Hospital Kansas City, MO-KS

University Health Truman Medical Center

University Health Truman Medical Center in Kansas City, MO publishes cash prices for 115 common procedures listed here, from its own machine-readable price file updated Aug 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Missouri median for 88 of 115 procedures and above it for 24. By typical cash price it ranks #19 of 68 Missouri hospitals and #7 of 23 hospitals in the Kansas City, MO area, cheapest first. Click a procedure to compare it with other hospitals nearby.

2301 Holmes St, Kansas City, MO 64108 Collected Sep 29, 2026 Source price file (816) 404-1000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 260048 · CMS hospital register NPI 1467595793

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 2 actions for a hospital named University Health Truman Medical Center in Kansas City, MO:

Mar 26, 2025 Met requirements
May 29, 2026 Warning notice

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI 93922 ABI	$180.40	$328.00	$97.50–$483.00	42% below	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI 93922 ABI	$180.40	$328.00	$135.30–$328.00	—	45%
Breast ultrasound, limited (one breast or one area) CPT 76642 76642 Fast Ultrasound Breast, Limited	$152.90	$278.00	$75.95–$278.00	47% below	45%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 Fast Ultrasound Breast, Limited	$152.90	$278.00	$114.67–$278.00	—	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811 US Detailed Single Gest WPE	$401.94	$730.80	$117.23–$730.80	39% below	45%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 76811 US Detailed Single Gest WPE	$401.94	$730.80	$301.45–$730.80	—	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 Echo 2D w/Spectral Doppler/Color	$711.15	$1,293.00	$223.86–$1,293.00	54% below	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 Echo 2D w/Spectral Doppler/Color	$711.15	$1,293.00	$533.36–$1,293.00	—	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Scan	$271.15	$493.00	$203.36–$1,624.00	80% below	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Scan	$271.15	$493.00	$203.36–$493.00	—	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 Fast US Limited Sngl Org Quad FU	$144.65	$263.00	$60.98–$263.00	71% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 Fast US Limited Sngl Org Quad FU	$144.65	$263.00	$108.49–$263.00	—	45%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o & MRCP 74181	$825.55	$1,501.00	$238.99–$1,822.00	47% below	45%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o & MRCP 74181	$825.55	$1,501.00	$619.16–$1,501.00	—	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NIM 78452 SPECT MULTIPLE	$1,456.95	$2,649.00	$313.12–$2,649.00	62% below	45%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NIM 78452 SPECT MULTIPLE	$1,456.95	$2,649.00	$1,092.71–$2,649.00	—	45%
OCT scan of the retina (optical coherence tomography) CPT 92134 92134 CPTR OPHTH DX IMG POST SEGMT OCT WEC	$66.99	$121.80	$5.00–$121.80	66% above	45%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 92134 CPTR OPHTH DX IMG POST SEGMT OCT WEC	$66.99	$121.80	$50.24–$121.80	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US Exam Pelvic, Limited	$144.65	$263.00	$33.67–$263.00	58% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US Exam, Pelvic, Limited WPE	$144.65	$263.00	$33.67–$263.00	58% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Bladder Scan	$156.75	$285.00	$33.67–$285.00	55% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US Pelvic Ltd WOG INPT	$157.08	$285.60	$33.67–$285.60	55% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US Exam Pelvic, Limited	$144.65	$263.00	$108.49–$263.00	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US Exam, Pelvic, Limited WPE	$144.65	$263.00	$108.49–$263.00	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Bladder Scan	$156.75	$285.00	$117.56–$285.00	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US Pelvic Ltd WOG INPT	$157.08	$285.60	$117.81–$285.60	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US Pelvic (Non-OB) Complete WOB INPT	$255.26	$464.10	$64.90–$464.10	60% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US Pelvic (Non-OB) Complete WOG INPT	$255.26	$464.10	$64.90–$464.10	60% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US Exam, Pelvic, Complete WPE	$255.26	$464.10	$64.90–$464.10	60% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US Exam, Pelvic, Complete WPE	$255.26	$464.10	$191.44–$464.10	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US Pelvic (Non-OB) Complete WOG INPT	$255.26	$464.10	$191.44–$464.10	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US Pelvic (Non-OB) Complete WOB INPT	$255.26	$464.10	$191.44–$464.10	—	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US >=14 Weeks Single Gest WPE	$235.95	$429.00	$90.02–$429.00	55% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US >=14 Weeks, Single Gest	$235.95	$429.00	$90.02–$429.00	55% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 OB US >/= 14 Wks Single Fetus WAO	$243.10	$442.00	$90.02–$442.00	53% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US >=14 Weeks Single Gest WOB INPT	$255.26	$464.10	$90.02–$464.10	51% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US >=14 Weeks Single Gest WOG INPT	$255.26	$464.10	$90.02–$464.10	51% below	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US >=14 Weeks Single Gest WPE	$235.95	$429.00	$176.96–$429.00	—	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US >=14 Weeks, Single Gest	$235.95	$429.00	$176.96–$429.00	—	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 OB US >/= 14 Wks Single Fetus WAO	$243.10	$442.00	$182.32–$442.00	—	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US >=14 Weeks Single Gest WOG INPT	$255.26	$464.10	$191.44–$464.10	—	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US >=14 Weeks Single Gest WOB INPT	$255.26	$464.10	$191.44–$464.10	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 US <14 Weeks Single Gest WPE	$239.25	$435.00	$44.63–$435.00	48% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 OB US < 14 Wks, Single Fetus WAO	$243.10	$442.00	$44.63–$442.00	47% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 US <14 Weeks Single Gest WPE	$239.25	$435.00	$179.44–$435.00	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 OB US < 14 Wks, Single Fetus WAO	$243.10	$442.00	$182.32–$442.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 OB US, Limited, Fetus(s) ED	$144.65	$263.00	$60.41–$263.00	59% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Limited WPE	$144.65	$263.00	$60.41–$263.00	59% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 zzz76815 US Limited Alpha WPE	$149.60	$272.00	$60.41–$272.00	58% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 AFI, Fetal Postion, or Fetal heart rate	$149.60	$272.00	$60.41–$272.00	58% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB-US/AFI/Position/FHR, 1 or more Fetus	$157.30	$286.00	$60.41–$286.00	56% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Limited ELD	$157.37	$286.12	$60.41–$286.12	56% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Limited WOB INPT	$161.70	$294.00	$60.41–$294.00	55% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Limited WOG INPT	$161.70	$294.00	$60.41–$294.00	55% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Limited WPE	$144.65	$263.00	$108.49–$263.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 OB US, Limited, Fetus(s) ED	$144.65	$263.00	$108.49–$263.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 AFI, Fetal Postion, or Fetal heart rate	$149.60	$272.00	$112.20–$272.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 zzz76815 US Limited Alpha WPE	$149.60	$272.00	$112.20–$272.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB-US/AFI/Position/FHR, 1 or more Fetus	$157.30	$286.00	$117.97–$286.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Limited ELD	$157.37	$286.12	$118.02–$286.12	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Limited WOB INPT	$161.70	$294.00	$121.27–$294.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Limited WOG INPT	$161.70	$294.00	$121.27–$294.00	—	45%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography-Hyatt	$2,230.25	$4,055.00	$690.02–$4,055.00	at median	45%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography-Hyatt	$2,230.25	$4,055.00	$1,672.69–$4,055.00	—	45%
Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal WAO	$243.10	$442.00	$64.90–$442.00	52% below	45%
Transvaginal pelvic ultrasound CPT 76830 76830 Ultrasound Transvaginal WPE	$255.20	$464.00	$64.90–$464.00	50% below	45%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal WPG	$255.26	$464.10	$64.90–$464.10	50% below	45%
Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal WOG INPT	$255.26	$464.10	$64.90–$464.10	50% below	45%
Transvaginal pelvic ultrasound CPT 76830 76856 US Pelvic (Non-OB) Complete WOB INPT	$255.26	$464.10	$64.90–$464.10	50% below	45%
Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal WOB INPT	$255.26	$464.10	$64.90–$464.10	50% below	45%
Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal WOG	$255.26	$464.10	$64.90–$464.10	50% below	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal WAO	$243.10	$442.00	$182.32–$442.00	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 Ultrasound Transvaginal WPE	$255.20	$464.00	$191.40–$464.00	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 76856 US Pelvic (Non-OB) Complete WOB INPT	$255.26	$464.10	$191.44–$464.10	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal WOG INPT	$255.26	$464.10	$191.44–$464.10	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal WOG	$255.26	$464.10	$191.44–$464.10	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal WOB INPT	$255.26	$464.10	$191.44–$464.10	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Transvaginal WPG	$255.26	$464.10	$191.44–$464.10	—	45%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal	$149.60	$272.00	$61.50–$272.00	65% below	45%
Transvaginal ultrasound during pregnancy CPT 76817 76817 US Transvaginal WPE	$149.60	$272.00	$61.50–$272.00	65% below	45%
Transvaginal ultrasound during pregnancy CPT 76817 76817 US Transvaginal WOG INPT	$161.70	$294.00	$61.50–$294.00	63% below	45%
Transvaginal ultrasound during pregnancy CPT 76817 76817 US Transvaginal WOG	$161.70	$294.00	$61.50–$294.00	63% below	45%
Transvaginal ultrasound during pregnancy CPT 76817 76817 US Transvaginal WOB INPT	$161.70	$294.00	$61.50–$294.00	63% below	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 US Transvaginal WPE	$149.60	$272.00	$112.20–$272.00	—	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal	$149.60	$272.00	$112.20–$272.00	—	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 US Transvaginal WOB INPT	$161.70	$294.00	$121.27–$294.00	—	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 US Transvaginal WOG INPT	$161.70	$294.00	$121.27–$294.00	—	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 US Transvaginal WOG	$161.70	$294.00	$121.27–$294.00	—	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 Dup-Scan Xtr Veins Uni/Lmtd	$227.15	$413.00	$104.71–$483.00	58% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 Dup-Scan Xtr Veins Uni/Lmtd	$227.15	$413.00	$170.36–$413.00	—	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 80074 Acute Hepatitis Panel	$135.85	$247.00	$27.23–$247.00	42% below	45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 80074 Acute Hepatitis Panel	$135.85	$247.00	$101.89–$247.00	—	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Apple	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Common/Short Ragweed	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Cat Dander	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Pineapple	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Aspergillus fumigatus	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Cow s Milk	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Alternaria alternata (tenuis)	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Cucumber	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Lemon	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Melons	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Dog Dander	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Turkey Meat	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Crab	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Timothy Grass	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Chicken Meat	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Lime	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Shrimp	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Orange	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Lobster	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Oyster	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Beef	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Lamb	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Russian Thistle	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Elm Tree	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, D. farinae	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Pork	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Firebush	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Banana	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, June Grass (Kentucky Blue)	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Watermelon	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Cladosporium herbarum	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Strawberry	$11.00	$20.00	$2.98–$20.00	48% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Level, Virginia Live Oak	$13.75	$25.00	$2.98–$25.00	35% below	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Banana	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Watermelon	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Lemon	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Pork	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Cow s Milk	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Lime	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Strawberry	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Apple	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Pineapple	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Cucumber	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Timothy Grass	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Russian Thistle	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Firebush	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, June Grass (Kentucky Blue)	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Cladosporium herbarum	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Elm Tree	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, D. farinae	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Common/Short Ragweed	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Cat Dander	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Aspergillus fumigatus	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Alternaria alternata (tenuis)	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Melons	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Dog Dander	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Crab	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Lamb	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Orange	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Beef	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Oyster	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Lobster	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Shrimp	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Chicken Meat	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Turkey Meat	$11.00	$20.00	$8.25–$20.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Level, Virginia Live Oak	$13.75	$25.00	$10.31–$25.00	—	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$12.65	$23.00	$3.60–$493.00	22% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture 1	$12.65	$23.00	$3.60–$493.00	22% below	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$12.65	$23.00	$9.49–$23.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture 1	$12.65	$23.00	$9.49–$23.00	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus Reference Lab Replacement	$70.40	$128.00	$21.55–$133.42	27% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus PCR STAT Replacement	$70.40	$128.00	$21.55–$133.42	27% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus PCR Replacement	$70.40	$128.00	$21.55–$133.42	27% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Coronavirus PCR STAT Replacement	$70.40	$128.00	$52.80–$128.00	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Coronavirus Reference Lab Replacement	$70.40	$128.00	$52.80–$128.00	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Coronavirus PCR Replacement	$70.40	$128.00	$52.80–$128.00	—	45%
