6,194.00 | $6,194.00 | — | 62% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC CARDIAC STRESS IMAGING W WALL MOTION & EJECT FRACT | $6,194.00 | $6,194.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT LTD INITIAL | $8,160.00 | $8,160.00 | — | 68% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT LTD SUBSEQUENT | $8,160.00 | $8,160.00 | — | 68% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC NM-PET/CT SKULL BASE TO MID THIGH | $8,160.00 | $8,160.00 | — | 68% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT LTD INITIAL | $8,160.00 | $8,160.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT LTD SUBSEQUENT | $8,160.00 | $8,160.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC NM-PET/CT SKULL BASE TO MID THIGH | $8,160.00 | $8,160.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC POCUS SOFT TISSUE PELVIC WALL | $876.00 | $876.00 | — | 102% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC POCUS PELVIS NON-OB | $876.00 | $876.00 | — | 102% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC ULTRASOUND, PELVIC, B-SCAN; LIMITED OR FOLLOW-UP | $1,081.00 | $1,081.00 | — | 149% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC POCUS SOFT TISSUE PELVIC WALL | $876.00 | $876.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC POCUS PELVIS NON-OB | $876.00 | $876.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC ULTRASOUND, PELVIC, B-SCAN; LIMITED OR FOLLOW-UP | $1,081.00 | $1,081.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US-NON OB PELVIS COMPLETE | $1,806.00 | $1,806.00 | — | 279% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US-NON OB PELVIS COMPLETE | $1,806.00 | $1,806.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US-PREG >=14 WKS FIRST GESTATION | $1,806.00 | $1,806.00 | — | 245% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US-PREG >=14 WKS FIRST GESTATION | $1,806.00 | $1,806.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US-PREG < 14 WKS FIRST GEST | $1,806.00 | $1,806.00 | — | 252% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US-PREG < 14 WKS FIRST GEST | $1,806.00 | $1,806.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC POCUS TRANSABDOMINAL OB | $1,463.00 | $1,463.00 | — | 207% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY LIMITED 1 OR MORE FETUSES | $1,806.00 | $1,806.00 | — | 279% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC POCUS TRANSABDOMINAL OB | $1,463.00 | $1,463.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY LIMITED 1 OR MORE FETUSES | $1,806.00 | $1,806.00 | — | — | — |
| Screening mammogram, both breasts CPT 77067 HC DIGITAL MAMMO SCREEN INCLUDING CAD | $420.00 | $420.00 | — | 130% above | — |
| Screening mammogram, both breasts one side CPT 77067 HC DIGITAL MAMMO SCREEN INCLUDING CAD UNILATERAL | $420.00 | $420.00 | — | 130% above | — |
| Screening mammogram, both breasts inpatient CPT 77067 HC DIGITAL MAMMO SCREEN INCLUDING CAD | $420.00 | $420.00 | — | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC DIGITAL MAMMO SCREEN INCLUDING CAD UNILATERAL | $420.00 | $420.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | 263% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS LT | $640.00 | $640.00 | — | 82% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS RT | $640.00 | $640.00 | — | 82% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS LT | $640.00 | $640.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS RT | $640.00 | $640.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOG 4+PARAMETER W TECH | $4,840.00 | $4,840.00 | — | 42% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOG 4+PARAMETER W TECH | $4,840.00 | $4,840.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO STRESS 2D W CON & W PHRM W/ CONTINUOUS ECG MOT | $3,239.00 | $3,239.00 | — | 58% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO STRESS 2D WO CON & WO PHRM W/ CONTINUOUS ECG MT | $3,239.00 | $3,239.00 | — | 58% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO STRESS 2D WO CON & W PHRM W/ CONTINUOUS ECG MT | $3,239.00 | $3,239.00 | — | 58% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO STRESS 2D W CON & WO PHRM W/ CONTINUOUS ECG MOT | $3,239.00 | $3,239.00 | — | 58% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO STRESS 2D WO CON & W PHRM W/ CONTINUOUS ECG MT | $3,239.00 | $3,239.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO STRESS 2D WO CON & WO PHRM W/ CONTINUOUS ECG MT | $3,239.00 | $3,239.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO STRESS 2D W CON & W PHRM W/ CONTINUOUS ECG MOT | $3,239.00 | $3,239.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO STRESS 2D W CON & WO PHRM W/ CONTINUOUS ECG MOT | $3,239.00 | $3,239.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNCTION WITH CINE/VIDEO | $959.00 | $959.00 | — | 85% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FUNCTION WITH CINE/VIDEO | $959.00 | $959.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC POCUS TRANSVAGINAL NON-OB | $1,463.00 | $1,463.00 | — | 173% above | — |
| Transvaginal pelvic ultrasound CPT 76830 HC US NON-OB TRANSVAGINAL | $1,806.00 | $1,806.00 | — | 237% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC POCUS TRANSVAGINAL NON-OB | $1,463.00 | $1,463.00 | — | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US NON-OB TRANSVAGINAL | $1,806.00 | $1,806.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC POCUS TRANSVAGINAL OB | $1,463.00 | $1,463.00 | — | 200% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US - TRANSVAG/PELVIC OB | $1,806.00 | $1,806.00 | — | 270% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC POCUS TRANSVAGINAL OB | $1,463.00 | $1,463.00 | — | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US - TRANSVAG/PELVIC OB | $1,806.00 | $1,806.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US - ABDOMEN COMPLETE | $1,806.00 | $1,806.00 | — | 213% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US - ABDOMEN COMPLETE | $1,806.00 | $1,806.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC U-SND SCROTUM & CONTENTS | $1,806.00 | $1,806.00 | — | 253% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U-SND SCROTUM & CONTENTS | $1,806.00 | $1,806.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC POCUS SOFT TISSUE NECK | $1,463.00 | $1,463.00 | — | 165% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US NECK & HEAD, SOFT TISSUE | $1,806.00 | $1,806.00 | — | 228% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC POCUS SOFT TISSUE NECK | $1,463.00 | $1,463.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US NECK & HEAD, SOFT TISSUE | $1,806.00 | $1,806.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UGI INCL SCOUT & DELAYED IMAGES | $959.00 | $959.00 | — | 62% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UGI INCL SCOUT & DELAYED IMAGES | $959.00 | $959.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DPX SCAN VEN EXT UNIL | $2,156.00 | $2,156.00 | — | 199% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC POCUS DVT LOWER EXTREMITY UNILAT | $1,747.00 | $1,747.00 | — | 142% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC POCUS DVT UPPER EXTREMITY UNILAT | $1,747.00 | $1,747.00 | — | 142% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DPX SCAN VEN EXT UNIL | $2,156.00 | $2,156.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC POCUS DVT LOWER EXTREMITY UNILAT | $1,747.00 | $1,747.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC POCUS DVT UPPER EXTREMITY UNILAT | $1,747.00 | $1,747.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | 269% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS LT | $640.00 | $640.00 | — | 85% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS RT | $640.00 | $640.00 | — | 85% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS LT | $640.00 | $640.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS RT | $640.00 | $640.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP RT W OR WO PELVIS, 2-3 VIEW | $640.00 | $640.00 | — | 82% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP LT W OR WO PELVIS, 2-3 VIEW | $640.00 | $640.00 | — | 82% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP RT W OR WO PELVIS, 2-3 VIEW | $640.00 | $640.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP LT W OR WO PELVIS, 2-3 VIEW | $640.00 | $640.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN; 1 VIEW | $537.00 | $537.00 | — | 112% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN; 1 VIEW | $537.00 | $537.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | 373% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE 2 VIEWS RT | $640.00 | $640.00 | — | 137% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE 2 VIEWS LT | $640.00 | $640.00 | — | 137% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE 2 VIEWS LT | $640.00 | $640.00 | — | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE 2 VIEWS RT | $640.00 | $640.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC FINGERS MIN 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | 393% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGERS MIN 2 VIEWS LT | $640.00 | $640.00 | — | 147% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGERS MIN 2 VIEWS RT | $640.00 | $640.00 | — | 147% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGERS MIN 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGERS MIN 2 VIEWS LT | $640.00 | $640.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGERS MIN 2 VIEWS RT | $640.00 | $640.