Prosser Memorial Health Hospital
Prosser Memorial Health Hospital in Prosser, WA publishes cash prices for 219 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 144 of 219 procedures and above it for 70. By typical cash price it ranks #18 of 58 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
723 Memorial Street, Prosser, WA 99350 Collected Sep 29, 2026 Source price file (509) 786-2222
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 501312 · CMS hospital register
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT) | $69.30 | $126.00 | $8.93–$113.40 | 60% above | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT # | $69.30 | $126.00 | $8.93–$113.40 | 60% above | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT) | $69.30 | $126.00 | $51.02–$114.66 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT # | $69.30 | $126.00 | $51.02–$114.66 | — | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT / AST | $47.85 | $87.00 | $8.74–$78.30 | 26% above | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT # | $47.85 | $87.00 | $8.74–$78.30 | 26% above | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST) | $47.85 | $87.00 | $8.74–$78.30 | 26% above | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST) | $47.85 | $87.00 | $35.23–$79.17 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT # | $47.85 | $87.00 | $35.23–$79.17 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT / AST | $47.85 | $87.00 | $35.23–$79.17 | — | 45% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE PANEL | $135.30 | $246.00 | $49.20–$221.40 | 44% below | 45% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE PANEL | $135.30 | $246.00 | $99.62–$223.86 | — | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $12.65 | $23.00 | $4.60–$20.70 | 51% below | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SINGLE ALLERGEN(PANL) | $12.65 | $23.00 | $4.60–$20.70 | 51% below | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA (RL) | $12.65 | $23.00 | $4.60–$20.70 | 51% below | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - IGE QUANT | $12.65 | $23.00 | $4.60–$20.70 | 51% below | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - ALLERGEN | $12.65 | $23.00 | $4.60–$20.70 | 51% below | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE | $12.65 | $23.00 | $4.60–$20.70 | 51% below | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH # | $12.65 | $23.00 | $4.60–$20.70 | 51% below | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $12.65 | $23.00 | $9.31–$20.93 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - ALLERGEN | $12.65 | $23.00 | $9.31–$20.93 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SINGLE ALLERGEN(PANL) | $12.65 | $23.00 | $9.31–$20.93 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH # | $12.65 | $23.00 | $9.31–$20.93 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA (RL) | $12.65 | $23.00 | $9.31–$20.93 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE | $12.65 | $23.00 | $9.31–$20.93 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - IGE QUANT | $12.65 | $23.00 | $9.31–$20.93 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY # | $67.10 | $122.00 | $21.86–$109.80 | 11% below | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP AB IGG | $67.10 | $122.00 | $21.86–$109.80 | 11% below | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP AB IGG | $67.10 | $122.00 | $49.40–$111.02 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY # | $67.10 | $122.00 | $49.40–$111.02 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES | $74.25 | $135.00 | $20.41–$121.50 | 8% above | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA IGG REFLEX (ARUP) | $74.25 | $135.00 | $20.41–$121.50 | 8% above | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA | $74.25 | $135.00 | $20.41–$121.50 | 8% above | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA # | $74.25 | $135.00 | $20.41–$121.50 | 8% above | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA # | $74.25 | $135.00 | $54.67–$122.85 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA IGG REFLEX (ARUP) | $74.25 | $135.00 | $54.67–$122.85 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA | $74.25 | $135.00 | $54.67–$122.85 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES | $74.25 | $135.00 | $54.67–$122.85 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE # | $167.20 | $304.00 | $57.32–$273.60 | 13% below | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $224.95 | $409.00 | $57.32–$368.10 | 17% above | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE # | $167.20 | $304.00 | $123.10–$276.64 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $224.95 | $409.00 | $165.62–$372.19 | — | 45% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $88.55 | $161.00 | $14.29–$144.90 | 20% above | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $88.55 | $161.00 | $65.20–$146.51 | — | 45% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA | $149.05 | $271.00 | $17.44–$243.90 | 4% above | 45% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA | $149.05 | $271.00 | $109.74–$246.61 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC BLOOD DRAW VENIPUNCTURE | $23.65 | $43.00 | $3.60–$38.70 | 5% below | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC LEGAL BLOOD COLLECTION | $30.25 | $55.00 | $3.60–$49.50 | 21% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD | $30.25 | $55.00 | $3.60–$49.50 | 21% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL PROCESSING | $30.25 | $55.00 | $3.60–$49.50 | 21% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE | $30.25 | $55.00 | $3.60–$49.50 | 21% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL SHIPPING | $30.25 | $55.00 | $3.60–$49.50 | 21% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD DRAW VENIPUNCTURE | $23.65 | $43.00 | $17.41–$39.13 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL SHIPPING | $30.25 | $55.00 | $22.27–$50.05 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL PROCESSING | $30.25 | $55.00 | $22.27–$50.05 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE | $30.25 | $55.00 | $22.27–$50.05 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD | $30.25 | $55.00 | $22.27–$50.05 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC LEGAL BLOOD COLLECTION | $30.25 | $55.00 | $22.27–$50.05 | — | 45% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $44.55 | $81.00 | $6.62–$72.90 | 21% above | 45% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP # | $44.55 | $81.00 | $6.62–$72.90 | 21% above | 45% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP) | $44.55 | $81.00 | $6.62–$72.90 | 21% above | 45% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE FASTING | $44.55 | $81.00 | $6.62–$72.90 | 21% above | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP # | $44.55 | $81.00 | $32.80–$73.71 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP) | $44.55 | $81.00 | $32.80–$73.71 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $44.55 | $81.00 | $32.80–$73.71 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE FASTING | $44.55 | $81.00 | $32.80–$73.71 | — | 45% |
| Blood lead test CPT 83655 HC HVY MET BLD - LEAD | $70.40 | $128.00 | $20.44–$115.20 | 11% above | 45% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $70.40 | $128.00 | $20.44–$115.20 | 11% above | 45% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD # | $70.40 | $128.00 | $20.44–$115.20 | 11% above | 45% |
| Blood lead test CPT 83655 HC LEAD BLOOD | $70.40 | $128.00 | $20.44–$115.20 | 11% above | 45% |