HIV-1 and HIV-2 antibody test CPT 86703 zzBBFS	$30.44	$55.35	$7.84–$55.35	72% below	45%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 zzBBFS	$30.44	$55.35	$22.83–$55.35	—	45%
Hepatitis C antibody blood test (screening) CPT 86803 0302 LAB/IMMUNOLOGY - 86803	$127.60	$232.00	$8.16–$232.00	57% above	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 0302 LAB/IMMUNOLOGY - 86803	$127.60	$232.00	$95.70–$232.00	—	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 zzHCVQT/QUAL	$79.49	$144.53	$24.48–$167.41	72% below	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 zzHCVQT/QUAL	$79.49	$144.53	$59.62–$144.53	—	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Botox injections for chronic migraine CPT 64615 64615 Chemodenerv Musc Migraine WP2	$249.48	$453.60	$50.00–$3,100.00	6% below	45%
Botox injections for chronic migraine CPT 64615 64615 Chemodenerv Musc Migraine WEG	$330.00	$600.00	$50.00–$3,100.00	24% above	45%
Botox injections for chronic migraine CPT 64615 64615 Chemodenerv Musc Migraine ANS	$330.00	$600.00	$50.00–$774.00	24% above	45%
Botox injections for chronic migraine CPT 64615 64615 Chemodenerv Musc Migraine WPR	$330.00	$600.00	$50.00–$3,100.00	24% above	45%
Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenerv Musc Migraine WP2	$249.48	$453.60	$187.11–$453.60	—	45%
Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenerv Musc Migraine WPR	$330.00	$600.00	$247.50–$600.00	—	45%
Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenerv Musc Migraine ANS	$330.00	$600.00	$247.50–$600.00	—	45%
Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenerv Musc Migraine WEG	$330.00	$600.00	$247.50–$600.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Tx Metatarsal w/o Man	$267.85	$487.00	$10.00–$493.00	28% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD METATARSAL FX W/O MANIP	$267.85	$487.00	$10.00–$493.00	28% below	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD METATARSAL FX W/O MANIP	$267.85	$487.00	$200.89–$487.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Tx Metatarsal w/o Man	$267.85	$487.00	$200.89–$487.00	—	45%
Cardiac catheterization with coronary angiogram CPT 93458 93458 L HRT ARTERY/VENTRICLE ANGIO WCC	$4,677.20	$8,504.00	$2,092.00–$8,504.00	52% below	45%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 93458 L HRT ARTERY/VENTRICLE ANGIO WCC	$4,677.20	$8,504.00	$3,507.90–$8,504.00	—	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CCO 92960 CARDIOVERSION ELEC EXT	$583.00	$1,060.00	$184.85–$1,060.00	24% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI 92960 EKG CARDIOVERSION NON EMER	$583.00	$1,060.00	$184.85–$1,060.00	24% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion Elec Ext	$583.00	$1,060.00	$10.00–$1,060.00	24% below	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 Cardioversion Elec Ext	$583.00	$1,060.00	$437.25–$1,060.00	—	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CCO 92960 CARDIOVERSION ELEC EXT	$583.00	$1,060.00	$437.25–$1,060.00	—	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI 92960 EKG CARDIOVERSION NON EMER	$583.00	$1,060.00	$437.25–$1,060.00	—	45%
Catheter ablation for atrial fibrillation CPT 93656 93656 Cmp ElcPhys Eval w Transsptal Cath	$38,685.35	$70,337.00	$2,092.00–$70,337.00	51% above	45%
Catheter ablation for atrial fibrillation inpatient CPT 93656 93656 Cmp ElcPhys Eval w Transsptal Cath	$38,685.35	$70,337.00	$29,014.01–$70,337.00	—	45%
Cervical biopsy CPT 57500 57500 Biopsy of Cervix WAO	$586.30	$1,066.00	$105.39–$3,100.00	5% below	45%
Cervical biopsy CPT 57500 Bx Cervix EPP	$615.45	$1,119.00	$105.39–$3,100.00	at median	45%
Cervical biopsy CPT 57500 Biopsy Cervix WPG	$615.45	$1,119.00	$105.39–$3,100.00	at median	45%
Cervical biopsy CPT 57500 57500 Bx Cervix EFP	$615.62	$1,119.30	$105.39–$3,100.00	at median	45%
Cervical biopsy CPT 57500 57500 Cervical Biopsy/Local Excision Lesion WOG	$615.62	$1,119.30	$105.39–$3,100.00	at median	45%
Cervical biopsy inpatient CPT 57500 57500 Biopsy of Cervix WAO	$586.30	$1,066.00	$439.72–$1,066.00	—	45%
Cervical biopsy inpatient CPT 57500 Biopsy Cervix WPG	$615.45	$1,119.00	$461.59–$1,119.00	—	45%
Cervical biopsy inpatient CPT 57500 Bx Cervix EPP	$615.45	$1,119.00	$461.59–$1,119.00	—	45%
Cervical biopsy inpatient CPT 57500 57500 Cervical Biopsy/Local Excision Lesion WOG	$615.62	$1,119.30	$461.71–$1,119.30	—	45%
Cervical biopsy inpatient CPT 57500 57500 Bx Cervix EFP	$615.62	$1,119.30	$461.71–$1,119.30	—	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 Bx of Cervix w Scope, LEEP WAO	$2,251.70	$4,094.00	$225.66–$4,094.00	2% above	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 Colposcopy Cervix w/ Leep Biopsy WOG	$2,364.29	$4,298.70	$225.66–$4,298.70	8% above	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 LEEP WPG	$2,364.29	$4,298.70	$225.66–$4,298.70	8% above	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 Colposcopy Cervix w/ Leep Biopsy WOG INPT	$2,364.29	$4,298.70	$225.66–$4,298.70	8% above	45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 Bx of Cervix w Scope, LEEP WAO	$2,251.70	$4,094.00	$1,688.77–$4,094.00	—	45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 LEEP WPG	$2,364.29	$4,298.70	$1,773.21–$4,298.70	—	45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 Colposcopy Cervix w/ Leep Biopsy WOG	$2,364.29	$4,298.70	$1,773.21–$4,298.70	—	45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 Colposcopy Cervix w/ Leep Biopsy WOG INPT	$2,364.29	$4,298.70	$1,773.21–$4,298.70	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Colpscpy Cervix by Cervx & Ecc WAO	$342.10	$622.00	$188.63–$3,100.00	3% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy w/ Biopsy WPG	$359.21	$653.10	$188.63–$3,100.00	2% above	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Colposcopy w/ Biopsy Cervix & ECC WOG INPT	$359.21	$653.10	$188.63–$3,100.00	2% above	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Colposcopy w/ Biopsy Cervix & ECC WOG	$359.21	$653.10	$188.63–$3,100.00	2% above	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 Colpscpy Cervix by Cervx & Ecc WAO	$342.10	$622.00	$256.57–$622.00	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 Colposcopy w/ Biopsy Cervix & ECC WOG INPT	$359.21	$653.10	$269.40–$653.10	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy w/ Biopsy WPG	$359.21	$653.10	$269.40–$653.10	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 Colposcopy w/ Biopsy Cervix & ECC WOG	$359.21	$653.10	$269.40–$653.10	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystourethroscopy OBS	$742.50	$1,350.00	$136.22–$1,884.00	26% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystourethroscopy WUG	$861.05	$1,565.55	$136.22–$1,884.00	14% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystourethroscopy WUR	$861.05	$1,565.55	$136.22–$1,884.00	14% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Cystourethroscopy OBS	$742.50	$1,350.00	$556.88–$1,350.00	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Cystourethroscopy WUG	$861.05	$1,565.55	$645.79–$1,565.55	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Cystourethroscopy WUR	$861.05	$1,565.55	$645.79–$1,565.55	—	45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 Dilation and Curettage (Non OB)	$3,799.40	$6,908.00	$10.00–$6,908.00	9% above	45%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 Dilation and Curettage (Non OB)	$3,799.40	$6,908.00	$2,849.55–$6,908.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalignant Lesion Cryo EPP	$83.05	$151.00	$50.00–$3,100.00	28% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalig Les First WPG	$83.05	$151.00	$50.00–$3,100.00	28% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruct All Benign Lesions ESL	$83.16	$151.20	$50.00–$3,100.00	28% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destr (Cryo) Premalignant; 1St Lesion EGV	$83.16	$151.20	$50.00–$3,100.00	28% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruct Permalig Les 1st Les FAR	$83.16	$151.20	$50.00–$3,100.00	28% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruct All Benign Lesions WGM	$83.16	$151.20	$50.00–$3,100.00	28% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruct All Benign Lesions WGR	$83.16	$151.20	$50.00–$3,100.00	28% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT LESION, FIRST	$237.60	$432.00	$10.00–$493.00	106% above	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalignant Lesion Cryo EPP	$83.05	$151.00	$62.29–$151.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalig Les First WPG	$83.05	$151.00	$62.29–$151.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destruct All Benign Lesions WGM	$83.16	$151.20	$62.37–$151.20	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destruct All Benign Lesions WGR	$83.16	$151.20	$62.37–$151.20	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destruct All Benign Lesions ESL	$83.16	$151.20	$62.37–$151.20	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destruct Permalig Les 1st Les FAR	$83.16	$151.20	$62.37–$151.20	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destr (Cryo) Premalignant; 1St Lesion EGV	$83.16	$151.20	$62.37–$151.20	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT LESION, FIRST	$237.60	$432.00	$178.20–$432.00	—	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil WGD	$69.30	$126.00	$19.54–$3,100.00	3% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil ESL	$69.30	$126.00	$19.54–$3,100.00	3% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil FAR	$69.30	$126.00	$19.54–$3,100.00	3% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil WRM	$69.30	$126.00	$19.54–$3,100.00	3% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil EFP	$69.30	$126.00	$19.54–$3,100.00	3% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil RAY	$69.30	$126.00	$19.54–$3,100.00	3% below	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil WRM	$69.30	$126.00	$51.97–$126.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil FAR	$69.30	$126.00	$51.97–$126.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil WGD	$69.30	$126.00	$51.97–$126.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil ESL	$69.30	$126.00	$51.97–$126.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil EFP	$69.30	$126.00	$51.97–$126.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rmv Impactd Ear Wax Irrig Unil RAY	$69.30	$126.00	$51.97–$126.00	—	45%
Earwax removal with instruments, one ear CPT 69210 69210 Rmv Impacted Cerumen FAR	$66.41	$120.75	$32.76–$3,100.00	28% below	45%
Earwax removal with instruments, one ear CPT 69210 69210 REMOVE IMPACTED EAR WAX RAY	$66.41	$120.75	$32.76–$3,100.00	28% below	45%
Earwax removal with instruments, one ear CPT 69210 69210 Removal Impacted Cerumen WRM	$66.41	$120.75	$32.76–$3,100.00	28% below	45%
Earwax removal with instruments, one ear CPT 69210 69210 Rem Impacted Cerumen One or Both Ears ESL	$66.41	$120.75	$32.76–$3,100.00	28% below	45%
Earwax removal with instruments, one ear CPT 69210 69210 Removal Impacted Cerumen EFP	$66.41	$120.75	$32.76–$3,100.00	28% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN	$69.30	$126.00	$10.00–$493.00	24% below	45%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 Removal Impacted Cerumen WRM	$66.41	$120.75	$49.81–$120.75	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 Rem Impacted Cerumen One or Both Ears ESL	$66.41	$120.75	$49.81–$120.75	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 Rmv Impacted Cerumen FAR	$66.41	$120.75	$49.81–$120.75	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVE IMPACTED EAR WAX RAY	$66.41	$120.75	$49.81–$120.75	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 Removal Impacted Cerumen EFP	$66.41	$120.75	$49.81–$120.75	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERUMEN	$69.30	$126.00	$51.97–$126.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Biopsy of Uterus Lining WAO	$136.40	$248.00	$50.00–$3,100.00	47% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx EPP	$143.22	$260.40	$50.00–$3,100.00	44% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy WPG	$143.22	$260.40	$50.00–$3,100.00	44% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial Biopsy WOG	$143.22	$260.40	$50.00–$3,100.00	44% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial Biopsy WOG INPT	$143.22	$260.40	$50.00–$3,100.00	44% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial Biopsy WUG	$143.22	$260.40	$50.00–$3,100.00	44% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endomet Samp Wo Cervi Dilation EGV	$143.22	$260.40	$50.00–$3,100.00	44% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX OF UTERUS LINING	$224.95	$409.00	$50.00–$3,100.00	12% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Biopsy of Uterus Lining WAO	$136.40	$248.00	$102.30–$248.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx EPP	$143.22	$260.40	$107.41–$260.40	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Endometrial Biopsy WUG	$143.22	$260.40	$107.41–$260.40	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Endomet Samp Wo Cervi Dilation EGV	$143.22	$260.40	$107.41–$260.40	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Biopsy WPG	$143.22	$260.40	$107.41–$260.40	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Endometrial Biopsy WOG INPT	$143.22	$260.40	$107.41–$260.40	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Endometrial Biopsy WOG	$143.22	$260.40	$107.41–$260.40	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BX OF UTERUS LINING	$224.95	$409.00	$168.71–$409.00	—	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 Sigmoidoscopy/Flexible ESL	$671.06	$1,220.10	$460.59–$1,884.00	35% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 Sigmoidoscopy/Flexible	$697.95	$1,269.00	$460.59–$1,884.00	33% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 Sigmoidoscopy/Flexible ESL	$671.06	$1,220.10	$503.29–$1,220.10	—	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 Sigmoidoscopy/Flexible	$697.95	$1,269.00	$523.46–$1,269.00	—	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, SIMPLE	$640.20	$1,164.00	$10.00–$1,164.00	42% below	45%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY, SIMPLE	$640.20	$1,164.00	$480.15–$1,164.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 Hysterography Catheter WOG INPT	$203.28	$369.60	$80.00–$369.60	20% below	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 Hysterography Catheter WOG INPT	$203.28	$369.60	$152.46–$369.60	—	45%