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HC FOOT MIN 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | 382% above | — |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT MIN 2 VIEWS LT | $640.00 | $640.00 | — | 142% above | — |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT MIN 2 VIEWS RT | $640.00 | $640.00 | — | 142% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT MIN 2 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT MIN 2 VIEWS RT | $640.00 | $640.00 | — | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT MIN 2 VIEWS LT | $640.00 | $640.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMPLETE MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | 287% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT COMPLETE MIN 3 VIEWS RT | $640.00 | $640.00 | — | 94% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT COMPLETE MIN 3 VIEWS LT | $640.00 | $640.00 | — | 94% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMPLETE MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT COMPLETE MIN 3 VIEWS LT | $640.00 | $640.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT COMPLETE MIN 3 VIEWS RT | $640.00 | $640.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC HAND MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | 268% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND MIN 3 VIEWS RT | $640.00 | $640.00 | — | 85% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND MIN 3 VIEWS LT | $640.00 | $640.00 | — | 85% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND MIN 3 VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND MIN 3 VIEWS RT | $640.00 | $640.00 | — | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND MIN 3 VIEWS LT | $640.00 | $640.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE ONE OR TWO VIEWS BIL | $1,275.00 | $1,275.00 | — | 352% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC KNEE ONE OR TWO VIEWS LT | $640.00 | $640.00 | — | 127% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC KNEE ONE OR TWO VIEWS RT | $640.00 | $640.00 | — | 127% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE ONE OR TWO VIEWS BIL | $1,275.00 | $1,275.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC KNEE ONE OR TWO VIEWS RT | $640.00 | $640.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC KNEE ONE OR TWO VIEWS LT | $640.00 | $640.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE L/S 2 0R 3 VIEWS | $1,057.00 | $1,057.00 | — | 235% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE L/S 2 0R 3 VIEWS | $1,057.00 | $1,057.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE, L/S MIN 4 VIEWS | $1,057.00 | $1,057.00 | — | 129% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE, L/S MIN 4 VIEWS | $1,057.00 | $1,057.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEWS | $1,057.00 | $1,057.00 | — | 260% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS | $1,057.00 | $1,057.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMPLETE MIN 3 VIEWS | $640.00 | $640.00 | — | 122% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMPLETE MIN 3 VIEWS | $640.00 | $640.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE,CERVICAL 3 VIEWS OR LESS | $1,057.00 | $1,057.00 | — | 228% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE,CERVICAL 3 VIEWS OR LESS | $1,057.00 | $1,057.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS | $1,057.00 | $1,057.00 | — | 326% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS | $1,057.00 | $1,057.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC COCCYX &/OR SACRUM MIN 2V | $640.00 | $640.00 | — | 118% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC COCCYX &/OR SACRUM MIN 2V | $640.00 | $640.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT | $76.00 | $76.00 | — | 172% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT | $76.00 | $76.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT | $74.00 | $74.00 | — | 194% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT | $74.00 | $74.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $502.00 | $502.00 | — | 131% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $502.00 | $502.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC | $93.00 | $93.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC | $93.00 | $93.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI CCP | $229.00 | $229.00 | — | 296% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI CCP | $229.00 | $229.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODY | $214.00 | $214.00 | — | 297% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODY | $214.00 | $214.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $427.00 | $427.00 | — | 189% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $427.00 | $427.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $106.00 | $106.00 | — | 65% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $106.00 | $106.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC PROSTATE BIOPSY ANY METHOD ONLY | $356.00 | $356.00 | — | 97% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE: LEVEL IV GROSS & MICRO | $356.00 | $356.00 | — | 97% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC PROSTATE BIOPSY ANY METHOD ONLY | $356.00 | $356.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE: LEVEL IV GROSS & MICRO | $356.00 | $356.00 | — | — | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $87.00 | $87.00 | — | 7% below | — |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $87.00 | $87.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE | $34.00 | $34.00 | — | 127% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE | $34.00 | $34.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE POCT | $56.00 | $56.00 | — | 149% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $56.00 | $56.00 | — | 149% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $56.00 | $56.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE POCT | $56.00 | $56.00 | — | — | — |
| Blood lead test CPT 83655 HC LEAD | $170.00 | $170.00 | — | 279% above | — |
| Blood lead test inpatient CPT 83655 HC LEAD | $170.00 | $170.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE | $106.00 | $106.00 | — | 95% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE | $106.00 | $106.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO GROUP | $519.00 | $519.00 | — | 809% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO GROUP | $519.00 | $519.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN | $92.00 | $92.00 | — | 86% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN | $92.00 | $92.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMPLIFIED PROBE | $303.00 | $303.00 | — | 133% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF AMPLIFIED PROBE | $303.00 | $303.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19 9 | $254.00 | $254.00 | — | 274% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19 9 | $254.00 | $254.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $254.00 | $254.00 | — | 171% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $254.00 | $254.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 LAB TEST NON-CDC | $70.00 | $70.00 | — | 50% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 SCREEN | $70.00 | $70.00 | — | 50% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IA INFECTIOUS AGT NUCLEIC ACID SARS-COV-2 COVID-19 AMP PRB TECH | $99.00 | $99.00 | — | 30% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 SCREEN HIGH THRU PUT TECH | $99.00 | $99.00 | — | 30% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 SCREEN | $70.00 | $70.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 LAB TEST NON-CDC | $70.00 | $70.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IA INFECTIOUS AGT NUCLEIC ACID SARS-COV-2 COVID-19 AMP PRB TECH | $99.00 | $99.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 SCREEN HIGH THRU PUT TECH | $99.00 | $99.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA AMPLIFIED PROBE | $303.00 | $303.00 | — | 224% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA AMPLIFIED PROBE | $303.00 | $303.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $139.00 | $139.00 | — | 163% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $139.00 | $139.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC CBC AND DIFFERENTIAL, AUTO | $137.00 | $137.00 | — | 290% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AND DIFFERENTIAL, AUTO | $137.00 | $137.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTOMATED | $115.00 | $115.00 | — | 255% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTOMATED | $115.00 | $115.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMP METABOLIC PANEL | $152.00 | $152.00 | — | 143% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMP METABOLIC PANEL | $152.00 | $152.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANTITATIVE | $182.00 | $182.00 | — | 153% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANTITATIVE | $182.00 | $182.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $314.00 | $314.00 | — | 216% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE | $314.00 | $314.00 | — | — | — |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $391.00 | $391.00 | — | 271% above | — |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $391.00 | $391.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $263.00 | $263.00 | — | 207% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $263.00 | $263.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $276.00 | $276.00 | — | 85% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $276.00 | $276.