| Blood lead test inpatient CPT 83655 HC HVY MET BLD - LEAD | $70.40 | $128.00 | $51.83–$116.48 | — | 45% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD | $70.40 | $128.00 | $51.83–$116.48 | — | 45% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD | $70.40 | $128.00 | $51.83–$116.48 | — | 45% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD # | $70.40 | $128.00 | $51.83–$116.48 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN QUAL | $74.80 | $136.00 | $12.68–$122.40 | 1% above | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE # | $74.80 | $136.00 | $12.68–$122.40 | 1% above | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG SCREEN (SERUM) | $74.80 | $136.00 | $12.68–$122.40 | 1% above | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG SCREEN (SERUM) | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN QUAL | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE # | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO # | $53.90 | $98.00 | $5.04–$586.50 | 16% below | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO # | $53.90 | $98.00 | $39.68–$89.18 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN # | $51.70 | $94.00 | $8.74–$84.60 | 6% below | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $51.70 | $94.00 | $8.74–$84.60 | 6% below | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN # | $51.70 | $94.00 | $38.06–$85.54 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $51.70 | $94.00 | $38.06–$85.54 | — | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $139.15 | $253.00 | $50.60–$227.70 | 19% below | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE # | $145.75 | $265.00 | $53.00–$238.50 | 15% below | 45% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $139.15 | $253.00 | $102.45–$230.23 | — | 45% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE # | $145.75 | $265.00 | $107.31–$241.15 | — | 45% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9 | $76.45 | $139.00 | $27.80–$125.10 | 30% below | 45% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9 | $76.45 | $139.00 | $56.29–$126.49 | — | 45% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR CA 125 | $91.30 | $166.00 | $33.20–$149.40 | 24% below | 45% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR CA 125 | $91.30 | $166.00 | $67.22–$151.06 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 AMP PRB POCT | $112.20 | $204.00 | $40.80–$183.60 | at median | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ # | $112.20 | $204.00 | $40.80–$183.60 | at median | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ # | $112.20 | $204.00 | $82.61–$185.64 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 AMP PRB POCT | $112.20 | $204.00 | $82.61–$185.64 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ # | $62.15 | $113.00 | $22.60–$101.70 | 51% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED DNA | $62.15 | $113.00 | $22.60–$101.70 | 51% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR | $62.15 | $113.00 | $22.60–$101.70 | 51% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS APTIMA (ARUP) | $62.15 | $113.00 | $22.60–$101.70 | 51% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ # | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS APTIMA (ARUP) | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED DNA | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL # | $107.80 | $196.00 | $22.62–$176.40 | 23% above | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $107.80 | $196.00 | $22.62–$176.40 | 23% above | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $107.80 | $196.00 | $79.37–$178.36 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL # | $107.80 | $196.00 | $79.37–$178.36 | — | 45% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO | $92.40 | $168.00 | $13.13–$151.20 | 42% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC # | $92.40 | $168.00 | $13.13–$151.20 | 42% above | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO | $92.40 | $168.00 | $68.03–$152.88 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC # | $92.40 | $168.00 | $68.03–$152.88 | — | 45% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED # | $57.20 | $104.00 | $10.93–$93.60 | 15% above | 45% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $57.20 | $104.00 | $10.93–$93.60 | 15% above | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED # | $57.20 | $104.00 | $42.11–$94.64 | — | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $57.20 | $104.00 | $42.11–$94.64 | — | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $136.95 | $249.00 | $17.84–$224.10 | 50% above | 45% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $136.95 | $249.00 | $100.83–$226.59 | — | 45% |
| D-dimer blood test (blood clot marker) CPT 85379 HC DDIMER QUANT | $117.15 | $213.00 | $17.18–$191.70 | 2% above | 45% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DDIMER QUANT | $117.15 | $213.00 | $86.25–$193.83 | — | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE # | $123.20 | $224.00 | $37.55–$201.60 | 4% below | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE. | $123.20 | $224.00 | $37.55–$201.60 | 4% below | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE | $123.20 | $224.00 | $37.55–$201.60 | 4% below | 45% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE # | $123.20 | $224.00 | $90.71–$203.84 | — | 45% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE. | $123.20 | $224.00 | $90.71–$203.84 | — | 45% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE | $123.20 | $224.00 | $90.71–$203.84 | — | 45% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $76.45 | $139.00 | $27.80–$125.10 | 43% below | 45% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL | $76.45 | $139.00 | $27.80–$125.10 | 43% below | 45% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL # | $76.45 | $139.00 | $27.80–$125.10 | 43% below | 45% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $76.45 | $139.00 | $56.29–$126.49 | — | 45% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL | $76.45 | $139.00 | $56.29–$126.49 | — | 45% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL # | $76.45 | $139.00 | $56.29–$126.49 | — | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH PEDS | $52.80 | $96.00 | $19.20–$86.40 | 45% below | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $52.80 | $96.00 | $19.20–$86.40 | 45% below | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH(FOLLICLE STIMULATE HORMONE) | $52.80 | $96.00 | $19.20–$86.40 | 45% below | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $52.80 | $96.00 | $38.87–$87.36 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH PEDS | $52.80 | $96.00 | $38.87–$87.36 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH(FOLLICLE STIMULATE HORMONE) | $52.80 | $96.00 | $38.87–$87.36 | — | 45% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $356.95 | $649.00 | $33.14–$584.10 | 85% above | 45% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $356.95 | $649.00 | $262.81–$590.59 | — | 45% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $84.15 | $153.00 | $23.00–$137.70 | 12% below | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $84.15 | $153.00 | $61.96–$139.23 | — | 45% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE | $99.00 | $180.00 | $24.83–$162.00 | at median | 45% |
| Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM | $99.00 | $180.00 | $24.83–$162.00 | at median | 45% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE | $99.00 | $180.00 | $72.89–$163.80 | — | 45% |
| Folate (folic acid) blood test inpatient CPT 82746 HC ASSAY OF FOLIC ACID SERUM | $99.00 | $180.00 | $72.89–$163.80 | — | 45% |
| Free T3 thyroid hormone test CPT 84481 HC FREE T-3 ICMA | $90.75 | $165.00 | $28.61–$148.50 | 4% above | 45% |
| Free T3 thyroid hormone test CPT 84481 HC FREE ASSAY (FT-3) | $90.75 | $165.00 | $28.61–$148.50 | 4% above | 45% |
| Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE # | $90.75 | $165.00 | $28.61–$148.50 | 4% above | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC FREE ASSAY (FT-3) | $90.75 | $165.00 | $66.82–$150.15 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE # | $90.75 | $165.00 | $66.82–$150.15 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T-3 ICMA | $90.75 | $165.00 | $66.82–$150.15 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE # | $85.80 | $156.00 | $15.23–$140.40 | 32% above | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE | $85.80 | $156.00 | $15.23–$140.40 | 32% above | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 | $85.80 | $156.00 | $15.23–$140.40 | 32% above | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE # | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Free testosterone test CPT 84402 HC TESTO FREE FEM-CHILD | $142.45 | $259.00 | $43.01–$233.10 | 12% above | 45% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $142.45 | $259.00 | $43.01–$233.10 | 12% above | 45% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE | $142.45 | $259.00 | $43.01–$233.10 | 12% above | 45% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE # | $142.45 | $259.00 | $43.01–$233.10 | 12% above | 45% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $142.45 | $259.00 | $104.88–$235.69 | — | 45% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE FREE | $142.45 | $259.00 | $104.88–$235.69 | — | 45% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE FREE # | $142.45 | $259.00 | $104.88–$235.69 | — | 45% |
| Free testosterone test inpatient CPT 84402 HC TESTO FREE FEM-CHILD | $142.45 | $259.00 | $104.88–$235.69 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $51.15 | $93.00 | $8.02–$83.70 | 37% above | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR | $51.15 | $93.00 | $8.02–$83.70 | 37% above | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE # | $51.15 | $93.00 | $8.02–$83.70 | 37% above | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE # | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC) | $134.20 | $244.00 | $21.74–$219.60 | 89% above | 45% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL GESTATIONAL | $134.20 | $244.00 | $21.74–$219.60 | 89% above | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC) | $134.20 | $244.00 | $98.81–$222.04 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL GESTATIONAL | $134.20 | $244.00 | $98.81–$222.04 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC AMPLIFICATION APTIMA | $62.15 | $113.00 | $22.60–$101.70 | 51% below | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ # | $62.15 | $113.00 | $22.60–$101.70 | 51% below | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMPLIFIED PROBE | $62.15 | $113.00 | $22.60–$101.70 | 51% below | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC AMPLIFICATION APTIMA | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMPLIFIED PROBE | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ # | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI | $97.90 | $178.00 | $24.50–$160.20 | 18% above | 45% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI ANTIBODY | $97.90 | $178.00 | $24.50–$160.20 | 18% above | 45% |
| H. pylori antibody blood test CPT 86677 HC ANTIBODY HELICOBACTER PYLORI # | $97.90 | $178.00 | $24.50–$160.20 | 18% above | 45% |
| H. pylori antibody blood test inpatient CPT 86677 HC ANTIBODY HELICOBACTER PYLORI # | $97.90 | $178.00 | $72.08–$161.98 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI ANTIBODY | $97.90 | $178.00 | $72.08–$161.98 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI | $97.90 | $178.00 | $72.08–$161.98 | — | 45% |
| H. pylori stool antigen test CPT 87338 HC H PYLORI ANTIGEN STOOL | $143.00 | $260.00 | $24.29–$234.00 | 2% above | 45% |
| H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI ANTIGEN STOOL | $143.00 | $260.00 | $105.28–$236.60 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV STANDARD PCR | $301.95 | $549.00 | $109.80–$494.10 | 21% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION # | $301.95 | $549.00 | $109.80–$494.10 | 21% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV ULTRA SENSITIVE PCR | $301.95 | $549.00 | $109.80–$494.10 | 21% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV STANDARD PCR | $301.95 | $549.00 | $222.31–$499.59 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV ULTRA SENSITIVE PCR | $301.95 | $549.00 | $222.31–$499.59 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION # | $301.95 | $549.00 | $222.31–$499.59 | — | 45% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY | $62.70 | $114.00 | $22.80–$102.60 | 27% below | 45% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY | $62.70 | $114.00 | $46.16–$103.74 | — | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC ANTI-HIV 1/2 AB & P24 AG | $81.95 | $149.00 | $29.80–$134.10 | 16% below | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC ANTI-HIV 1/2 AB & P24 AG | $81.95 | $149.00 | $60.34–$135.59 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES # | $209.55 | $381.00 | $57.31–$342.90 | 47% above | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES # | $209.55 | $381.00 | $154.28–$346.71 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC SENDOUT GLYCOSYLATED HEMOGLOBIN | $85.80 | $156.00 | $16.39–$140.40 | 22% above | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN | $85.80 | $156.00 | $16.39–$140.40 | 22% above | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC SENDOUT GLYCOSYLATED HEMOGLOBIN | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB # | $42.90 | $78.00 | $15.60–$70.20 | 39% below | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB | $42.90 | $78.00 | $15.60–$70.20 | 39% below | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB | $42.90 | $78.00 | $31.59–$70.98 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB # | $42.90 | $78.00 | $31.59–$70.98 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $37.95 | $69.00 | $13.80–$62.10 | 49% below | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN # | $37.95 | $69.00 | $13.80–$62.10 | 49% below | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $37.95 | $69.00 | $27.94–$62.79 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN # | $37.95 | $69.00 | $27.94–$62.79 | — | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY # | $38.50 | $70.00 | $14.00–$63.00 | 55% below | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEP C ANTIBODY (HCV) | $38.50 | $70.00 | $14.00–$63.00 | 55% below | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST | $38.50 | $70.00 | $14.00–$63.00 | 55% below | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY # | $38.50 | $70.00 | $28.35–$63.70 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST | $38.50 | $70.00 | $28.35–$63.70 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEP C ANTIBODY (HCV) | $38.50 | $70.00 | $28.35–$63.70 | — | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANTITATIVE PCR PAML | $286.00 | $520.00 | $72.34–$468.00 | 13% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEP C PCR (QUANT) | $286.00 | $520.00 | $72.34–$468.00 | 13% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANTIFICATION | $286.00 | $520.00 | $72.34–$468.00 | 13% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION # | $286.00 | $520.00 | $72.34–$468.00 | 13% below | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANTIFICATION | $286.00 | $520.00 | $210.57–$473.20 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION # | $286.00 | $520.00 | $210.57–$473.20 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANTITATIVE PCR PAML | $286.00 | $520.00 | $210.57–$473.20 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEP C PCR (QUANT) | $286.00 | $520.00 | $210.57–$473.20 | — | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST - 1 & 2 PAN - HSV TYPE 1 | $36.30 | $66.00 | $13.20–$59.40 | 47% below | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 BY IMMUNOBLOT | $74.80 | $136.00 | $22.27–$122.40 | 8% above | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 # | $74.80 | $136.00 | $22.27–$122.40 | 8% above | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 IGG/IGM # | $74.80 | $136.00 | $22.27–$122.40 | 8% above | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX 1 TEST | $74.80 | $136.00 | $22.27–$122.40 | 8% above | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG | $74.80 | $136.00 | $22.27–$122.40 | 8% above | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST - 1 & 2 PAN - HSV TYPE 1 | $36.30 | $66.00 | $26.73–$60.06 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 BY IMMUNOBLOT | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX 1 TEST | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 # | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 IGG/IGM # | $74.80 | $136.00 | $55.07–$123.76 | — | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 - TYPE 2 IGG | $78.65 | $143.00 | $28.60–$128.70 | 11% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 -HSV 1&2 PAN-HSV TYPE 2 | $78.65 | $143.00 | $28.60–$128.70 | 11% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 # | $78.65 | $143.00 | $28.60–$128.70 | 11% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 ANTIBODY IGG | $78.65 | $143.00 | $28.60–$128.70 | 11% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 | $78.65 | $143.00 | $28.60–$128.70 | 11% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 BY IMMUNOBLOT | $78.65 | $143.00 | $28.60–$128.70 | 11% below | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 # | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 BY IMMUNOBLOT | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 ANTIBODY IGG | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 -HSV 1&2 PAN-HSV TYPE 2 | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 - TYPE 2 IGG | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVITY | $40.15 | $73.00 | $14.60–$65.70 | 46% below | 45% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVITY | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTEINE # | $127.05 | $231.00 | $28.49–$207.90 | 4% above | 45% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINE PLASMA (HYPERC) | $127.05 | $231.00 | $28.49–$207.90 | 4% above | 45% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE PLASMA (HYPERC) | $127.05 | $231.00 | $93.54–$210.21 | — | 45% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTEINE # | $127.05 | $231.00 | $93.54–$210.21 | — | 45% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL # | $79.20 | $144.00 | $19.31–$129.60 | 4% below | 45% |
| Insulin blood test CPT 83525 HC INSULIN LEVEL ASSAY | $79.20 | $144.00 | $19.31–$129.60 | 4% below | 45% |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ASSAY | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL # | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $46.75 | $85.00 | $10.94–$76.50 | 1% below | 45% |
| Iron blood test (serum iron) CPT 83540 HC IRON (FE)- | $46.75 | $85.00 | $10.94–$76.50 | 1% below | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON (FE)- | $46.75 | $85.00 | $34.42–$77.35 | — | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $46.75 | $85.00 | $34.42–$77.35 | — | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $44.00 | $80.00 | $14.76–$72.00 | 27% below | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $44.00 | $80.00 | $32.40–$72.80 | — | 45% |
| Kidney function blood test panel CPT 80069 HC RENAL PANEL | $100.10 | $182.00 | $14.66–$163.80 | 32% above | 45% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL | $100.10 | $182.00 | $73.70–$165.62 | — | 45% |
| LH (luteinizing hormone) test CPT 83002 HC LH | $79.20 | $144.00 | $28.80–$129.60 | 17% below | 45% |
| LH (luteinizing hormone) test CPT 83002 HC LH PEDS | $79.20 | $144.00 | $28.80–$129.60 | 17% below | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH PEDS | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE # | $92.40 | $168.00 | $11.63–$151.20 | 27% above | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $92.40 | $168.00 | $11.63–$151.20 | 27% above | 45% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE # | $92.40 | $168.00 | $68.03–$152.88 | — | 45% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $92.40 | $168.00 | $68.03–$152.88 | — | 45% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $103.40 | $188.00 | $13.79–$169.20 | 58% above | 45% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL # | $103.40 | $188.00 | $13.79–$169.20 | 58% above | 45% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL # | $103.40 | $188.00 | $76.13–$171.08 | — | 45% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $103.40 | $188.00 | $76.13–$171.08 | — | 45% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - IGG-IGM | $107.25 | $195.00 | $28.76–$175.50 | 20% above | 45% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $112.20 | $204.00 | $28.76–$183.60 | 26% above | 45% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - CSF | $112.20 | $204.00 | $28.76–$183.60 | 26% above | 45% |
| Lyme disease antibody test CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE # | $112.20 | $204.00 | $28.76–$183.60 | 26% above | 45% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - IGG-IGM | $107.25 | $195.00 | $78.96–$177.45 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY | $112.20 | $204.00 | $82.61–$185.64 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE # | $112.20 | $204.00 | $82.61–$185.64 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - CSF | $112.20 | $204.00 | $82.61–$185.64 | — | 45% |
| Magnesium blood test CPT 83735 HC MAGNESIUM RBC | $79.20 | $144.00 | $11.32–$129.60 | 51% above | 45% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM # | $79.20 | $144.00 | $11.32–$129.60 | 51% above | 45% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $79.20 | $144.00 | $11.32–$129.60 | 51% above | 45% |
| Magnesium blood test CPT 83735 HC MAGNESIUM QUANT URINE | $79.20 | $144.00 | $11.32–$129.60 | 51% above | 45% |
| Magnesium blood test CPT 83735 HC MAGNESIUM RANDOM URINE | $79.20 | $144.00 | $11.32–$129.60 | 51% above | 45% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM RBC | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM RANDOM URINE | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM QUANT URINE | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM # | $79.20 | $144.00 | $58.31–$131.04 | — | 45% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY - IGG | $72.05 | $131.00 | $21.76–$117.90 | at median | 45% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY IGM | $72.05 | $131.00 | $21.76–$117.90 | at median | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY - IGG | $72.05 | $131.00 | $53.05–$119.21 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY IGM | $72.05 | $131.00 | $53.05–$119.21 | — | 45% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST | $26.95 | $49.00 | $8.74–$44.10 | 53% below | 45% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES | $55.55 | $101.00 | $8.74–$90.90 | 2% below | 45% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO TEST | $26.95 | $49.00 | $19.84–$44.59 | — | 45% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES | $55.55 | $101.00 | $40.90–$91.91 | — | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $106.15 | $193.00 | $31.07–$173.70 | 5% above | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $106.15 | $193.00 | $31.07–$173.70 | 5% above | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE # | $106.15 | $193.00 | $31.07–$173.70 | 5% above | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE # | $106.15 | $193.00 | $78.15–$175.63 | — | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $106.15 | $193.00 | $78.15–$175.63 | — | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $106.15 | $193.00 | $78.15–$175.63 | — | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL # | $101.75 | $185.00 | $31.07–$166.50 | 8% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $107.25 | $195.00 | $31.07–$175.50 | 3% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC AG | $107.25 | $195.00 | $31.07–$175.50 | 3% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $112.20 | $204.00 | $31.07–$183.60 | 1% above | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING | $112.20 | $204.00 | $31.07–$183.60 | 1% above | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE | $124.85 | $227.00 | $31.07–$204.30 | 13% above | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL # | $101.75 | $185.00 | $74.91–$168.35 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $107.25 | $195.00 | $78.96–$177.45 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC AG | $107.25 | $195.00 | $78.96–$177.45 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING | $112.20 | $204.00 | $82.61–$185.64 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $112.20 | $204.00 | $82.61–$185.64 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA ULTRASENSITIVE | $124.85 | $227.00 | $91.92–$206.57 | — | 45% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS # | $90.20 | $164.00 | $32.80–$147.60 | 3% above | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS # | $90.20 | $164.00 | $66.41–$149.24 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP-THIN PREP SCREENING | $105.05 | $191.00 | $34.21–$171.90 | 29% above | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP-THIN PREP SCREENING | $105.05 | $191.00 | $77.34–$173.81 | — | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE # | $211.75 | $385.00 | $69.70–$346.50 | 1% above | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT | $211.75 | $385.00 | $69.70–$346.50 | 1% above | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE) | $211.75 | $385.00 | $69.70–$346.50 | 1% above | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE) | $211.75 | $385.00 | $155.90–$350.35 | — | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT | $211.75 | $385.00 | $155.90–$350.35 | — | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE # | $211.75 | $385.00 | $155.90–$350.35 | — | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $58.30 | $106.00 | $10.14–$95.40 | 42% above | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD # | $58.30 | $106.00 | $10.14–$95.40 | 42% above | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $58.30 | $106.00 | $42.92–$96.46 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD # | $58.30 | $106.00 | $42.92–$96.46 | — | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS # | $441.65 | $803.00 | $160.60–$962.80 | 42% below | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS # | $441.65 | $803.00 | $325.17–$730.73 | — | 45% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $46.75 | $85.00 | $17.00–$76.50 | 52% below | 45% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $46.75 | $85.00 | $34.42–$77.35 | — | 45% |
| Prolactin blood test CPT 84146 HC PROLACTIN ASSAY (RL) | $91.85 | $167.00 | $32.72–$150.30 | 13% below | 45% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $91.85 | $167.00 | $32.72–$150.30 | 13% below | 45% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN ASSAY (RL) | $91.85 | $167.00 | $67.62–$151.97 | — | 45% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $91.85 | $167.00 | $67.62–$151.97 | — | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME # | $45.10 | $82.00 | $6.64–$73.80 | 13% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $62.70 | $114.00 | $6.64–$102.60 | 57% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - FINGERSTICK | $62.70 | $114.00 | $6.64–$102.60 | 57% above | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME # | $45.10 | $82.00 | $33.21–$74.62 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $62.70 | $114.00 | $46.16–$103.74 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - FINGERSTICK | $62.70 | $114.00 | $46.16–$103.74 | — | 45% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIRECT OPT OBS PER DOS | $83.05 | $151.00 | $17.95–$135.90 | 62% above | 45% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIRECT OPT OBS PER DOS | $83.05 | $151.00 | $61.15–$137.41 | — | 45% |
| Rapid flu test (influenza antigen) CPT 87804 HC IAADIADOO INFLUENZA # | $78.65 | $143.00 | $20.26–$128.70 | 17% above | 45% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA SCREEN | $78.65 | $143.00 | $20.26–$128.70 | 17% above | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA SCREEN | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC IAADIADOO INFLUENZA # | $78.65 | $143.00 | $57.91–$130.13 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A # | $68.20 | $124.00 | $20.26–$111.60 | 5% below | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A # | $68.20 | $124.00 | $50.21–$112.84 | — | 45% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $39.05 | $71.00 | $9.58–$63.90 | 2% below | 45% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE # | $39.05 | $71.00 | $9.58–$63.90 | 2% below | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE # | $39.05 | $71.00 | $28.75–$64.61 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $39.05 | $71.00 | $28.75–$64.61 | — | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY - AB IGM | $40.70 | $74.00 | $14.80–$66.60 | 41% below | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA # | $40.70 | $74.00 | $14.80–$66.60 | 41% below | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY -TORCH IGG | $40.70 | $74.00 | $14.80–$66.60 | 41% below | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $40.70 | $74.00 | $14.80–$66.60 | 41% below | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY - IGG ANTIBODY | $40.70 | $74.00 | $14.80–$66.60 | 41% below | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY -TORCH IGG | $40.70 | $74.00 | $29.97–$67.34 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY - IGG ANTIBODY | $40.70 | $74.00 | $29.97–$67.34 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY - AB IGM | $40.70 | $74.00 | $29.97–$67.34 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY | $40.70 | $74.00 | $29.97–$67.34 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA # | $40.70 | $74.00 | $29.97–$67.34 | — | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTOMATED | $56.65 | $103.00 | $4.56–$92.70 | 83% above | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTOMATED | $56.65 | $103.00 | $41.71–$93.73 | — | 45% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS COMPLETE | $142.45 | $259.00 | $20.35–$233.10 | 96% above | 45% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS | $142.45 | $259.00 | $20.35–$233.10 | 96% above | 45% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS | $142.45 | $259.00 | $104.88–$235.69 | — | 45% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS COMPLETE | $142.45 | $259.00 | $104.88–$235.69 | — | 45% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $42.90 | $78.00 | $15.02–$70.20 | 30% below | 45% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS | $42.90 | $78.00 | $31.59–$70.98 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC FECAL OCCULT BLD (1-3 SAMPLES) | $28.60 | $52.00 | $5.50–$46.80 | 4% below | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC FECAL OCCULT BLD (1-3 SAMPLES) | $28.60 | $52.00 | $21.06–$47.32 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $74.25 | $135.00 | $26.86–$121.50 | at median | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $74.25 | $135.00 | $54.67–$122.85 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY | $51.15 | $93.00 | $7.21–$83.70 | 72% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL | $51.15 | $93.00 | $7.21–$83.70 | 72% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF | $51.15 | $93.00 | $7.21–$83.70 | 72% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL RPR | $51.15 | $93.00 | $7.21–$83.70 | 72% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $51.15 | $93.00 | $7.21–$83.70 | 72% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL # | $51.15 | $93.00 | $7.21–$83.70 | 72% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL # | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL RPR | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $51.15 | $93.00 | $37.66–$84.63 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD | $190.85 | $347.00 | $69.40–$312.30 | 8% below | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASURE | $190.85 | $347.00 | $69.40–$312.30 | 8% below | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON # | $190.85 | $347.00 | $69.40–$312.30 | 8% below | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD | $190.85 | $347.00 | $140.51–$315.77 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON # | $190.85 | $347.00 | $140.51–$315.77 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUN MEASURE | $190.85 | $347.00 | $140.51–$315.77 | — | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $144.10 | $262.00 | $43.60–$235.80 | 22% above | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE | $144.10 | $262.00 | $43.60–$235.80 | 22% above | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL # | $144.10 | $262.00 | $43.60–$235.80 | 22% above | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE -TOTAL | $144.10 | $262.00 | $43.60–$235.80 | 22% above | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL # | $144.10 | $262.00 | $106.09–$238.42 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE | $144.10 | $262.00 | $106.09–$238.42 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE -TOTAL | $144.10 | $262.00 | $106.09–$238.42 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $144.10 | $262.00 | $106.09–$238.42 | — | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE AB (ANTI-TPO) | $92.95 | $169.00 | $24.58–$152.10 | 17% above | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH # | $92.95 | $169.00 | $24.58–$152.10 | 17% above | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $92.95 | $169.00 | $24.58–$152.10 | 17% above | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY | $92.95 | $169.00 | $24.58–$152.10 | 17% above | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH # | $92.95 | $169.00 | $68.43–$153.79 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE AB (ANTI-TPO) | $92.95 | $169.00 | $68.43–$153.79 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY | $92.95 | $169.00 | $68.43–$153.79 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY | $92.95 | $169.00 | $68.43–$153.79 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH # | $85.80 | $156.00 | $28.37–$140.40 | 7% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $85.80 | $156.00 | $28.37–$140.40 | 7% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $85.80 | $156.00 | $28.37–$140.40 | 7% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE TSH | $85.80 | $156.00 | $28.37–$140.40 | 7% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $85.80 | $156.00 | $28.37–$140.40 | 7% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH # | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE TSH | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $61.05 | $111.00 | $22.20–$99.90 | 42% below | 45% |
| Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH # | $61.05 | $111.00 | $22.20–$99.90 | 42% below | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $61.05 | $111.00 | $44.95–$101.01 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH # | $61.05 | $111.00 | $44.95–$101.01 | — | 45% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $45.10 | $82.00 | $7.63–$73.80 | at median | 45% |
| Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID # | $45.10 | $82.00 | $7.63–$73.80 | at median | 45% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $45.10 | $82.00 | $33.21–$74.62 | — | 45% |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID # | $45.10 | $82.00 | $33.21–$74.62 | — | 45% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY # | $62.15 | $113.00 | $5.34–$101.70 | 66% above | 45% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE | $63.80 | $116.00 | $5.34–$104.40 | 70% above | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY # | $62.15 | $113.00 | $45.76–$102.83 | — | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE | $63.80 | $116.00 | $46.97–$105.56 | — | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC PR 81003 URINALYSIS AUTO W/O SCOPE | $33.55 | $61.00 | $3.79–$54.90 | 20% above | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $35.20 | $64.00 | $3.79–$57.60 | 26% above | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY # | $35.20 | $64.00 | $3.79–$57.60 | 26% above | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY # | $35.20 | $64.00 | $3.79–$57.60 | 26% above | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PR 81003 URINALYSIS AUTO W/O SCOPE | $33.55 | $61.00 | $24.70–$55.51 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $35.20 | $64.00 | $25.92–$58.24 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY # | $35.20 | $64.00 | $25.92–$58.24 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY # | $35.20 | $64.00 | $25.92–$58.24 | — | 45% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP # | $22.55 | $41.00 | $4.32–$36.90 | 11% above | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP # | $22.55 | $41.00 | $16.60–$37.31 | — | 45% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE # | $69.85 | $127.00 | $13.63–$114.30 | 14% below | 45% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT | $69.85 | $127.00 | $13.63–$114.30 | 14% below | 45% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT | $69.85 | $127.00 | $51.43–$115.57 | — | 45% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE # | $69.85 | $127.00 | $51.43–$115.57 | — | 45% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $48.40 | $88.00 | $10.68–$79.20 | at median | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $48.40 | $88.00 | $35.63–$80.08 | — | 45% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN-B12 | $92.40 | $168.00 | $25.45–$151.20 | 4% below | 45% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN-B12 | $92.40 | $168.00 | $68.03–$152.88 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED # | $122.10 | $222.00 | $44.40–$199.80 | 6% below | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $122.10 | $222.00 | $44.40–$199.80 | 6% below | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $122.10 | $222.00 | $44.40–$199.80 | 6% below | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED # | $122.10 | $222.00 | $89.90–$202.02 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $122.10 | $222.00 | $89.90–$202.02 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $122.10 | $222.00 | $89.90–$202.02 | — | 45% |
| Zinc blood test CPT 84630 HC ZINC | $78.10 | $142.00 | $19.22–$127.80 | 3% above | 45% |
| Zinc blood test CPT 84630 HC ZINC SERUM | $78.10 | $142.00 | $19.22–$127.80 | 3% above | 45% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC # | $78.10 | $142.00 | $19.22–$127.80 | 3% above | 45% |
| Zinc blood test inpatient CPT 84630 HC ZINC SERUM | $78.10 | $142.00 | $57.50–$129.22 | — | 45% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $78.10 | $142.00 | $57.50–$129.22 | — | 45% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC # | $78.10 | $142.00 | $57.50–$129.22 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC PRENATAL-HCG QUANTITATIVE | $114.95 | $209.00 | $25.43–$188.10 | 6% above | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC HCG QUANT | $114.95 | $209.00 | $25.43–$188.10 | 6% above | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE # | $114.95 | $209.00 | $25.43–$188.10 | 6% above | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC PRENATAL-HCG QUANTITATIVE | $114.95 | $209.00 | $84.63–$190.19 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE # | $114.95 | $209.00 | $84.63–$190.19 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC HCG QUANT | $114.95 | $209.00 | $84.63–$190.19 | — | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC PR 64615 CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE RHC | $228.25 | $415.00 | $208.77–$375.79 | 40% below | 45% |