Hysteroscopy with endometrial ablation CPT 58563 58563 Hysteroscopy w/ Endometrial Ablation WOG	$4,727.25	$8,595.00	$347.81–$8,595.00	21% below	45%
Hysteroscopy with endometrial ablation CPT 58563 58563 Hysteroscopy w/ Endometrial AblationWOGINPT	$4,727.25	$8,595.00	$347.81–$8,595.00	21% below	45%
Hysteroscopy with endometrial ablation inpatient CPT 58563 58563 Hysteroscopy w/ Endometrial AblationWOGINPT	$4,727.25	$8,595.00	$3,545.44–$8,595.00	—	45%
Hysteroscopy with endometrial ablation inpatient CPT 58563 58563 Hysteroscopy w/ Endometrial Ablation WOG	$4,727.25	$8,595.00	$3,545.44–$8,595.00	—	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 Hysteroscopy w/ Biopsy/Polypectomy WOG INPT	$2,587.20	$4,704.00	$325.71–$4,704.00	30% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 Hystsc Bx Endometrium &/Polypc WAO	$2,587.20	$4,704.00	$325.71–$4,704.00	30% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 Hysteroscopy w/ Biopsy/Polypectomy WOG	$2,587.20	$4,704.00	$325.71–$4,704.00	30% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 Hysteroscopy w/ Biopsy/Polypectomy WOG INPT	$2,587.20	$4,704.00	$1,940.40–$4,704.00	—	45%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 Hysteroscopy w/ Biopsy/Polypectomy WOG	$2,587.20	$4,704.00	$1,940.40–$4,704.00	—	45%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 Hystsc Bx Endometrium &/Polypc WAO	$2,587.20	$4,704.00	$1,940.40–$4,704.00	—	45%
IUD insertion (the device itself billed separately) CPT 58300 58300 Insrt Intrauterine Device WAO	$97.90	$178.00	$43.23–$3,100.00	77% below	45%
IUD insertion (the device itself billed separately) CPT 58300 IUD Insertion WPG	$102.80	$186.90	$43.23–$3,100.00	75% below	45%
IUD insertion (the device itself billed separately) CPT 58300 58300 Insert IUD WOG	$102.80	$186.90	$43.23–$3,100.00	75% below	45%
IUD insertion (the device itself billed separately) CPT 58300 58300 Insertion Of Intrauterine Device EGV	$102.80	$186.90	$43.23–$3,100.00	75% below	45%
IUD insertion (the device itself billed separately) CPT 58300 58300 Insert IUD EFP	$102.80	$186.90	$43.23–$3,100.00	75% below	45%
IUD insertion (the device itself billed separately) CPT 58300 58300 IUD Insertion FAR	$102.80	$186.90	$43.23–$3,100.00	75% below	45%
IUD insertion (the device itself billed separately) CPT 58300 IUD Insertion EPP	$102.80	$186.90	$43.23–$3,100.00	75% below	45%
IUD insertion (the device itself billed separately) CPT 58300 58300 IUD Insertion EMC	$102.80	$186.90	$43.23–$3,100.00	75% below	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insrt Intrauterine Device WAO	$97.90	$178.00	$73.42–$178.00	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insertion Of Intrauterine Device EGV	$102.80	$186.90	$77.10–$186.90	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD Insertion WPG	$102.80	$186.90	$77.10–$186.90	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD Insertion EPP	$102.80	$186.90	$77.10–$186.90	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insert IUD WOG	$102.80	$186.90	$77.10–$186.90	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insert IUD EFP	$102.80	$186.90	$77.10–$186.90	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 IUD Insertion FAR	$102.80	$186.90	$77.10–$186.90	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 IUD Insertion EMC	$102.80	$186.90	$77.10–$186.90	—	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple/Single WPG	$141.35	$257.00	$50.00–$3,100.00	37% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple EPP	$141.35	$257.00	$50.00–$3,100.00	37% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I&D Abscess, Simp OBS	$253.55	$461.00	$50.00–$3,100.00	13% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS, SIMPLE OR SINGLE	$253.55	$461.00	$10.00–$493.00	13% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS, SIMPLE OR SINGLE	$253.55	$461.00	$10.00–$493.00	13% above	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Simple EPP	$141.35	$257.00	$106.01–$257.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Simple/Single WPG	$141.35	$257.00	$106.01–$257.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I&D Abscess, Simp OBS	$253.55	$461.00	$190.16–$461.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS, SIMPLE OR SINGLE	$253.55	$461.00	$190.16–$461.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS, SIMPLE OR SINGLE	$253.55	$461.00	$190.16–$461.00	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Inj Tendon Sheath EFP	$249.32	$453.30	$60.20–$3,100.00	11% above	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Inj Tendon Sheath OBS	$330.00	$600.00	$60.20–$3,100.00	47% above	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Inj Tendon Sheath EFP	$249.32	$453.30	$186.99–$453.30	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Inj Tendon Sheath OBS	$330.00	$600.00	$247.50–$600.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device WAO	$123.75	$225.00	$50.00–$3,100.00	26% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device EGV	$129.94	$236.25	$50.00–$3,100.00	22% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device EMC	$129.94	$236.25	$50.00–$3,100.00	22% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Implanon EFP	$129.94	$236.25	$50.00–$3,100.00	22% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device EPP	$129.94	$236.25	$50.00–$3,100.00	22% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device WPG	$129.94	$236.25	$50.00–$3,100.00	22% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device WAO	$123.75	$225.00	$92.81–$225.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device EGV	$129.94	$236.25	$97.45–$236.25	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device WPG	$129.94	$236.25	$97.45–$236.25	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device EPP	$129.94	$236.25	$97.45–$236.25	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device EMC	$129.94	$236.25	$97.45–$236.25	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Implanon EFP	$129.94	$236.25	$97.45–$236.25	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Joint Inj Interm WOC	$249.48	$453.60	$57.45–$3,100.00	12% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Joint Inj Interm WOC	$249.48	$453.60	$187.11–$453.60	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 RPR S/A/T/E < 2.5 cm WSU	$345.35	$627.90	$50.00–$3,100.00	9% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Wnd Repair Sclp =< 2.5 cm WPL	$345.35	$627.90	$50.00–$3,100.00	9% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Wound Repair Interm Scalp <=2.5cm ESL	$345.35	$627.90	$50.00–$3,100.00	9% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 WOUND REPAIR INTERM 2.5CM OR LESS	$446.05	$811.00	$10.00–$811.00	17% above	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Wound Repair Interm </=2.5cm OBS	$446.05	$811.00	$50.00–$3,100.00	17% above	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Wound Repair Interm Scalp <=2.5cm ESL	$345.35	$627.90	$259.01–$627.90	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Wnd Repair Sclp =< 2.5 cm WPL	$345.35	$627.90	$259.01–$627.90	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 RPR S/A/T/E < 2.5 cm WSU	$345.35	$627.90	$259.01–$627.90	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Wound Repair Interm </=2.5cm OBS	$446.05	$811.00	$334.54–$811.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 WOUND REPAIR INTERM 2.5CM OR LESS	$446.05	$811.00	$334.54–$811.00	—	45%
Left heart catheterization, diagnostic one side CPT 93452 93452 LEFT HRT CATH W/VENTRCLGRPHY WCC	$4,677.20	$8,504.00	$2,092.00–$8,504.00	29% below	45%
Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 LEFT HRT CATH W/VENTRCLGRPHY WCC	$4,677.20	$8,504.00	$3,507.90–$8,504.00	—	45%
Lower-back epidural injection, without imaging guidance CPT 62322 62322 Epidural Lumbar/Caudal wo Img WPR	$993.85	$1,807.00	$121.53–$3,100.00	7% below	45%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 Epidural Lumbar/Caudal wo Img WPR	$993.85	$1,807.00	$745.39–$1,807.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Benign Lesion Trunk/Limbs =<0.5cm WSU	$449.00	$816.36	$105.53–$3,100.00	82% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Benign Lesion=<0.5 cm ESL	$450.45	$819.00	$105.53–$3,100.00	83% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Benign Lesion=<0.5 cm EFP	$450.45	$819.00	$105.53–$3,100.00	83% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Benign Les (T/A/L) 0.5cm/< EBC	$450.45	$819.00	$105.53–$3,100.00	83% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Les Trunk/Limbs =<0.5cm WPG	$450.45	$819.00	$105.53–$3,100.00	83% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Trunk/Arms/Legs =< 0.5 cm WPL	$450.45	$819.00	$105.53–$3,100.00	83% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Lesion =<0.5cm (T/A/L) EPP	$450.45	$819.00	$105.53–$3,100.00	83% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION 0.5 CM OR LESS	$825.00	$1,500.00	$10.00–$1,500.00	235% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Benign Lesion Trunk/Limbs =<0.5cm WSU	$449.00	$816.36	$336.75–$816.36	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Benign Lesion =<0.5cm (T/A/L) EPP	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Benign Lesion=<0.5 cm EFP	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Benign Lesion=<0.5 cm ESL	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Benign Les Trunk/Limbs =<0.5cm WPG	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Trunk/Arms/Legs =< 0.5 cm WPL	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Benign Les (T/A/L) 0.5cm/< EBC	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN LESION 0.5 CM OR LESS	$825.00	$1,500.00	$618.75–$1,500.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Benign Lesion=<0.5 cm ESL	$450.45	$819.00	$132.06–$3,100.00	27% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Benign Lesion =<0.5cm (F/M) EPP	$450.45	$819.00	$132.06–$3,100.00	27% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Benign Lesion F/L/E/L/N =<0.5 cm WEN	$450.45	$819.00	$132.06–$3,100.00	27% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Benign Lesion=<0.5 cm EFP	$450.45	$819.00	$132.06–$3,100.00	27% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Benign Les Face/MucMem =<0.5cm WPG	$450.45	$819.00	$132.06–$3,100.00	27% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Face MM 0.5/<cm EBC	$450.45	$819.00	$132.06–$3,100.00	27% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exc Face MM 0.5/<cm EBC	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exc Benign Lesion=<0.5 cm ESL	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exc Benign Lesion F/L/E/L/N =<0.5 cm WEN	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Benign Les Face/MucMem =<0.5cm WPG	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exc Benign Lesion=<0.5 cm EFP	$450.45	$819.00	$337.84–$819.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Benign Lesion =<0.5cm (F/M) EPP	$450.45	$819.00	$337.84–$819.00	—	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, SINGLE 11730	$222.20	$404.00	$10.00–$493.00	17% above	45%
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Simple OBS	$222.20	$404.00	$50.00–$774.00	17% above	45%
Nail removal (partial or complete), one nail CPT 11730 11730 Removal of Nail Plate	$222.20	$404.00	$10.00–$493.00	17% above	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE, SINGLE 11730	$222.20	$404.00	$166.65–$404.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Removal of Nail Plate	$222.20	$404.00	$166.65–$404.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion Nail Simple OBS	$222.20	$404.00	$166.65–$404.00	—	45%
Occipital nerve block (injection for headaches) CPT 64405 64405 N Block Inj, Occipital WNR	$371.91	$676.20	$79.98–$3,100.00	at median	45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 N Block Inj, Occipital WNR	$371.91	$676.20	$278.93–$676.20	—	45%
Pacemaker implant (dual chamber) CPT 33208 PPM 33208 INSERT A&V LEADS	$14,583.25	$26,515.00	$942.39–$26,515.00	12% below	45%
Pacemaker implant (dual chamber) inpatient CPT 33208 PPM 33208 INSERT A&V LEADS	$14,583.25	$26,515.00	$10,937.44–$26,515.00	—	45%
Paracentesis with imaging guidance CPT 49083 49083 Abd Paracentesis w/ Imaging WRM	$481.64	$875.70	$5.00–$908.45	43% below	45%
Paracentesis with imaging guidance CPT 49083 49083 Abd Paracentesis w/ Imaging WPR	$1,046.10	$1,902.00	$165.99–$3,100.00	25% above	45%
Paracentesis with imaging guidance CPT 49083 49083 Abd Paracentesis w/ Imaging OBS	$1,046.10	$1,902.00	$165.99–$2,533.00	25% above	45%
Paracentesis with imaging guidance CPT 49083 49083 Abd Paracent W Imaging	$1,046.10	$1,902.00	$10.00–$1,902.00	25% above	45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,046.65	$1,903.00	$10.00–$1,903.00	25% above	45%
Paracentesis with imaging guidance inpatient CPT 49083 49083 Abd Paracentesis w/ Imaging WRM	$481.64	$875.70	$361.23–$875.70	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 49083 Abd Paracentesis w/ Imaging WPR	$1,046.10	$1,902.00	$784.57–$1,902.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 49083 Abd Paracent W Imaging	$1,046.10	$1,902.00	$784.57–$1,902.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 49083 Abd Paracentesis w/ Imaging OBS	$1,046.10	$1,902.00	$784.57–$1,902.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,046.65	$1,903.00	$784.99–$1,903.00	—	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Ex Nail & Matrix Partial/Complete WGM	$450.45	$819.00	$151.23–$3,100.00	at median	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 REMOVAL OF NAIL BED WPL	$450.45	$819.00	$151.23–$3,100.00	at median	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Ex Nail & Matrix Partial/Complete EFP	$450.45	$819.00	$151.23–$3,100.00	at median	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Removal of Nail Bed	$468.60	$852.00	$10.00–$852.00	4% above	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Ex Nail & Matrix Partial/Compl OBS	$468.60	$852.00	$151.23–$852.00	4% above	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$468.60	$852.00	$10.00–$852.00	4% above	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Ex Nail & Matrix Partial/Complete WGM	$450.45	$819.00	$337.84–$819.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Ex Nail & Matrix Partial/Complete EFP	$450.45	$819.00	$337.84–$819.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 REMOVAL OF NAIL BED WPL	$450.45	$819.00	$337.84–$819.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Removal of Nail Bed	$468.60	$852.00	$351.45–$852.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Ex Nail & Matrix Partial/Compl OBS	$468.60	$852.00	$351.45–$852.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$468.60	$852.00	$351.45–$852.00	—	45%