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $191.00 | $191.00 | — | 160% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $191.00 | $191.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID | $210.00 | $210.00 | — | 220% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID | $210.00 | $210.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $239.00 | $239.00 | — | 237% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE | $239.00 | $239.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE | $129.00 | $129.00 | — | 217% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE | $129.00 | $129.00 | — | — | — |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $359.00 | $359.00 | — | 281% above | — |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $359.00 | $359.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $324.00 | $324.00 | — | 46% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $324.00 | $324.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $66.00 | $66.00 | — | 126% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $66.00 | $66.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL 1ST 3 SPEC | $137.00 | $137.00 | — | 126% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL 1ST 3 SPEC | $137.00 | $137.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE AMP PROBE | $303.00 | $303.00 | — | 226% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE AMP PROBE | $303.00 | $303.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER ANTIBODY | $258.00 | $258.00 | — | 273% above | — |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER ANTIBODY | $258.00 | $258.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI STOOL | $124.00 | $124.00 | — | 81% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI STOOL | $124.00 | $124.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 QUANT | $736.00 | $736.00 | — | 105% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 QUANT | $736.00 | $736.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 AND 2 | $242.00 | $242.00 | — | 292% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1 AND 2 | $242.00 | $242.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB SNG RESULT | $207.00 | $207.00 | — | 193% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB SNG RESULT | $207.00 | $207.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK | $303.00 | $303.00 | — | 169% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK | $303.00 | $303.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN | $135.00 | $135.00 | — | 196% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN | $135.00 | $135.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIB | $191.00 | $191.00 | — | 297% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIB | $191.00 | $191.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG | $80.00 | $80.00 | — | 73% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG | $80.00 | $80.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $236.00 | $236.00 | — | 270% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $236.00 | $236.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANT | $371.00 | $371.00 | — | 93% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANT | $371.00 | $371.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC AB HERPES SIMPLEX T1 | $236.00 | $236.00 | — | 299% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC AB HERPES SIMPLEX T1 | $236.00 | $236.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC AB HERPES SIMPLEX T2 | $346.00 | $346.00 | — | 422% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC AB HERPES SIMPLEX T2 | $346.00 | $346.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HI SENSITIVITY | $229.00 | $229.00 | — | 259% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HI SENSITIVITY | $229.00 | $229.00 | — | — | — |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINE | $239.00 | $239.00 | — | 197% above | — |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE | $239.00 | $239.00 | — | — | — |
| Insulin blood test CPT 83525 HC INSULIN TOTAL | $162.00 | $162.00 | — | 215% above | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL | $162.00 | $162.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HC IRON TISSUE | $92.00 | $92.00 | — | 155% above | — |
| Iron blood test (serum iron) CPT 83540 HC IRON | $92.00 | $92.00 | — | 155% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $92.00 | $92.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON TISSUE | $92.00 | $92.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $123.00 | $123.00 | — | 215% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $123.00 | $123.00 | — | — | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $109.00 | $109.00 | — | 59% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $109.00 | $109.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC LH LUTEINIZING HORMONE | $260.00 | $260.00 | — | 172% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH LUTEINIZING HORMONE | $260.00 | $260.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE URINE | $96.00 | $96.00 | — | 66% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $96.00 | $96.00 | — | 66% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE URINE | $96.00 | $96.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $96.00 | $96.00 | — | — | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $70.00 | $70.00 | — | 18% above | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $70.00 | $70.00 | — | — | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $303.00 | $303.00 | — | 296% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY | $303.00 | $303.00 | — | — | — |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $80.00 | $80.00 | — | 141% above | — |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $80.00 | $80.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $228.00 | $228.00 | — | 332% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY | $228.00 | $228.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT HETERPHIL ANTIBDY | $92.00 | $92.00 | — | 78% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT HETERPHIL ANTIBDY | $92.00 | $92.00 | — | — | — |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $237.00 | $237.00 | — | 16% above | — |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $237.00 | $237.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $260.00 | $260.00 | — | 223% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $260.00 | $260.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA | $260.00 | $260.00 | — | 239% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC | $260.00 | $260.00 | — | 239% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREEN | $260.00 | $260.00 | — | 239% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $260.00 | $260.00 | — | 239% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL | $260.00 | $260.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREEN | $260.00 | $260.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA | $260.00 | $260.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC | $260.00 | $260.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR BY THIN PREP AUTO SCRN | $218.00 | $218.00 | — | 127% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR BY THIN PREP AUTO SCRN | $218.00 | $218.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR BY THIN LAYER | $190.00 | $190.00 | — | 109% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR BY THIN LAYER | $190.00 | $190.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE | $582.00 | $582.00 | — | 313% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE | $582.00 | $582.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PART THROMBIN TIME | $107.00 | $107.00 | — | 195% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PART THROMBIN TIME | $107.00 | $107.00 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHRMOML ANEUPLOIDY | $5,195.00 | $5,195.00 | — | 257% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHRMOML ANEUPLOIDY | $5,195.00 | $5,195.00 | — | — | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $270.00 | $270.00 | — | 274% above | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $270.00 | $270.00 | — | — | — |
| Prolactin blood test CPT 84146 HC PROLACTIN | $271.00 | $271.00 | — | 211% above | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $271.00 | $271.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $71.00 | $71.00 | — | 196% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME POCT | $71.00 | $71.00 | — | 196% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $71.00 | $71.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME POCT | $71.00 | $71.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ANTIGEN EA | $105.00 | $105.00 | — | 60% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA ANTIGEN EA | $105.00 | $105.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREPT A SCREEN | $105.00 | $105.00 | — | 84% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP GROUP A - POCT | $105.00 | $105.00 | — | 84% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP GROUP A - POCT | $105.00 | $105.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREPT A SCREEN | $105.00 | $105.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QT | $102.00 | $102.00 | — | 214% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QT | $102.00 | $102.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM | $255.00 | $255.00 | — | 562% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG | $255.00 | $255.00 | — | 562% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $255.00 | $255.00 | — | 562% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG | $255.00 | $255.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM | $255.00 | $255.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY | $255.00 | $255.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC WESTERGREN SED RATE | $46.00 | $46.00 | — | 32% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC WESTERGREN SED RATE | $46.00 | $46.00 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS COMPLETE | $87.00 | $87.00 | — | 35% below | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS COMPLETE | $87.00 | $87.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 HC O&P DIRECT SMRCONCID | $79.00 | $79.00 | — | 99% above | — |