Removal of a breast lump, open surgery CPT 19120 19120 Removal of Breast Lesion ESL	$2,154.08	$3,916.50	$536.60–$3,921.76	102% above	45%
Removal of a breast lump, open surgery inpatient CPT 19120 19120 Removal of Breast Lesion ESL	$2,154.08	$3,916.50	$1,615.56–$3,916.50	—	45%
Removal of a foreign object under the skin, simple CPT 10120 I&D FB Simple EPP	$273.90	$498.00	$50.00–$3,100.00	6% below	45%
Removal of a foreign object under the skin, simple CPT 10120 10120 I&D Foreign Body Simple OBS	$457.60	$832.00	$50.00–$3,100.00	56% above	45%
Removal of a foreign object under the skin, simple CPT 10120 I&D Foreign Body, Simple	$457.60	$832.00	$10.00–$832.00	56% above	45%
Removal of a foreign object under the skin, simple CPT 10120 I&D FOREIGN BODY, SIMPLE	$457.60	$832.00	$10.00–$832.00	56% above	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D FB Simple EPP	$273.90	$498.00	$205.42–$498.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D FOREIGN BODY, SIMPLE	$457.60	$832.00	$343.20–$832.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D Foreign Body, Simple	$457.60	$832.00	$343.20–$832.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 I&D Foreign Body Simple OBS	$457.60	$832.00	$343.20–$832.00	—	45%
Short arm cast (elbow to hand) CPT 29075 29075 Applic Cast Short Arm ESL	$243.13	$442.05	$50.00–$3,100.00	at median	45%
Short arm cast (elbow to hand) inpatient CPT 29075 29075 Applic Cast Short Arm ESL	$243.13	$442.05	$182.35–$442.05	—	45%
Short arm splint (forearm and hand) CPT 29125 29125 Splint Short Arm Static ESL	$125.32	$227.85	$50.00–$3,100.00	15% below	45%
Short arm splint (forearm and hand) CPT 29125 29125 Splint Short Arm Static EFP	$125.32	$227.85	$50.00–$3,100.00	15% below	45%
Short arm splint (forearm and hand) inpatient CPT 29125 29125 Splint Short Arm Static ESL	$125.32	$227.85	$93.99–$227.85	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 29125 Splint Short Arm Static EFP	$125.32	$227.85	$93.99–$227.85	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Wound Repair Simple =<2.5cm (S/A/T/E) EPP	$138.60	$252.00	$50.00–$3,100.00	38% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Wound Repair Sim Scalp/Neck <=2.5cm ESL	$138.60	$252.00	$50.00–$3,100.00	38% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR, SIM 2.5CM OR LESS	$213.40	$388.00	$10.00–$493.00	5% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR, SIM 2.5CM OR LESS 12001	$213.40	$388.00	$10.00–$493.00	5% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Wound Repair Simp Sclp/Nk </=2.5	$222.20	$404.00	$50.00–$3,100.00	1% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Wound Repair Sim Scalp/Neck <=2.5cm ESL	$138.60	$252.00	$103.95–$252.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Wound Repair Simple =<2.5cm (S/A/T/E) EPP	$138.60	$252.00	$103.95–$252.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WOUND REPAIR, SIM 2.5CM OR LESS 12001	$213.40	$388.00	$160.05–$388.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WOUND REPAIR, SIM 2.5CM OR LESS	$213.40	$388.00	$160.05–$388.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Wound Repair Simp Sclp/Nk </=2.5	$222.20	$404.00	$166.65–$404.00	—	45%
Skin biopsy, punch, one lesion CPT 11104 11104 Punch Bx of Skin, Single Les CC	$457.60	$832.00	$10.00–$832.00	74% above	45%
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Punch Bx of Skin, Single Les CC	$457.60	$832.00	$343.20–$832.00	—	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Exc Mal Les Trunk/Arm/Legs >=0.5cm ESL	$450.45	$819.00	$155.72–$3,100.00	31% above	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Exc Mal Lesion Trunk/Limbs =<0.5cm WSU	$450.45	$819.00	$155.72–$3,100.00	31% above	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Trunk/Arms/Legs =< 0.5 cm WPL	$450.45	$819.00	$155.72–$3,100.00	31% above	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 Trunk/Arms/Legs =< 0.5 cm WPL	$450.45	$819.00	$337.84–$819.00	—	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 Exc Mal Les Trunk/Arm/Legs >=0.5cm ESL	$450.45	$819.00	$337.84–$819.00	—	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 Exc Mal Lesion Trunk/Limbs =<0.5cm WSU	$450.45	$819.00	$337.84–$819.00	—	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Removal of Skin Tags WAO	$96.80	$176.00	$50.00–$3,100.00	32% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags/Mult FibroQ <= 15 EGV	$98.31	$178.74	$50.00–$3,100.00	31% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Skin Tag Removal Up to 15 Les FAR	$98.31	$178.74	$50.00–$3,100.00	31% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAGS =/< 15 RAY	$98.31	$178.74	$50.00–$3,100.00	31% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags <= 15 WSU	$98.31	$178.74	$50.00–$3,100.00	31% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags <= 15 WGR	$98.31	$178.74	$50.00–$3,100.00	31% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags <= 15 EFP	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags <= 15 WPL	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Skin Tag Removal, Up to 15 Les EBC	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 Skin Tag Removal <=15 WPG	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 Skin Tag Rem Up to 15 EPP	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAGS WKM	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags <= 15 WGM	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags <= 15 WGD	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 11200 Rem Skin Tags <= 15 WRM	$101.64	$184.80	$50.00–$3,100.00	29% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS, ANY AREA 15 LES	$237.60	$432.00	$10.00–$493.00	67% above	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Removal of Skin Tags WAO	$96.80	$176.00	$72.60–$176.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVAL OF SKIN TAGS =/< 15 RAY	$98.31	$178.74	$73.73–$178.74	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags/Mult FibroQ <= 15 EGV	$98.31	$178.74	$73.73–$178.74	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Skin Tag Removal Up to 15 Les FAR	$98.31	$178.74	$73.73–$178.74	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags <= 15 WSU	$98.31	$178.74	$73.73–$178.74	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags <= 15 WGR	$98.31	$178.74	$73.73–$178.74	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags <= 15 WGD	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags <= 15 EFP	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 Skin Tag Removal <=15 WPG	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 Skin Tag Rem Up to 15 EPP	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVAL OF SKIN TAGS WKM	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags <= 15 WGM	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags <= 15 WRM	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Skin Tag Removal, Up to 15 Les EBC	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Rem Skin Tags <= 15 WPL	$101.64	$184.80	$76.23–$184.80	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS, ANY AREA 15 LES	$237.60	$432.00	$178.20–$432.00	—	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal Puncture, Lumbar, Diagnostic EGV	$397.32	$722.40	$91.80–$3,100.00	24% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Lumbar Puncture Dx WGR	$397.32	$722.40	$91.80–$3,100.00	24% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Lumbar Puncture Dx WNR	$397.32	$722.40	$91.80–$3,100.00	24% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Lumbar Puncture Dx WON	$397.32	$722.40	$91.80–$3,100.00	24% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture, Dx	$432.85	$787.00	$10.00–$787.00	17% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal Fluid Tap, Diagnostic	$432.85	$787.00	$91.80–$1,884.00	17% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOST	$432.85	$787.00	$10.00–$787.00	17% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Spinal Tap Charge Only	$773.30	$1,406.00	$91.80–$1,884.00	49% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Lumbar Puncture Dx OBS	$773.30	$1,406.00	$91.80–$3,100.00	49% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR Exam 5	$821.15	$1,493.00	$91.80–$1,884.00	58% above	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Spinal Puncture, Lumbar, Diagnostic EGV	$397.32	$722.40	$297.99–$722.40	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Lumbar Puncture Dx WGR	$397.32	$722.40	$297.99–$722.40	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Lumbar Puncture Dx WNR	$397.32	$722.40	$297.99–$722.40	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Lumbar Puncture Dx WON	$397.32	$722.40	$297.99–$722.40	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Spinal Fluid Tap, Diagnostic	$432.85	$787.00	$324.64–$787.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOST	$432.85	$787.00	$324.64–$787.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture, Dx	$432.85	$787.00	$324.64–$787.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic Spinal Tap Charge Only	$773.30	$1,406.00	$579.98–$1,406.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Lumbar Puncture Dx OBS	$773.30	$1,406.00	$579.98–$1,406.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR Exam 5	$821.15	$1,493.00	$615.86–$1,493.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Wound Repair Sim Scalp/Neck 2.6-7.5cm ESL	$138.60	$252.00	$50.00–$3,100.00	49% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Wound Repair Simple 2.6-7.5cm (S/A/T/E) EPP	$138.60	$252.00	$50.00–$3,100.00	49% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WOUND REPAIR, SIM 2.6 TO 7.5CM	$182.60	$332.00	$10.00–$493.00	33% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Wound Repair Simp Sclp/Nk 2.6-7.5	$222.20	$404.00	$50.00–$774.00	18% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Wound Repair Simple 2.6-7.5cm (S/A/T/E) EPP	$138.60	$252.00	$103.95–$252.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Wound Repair Sim Scalp/Neck 2.6-7.5cm ESL	$138.60	$252.00	$103.95–$252.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 WOUND REPAIR, SIM 2.6 TO 7.5CM	$182.60	$332.00	$136.95–$332.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Wound Repair Simp Sclp/Nk 2.6-7.5	$222.20	$404.00	$166.65–$404.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Wound Repair Simple =<2.5cm (F/E/E/N/L/M) EPP	$138.60	$252.00	$50.00–$3,100.00	46% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Face Repair Sim <=2.5cm ESL	$138.60	$252.00	$50.00–$3,100.00	46% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Repair Lid Skin Simple EYE	$138.60	$252.00	$50.00–$3,100.00	46% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FACE REPAIR, SIM 2.5CM OR LESS	$182.60	$332.00	$10.00–$493.00	28% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Wound Repair </= 2.5cm OBS	$222.20	$404.00	$50.00–$3,100.00	13% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Face Repair Sim <=2.5cm ESL	$138.60	$252.00	$103.95–$252.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Wound Repair Simple =<2.5cm (F/E/E/N/L/M) EPP	$138.60	$252.00	$103.95–$252.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Repair Lid Skin Simple EYE	$138.60	$252.00	$103.95–$252.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 FACE REPAIR, SIM 2.5CM OR LESS	$182.60	$332.00	$136.95–$332.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Simple Wound Repair </= 2.5cm OBS	$222.20	$404.00	$166.65–$404.00	—	45%
Thoracentesis with imaging guidance CPT 32555 32555 Aspirate Pleura w/ Imaging WER	$568.15	$1,033.00	$10.00–$1,033.00	33% below	45%
Thoracentesis with imaging guidance CPT 32555 32555 Aspirate Pleura w/ Imaging EER	$568.15	$1,033.00	$10.00–$1,033.00	33% below	45%
Thoracentesis with imaging guidance CPT 32555 32555 Aspirate Pleura w/ Imaging WPR	$568.15	$1,033.00	$165.62–$3,100.00	33% below	45%
Thoracentesis with imaging guidance inpatient CPT 32555 32555 Aspirate Pleura w/ Imaging WER	$568.15	$1,033.00	$426.11–$1,033.00	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 32555 Aspirate Pleura w/ Imaging WPR	$568.15	$1,033.00	$426.11–$1,033.00	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 32555 Aspirate Pleura w/ Imaging EER	$568.15	$1,033.00	$426.11–$1,033.00	—	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj Trigger Point 1-2 Muscles EFP	$249.48	$453.60	$58.44–$3,100.00	22% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 TRIGGER POINT INJ, 1 OR 2 MUSCLES RAY	$249.48	$453.60	$58.44–$3,100.00	22% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj Trigger Point 1-2 Muscles FAR	$249.48	$453.60	$58.44–$3,100.00	22% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj Trigger Pnt 1-2 Muscle(s) ESM	$249.48	$453.60	$58.44–$3,100.00	22% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Points 1-2 EPP	$249.48	$453.60	$58.44–$3,100.00	22% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Trigger Point Inj 1-2 Muscle WP2	$249.48	$453.60	$58.44–$3,100.00	22% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj Trigger Point 1-2 Mus ED	$315.70	$574.00	$10.00–$574.00	54% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUSCLES 20552	$315.70	$574.00	$10.00–$574.00	54% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj Trigger Point 1-2 Muscles OBS	$315.70	$574.00	$58.44–$3,100.00	54% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 UH US Pain	$315.70	$574.00	$58.44–$774.00	54% above	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inj Trigger Point 1-2 Muscles EFP	$249.48	$453.60	$187.11–$453.60	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inj Trigger Point 1-2 Muscles FAR	$249.48	$453.60	$187.11–$453.60	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Points 1-2 EPP	$249.48	$453.60	$187.11–$453.60	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inj Trigger Pnt 1-2 Muscle(s) ESM	$249.48	$453.60	$187.11–$453.60	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 TRIGGER POINT INJ, 1 OR 2 MUSCLES RAY	$249.48	$453.60	$187.11–$453.60	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Trigger Point Inj 1-2 Muscle WP2	$249.48	$453.60	$187.11–$453.60	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2 MUSCLES 20552	$315.70	$574.00	$236.77–$574.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inj Trigger Point 1-2 Muscles OBS	$315.70	$574.00	$236.77–$574.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inj Trigger Point 1-2 Mus ED	$315.70	$574.00	$236.77–$574.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 UH US Pain	$315.70	$574.00	$236.77–$574.00	—	45%