| Stool ova and parasites exam inpatient CPT 87177 HC O&P DIRECT SMRCONCID | $79.00 | $79.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC FECAL OCCULT BLD 1-3 DET - SCREENING | $42.00 | $42.00 | — | 61% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES | $46.00 | $46.00 | — | 76% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC FECAL OCCULT BLD 1-3 DET - SCREENING | $42.00 | $42.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES | $46.00 | $46.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLD FHG QUAL 1-3 | $225.00 | $225.00 | — | 336% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLD FHG QUAL 1-3 | $225.00 | $225.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUAL | $76.00 | $76.00 | — | 241% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUAL | $76.00 | $76.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED | $1,107.00 | $1,107.00 | — | 896% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED | $1,107.00 | $1,107.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $286.00 | $286.00 | — | 237% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $286.00 | $286.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES | $260.00 | $260.00 | — | 300% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES | $260.00 | $260.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $237.00 | $237.00 | — | 217% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $237.00 | $237.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $303.00 | $303.00 | — | 254% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $303.00 | $303.00 | — | — | — |
| Uric acid blood test CPT 84550 HC URIC ACID | $63.00 | $63.00 | — | 79% above | — |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $63.00 | $63.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC 81001 URINALYSIS W/MICRO | $45.00 | $45.00 | — | 67% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC 81001 URINALYSIS W/MICRO | $45.00 | $45.00 | — | — | — |
| Urinalysis with microscope exam, manual CPT 81000 HC 81000 URINALYSIS | $45.00 | $45.00 | — | 147% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC 81000 URINALYSIS | $45.00 | $45.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS | $32.00 | $32.00 | — | 37% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINDIPAUTO W O MIC | $32.00 | $32.00 | — | 37% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS | $32.00 | $32.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINDIPAUTO W O MIC | $32.00 | $32.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HC 81002 URINDIPNON AUTO W O MIC | $32.00 | $32.00 | — | 105% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC 81002 URINDIPNON AUTO W O MIC | $32.00 | $32.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULT URINE W/COLONY COUNT | $70.00 | $70.00 | — | 23% above | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE QUANT CC | $70.00 | $70.00 | — | 23% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULT URINE W/COLONY COUNT | $70.00 | $70.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE QUANT CC | $70.00 | $70.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY POCT | $87.00 | $87.00 | — | 91% above | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $87.00 | $87.00 | — | 91% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $87.00 | $87.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY POCT | $87.00 | $87.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $212.00 | $212.00 | — | 196% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $212.00 | $212.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC CALCIFEROL VIT D | $417.00 | $417.00 | — | 360% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC CALCIFEDIOL 25 OH VIT D3 | $417.00 | $417.00 | — | 360% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC CALCIFEROL VIT D | $417.00 | $417.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC CALCIFEDIOL 25 OH VIT D3 | $417.00 | $417.00 | — | — | — |
| Zinc blood test CPT 84630 HC ZINC | $160.00 | $160.00 | — | 239% above | — |
| Zinc blood test inpatient CPT 84630 HC ZINC | $160.00 | $160.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE | $212.00 | $212.00 | — | 214% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE | $212.00 | $212.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC BIL | $14,089.00 | $14,089.00 | — | 248% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC BX BREAST 1ST LESION STRTCTC RT | $7,043.00 | $7,043.00 | — | 74% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC BX BREAST 1ST LESION STRTCTC LT | $7,043.00 | $7,043.00 | — | 74% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC BIL | $14,089.00 | $14,089.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC BX BREAST 1ST LESION STRTCTC LT | $7,043.00 | $7,043.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC BX BREAST 1ST LESION STRTCTC RT | $7,043.00 | $7,043.00 | — | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CORONARY ANGIOGRAPHY WITH LT HEART CATH | $33,339.00 | $33,339.00 | — | 177% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CORONARY ANGIOGRAPHY WITH LT HEART CATH | $33,339.00 | $33,339.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ELECTIVE CARDIOVERSION | $3,522.00 | $3,522.00 | — | 71% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ELECTIVE CARDIOVERSION | $3,522.00 | $3,522.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC COMP EP W TRANS SEPT PUNC W AFIB ABL BY PULM VN ISOL | $50,327.00 | $50,327.00 | — | 61% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMP EP W TRANS SEPT PUNC W AFIB ABL BY PULM VN ISOL | $50,327.00 | $50,327.00 | — | — | — |
| Cervical biopsy CPT 57500 HC BIOPSY CERVIX | $1,301.00 | $1,301.00 | — | 29% below | — |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX | $1,301.00 | $1,301.00 | — | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC CULPOSCOPY W LOOP ELECT BX | $3,222.00 | $3,222.00 | — | 17% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC CULPOSCOPY W LOOP ELECT BX | $3,222.00 | $3,222.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W CX BX AND ECC | $401.00 | $401.00 | — | 56% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/ BIOPSY & ECC | $401.00 | $401.00 | — | 56% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W CX BX AND ECC | $401.00 | $401.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/ BIOPSY & ECC | $401.00 | $401.00 | — | — | — |
| Coronary stent placement, one artery CPT 92928 HC STENT + ANGIOPLASTY SINGLE MAJ COR ART OR BRANCH | $39,598.00 | $39,598.00 | — | 229% above | — |
| Coronary stent placement, one artery CPT 92928 HC DE STENT + ANGIOPLASTY SINGLE MAJ COR ART OR BRANCH | $39,598.00 | $39,598.00 | — | 229% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 HC DE STENT + ANGIOPLASTY SINGLE MAJ COR ART OR BRANCH | $39,598.00 | $39,598.00 | — | — | — |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT + ANGIOPLASTY SINGLE MAJ COR ART OR BRANCH | $39,598.00 | $39,598.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE BILATERAL | $235.00 | $235.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE BILATERAL | $235.00 | $235.00 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $185.00 | $185.00 | — | 20% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $185.00 | $185.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BIOPSY | $742.00 | $742.00 | — | 93% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BIOPSY | $742.00 | $742.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ DIAG/THERA CERV/THOR EPI INC IM GUIDE | $2,978.00 | $2,978.00 | — | 33% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ DIAG/THERA CERV/THOR EPI INC IM GUIDE | $2,978.00 | $2,978.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC LUMB/SACRAL FACET/SINGLE LVL INCL IMG GDANCE BIL | $5,694.00 | $5,694.00 | — | 173% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC LUMB/SACRAL FACET/SINGLE LVL INCL IMG GDANCE RT | $3,574.00 | $3,574.00 | — | 71% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC LUMB/SACRAL FACET/SINGLE LVL INCL IMG GDANCE LT | $3,574.00 | $3,574.00 | — | 71% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC LUMB/SACRAL FACET/SINGLE LVL INCL IMG GDANCE BIL | $5,694.00 | $5,694.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC LUMB/SACRAL FACET/SINGLE LVL INCL IMG GDANCE RT | $3,574.00 | $3,574.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC LUMB/SACRAL FACET/SINGLE LVL INCL IMG GDANCE LT | $3,574.00 | $3,574.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGO | $894.00 | $894.00 | — | 133% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGO | $894.00 | $894.00 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC IUD PLACEMENT | $6,096.00 | $6,096.00 | — | 940% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD PLACEMENT | $6,096.00 | $6,096.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE | $1,217.00 | $1,217.00 | — | 219% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE | $1,217.00 | $1,217.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIG/ GANG CY BIL | $10,684.00 | $10,684.00 | — | 3050% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC INJ TENDON SHEATH/LIG/ GANG CY RT | $5,342.00 | $5,342.00 | — | 1475% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC INJ TENDON SHEATH/LIG/ GANG CY LT | $5,342.00 | $5,342.00 | — | 1475% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIG/ GANG CY BIL | $10,684.00 | $10,684.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC INJ TENDON SHEATH/LIG/ GANG CY LT | $5,342.00 | $5,342.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC INJ TENDON SHEATH/LIG/ GANG CY RT | $5,342.00 | $5,342.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS LG JNT BIL | $2,513.00 | $2,513.00 | — | 261% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC ARTHROCENTESIS LG JNT LT | $1,255.00 | $1,255.00 | — | 80% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC ARTHROCENTESIS LG JNT RT | $1,255.00 | $1,255.00 | — | 80% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS LG JNT BIL | $2,513.00 | $2,513.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC ARTHROCENTESIS LG JNT LT | $1,255.00 | $1,255.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC ARTHROCENTESIS LG JNT RT | $1,255.00 | $1,255.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS, MED JNT BIL | $3,747.00 | $3,747.00 | — | 515% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCENTESIS MED JOINT LT | $1,396.00 | $1,396.00 | — | 129% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCENTESIS MED JOINT RT | $1,396.00 | $1,396.00 | — | 129% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS, MED JNT BIL | $3,747.00 | $3,747.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCENTESIS MED JOINT LT | $1,396.00 | $1,396.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCENTESIS MED JOINT RT | $1,396.00 | $1,396.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS,SM JNT BIL | $8,284.00 | $8,284.00 | — | 1579% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC ARTHROCENTESIS SM JOINT RT | $4,279.00 | $4,279.00 | — | 767% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC ARTHROCENTESIS SM JOINT LT | $4,279.00 | $4,279.00 | — | 767% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS,SM JNT BIL | $8,284.00 | $8,284.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC ARTHROCENTESIS SM JOINT LT | $4,279.00 | $4,279.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC ARTHROCENTESIS SM JOINT RT | $4,279.00 | $4,279.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $1,033.00 | $1,033.00 | — | 117% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $1,033.00 | $1,033.00 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATHETERIZATION | $8,296.00 | $8,296.00 | — | 10% below | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATHETERIZATION | $8,296.00 | $8,296.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ DIAG/THERA LUM/SAC SI EPI INC IM GUIDE | $2,978.00 | $2,978.00 | — | 46% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ DIAG/THERA LUM/SAC SI EPI INC IM GUIDE | $2,978.00 | $2,978.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANS EPI TRANSFRM L/S SIN LVL BIL | $16,646.00 | $16,646.00 | — | 783% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC INJ ANS EPI TRANSFRM L/S SIN LVL LT | $8,324.00 | $8,324.00 | — | 342% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC INJ ANS EPI TRANSFRM L/S SIN LVL RT | $8,324.00 | $8,324.00 | — | 342% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANS EPI TRANSFRM L/S SIN LVL BIL | $16,646.00 | $16,646.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC INJ ANS EPI TRANSFRM L/S SIN LVL LT | $8,324.00 | $8,324.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC INJ ANS EPI TRANSFRM L/S SIN LVL RT | $8,324.00 | $8,324.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE -SINGLE | $607.00 | $607.00 | — | 90% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE -SINGLE | $607.00 | $607.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC INSERT OR REPLACE PACEMAKER WITH ATRIAL AND VENTRICULAR LEADS | $50,327.00 | $50,327.00 | — | 270% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT OR REPLACE PACEMAKER WITH ATRIAL AND VENTRICULAR LEADS | $50,327.00 | $50,327.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); W IMAGING GUIDANCE | $6,299.00 | $6,299.00 | — | 266% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); W IMAGING GUIDANCE | $6,299.00 | $6,299.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL MATRIX (BED) | $2,919.00 | $2,919.00 | — | 275% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL MATRIX (BED) | $2,919.00 | $2,919.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DEST LUMB/SAC PARVRT FACET JNT W IMG BIL | $12,523.00 | $12,523.00 | — | 297% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC DEST LUMB/SAC PARVRT FACET JNT W IMG LT | $10,615.00 | $10,615.00 | — | 237% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC DEST LUMB/SAC PARVRT FACET JNT W IMG RT | $10,615.00 | $10,615.00 | — | 237% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DEST LUMB/SAC PARVRT FACET JNT W IMG BIL | $12,523.00 | $12,523.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC DEST LUMB/SAC PARVRT FACET JNT W IMG LT | $10,615.00 | $10,615.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC DEST LUMB/SAC PARVRT FACET JNT W IMG RT | $10,615.00 | $10,615.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE | $968.00 | $968.00 | — | 49% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE | $968.00 | $968.00 | — | — | — |
| Short arm cast (elbow to hand) one side CPT 29075 HC OT - APPL CAST ELBOW FINGER SHORT ARM LT | $553.00 | $553.00 | — | 84% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 HC APPL CAST ELBOW/HAND RT | $553.00 | $553.00 | — | 84% above | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 HC APPL CAST ELBOW/HAND RT | $553.00 | $553.00 | — | — | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 HC OT - APPL CAST ELBOW FINGER SHORT ARM LT | $553.00 | $553.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC OT - APPL SHRT ARM SPLINT FOREARM/HAND STATIC BIL | $1,263.00 | $1,263.00 | — | 337% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 HC OT - APPL SHRT ARM SPLINT FOREARM/HAND STATIC LT | $494.00 | $494.00 | — | 71% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 HC OT - APPL SHRT ARM SPLINT FOREARM/HAND STATIC RT | $494.00 | $494.00 | — | 71% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC OT - APPL SHRT ARM SPLINT FOREARM/HAND STATIC BIL | $1,263.00 | $1,263.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 HC OT - APPL SHRT ARM SPLINT FOREARM/HAND STATIC LT | $494.00 | $494.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 HC OT - APPL SHRT ARM SPLINT FOREARM/HAND STATIC RT | $494.00 | $494.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $261.00 | $261.00 | — | 11% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $261.00 | $261.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMP REPAIR WOUND S/N/A/G/TR/E; 2.5CM/< | $730.00 | $730.00 | — | 121% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIMP REPAIR WOUND S/N/A/G/TR/E; 2.5CM/< | $730.00 | $730.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN, SINGLE LESION | $863.00 | $863.00 | — | 92% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN, SINGLE LESION | $863.00 | $863.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC REM SKIN TAGS; <=15 LESIONS | $252.00 | $252.00 | — | 14% below | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM SKIN TAGS; <=15 LESIONS | $252.00 | $252.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE, DIAG | $8,029.00 | $8,029.00 | — | 650% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE, DIAG | $8,029.00 | $8,029.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY OF SKIN, SINGLE LESION | $863.00 | $863.00 | — | 188% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY OF SKIN, SINGLE LESION | $863.00 | $863.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W IMG NDL OR CATH BIL | $16,057.00 | $16,057.00 | — | 807% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 HC THORACENTESIS W IMG NDL OR CATH RT | $8,029.00 | $8,029.00 | — | 354% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 HC THORACENTESIS W IMG NDL OR CATH LT | $8,029.00 | $8,029.00 | — | 354% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W IMG NDL OR CATH BIL | $16,057.00 | $16,057.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC THORACENTESIS W IMG NDL OR CATH RT | $8,029.00 | $8,029.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC THORACENTESIS W IMG NDL OR CATH LT | $8,029.00 | $8,029.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER PT INJ 1-2 MM GRP | $890.00 | $890.00 | — | 26% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER PT INJ 1-2 MM GRP | $890.00 | $890.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG BIL | $7,301.00 | $7,301.00 | — | 123% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC BX BREAST 1ST LESION US IMAG RT | $3,650.00 | $3,650.00 | — | 12% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC BX BREAST 1ST LESION US IMAG LT | $3,650.00 | $3,650.00 | — | 12% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG BIL | $7,301.00 | $7,301.