Upper endoscopy (EGD), diagnostic CPT 43235 ENDOSCOPY UPPER GI	$1,005.40	$1,828.00	$10.00–$1,828.00	3% below	45%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ENDOSCOPY UPPER GI	$1,005.40	$1,828.00	$754.05–$1,828.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 Vasectomy WUR	$1,355.97	$2,465.40	$397.22–$3,100.00	8% above	45%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Vasectomy EPP	$1,356.30	$2,466.00	$397.22–$3,100.00	8% above	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 Vasectomy WUR	$1,355.97	$2,465.40	$1,016.98–$2,465.40	—	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Vasectomy EPP	$1,356.30	$2,466.00	$1,017.22–$2,466.00	—	45%
Vein ablation, radiofrequency, first vein CPT 36475 US Venous Exam	$3,498.55	$6,361.00	$502.29–$6,361.00	17% below	45%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 US Venous Exam	$3,498.55	$6,361.00	$2,623.91–$6,361.00	—	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct B9 Lesion 1-14 WAO	$79.20	$144.00	$50.00–$3,100.00	51% below	45%
Wart removal, up to 14 warts CPT 17110 Destruct Benign Lesions 1-14 EPP	$83.05	$151.00	$50.00–$3,100.00	49% below	45%
Wart removal, up to 14 warts CPT 17110 Destruct Benign Les Up to 14 WPG	$83.05	$151.00	$50.00–$3,100.00	49% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destr B9 Les not Skin Tags Les <14 Les EGV	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WSU	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WID	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WGR	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WRM	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WGD	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WBM	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WGM	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) EFP	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct B9 Lesion 1-4 WAP	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct B9 Lesion, 1-14 EPD	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Les, Up to 14 EMC	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Les Up to 14 EBC	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Les up to 14 FAR	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Lesions (up to 14) WPD	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Les 1-14 WUR	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 DESTRUCT B9 LESION, 1-14 WKM	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 17110 DESTR BENIGN LESIONS/WARTS; UP TO 14 RAY	$83.16	$151.20	$50.00–$3,100.00	48% below	45%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$237.60	$432.00	$10.00–$493.00	47% above	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct B9 Lesion 1-14 WAO	$79.20	$144.00	$59.40–$144.00	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct Benign Les Up to 14 WPG	$83.05	$151.00	$62.29–$151.00	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct Benign Lesions 1-14 EPP	$83.05	$151.00	$62.29–$151.00	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WID	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WSU	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Les up to 14 FAR	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 DESTR BENIGN LESIONS/WARTS; UP TO 14 RAY	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destr B9 Les not Skin Tags Les <14 Les EGV	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct B9 Lesion 1-4 WAP	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WPD	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct B9 Lesion, 1-14 EPD	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Les, Up to 14 EMC	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 DESTRUCT B9 LESION, 1-14 WKM	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WRM	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Les Up to 14 EBC	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WGR	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WGD	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Les 1-14 WUR	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) EFP	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WBM	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Lesions (up to 14) WGM	$83.16	$151.20	$62.37–$151.20	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14	$237.60	$432.00	$178.20–$432.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debrid Skin SubQ Tissue WVC3	$278.93	$507.15	$77.32–$3,100.00	27% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRID SUBQ TISSUE 20 SQ CM WPL	$278.93	$507.15	$77.32–$3,100.00	27% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin/Tissue WWC	$278.93	$507.15	$77.32–$3,100.00	27% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN, AND SUB-Q TISSU	$457.60	$832.00	$10.00–$832.00	19% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin Subq Tissue OBS	$457.60	$832.00	$77.32–$3,100.00	19% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride SubQ Tiss 20sq cm/<	$457.60	$832.00	$10.00–$832.00	19% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRID SUBQ TISSUE 20 SQ CM WPL	$278.93	$507.15	$209.20–$507.15	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride Skin/Tissue WWC	$278.93	$507.15	$209.20–$507.15	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debrid Skin SubQ Tissue WVC3	$278.93	$507.15	$209.20–$507.15	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN, AND SUB-Q TISSU	$457.60	$832.00	$343.20–$832.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride SubQ Tiss 20sq cm/<	$457.60	$832.00	$343.20–$832.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride Skin Subq Tissue OBS	$457.60	$832.00	$343.20–$832.00	—	45%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Transfusion Service ESL	$94.71	$172.20	$65.24–$441.89	84% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion - ELD Charge	$333.85	$607.00	$65.24–$607.00	45% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Transfusion ELD	$334.03	$607.32	$65.24–$607.32	45% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Blood/Components WC1	$336.68	$612.15	$65.24–$612.15	44% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Blood/Components WID	$336.68	$612.15	$65.24–$612.15	44% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Blood/Components WON	$336.68	$612.15	$65.24–$612.15	44% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPO	$350.35	$637.00	$65.24–$3,100.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Blood/Components WPR	$509.85	$927.00	$65.24–$927.00	16% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Bld/Bld Components OBS	$509.85	$927.00	$65.24–$927.00	16% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion WLD	$509.85	$927.00	$65.24–$927.00	16% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood or Components	$509.85	$927.00	$65.24–$3,100.00	16% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service WLD	$509.85	$927.00	$65.24–$927.00	16% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Transfusion Service CC	$509.85	$927.00	$65.24–$927.00	16% below	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Blood Transfusion Service ESL	$94.71	$172.20	$71.03–$172.20	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion - ELD Charge	$333.85	$607.00	$250.39–$607.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Blood Transfusion ELD	$334.03	$607.32	$250.52–$607.32	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Blood/Components WON	$336.68	$612.15	$252.51–$612.15	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Blood/Components WID	$336.68	$612.15	$252.51–$612.15	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Blood/Components WC1	$336.68	$612.15	$252.51–$612.15	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPO	$350.35	$637.00	$262.76–$637.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood or Components	$509.85	$927.00	$382.39–$927.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Blood/Components WPR	$509.85	$927.00	$382.39–$927.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service WLD	$509.85	$927.00	$382.39–$927.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion WLD	$509.85	$927.00	$382.39–$927.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Bld/Bld Components OBS	$509.85	$927.00	$382.39–$927.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Blood Transfusion Service CC	$509.85	$927.00	$382.39–$927.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Airway Inhalation Treatment ESL	$46.20	$84.00	$19.44–$219.33	67% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AIRWAY INHALATION TREATMENTS RAY	$46.20	$84.00	$19.44–$219.33	67% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Airway Inhalation Treatment FAR	$46.20	$84.00	$19.44–$219.33	67% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Airway Inhalation Treatment EGV	$46.20	$84.00	$19.44–$219.33	67% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Tx for Sputum-bill only	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial IPPB Treatment	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Subsequent Treatment	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inline Initial	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial Aerosol Treatment	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial Sputum Induction	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Metered Dose Inhaler, Subsequent	$47.85	$87.00	$19.44–$219.33	66% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Airway Inhalation Treatment WPR	$149.05	$271.00	$19.44–$271.00	7% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Lung Function Measurement (MDI) RT	$46.20	$84.00	$19.44–$219.33	67% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Airway Inhalation Treatment EGV	$46.20	$84.00	$34.65–$84.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 AIRWAY INHALATION TREATMENTS RAY	$46.20	$84.00	$34.65–$84.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Airway Inhalation Treatment FAR	$46.20	$84.00	$34.65–$84.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Airway Inhalation Treatment ESL	$46.20	$84.00	$34.65–$84.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inline Initial	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Metered Dose Inhaler, Subsequent	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Subsequent Treatment	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Initial Aerosol Treatment	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Initial Sputum Induction	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Tx for Sputum-bill only	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Initial IPPB Treatment	$47.85	$87.00	$35.89–$87.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Airway Inhalation Treatment WPR	$149.05	$271.00	$111.79–$271.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Lung Function Measurement (MDI) RT	$46.20	$84.00	$34.65–$84.00	—	45%
Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo >1 Hr Single/Init Drug WON	$273.74	$497.70	$205.30–$749.00	37% below	45%
Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo >1 Hr Single/Init Drug ESL	$273.74	$497.70	$205.30–$749.00	37% below	45%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO, IV INFUSION, 1 HR WGC	$273.74	$497.70	$205.30–$749.00	37% below	45%
Chemotherapy IV infusion, first hour CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG	$390.50	$710.00	$212.79–$749.00	10% below	45%
Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo >1 Hr Single/Init Drug GI	$390.50	$710.00	$212.79–$749.00	10% below	45%
Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo/Complex, IV Inf 1 Hr OBS	$390.50	$710.00	$212.79–$749.00	10% below	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO, IV INFUSION, 1 HR WGC	$273.74	$497.70	$205.30–$497.70	—	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemo >1 Hr Single/Init Drug WON	$273.74	$497.70	$205.30–$497.70	—	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemo >1 Hr Single/Init Drug ESL	$273.74	$497.70	$205.30–$497.70	—	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemo/Complex, IV Inf 1 Hr OBS	$390.50	$710.00	$292.88–$710.00	—	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG	$390.50	$710.00	$292.88–$710.00	—	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemo >1 Hr Single/Init Drug GI	$390.50	$710.00	$292.88–$710.00	—	45%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 92004 Eye Exam Comp New Pt EYE	$61.22	$111.30	$5.00–$174.35	28% below	45%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 92004 Eye Exam Comp New Pt EYE	$61.22	$111.30	$45.91–$111.30	—	45%
Comprehensive eye exam, returning patient CPT 92014 92014 Eye Exam Comp Est Pt EYE	$47.93	$87.15	$5.00–$133.35	5% below	45%
Comprehensive eye exam, returning patient inpatient CPT 92014 92014 Eye Exam Comp Est Pt EYE	$47.93	$87.15	$35.95–$87.15	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 Comp Audio Threshold Eval/Speech Recog WHR	$150.73	$274.05	$31.95–$274.05	4% below	45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUD Audio Eval&Sp Recog Charge	$174.90	$318.00	$31.95–$318.00	11% above	45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557 Comp Audio Threshold Eval/Speech Recog WHR	$150.73	$274.05	$113.05–$274.05	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 AUD Audio Eval&Sp Recog Charge	$174.90	$318.00	$131.17–$318.00	—	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WAO	$2,113.10	$3,842.00	$5.00–$3,842.00	55% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WEN	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WUG	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WSU	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WSC	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WRM	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WOS	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WON	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WLD	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WOG	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr EYE	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WBM	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care 1st Hr WLD	$2,218.76	$4,034.10	$239.34–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WPE	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr EMC	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr EPP	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WP2	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WAP	$2,218.76	$4,034.10	$5.00–$4,034.10	63% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr CARD	$2,307.25	$4,195.00	$5.00–$4,195.00	69% above	45%