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC BX BREAST 1ST LESION US IMAG RT | $3,650.00 | $3,650.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC BX BREAST 1ST LESION US IMAG LT | $3,650.00 | $3,650.00 | — | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF 1ST VEIN BIL | $12,336.00 | $12,336.00 | — | 100% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF 1ST VEIN BIL | $12,336.00 | $12,336.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $993.00 | $993.00 | — | 234% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $993.00 | $993.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $1,643.00 | $1,643.00 | — | 111% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR PART | $1,824.00 | $1,824.00 | — | 134% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $1,643.00 | $1,643.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR PART | $1,824.00 | $1,824.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EACH ADDITIONAL | $178.00 | $178.00 | — | 85% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION, BLOOD OR BLOOD C | $868.00 | $868.00 | — | 26% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EACH ADDITIONAL | $178.00 | $178.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION, BLOOD OR BLOOD C | $868.00 | $868.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PED INLINE AEROSOL THERAPY | $411.00 | $411.00 | — | 122% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC BAN TREATMENT INITIAL | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ADULT VENTILATOR INLINE MEDS | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MEB NEB SUBSEQ TREATMENT | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC BAN TREATMENT SUBSEQ | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MED NEB INITIAL TREATMENT | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB SUBSEQ TREATEMENT | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INDUCED SPUTUM | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PED MED NEB | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SUBSEQ EZ PAP HYPERINFLATION | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INITIAL MDI | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SUBSEQ MDI | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB INITIAL TREATMENT | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INITIAL EZ PAP HYPERINFLATION | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI THERAPY | $427.00 | $427.00 | — | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PED INLINE AEROSOL THERAPY | $411.00 | $411.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB SUBSEQ TREATEMENT | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SUBSEQ EZ PAP HYPERINFLATION | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INITIAL EZ PAP HYPERINFLATION | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI THERAPY | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PED MED NEB | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ADULT VENTILATOR INLINE MEDS | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MEB NEB SUBSEQ TREATMENT | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MED NEB INITIAL TREATMENT | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB INITIAL TREATMENT | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SUBSEQ MDI | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INITIAL MDI | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC BAN TREATMENT SUBSEQ | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC BAN TREATMENT INITIAL | $427.00 | $427.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INDUCED SPUTUM | $427.00 | $427.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN INFUSION 1ST HOUR | $1,193.00 | $1,193.00 | — | 57% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN INFUSION 1ST HOUR | $1,193.00 | $1,193.00 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE AUDIOMETRY THRESHOLD EVALUATION AND SPEECH RECOGNITION | $885.00 | $885.00 | — | 215% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE AUDIOMETRY THRESHOLD EVALUATION AND SPEECH RECOGNITION | $885.00 | $885.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE FIRST 30 TO 74 MINUTES | $8,216.00 | $8,216.00 | — | 180% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE FIRST 30 TO 74 MINUTES | $8,216.00 | $8,216.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY W/HV &/OR PH | $3,798.00 | $3,798.00 | — | 260% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY W/HV &/OR PH | $3,798.00 | $3,798.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG PEDIATRIC | $436.00 | $436.00 | — | 135% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY | $511.00 | $511.00 | — | 176% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG PEDIATRIC | $436.00 | $436.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY | $511.00 | $511.00 | — | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY (INCLUDES NECESSARY MONITORING); SINGLE* | $2,098.00 | $2,098.00 | — | 55% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY EACH ADDITIONAL HOUR | $2,098.00 | $2,098.00 | — | 55% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY EACH ADDITIONAL HOUR | $2,098.00 | $2,098.00 | — | — | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY (INCLUDES NECESSARY MONITORING); SINGLE* | $2,098.00 | $2,098.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC HS LEVEL 1 | $627.00 | $627.00 | — | 114% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC HS LEVEL 1 | $627.00 | $627.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC HS LEVEL 2 | $1,115.00 | $1,115.00 | — | 119% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC HS LEVEL 2 | $1,115.00 | $1,115.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC HS LEVEL 3 | $1,812.00 | $1,812.00 | — | 113% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC HS LEVEL 3 | $1,812.00 | $1,812.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC HS LEVEL 4 | $3,716.00 | $3,716.00 | — | 179% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC HS LEVEL 4 | $3,716.00 | $3,716.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC HS LEVEL 5 | $6,078.00 | $6,078.00 | — | 300% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC HS LEVEL 5 | $6,078.00 | $6,078.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG | $2,314.00 | $2,314.00 | — | 158% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASC STRESS TEST, CONT EKG, LEXISCAN | $2,314.00 | $2,314.00 | — | 158% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG , THALL | $2,314.00 | $2,314.00 | — | 158% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG , DOBUTAMINE | $2,314.00 | $2,314.00 | — | 158% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG , ADENOSINE | $2,314.00 | $2,314.00 | — | 158% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC METABOLIC STRESS TEST | $2,314.00 | $2,314.00 | — | 158% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG | $2,314.00 | $2,314.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG , THALL | $2,314.00 | $2,314.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASC STRESS TEST, CONT EKG, LEXISCAN | $2,314.00 | $2,314.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG , DOBUTAMINE | $2,314.00 | $2,314.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC METABOLIC STRESS TEST | $2,314.00 | $2,314.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST, CONTINUOUS EKG , ADENOSINE | $2,314.00 | $2,314.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHTHERAPY FAMILY W/PAT | $574.00 | $574.00 | — | 93% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHTHERAPY FAMILY W/PAT | $574.00 | $574.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHTX WO PATIENT-PSYCH | $407.00 | $407.00 | — | 31% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHTX WO PATIENT-PSYCH | $407.00 | $407.00 | — | — | — |
| Group psychotherapy session CPT 90853 HC PSYCHTHERAPY GROUP (HOURLY) | $181.00 | $181.00 | — | 5% above | — |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHTHERAPY GROUP (HOURLY) | $181.00 | $181.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION INITIAL TO 1 HR | $757.00 | $757.00 | — | 81% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION INITIAL TO 1 HR | $757.00 | $757.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF INITIAL TO 1HR SPEC DRUG | $811.00 | $811.00 | — | 87% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF INITIAL TO 1HR SPEC DRUG | $811.00 | $811.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROP/DIAG/INJ,SC/IM | $214.00 | $214.00 | — | 51% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SUBQ/IM THERAP | $268.00 | $268.00 | — | 89% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ER INJECTION IM/SC | $268.00 | $268.00 | — | 89% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROP/DIAG/INJ,SC/IM | $214.00 | $214.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ER INJECTION IM/SC | $268.00 | $268.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SUBQ/IM THERAP | $268.00 | $268.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC BAT PSYCH DIAGNOSTIC EVAL | $725.00 | $725.00 | — | 131% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC BAT PSYCH DIAGNOSTIC EVAL | $725.00 | $725.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES; 7-8 STUDIES | $1,742.00 | $1,742.00 | — | 26% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES; 7-8 STUDIES | $1,742.00 | $1,742.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC RE-ED | $198.00 | $198.00 | — | 85% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC RE-ED | $198.00 | $198.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC URG CARE NEW PATIENT LEVEL 3 | $162.00 | $162.00 | — | 53% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC HYBRID CLINIC NEW PATIENT LEVEL 3 | $208.00 | $208.00 | — | 96% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PATIENT LEVEL 3 | $433.00 | $433.00 | — | 309% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC NIT OP E&M MED FAC FEE | $433.00 | $433.00 | — | 309% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC OB VISIT LEVEL III NEW | $433.00 | $433.00 | — | 309% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT EVAL - LEVEL 3 | $433.00 | $433.00 | — | 309% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC URG CARE NEW PATIENT LEVEL 3 | $162.00 | $162.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC HYBRID CLINIC NEW PATIENT LEVEL 3 | $208.00 | $208.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT EVAL - LEVEL 3 | $433.00 | $433.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PATIENT LEVEL 3 | $433.00 | $433.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NIT OP E&M MED FAC FEE | $433.00 | $433.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OB VISIT LEVEL III NEW | $433.00 | $433.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC URG CARE NEW PATIENT LEVEL 4 | $194.00 | $194.00 | — | 42% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC HYBRID CLINIC NEW PATIENT LEVEL 4 | $208.00 | $208.00 | — | 52% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC INIT OP E&M MED-HIGH FAC FEE | $541.00 | $541.00 | — | 295% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT EVAL - LEVEL 4 | $541.00 | $541.00 | — | 295% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC OB VISIT LEVEL IV NEW | $541.00 | $541.00 | — | 295% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PATIENT LEVEL 4 | $541.00 | $541.00 | — | 295% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC URG CARE NEW PATIENT LEVEL 4 | $194.00 | $194.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC HYBRID CLINIC NEW PATIENT LEVEL 4 | $208.00 | $208.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT EVAL - LEVEL 4 | $541.00 | $541.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OB VISIT LEVEL IV NEW | $541.00 | $541.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PATIENT LEVEL 4 | $541.00 | $541.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC INIT OP E&M MED-HIGH FAC FEE | $541.00 | $541.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 HC HYBRID CLINIC NEW PATIENT LEVEL 5 | $208.00 | $208.00 | — | 9% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC URG CARE NEW PATIENT LEVEL 5 | $243.00 | $243.00 | — | 27% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT EVAL - LEVEL 5 | $649.00 | $649.00 | — | 239% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC INIT OP E&M HIGH FAC FEE | $649.00 | $649.00 | — | 239% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC OB VISIT LEVE LV NEW | $649.00 | $649.00 | — | 239% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PATIENT LEVEL 5 | $649.00 | $649.00 | — | 239% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC HYBRID CLINIC NEW PATIENT LEVEL 5 | $208.00 | $208.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC URG CARE NEW PATIENT LEVEL 5 | $243.00 | $243.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OB VISIT LEVE LV NEW | $649.00 | $649.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT EVAL - LEVEL 5 | $649.00 | $649.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC INIT OP E&M HIGH FAC FEE | $649.00 | $649.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PATIENT LEVEL 5 | $649.00 | $649.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC URG CARE NEW PATIENT LEVEL 2 | $130.00 | $130.00 | — | 40% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC HYBRID CLINIC NEW PATIENT LEVEL 2 | $208.00 | $208.00 | — | 124% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PATIENT LEVEL 2 | $324.00 | $324.00 | — | 248% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT EVAL - LEVEL 2 | $324.00 | $324.00 | — | 248% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC INIT OP E&M LOW FAC FEE | $324.00 | $324.00 | — | 248% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OB VISIT LEVEL II NEW | $324.00 | $324.00 | — | 248% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC URG CARE NEW PATIENT LEVEL 2 | $130.00 | $130.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC HYBRID CLINIC NEW PATIENT LEVEL 2 | $208.00 | $208.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT EVAL - LEVEL 2 | $324.00 | $324.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OB VISIT LEVEL II NEW | $324.00 | $324.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC INIT OP E&M LOW FAC FEE | $324.00 | $324.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PATIENT LEVEL 2 | $324.00 | $324.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THERAPY EACH 15 MIN | $76.00 | $76.00 | — | 16% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THERAPY EACH 15 MIN | $76.00 | $76.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $226.00 | $226.00 | — | 14% below | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $226.00 | $226.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MINS | $450.00 | $450.00 | — | 50% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MINS | $450.00 | $450.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MINS | $140.00 | $140.00 | — | 46% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MINS | $140.00 | $140.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MINS | $282.00 | $282.00 | — | 2% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MINS | $282.00 | $282.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MIN | $198.00 | $198.00 | — | 84% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MIN | $198.00 | $198.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PX 1/> AREAS EA 15 MIN EXERCISES | $218.00 | $218.00 | — | 92% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PX 1/> AREAS EA 15 MIN EXERCISES | $218.00 | $218.00 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DX EVAL WITH MEDICAL SERVICES | $725.00 | $725.00 | — | 110% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DX EVAL WITH MEDICAL SERVICES | $725.00 | $725.00 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS; FIRST 60 MINUTES | $362.00 | $362.00 | — | 16% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCHOTHERAPY FOR CRISIS; FIRST 60 MINUTES | $362.00 | $362.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCOTHERAPY, 30 MIN WITH PATIENT | $244.00 | $244.00 | — | 32% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCOTHERAPY, 30 MIN WITH PATIENT | $244.00 | $244.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCOTHERAPY, 45 MIN WITH PATIENT | $502.00 | $502.00 | — | 88% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCOTHERAPY, 45 MIN WITH PATIENT | $502.00 | $502.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCOTHERAPY, 60 MIN WITH PATIENT | $543.00 | $543.00 | — | 73% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCOTHERAPY, 60 MIN WITH PATIENT | $543.00 | $543.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 5 | $208.00 | $208.00 | — | 23% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC URG CARE ESTABLISHED PATIENT LEVEL 5 | $243.00 | $243.00 | — | 44% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT EVAL - LEVEL 5 | $595.00 | $595.00 | — | 253% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OB VISIT LEVEL V - EST | $595.00 | $595.00 | — | 253% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTABLISHED PATIENT LEVEL 5 | $595.00 | $595.00 | — | 253% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 5 | $208.00 | $208.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC URG CARE ESTABLISHED PATIENT LEVEL 5 | $243.00 | $243.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC ESTABLISHED PATIENT LEVEL 5 | $595.00 | $595.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OB VISIT LEVEL V - EST | $595.00 | $595.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST PT EVAL - LEVEL 5 | $595.00 | $595.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC URG CARE ESTABLISHED PATIENT LEVEL 3 | $162.00 | $162.00 | — | 41% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 3 | $208.00 | $208.00 | — | 82% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTABLISHED PATIENT LEVEL 3 | $379.00 | $379.00 | — | 231% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC INPT LACATATION CONSULTATION LEVEL III | $379.00 | $379.00 | — | 231% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT EVAL - LEVEL 3 | $379.00 | $379.00 | — | 231% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OB VISIT LEVEL III - EST | $379.00 | $379.00 | — | 231% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC URG CARE ESTABLISHED PATIENT LEVEL 3 | $162.00 | $162.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 3 | $208.00 | $208.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OB VISIT LEVEL III - EST | $379.00 | $379.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC ESTABLISHED PATIENT LEVEL 3 | $379.00 | $379.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EST PT EVAL - LEVEL 3 | $379.00 | $379.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC INPT LACATATION CONSULTATION LEVEL III | $379.00 | $379.