Critical care, first 30 to 74 minutes CPT 99291 ED LEVEL 6 CRITICAL W/PROC	$2,307.25	$4,195.00	$10.00–$4,195.00	69% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Up to 1 Hr WCR	$2,307.25	$4,195.00	$5.00–$4,195.00	69% above	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WAO	$2,113.10	$3,842.00	$1,584.82–$3,842.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WBM	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care 1st Hr WLD	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WSU	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WEN	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr EPP	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WP2	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WUG	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WAP	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WOG	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WPE	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WRM	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WLD	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WSC	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WON	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WOS	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr EYE	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr EMC	$2,218.76	$4,034.10	$1,664.07–$4,034.10	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr CARD	$2,307.25	$4,195.00	$1,730.44–$4,195.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Up to 1 Hr WCR	$2,307.25	$4,195.00	$1,730.44–$4,195.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED LEVEL 6 CRITICAL W/PROC	$2,307.25	$4,195.00	$1,730.44–$4,195.00	—	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 EEG Awake & Drowsy WEG	$294.25	$535.00	$216.27–$3,234.00	58% below	45%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816 EEG Awake & Drowsy WEG	$294.25	$535.00	$220.69–$535.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ELECTROCARDIOGRAM TRACING ONLY EEK	$70.95	$129.00	$10.79–$160.00	63% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 zzz EKG 12 Lead LW	$70.95	$129.00	$10.79–$160.00	63% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Bill Only EKG 12 Lead	$70.95	$129.00	$10.79–$160.00	63% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead	$70.95	$129.00	$10.79–$160.00	63% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead	$70.95	$129.00	$53.21–$129.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ELECTROCARDIOGRAM TRACING ONLY EEK	$70.95	$129.00	$53.21–$129.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 zzz EKG 12 Lead LW	$70.95	$129.00	$53.21–$129.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Bill Only EKG 12 Lead	$70.95	$129.00	$53.21–$129.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 TRIAGE ONLY	$198.55	$361.00	$10.00–$551.00	37% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 1 follow-up	$198.55	$361.00	$10.00–$551.00	37% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 1 triage only	$198.55	$361.00	$10.00–$551.00	37% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 1	$198.55	$361.00	$10.00–$551.00	37% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1	$255.75	$465.00	$10.00–$551.00	76% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit Level 1	$1,100.00	$2,000.00	$10.00–$2,000.00	659% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED LEVEL 1 TRIAGE ONLY	$198.55	$361.00	$148.91–$361.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Level 1 triage only	$198.55	$361.00	$148.91–$361.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Level 1 follow-up	$198.55	$361.00	$148.91–$361.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Level 1	$198.55	$361.00	$148.91–$361.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED LEVEL 1	$255.75	$465.00	$191.81–$465.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Department Visit Level 1	$1,100.00	$2,000.00	$825.00–$2,000.00	—	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Level 2	$322.85	$587.00	$10.00–$762.00	15% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2	$330.00	$600.00	$10.00–$762.00	18% above	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Level 2	$322.85	$587.00	$242.14–$587.00	—	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED LEVEL 2	$330.00	$600.00	$247.50–$600.00	—	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Level 3	$519.75	$945.00	$10.00–$1,143.00	7% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3	$592.90	$1,078.00	$10.00–$1,143.00	22% above	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Level 3	$519.75	$945.00	$389.81–$945.00	—	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED LEVEL 3	$592.90	$1,078.00	$444.67–$1,078.00	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Level 4	$843.15	$1,533.00	$10.00–$1,533.00	14% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4	$843.15	$1,533.00	$10.00–$1,533.00	14% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED LEVEL 4	$843.15	$1,533.00	$632.36–$1,533.00	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Level 4	$843.15	$1,533.00	$632.36–$1,533.00	—	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Level 5	$1,199.00	$2,180.00	$10.00–$2,180.00	5% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5	$1,199.00	$2,180.00	$10.00–$2,180.00	5% above	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Level 5	$1,199.00	$2,180.00	$899.25–$2,180.00	—	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED LEVEL 5	$1,199.00	$2,180.00	$899.25–$2,180.00	—	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test	$328.90	$598.00	$57.48–$598.00	58% below	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI 93017 EKG STRESS	$347.60	$632.00	$57.48–$632.00	55% below	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Cardiac Stress Test EEK	$347.60	$632.00	$57.48–$632.00	55% below	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test	$328.90	$598.00	$246.67–$598.00	—	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 Cardiac Stress Test EEK	$347.60	$632.00	$260.70–$632.00	—	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI 93017 EKG STRESS	$347.60	$632.00	$260.70–$632.00	—	45%
Eye exam, returning patient, intermediate CPT 92012 92012 Eye Exam Intermed Est Pt EYE	$47.93	$87.15	$5.00–$133.35	53% below	45%
Eye exam, returning patient, intermediate inpatient CPT 92012 92012 Eye Exam Intermed Est Pt EYE	$47.93	$87.15	$35.95–$87.15	—	45%
Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psychotherapy BAO	$228.69	$415.80	$45.64–$415.80	28% above	45%
Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psychotherapy BCS	$228.69	$415.80	$45.64–$415.80	28% above	45%
Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psychotherapy BMA	$228.69	$415.80	$45.64–$415.80	28% above	45%
Family therapy with the patient, 50 minutes CPT 90847 zz90847 Family Psychotherapy ACO	$228.69	$415.80	$45.64–$415.80	28% above	45%
Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psychotherapy w/ Patient EDR	$228.69	$415.80	$45.64–$415.80	28% above	45%
Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psyctx w Pt Present WOG	$228.69	$415.80	$45.64–$415.80	28% above	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psychotherapy BCS	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psychotherapy w/ Patient EDR	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psyctx w Pt Present WOG	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 zz90847 Family Psychotherapy ACO	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psychotherapy BMA	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psychotherapy BAO	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy w/o Patient EDR	$228.69	$415.80	$45.64–$415.80	at median	45%
Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psyctx wo Pt Present WOG	$228.69	$415.80	$45.64–$415.80	at median	45%
Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy BAO	$228.69	$415.80	$45.64–$415.80	at median	45%
Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy BMA	$228.69	$415.80	$45.64–$415.80	at median	45%
Family therapy without the patient, 50 minutes CPT 90846 zz90846 Family Psychotherapy ACO	$228.69	$415.80	$45.64–$415.80	at median	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psyctx wo Pt Present WOG	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychotherapy BMA	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychotherapy BAO	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychotherapy w/o Patient EDR	$228.69	$415.80	$171.52–$415.80	—	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 zz90846 Family Psychotherapy ACO	$228.69	$415.80	$171.52–$415.80	—	45%
Group psychotherapy session CPT 90853 90853 Group Psychotherapy BMA	$93.56	$170.10	$26.28–$170.10	56% below	45%
Group psychotherapy session CPT 90853 zz90853 Group Psychotherapy ACO	$93.56	$170.10	$26.28–$170.10	56% below	45%
Group psychotherapy session CPT 90853 90853 Group Psychotherapy DBC	$93.56	$170.10	$26.28–$170.10	56% below	45%
Group psychotherapy session CPT 90853 90853 Group Psychotherapy BCS	$93.56	$170.10	$26.28–$170.10	56% below	45%
Group psychotherapy session CPT 90853 90853 Group Psychotherapy BAO	$93.56	$170.10	$26.28–$170.10	56% below	45%
Group psychotherapy session CPT 90853 90853 Group Psychotherapy WOG	$93.56	$170.10	$26.28–$170.10	56% below	45%
Group psychotherapy session CPT 90853 90853 Group Psychotherapy EDR	$93.56	$170.10	$26.28–$170.10	56% below	45%
Group psychotherapy session inpatient CPT 90853 zz90853 Group Psychotherapy ACO	$93.56	$170.10	$70.17–$170.10	—	45%
Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy DBC	$93.56	$170.10	$70.17–$170.10	—	45%
Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy BAO	$93.56	$170.10	$70.17–$170.10	—	45%
Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy BCS	$93.56	$170.10	$70.17–$170.10	—	45%
Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy BMA	$93.56	$170.10	$70.17–$170.10	—	45%
Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy WOG	$93.56	$170.10	$70.17–$170.10	—	45%
Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy EDR	$93.56	$170.10	$70.17–$170.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 HYDRATION IV INFUSION 1ST HOUR WGC	$166.10	$302.00	$49.70–$302.00	32% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration up to 1 Hr WBM	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration up to 1 Hr WRM	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration up to 1 Hr WDC	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration up to 1 Hr WC1	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration Initial 31 Minutes - 1 Hour	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration up to 1 Hr ELD	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration up to 1 Hr WON	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration IV Inf, Init EGV	$174.41	$317.10	$49.70–$317.10	28% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration up to 1 Hr WGD	$182.49	$331.80	$49.70–$331.80	25% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration IV Inf, Init OBS	$228.80	$416.00	$49.70–$416.00	6% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, Initial, 31 Minutes - 1 Hr	$242.00	$440.00	$49.70–$440.00	1% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION FIRST HOUR	$242.00	$440.00	$49.70–$440.00	1% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration First Hour	$242.00	$440.00	$49.70–$440.00	1% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, Init, 31 Min- One Hour WLD	$242.00	$440.00	$49.70–$440.00	1% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$242.00	$440.00	$49.70–$440.00	1% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 HYDRATION IV INFUSION 1ST HOUR WGC	$166.10	$302.00	$124.57–$302.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration up to 1 Hr WBM	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration up to 1 Hr WRM	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration up to 1 Hr WDC	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration up to 1 Hr WC1	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration Initial 31 Minutes - 1 Hour	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration up to 1 Hr ELD	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration up to 1 Hr WON	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration IV Inf, Init EGV	$174.41	$317.10	$130.80–$317.10	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration up to 1 Hr WGD	$182.49	$331.80	$136.87–$331.80	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration IV Inf, Init OBS	$228.80	$416.00	$171.60–$416.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration First Hour	$242.00	$440.00	$181.50–$440.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration, Initial, 31 Minutes - 1 Hr	$242.00	$440.00	$181.50–$440.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration, Init, 31 Min- One Hour WLD	$242.00	$440.00	$181.50–$440.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION FIRST HOUR	$242.00	$440.00	$181.50–$440.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour CPT 96365 96365 Ther/Proph/Diag IV Inf, Init EPD	$195.25	$355.00	$100.53–$355.00	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 THER/PROPH/DIAG IV INF, INIT WKM	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WUG	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 Ther/Proph/Diag IV INF, Init WC1	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WON	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) EYE	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) EFP	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WDC	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 IV Drug Inf - Initial - Up To 1 Hour	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 Ther/Proph/Diag IV Inf, Init EGV	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) ELD	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 Ther/Proph/Diag IV Inf, Init WAB	$195.77	$355.95	$100.53–$355.95	32% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 Ther/Proph/Diag IV Inf, Init OBS	$203.50	$370.00	$100.53–$370.00	29% below	45%
IV infusion of a medicine, first hour CPT 96365 IV Drug Infusion - 16 Minutes to 1 Hour	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HOUR	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) GI	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour CPT 96365 IV Med Infusion First Hour	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WPR	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) CARD	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour CPT 96365 IV Infusion, Drugs, Init, Up to 1 Hr WLD	$242.00	$440.00	$100.53–$440.00	16% below	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Ther/Proph/Diag IV Inf, Init EPD	$195.25	$355.00	$146.44–$355.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Ther/Proph/Diag IV Inf, Init EGV	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) EFP	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) EYE	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Ther/Proph/Diag IV Inf, Init WAB	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 THER/PROPH/DIAG IV INF, INIT WKM	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WUG	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) ELD	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Drug Inf - Initial - Up To 1 Hour	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WON	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WDC	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Ther/Proph/Diag IV INF, Init WC1	$195.77	$355.95	$146.83–$355.95	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Ther/Proph/Diag IV Inf, Init OBS	$203.50	$370.00	$152.63–$370.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Drug Infusion - 16 Minutes to 1 Hour	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion, Drugs, Init, Up to 1 Hr WLD	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) CARD	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) WPR	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Med Infusion First Hour	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Therapy Initial (Up to 1 Hr) GI	$242.00	$440.00	$181.50–$440.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1 HOUR	$242.00	$440.00	$181.50–$440.00	—	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM WGC	$36.85	$67.00	$19.82–$72.12	60% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj SC/IM WAO	$36.85	$67.00	$19.82–$72.12	60% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection, IM or SubQ WAC	$36.85	$67.00	$19.82–$72.12	60% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION, SUBCU OR IM RAY	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WOG	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection EFP	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Subq/IM Inj WP2	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WBM	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj SC/IM EPD	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WGD	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WUG	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM WKM	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection IM or SubQ WPG	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection EPP	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 zz96372 THERAP PROPH/DIAG INJ; SubQ/IM ACO	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection ESM	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection EDR	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection ELD	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therap,Proph,Diag Inj Sub-Q / Im EGV	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WRM	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag SubQ/IM Inj EMC	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WGR	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WGM	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WID	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag/Subq/IM Inj FAR	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WNR	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WON	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj SQ/IM WEN	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WC1	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM LBH	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WDC	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection, Im Or Subcu WPD	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WNS	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM PEDS WKM	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WOC	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection BAO	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WPL	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection BCS	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WSU	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection BMA	$38.69	$70.35	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SubQ Injection WUR	$38.72	$70.40	$19.82–$72.12	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM Subq Inj CARD	$82.50	$150.00	$19.82–$150.00	11% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM	$82.50	$150.00	$19.82–$150.00	11% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj SC/IM WPR	$82.50	$150.00	$19.82–$150.00	11% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN SQ OR IM INJECTION	$82.50	$150.00	$19.82–$150.00	11% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection SC or IM	$82.50	$150.00	$19.82–$150.00	11% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj SC/IM OBS	$82.50	$150.00	$19.82–$150.00	11% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin SQ or IM Injection	$82.50	$150.00	$19.82–$150.00	11% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj, SC/IM WGS	$182.49	$331.80	$19.82–$331.80	96% above	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM WGC	$36.85	$67.00	$27.64–$67.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Injection, IM or SubQ WAC	$36.85	$67.00	$27.64–$67.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj SC/IM WAO	$36.85	$67.00	$27.64–$67.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therap,Proph,Diag Inj Sub-Q / Im EGV	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WGR	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WRM	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj SC/IM EPD	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WGD	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Subq/IM Inj WP2	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WBM	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection EFP	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WOG	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJECTION, SUBCU OR IM RAY	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection ELD	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection EDR	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 zz96372 THERAP PROPH/DIAG INJ; SubQ/IM ACO	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection ESM	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection EPP	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection IM or SubQ WPG	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM WKM	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection BMA	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WUG	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection BCS	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WSU	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection BAO	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WPL	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM PEDS WKM	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WOC	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Injection, Im Or Subcu WPD	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WNS	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM LBH	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WDC	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj SQ/IM WEN	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WC1	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WON	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag/Subq/IM Inj FAR	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WNR	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WID	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WGM	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag SubQ/IM Inj EMC	$38.69	$70.35	$29.02–$70.35	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SubQ Injection WUR	$38.72	$70.40	$29.04–$70.40	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection SC or IM	$82.50	$150.00	$61.88–$150.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM Subq Inj CARD	$82.50	$150.00	$61.88–$150.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM	$82.50	$150.00	$61.88–$150.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj SC/IM OBS	$82.50	$150.00	$61.88–$150.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN SQ OR IM INJECTION	$82.50	$150.00	$61.88–$150.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Admin SQ or IM Injection	$82.50	$150.00	$61.88–$150.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj SC/IM WPR	$82.50	$150.00	$61.88–$150.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj, SC/IM WGS	$182.49	$331.80	$136.87–$331.80	—	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Evaluation BCS	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Eval EFP	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Evaluation DBC	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diag Eval WOG	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Evaluation BAO	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diag Evaluation FAR	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Evaluation EDR	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Evaluation LBH	$146.11	$265.65	$45.64–$265.65	26% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diag Evaluation WPW	$153.62	$279.30	$45.64–$279.30	22% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diag Eval PSYC	$169.95	$309.00	$127.46–$316.00	14% below	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Evaluation LBH	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Evaluation BCS	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Evaluation EDR	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Evaluation DBC	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diag Evaluation FAR	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diag Eval WOG	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Eval EFP	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Evaluation BAO	$146.11	$265.65	$109.58–$265.65	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diag Evaluation WPW	$153.62	$279.30	$115.21–$279.30	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diag Eval PSYC	$169.95	$309.00	$127.46–$309.00	—	45%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 Motor & Sens 7-8 Nrv Cndj Tst WEG	$334.95	$609.00	$113.93–$609.00	26% below	45%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 Motor & Sens 7-8 Nrv Cndj Tst WEG	$334.95	$609.00	$251.21–$609.00	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MNT Init Assess Indiv Ea 15Min EFP	$39.27	$71.40	$10.00–$85.00	2% below	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRITION, INDIV, IN WKM	$39.82	$72.40	$10.00–$85.00	at median	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MNT Init Assess Indiv Ea 15Min EFP	$39.27	$71.40	$29.45–$71.40	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDICAL NUTRITION, INDIV, IN WKM	$39.82	$72.40	$29.87–$72.40	—	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Rec Therapy Therapeutic Procedure Charge	$64.35	$117.00	$8.43–$117.00	16% below	45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Rec Therapy Therapeutic Procedure Charge	$64.35	$117.00	$48.26–$117.00	—	45%
Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval w/ Med Srvcs EFP	$146.11	$265.65	$45.64–$265.65	14% below	45%
Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval w/ Med Srvcs BAO	$146.11	$265.65	$45.64–$265.65	14% below	45%
Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval w/ Med Srvcs EDR	$146.11	$265.65	$45.64–$265.65	14% below	45%
Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval w/ Med Srvcs LBH	$146.11	$265.65	$45.64–$265.65	14% below	45%
Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval w/ Med Srvcs FAR	$146.11	$265.65	$45.64–$265.65	14% below	45%
Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval w/ Med Srvcs BCS	$146.11	$265.65	$45.64–$265.65	14% below	45%
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval w/ Med Srvcs LBH	$146.11	$265.65	$109.58–$265.65	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval w/ Med Srvcs EFP	$146.11	$265.65	$109.58–$265.65	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval w/ Med Srvcs BAO	$146.11	$265.65	$109.58–$265.65	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval w/ Med Srvcs FAR	$146.11	$265.65	$109.58–$265.65	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval w/ Med Srvcs BCS	$146.11	$265.65	$109.58–$265.65	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval w/ Med Srvcs EDR	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min BAO	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min WOG	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min EDR	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min DBC	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min LBH	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min BCS	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min FAR	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min EFP	$109.15	$198.45	$45.64–$198.45	14% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min WPW	$115.50	$210.00	$45.64–$210.00	9% below	45%
Psychotherapy session, 30 minutes CPT 90832 90832 Psytx Pt &/Family 30 Min PSYC	$169.95	$309.00	$45.64–$309.00	33% above	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min BAO	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min WOG	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min EDR	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min LBH	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min FAR	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min DBC	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min EFP	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min BCS	$109.15	$198.45	$81.86–$198.45	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min WPW	$115.50	$210.00	$86.63–$210.00	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx Pt &/Family 30 Min PSYC	$169.95	$309.00	$127.46–$309.00	—	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx PT &/Fam 45 Min EDR	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Family 45 Min FAR	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Fam 45 Min LBH	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Family 45 Min EFP	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Family 45 Min WOG	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Fam 45 Min DBC	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Fam 45 Min BCS	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Fam 45 Min BAO	$146.11	$265.65	$45.64–$265.65	12% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Family 45 Min WPW	$153.62	$279.30	$45.64–$279.30	8% below	45%
Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt &/Family 45 Min PSYC	$169.95	$309.00	$45.64–$309.00	2% above	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Fam 45 Min LBH	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx PT &/Fam 45 Min EDR	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Fam 45 Min BAO	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Fam 45 Min BCS	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Fam 45 Min DBC	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Family 45 Min WOG	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Family 45 Min FAR	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Family 45 Min EFP	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Family 45 Min WPW	$153.62	$279.30	$115.21–$279.30	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt &/Family 45 Min PSYC	$169.95	$309.00	$127.46–$309.00	—	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Fam 60 Min BCS	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Family 60 Min FAR	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Family 60 Min EFP	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Family 60 Min WOG	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Family 60 Min PSYC	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Fam 60 Min DBC	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Fam 60 Min BAO	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Fam 60 Min LBH	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Fam 60 Min EDR	$146.11	$265.65	$45.64–$265.65	25% below	45%