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC URG CARE ESTABLISHED PATIENT LEVEL 4 | $194.00 | $194.00 | — | 37% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 4 | $208.00 | $208.00 | — | 46% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTABLISHED PATIENT LEVEL 4 | $487.00 | $487.00 | — | 243% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OB VISIT LEVEL IV - EST | $487.00 | $487.00 | — | 243% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT EVAL - LEVEL 4 | $487.00 | $487.00 | — | 243% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC URG CARE ESTABLISHED PATIENT LEVEL 4 | $194.00 | $194.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 4 | $208.00 | $208.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EST PT EVAL - LEVEL 4 | $487.00 | $487.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC ESTABLISHED PATIENT LEVEL 4 | $487.00 | $487.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OB VISIT LEVEL IV - EST | $487.00 | $487.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC URG CARE ESTABLISHED PATIENT LEVEL 2 | $130.00 | $130.00 | — | 33% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 2 | $208.00 | $208.00 | — | 113% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC INPT LACATATION CONSULTATION LEVEL II | $270.00 | $270.00 | — | 177% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OB VISIT LEVEL II- EST | $270.00 | $270.00 | — | 177% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PT EVAL - LEVEL 2 | $270.00 | $270.00 | — | 177% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTABLISHED PATIENT LEVEL 2 | $270.00 | $270.00 | — | 177% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC URG CARE ESTABLISHED PATIENT LEVEL 2 | $130.00 | $130.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC HYBRID CLINIC ESTABLISHED PATIENT LEVEL 2 | $208.00 | $208.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC EST PT EVAL - LEVEL 2 | $270.00 | $270.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OB VISIT LEVEL II- EST | $270.00 | $270.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTABLISHED PATIENT LEVEL 2 | $270.00 | $270.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC INPT LACATATION CONSULTATION LEVEL II | $270.00 | $270.00 | — | — | — |
| Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $548.00 | $548.00 | — | 69% above | — |
| Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $548.00 | $548.00 | — | — | — |
| Speech therapy session, individual CPT 92507 HC SPEECH TX ADULT 15 MIN | $197.00 | $197.00 | — | 11% below | — |
| Speech therapy session, individual CPT 92507 HC SPEECH TX ADULT 60 MIN | $197.00 | $197.00 | — | 11% below | — |
| Speech therapy session, individual CPT 92507 HC SPEECH TX ADULT 30 MIN | $197.00 | $197.00 | — | 11% below | — |
| Speech therapy session, individual CPT 92507 HC SPEECH TX ADULT 45 MIN | $197.00 | $197.00 | — | 11% below | — |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH TX ADULT 45 MIN | $197.00 | $197.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH TX ADULT 15 MIN | $197.00 | $197.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH TX ADULT 60 MIN | $197.00 | $197.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH TX ADULT 30 MIN | $197.00 | $197.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC PR SPIROMETRY, INCL GRAPH | $490.00 | $490.00 | — | 70% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC PR SPIROMETRY, INCL GRAPH | $490.00 | $490.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPONSIVENESS, SPIROMETRY PRE- AND POST-BRONCHODILAT | $735.00 | $735.00 | — | 32% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATION RESPONSIVENESS, SPIROMETRY PRE- AND POST-BRONCHODILAT | $735.00 | $735.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAP ACT EA 15 MIN | $119.00 | $119.00 | — | 3% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEU ACTIV DIRECT PT CONTACT EACH 15 MIN | $217.00 | $217.00 | — | 78% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAP ACT EA 15 MIN | $119.00 | $119.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEU ACTIV DIRECT PT CONTACT EACH 15 MIN | $217.00 | $217.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $216.00 | $216.00 | — | 9% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $216.00 | $216.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vac ts 2025-26(6mos up)-PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL Syringe | $68.87 | $68.87 | — | 51% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 flu vac ts 2025-26(6mos up)-PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL Syringe | $68.87 | $68.87 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC HPV9V VACCINE 3 DOSE IM 18+ YRS | $414.00 | $414.00 | — | 20% below | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomav vac,9-val(PF) 0.5 mL Suspension 0.5 mL Vial | $688.48 | $688.48 | — | 33% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC HPV9V VACCINE 3 DOSE IM 18+ YRS | $414.00 | $414.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 human papillomav vac,9-val(PF) 0.5 mL Suspension 0.5 mL Vial | $688.48 | $688.48 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine 50 unit/mL Syringe 1 mL Syringe | $328.91 | $328.91 | — | 69% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A vaccine 50 unit/mL Syringe 1 mL Syringe | $328.91 | $328.91 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Syringe 1 mL Syringe | $326.11 | $326.11 | — | 109% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Suspension 1 mL Vial | $326.11 | $326.11 | — | 109% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Syringe 1 mL Syringe | $326.11 | $326.11 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Suspension 1 mL Vial | $326.11 | $326.11 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps & rubella vaccine 1,000-12,500 TCID50/0.5 mL Recon soln 0.5 mL Vial | $208.87 | $208.87 | — | at median | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps & rubella vaccine 1,000-12,500 TCID50/0.5 mL Recon soln 1 Each Vial | $417.74 | $417.74 | — | 101% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles, mumps & rubella vaccine 1,000-12,500 TCID50/0.5 mL Recon soln 0.5 mL Vial | $208.87 | $208.87 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles, mumps & rubella vaccine 1,000-12,500 TCID50/0.5 mL Recon soln 1 Each Vial | $417.74 | $417.74 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal conjugate vaccine 20 valent 0.5 mL Syringe 0.5 mL Syringe | $761.28 | $761.28 | — | 15% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal conjugate vaccine 20 valent 0.5 mL Syringe 0.5 mL Syringe | $761.28 | $761.28 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23-ValPS Vaccine 25 mcg/0.5 mL Syringe 0.5 mL Syringe | $329.99 | $329.99 | — | 20% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal 23-ValPS Vaccine 25 mcg/0.5 mL Syringe 0.5 mL Syringe | $329.99 | $329.99 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syringe 0.5 mL Syringe | $1,484.06 | $1,484.06 | — | 10% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syringe 0.5 mL Syringe | $1,484.06 | $1,484.06 | — | — | — |
| Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 unit Susp recon 1 Each KIT | $887.39 | $887.39 | — | 7% below | — |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 unit Susp recon 1 Each KIT | $887.39 | $887.39 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids 5-2 Lf unit/0.5 mL Syringe 0.5 mL Syringe | $176.32 | $176.32 | — | 96% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids 5-2 Lf unit/0.5 mL Syringe 0.5 mL Syringe | $176.32 | $176.32 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth, pertus(Acell), tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syringe 0.5 mL Syringe | $223.30 | $223.30 | — | 102% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria-tetanus-pertussis 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Suspension 0.5 mL Vial | $227.21 | $227.21 | — | 106% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth, pertus(Acell), tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syringe 0.5 mL Syringe | $223.30 | $223.30 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria-tetanus-pertussis 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Suspension 0.5 mL Vial | $227.21 | $227.21 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN IMMUNIZATION >18 YRS | $20.00 | $20.00 | — | 48% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC 90471 IMMUNIZATION ADMINISTRATION F | $101.00 | $101.00 | — | 164% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE | $101.00 | $101.00 | — | 164% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC 90471 ADMIN PNEUMONIA VACCINE | $101.00 | $101.00 | — | 164% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC 90471 ADMIN INFLUENZA VACCINE | $101.00 | $101.00 | — | 164% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN IMMUNIZATION >18 YRS | $20.00 | $20.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE | $101.00 | $101.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC 90471 ADMIN INFLUENZA VACCINE | $101.00 | $101.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC 90471 ADMIN PNEUMONIA VACCINE | $101.00 | $101.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC 90471 IMMUNIZATION ADMINISTRATION F | $101.00 | $101.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN IMMUNIZATION > 18 YRS - EA. ADDL. | $5.00 | $5.00 | — | 86% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC 90472 IMMUNIZATION ADMINISTRATION E | $52.00 | $52.00 | — | 49% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN IMMUNIZATION > 18 YRS - EA. ADDL. | $5.00 | $5.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC 90472 IMMUNIZATION ADMINISTRATION E | $52.00 | $52.00 | — | — | — |