Psychotherapy session, 60 minutes CPT 90837 90837 Psytx Pt &/Family 60 Min WPW	$153.62	$279.30	$45.64–$279.30	21% below	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Family 60 Min WOG	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Fam 60 Min LBH	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Family 60 Min PSYC	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Fam 60 Min BCS	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Fam 60 Min DBC	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Fam 60 Min BAO	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Family 60 Min EFP	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Fam 60 Min EDR	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Family 60 Min FAR	$146.11	$265.65	$109.58–$265.65	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx Pt &/Family 60 Min WPW	$153.62	$279.30	$115.21–$279.30	—	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Tobacco Use Cessation 3-10min EPD	$16.17	$29.40	$10.00–$85.00	27% below	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Cessation Visit up to 10 Min WPR	$17.05	$31.00	$10.00–$85.00	23% below	45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 Tobacco Use Cessation 3-10min EPD	$16.17	$29.40	$12.13–$29.40	—	45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 Cessation Visit up to 10 Min WPR	$17.05	$31.00	$12.79–$31.00	—	45%
Spirometry (breathing test) CPT 94010 94010 SPIROMETRY RAY	$160.55	$291.90	$29.42–$291.90	24% below	45%
Spirometry (breathing test) CPT 94010 94010 Spirometry EGV	$160.55	$291.90	$29.42–$291.90	24% below	45%
Spirometry (breathing test) CPT 94010 94010 Spirometry (Facility Chg)	$167.20	$304.00	$29.42–$304.00	21% below	45%
Spirometry (breathing test) CPT 94010 94010 Spirometry Volume WPR	$167.20	$304.00	$29.42–$304.00	21% below	45%
Spirometry (breathing test) one side CPT 94010 Spirometry w/o Bronchodilation RT	$167.20	$304.00	$29.42–$304.00	21% below	45%
Spirometry (breathing test) inpatient CPT 94010 94010 Spirometry EGV	$160.55	$291.90	$120.41–$291.90	—	45%
Spirometry (breathing test) inpatient CPT 94010 94010 SPIROMETRY RAY	$160.55	$291.90	$120.41–$291.90	—	45%
Spirometry (breathing test) inpatient CPT 94010 94010 Spirometry (Facility Chg)	$167.20	$304.00	$125.40–$304.00	—	45%
Spirometry (breathing test) inpatient CPT 94010 94010 Spirometry Volume WPR	$167.20	$304.00	$125.40–$304.00	—	45%
Spirometry (breathing test) inpatient one side CPT 94010 Spirometry w/o Bronchodilation RT	$167.20	$304.00	$125.40–$304.00	—	45%
Spirometry before and after a bronchodilator CPT 94060 94060 Spirometry Pre/Post Broncho	$347.60	$632.00	$49.83–$632.00	17% below	45%
Spirometry before and after a bronchodilator one side CPT 94060 Spirometry Pre/Post Bronchodilation RT	$347.60	$632.00	$49.83–$632.00	17% below	45%
Spirometry before and after a bronchodilator inpatient CPT 94060 94060 Spirometry Pre/Post Broncho	$347.60	$632.00	$260.70–$632.00	—	45%
Spirometry before and after a bronchodilator inpatient one side CPT 94060 Spirometry Pre/Post Bronchodilation RT	$347.60	$632.00	$260.70–$632.00	—	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 Rec Therapy Therapeutic Activities Chg	$64.35	$117.00	$10.09–$117.00	20% below	45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Rec Therapy Therapeutic Activities Chg	$64.35	$117.00	$48.26–$117.00	—	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 Phlebotomy -Therapeutic WON	$68.15	$123.90	$51.11–$219.00	61% below	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 Phlebotomy, Therapeutic OBS	$70.95	$129.00	$53.21–$219.00	59% below	45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 Phlebotomy -Therapeutic WON	$68.15	$123.90	$51.11–$123.90	—	45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 Phlebotomy, Therapeutic OBS	$70.95	$129.00	$53.21–$129.00	—	45%
Visual field test, extended CPT 92083 92083 Visual Fields Extend EYE	$88.94	$161.70	$40.77–$404.00	6% below	45%
Visual field test, extended inpatient CPT 92083 92083 Visual Fields Extend EYE	$88.94	$161.70	$66.70–$161.70	—	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Imm Admin 1 Vaccine WAO	$30.25	$55.00	$15.00–$72.12	45% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WAC	$30.25	$55.00	$15.00–$72.12	45% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumonia Vaccine WGC	$30.25	$55.00	$15.00–$72.12	45% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN WGC	$30.25	$55.00	$15.00–$72.12	45% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vaccine WGC	$30.25	$55.00	$15.00–$72.12	45% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WRM	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WC1	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WDC	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin WGS	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WGD	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WBM	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single ESL	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WOG	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin Adult EPD	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WON	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin, 1 Vaccine EMC	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WNR	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WID	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Hep B Vaccine Admin WGM	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WGM	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WOC	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WUR	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WPG	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single EPP	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single ESM	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin 1st Inj EGV	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN ONE VACCINE RAY	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Administration, 1	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUN ADMIN WKM	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUN ADMIN, HEP B VACCINE WKM	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin 1st Inj BMA	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin 1st Inj BCS	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Imm Administration, 1 Vacc FAR	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin WSC	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WGR	$31.76	$57.75	$15.00–$72.12	42% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumo Vaccine ED	$33.00	$60.00	$15.00–$72.12	40% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumo Vaccine WPR	$33.00	$60.00	$15.00–$72.12	40% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vaccine ED	$48.95	$89.00	$15.00–$89.00	10% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Flu Vaccine WPR	$48.95	$89.00	$15.00–$89.00	10% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin Vaccine Single WPR	$82.50	$150.00	$15.00–$150.00	51% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE	$82.50	$150.00	$15.00–$150.00	51% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin OBS	$82.50	$150.00	$15.00–$150.00	51% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION VACCINE	$82.50	$150.00	$15.00–$150.00	51% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumonia Vaccine WGC	$30.25	$55.00	$22.69–$55.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMIN WGC	$30.25	$55.00	$22.69–$55.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WAC	$30.25	$55.00	$22.69–$55.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vaccine WGC	$30.25	$55.00	$22.69–$55.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Imm Admin 1 Vaccine WAO	$30.25	$55.00	$22.69–$55.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Administration, 1	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUN ADMIN, HEP B VACCINE WKM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WRM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Hep B Vaccine Admin WGM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WGR	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WID	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMIN ONE VACCINE RAY	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUN ADMIN WKM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WNR	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WON	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin WSC	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin, 1 Vaccine EMC	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Admin Adult EPD	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Admin WGS	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Imm Administration, 1 Vacc FAR	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin 1st Inj BCS	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WOG	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single ESL	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WBM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WGD	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin 1st Inj BMA	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WGM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WC1	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WDC	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WOC	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WUR	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WPG	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single EPP	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single ESM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin 1st Inj EGV	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumo Vaccine ED	$33.00	$60.00	$24.75–$60.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumo Vaccine WPR	$33.00	$60.00	$24.75–$60.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vaccine WPR	$48.95	$89.00	$36.71–$89.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Flu Vaccine ED	$48.95	$89.00	$36.71–$89.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE	$82.50	$150.00	$61.88–$150.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUNIZATION VACCINE	$82.50	$150.00	$61.88–$150.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immun Admin Vaccine Single WPR	$82.50	$150.00	$61.88–$150.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Admin OBS	$82.50	$150.00	$61.88–$150.00	—	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Adult, Ea Add WAO	$30.25	$55.00	$15.00–$55.00	34% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADMIN, EACH ADD WGC	$30.25	$55.00	$15.00–$55.00	34% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WBM	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Adult, Ea Add EPD	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin, Ea Addl EMC	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin, Ea Add WGS	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin, Each Add FAR	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l BMA	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADMIN, EACH ADD WKM	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Administration, Ea. Add l	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of Vaccine, Ea. Add l	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADMIN EA ADD L VACCINE RAY	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin ea add l Inj EGV	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l EPP	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WPG	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WUR	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WDC	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WC1	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WON	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WGM	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WGR	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WRM	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WGD	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l ESL	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l EFP	$31.76	$57.75	$15.00–$57.75	31% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admin Vaccine Add l WPR	$48.95	$89.00	$15.00–$89.00	6% above	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin, Ea Add OBS	$48.95	$89.00	$15.00–$89.00	6% above	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTER SECOND VACCINE	$82.50	$150.00	$15.00–$150.00	79% above	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Second Vaccine	$82.50	$150.00	$15.00–$150.00	79% above	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUNIZATION ADMIN, EACH ADD WGC	$30.25	$55.00	$22.69–$55.00	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Adult, Ea Add WAO	$30.25	$55.00	$22.69–$55.00	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l EPP	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WON	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WGM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Adult, Ea Add EPD	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin, Ea Addl EMC	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization Admin, Ea Add WGS	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization Admin, Each Add FAR	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l BMA	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l EFP	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUNIZATION ADMIN, EACH ADD WKM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l ESL	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Administration, Ea. Add l	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of Vaccine, Ea. Add l	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUNIZATION ADMIN EA ADD L VACCINE RAY	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WBM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin ea add l Inj EGV	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WGD	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WRM	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WPG	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WUR	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WDC	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WGR	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WC1	$31.76	$57.75	$23.82–$57.75	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization Admin, Ea Add OBS	$48.95	$89.00	$36.71–$89.00	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immun Admin Vaccine Add l WPR	$48.95	$89.00	$36.71–$89.00	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Second Vaccine	$82.50	$150.00	$61.88–$150.00	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMINISTER SECOND VACCINE	$82.50	$150.00	$61.88–$150.00	—	45%

Source file: https://www.universityhealthkc.org/clientfiles/getfile/440661018_university-health-truman-medical-center_standardcharges.csv