| Botox injections for chronic migraine inpatient CPT 64615 HC PR 64615 CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE RHC | $228.25 | $415.00 | $373.50 | — | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREO | $1,489.40 | $2,708.00 | $576.72–$7,372.09 | 33% below | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREO | $1,489.40 | $2,708.00 | $1,096.58–$2,464.28 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $921.25 | $1,675.00 | $356.72–$2,977.43 | 10% below | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $921.25 | $1,675.00 | $678.27–$1,524.25 | — | 45% |
| Catheter ablation for atrial fibrillation CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $5,369.65 | $9,763.00 | $2,079.23–$111,621.97 | 79% below | 45% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $5,369.65 | $9,763.00 | $3,953.43–$8,884.33 | — | 45% |
| Cervical biopsy CPT 57500 HC PR 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX RHC | $228.80 | $416.00 | $304.60–$564.08 | 67% below | 45% |
| Cervical biopsy inpatient CPT 57500 HC PR 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX RHC | $228.80 | $416.00 | $374.40 | — | 45% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK | $187.55 | $341.00 | $72.62–$9,320.72 | 43% below | 45% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK | $187.55 | $341.00 | $138.08–$310.31 | — | 45% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC PR 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE RHC | $254.10 | $462.00 | $304.60–$564.08 | 37% below | 45% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC PR 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE RHC | $254.10 | $462.00 | $415.80 | — | 45% |
| Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $11,629.75 | $21,145.00 | $4,503.25–$51,599.59 | 45% below | 45% |
| Coronary stent placement, one artery inpatient CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $11,629.75 | $21,145.00 | $8,562.46–$19,241.95 | — | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST RHC | $140.25 | $255.00 | $208.77–$375.79 | 23% below | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST RHC | $140.25 | $255.00 | $229.50 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM | $119.90 | $218.00 | $46.43–$270.27 | 16% above | 45% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT RHC | $20.35 | $37.00 | $31.45–$375.79 | 80% below | 45% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM | $119.90 | $218.00 | $46.43–$270.27 | 16% above | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM | $119.90 | $218.00 | $88.28–$198.38 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC PR 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT RHC | $20.35 | $37.00 | $33.30 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM | $119.90 | $218.00 | $88.28–$198.38 | — | 45% |
| Earwax removal with instruments, one ear CPT 69210 HC ED REMOVE IMPACTED EAR WAX CDM | $75.90 | $138.00 | $29.39–$270.27 | 49% below | 45% |
| Earwax removal with instruments, one ear one side CPT 69210 HC PR 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT RHC | $65.45 | $119.00 | $101.15–$375.79 | 56% below | 45% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM | $122.10 | $222.00 | $47.28–$270.27 | 19% below | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC ED REMOVE IMPACTED EAR WAX CDM | $75.90 | $138.00 | $55.88–$125.58 | — | 45% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC PR 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT RHC | $65.45 | $119.00 | $107.10 | — | 45% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM | $122.10 | $222.00 | $89.90–$202.02 | — | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC PR 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX RHC | $190.30 | $346.00 | $294.10–$564.08 | 33% below | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $265.65 | $483.00 | $102.86–$915.32 | 7% below | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC PR 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX RHC | $190.30 | $346.00 | $311.40 | — | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING | $265.65 | $483.00 | $195.59–$439.53 | — | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ W/NDL OR CATH PLCMNT EPIDRL C/T W/IMG | $535.70 | $974.00 | $207.43–$3,150.97 | 58% below | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ W/NDL OR CATH PLCMNT EPIDRL C/T W/IMG | $535.70 | $974.00 | $394.41–$886.34 | — | 45% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV | $1,269.40 | $2,308.00 | $491.53–$4,050.82 | 36% below | 45% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV | $1,269.40 | $2,308.00 | $934.60–$2,100.28 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER FOR HYSTEROGRAPHY | $378.40 | $688.00 | $137.60–$619.20 | 49% above | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATHETER FOR HYSTEROGRAPHY | $378.40 | $688.00 | $278.60–$626.08 | — | 45% |
| Hysteroscopy with endometrial ablation CPT 58563 HC PR 58563 HYSTEROSCOPY ENDOMETRIAL ABLATION RHC | $2,734.05 | $4,971.00 | $304.60–$4,225.35 | 34% below | 45% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC PR 58563 HYSTEROSCOPY ENDOMETRIAL ABLATION RHC | $2,734.05 | $4,971.00 | $4,473.90 | — | 45% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC PR 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C RHC | $1,430.00 | $2,600.00 | $304.60–$2,210.00 | 28% below | 45% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC PR 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C RHC | $1,430.00 | $2,600.00 | $2,340.00 | — | 45% |
| IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 INSERTION INTRAUTERINE DEVICE IUD RHC | $220.00 | $400.00 | $304.60–$564.08 | 19% below | 45% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC PR 58300 INSERTION INTRAUTERINE DEVICE IUD RHC | $220.00 | $400.00 | $360.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE RHC | $231.55 | $421.00 | $208.77–$375.79 | 36% below | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM | $399.30 | $726.00 | $154.62–$904.09 | 10% above | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE | $399.30 | $726.00 | $154.62–$904.09 | 10% above | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE CDM | $399.30 | $726.00 | $154.62–$904.09 | 10% above | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE RHC | $231.55 | $421.00 | $378.90 | — | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM | $399.30 | $726.00 | $293.99–$660.66 | — | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE | $399.30 | $726.00 | $293.99–$660.66 | — | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE CDM | $399.30 | $726.00 | $293.99–$660.66 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US RHC | $116.05 | $211.00 | $179.35–$375.79 | 76% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $269.50 | $490.00 | $104.36–$1,343.11 | 45% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM | $269.50 | $490.00 | $104.36–$1,343.11 | 45% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US RHC | $116.05 | $211.00 | $189.90 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $269.50 | $490.00 | $198.42–$445.90 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM | $269.50 | $490.00 | $198.42–$445.90 | — | 45% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT RHC | $245.85 | $447.00 | $304.60–$564.08 | 11% below | 45% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT RHC | $245.85 | $447.00 | $402.30 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US RHC | $89.65 | $163.00 | $138.55–$564.08 | 80% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $263.45 | $479.00 | $102.01–$1,343.11 | 42% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM | $276.65 | $503.00 | $107.12–$1,343.11 | 40% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERMED | $276.65 | $503.00 | $107.12–$1,343.11 | 40% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PR 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US RHC | $89.65 | $163.00 | $146.70 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $263.45 | $479.00 | $193.97–$435.89 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERMED | $276.65 | $503.00 | $203.68–$457.73 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM | $276.65 | $503.00 | $203.68–$457.73 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM | $341.55 | $621.00 | $132.25–$1,343.11 | 10% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM | $341.55 | $621.00 | $251.47–$565.11 | — | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM | $189.20 | $344.00 | $73.26–$1,817.86 | 67% below | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM | $189.20 | $344.00 | $139.30–$313.04 | — | 45% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $872.30 | $1,586.00 | $337.77–$3,150.97 | 36% below | 45% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $872.30 | $1,586.00 | $642.23–$1,443.26 | — | 45% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $542.30 | $986.00 | $209.99–$4,050.82 | 52% below | 45% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $542.30 | $986.00 | $399.27–$897.26 | — | 45% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $471.35 | $857.00 | $182.52–$4,050.82 | 70% below | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $471.35 | $857.00 | $347.03–$779.87 | — | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC PR 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< RHC | $201.85 | $367.00 | $304.60–$564.08 | 63% below | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC PR 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< RHC | $201.85 | $367.00 | $330.30 | — | 45% |
| Nail removal (partial or complete), one nail CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM | $108.35 | $197.00 | $41.96–$904.09 | 62% below | 45% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1^ | $284.35 | $517.00 | $110.11–$904.09 | at median | 45% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM | $108.35 | $197.00 | $79.77–$179.27 | — | 45% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1^ | $284.35 | $517.00 | $209.35–$470.47 | — | 45% |
| Occipital nerve block (injection for headaches) CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM | $451.00 | $820.00 | $174.64–$1,343.11 | 27% below | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM | $451.00 | $820.00 | $332.05–$746.20 | — | 45% |
| Pacemaker implant (dual chamber) CPT 33208 HC INSERTION PERM AV PACER | $13,599.85 | $24,727.00 | $5,266.11–$47,617.25 | 30% above | 45% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERTION PERM AV PACER | $13,599.85 | $24,727.00 | $10,012.95–$22,501.57 | — | 45% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE^ | $1,359.60 | $2,472.00 | $526.46–$4,265.90 | 11% above | 45% |
| Paracentesis with imaging guidance CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM | $1,359.60 | $2,472.00 | $526.46–$4,265.90 | 11% above | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM | $1,359.60 | $2,472.00 | $1,001.01–$2,249.52 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE^ | $1,359.60 | $2,472.00 | $1,001.01–$2,249.52 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL RHC | $228.80 | $416.00 | $304.60–$564.08 | 64% below | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED REMOVAL OF NAIL BED CDM | $425.15 | $773.00 | $164.63–$1,817.86 | 33% below | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL MATRIX PERMANENT REMOVAL | $800.25 | $1,455.00 | $309.87–$1,817.86 | 27% above | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL RHC | $228.80 | $416.00 | $374.40 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED REMOVAL OF NAIL BED CDM | $425.15 | $773.00 | $313.02–$703.43 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL MATRIX PERMANENT REMOVAL | $800.25 | $1,455.00 | $589.19–$1,324.05 | — | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE RHC | $226.60 | $412.00 | $304.60–$564.08 | 56% below | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM | $546.15 | $993.00 | $211.48–$1,817.86 | 6% above | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $573.10 | $1,042.00 | $221.91–$1,817.86 | 12% above | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE RHC | $226.60 | $412.00 | $370.80 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM | $546.15 | $993.00 | $402.11–$903.63 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $573.10 | $1,042.00 | $421.95–$948.22 | — | 45% |
| Short arm cast (elbow to hand) CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM | $228.25 | $415.00 | $88.38–$1,208.39 | 39% below | 45% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM | $228.25 | $415.00 | $168.05–$377.65 | — | 45% |
| Short arm splint (forearm and hand) CPT 29125 HC PR 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC RHC | $124.30 | $226.00 | $192.10–$375.79 | 49% below | 45% |
| Short arm splint (forearm and hand) CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM | $301.40 | $548.00 | $116.71–$586.50 | 25% above | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC PR 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC RHC | $124.30 | $226.00 | $203.40 | — | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM | $301.40 | $548.00 | $221.91–$498.68 | — | 45% |
| Short leg cast (below the knee) CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM | $234.30 | $426.00 | $90.73–$1,208.39 | 32% below | 45% |
| Short leg cast (below the knee) inpatient CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM | $234.30 | $426.00 | $172.50–$387.66 | — | 45% |
| Short leg splint (calf to foot) CPT 29515 HC PR 29515 APPLICATION SHORT LEG SPLINT CALF FOOT RHC | $133.10 | $242.00 | $205.70–$564.08 | 53% below | 45% |
| Short leg splint (calf to foot) CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM | $314.05 | $571.00 | $121.61–$717.94 | 11% above | 45% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC PR 29515 APPLICATION SHORT LEG SPLINT CALF FOOT RHC | $133.10 | $242.00 | $217.80 | — | 45% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM | $314.05 | $571.00 | $231.22–$519.61 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< RHC | $233.75 | $425.00 | $304.60–$564.08 | 26% below | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SUPERFICL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM | $377.30 | $686.00 | $146.10–$904.09 | 20% above | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC PR 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< RHC | $233.75 | $425.00 | $382.50 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SUPERFICL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM | $377.30 | $686.00 | $277.79–$624.26 | — | 45% |
| Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION RHC | $185.90 | $338.00 | $208.77–$375.79 | 45% below | 45% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $337.70 | $614.00 | $130.76–$1,817.86 | at median | 45% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION RHC | $185.90 | $338.00 | $304.20 | — | 45% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $337.70 | $614.00 | $248.63–$558.74 | — | 45% |
| Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 RHC | $105.60 | $192.00 | $163.20–$375.79 | 48% below | 45% |
| Skin tag removal, up to 15 tags CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM | $181.50 | $330.00 | $70.28–$904.09 | 11% below | 45% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC PR 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 RHC | $105.60 | $192.00 | $172.80 | — | 45% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM | $181.50 | $330.00 | $133.63–$300.30 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM | $265.65 | $483.00 | $102.86–$3,150.97 | 70% below | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $265.65 | $483.00 | $102.86–$3,150.97 | 70% below | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $265.65 | $483.00 | $195.59–$439.53 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM | $265.65 | $483.00 | $195.59–$439.53 | — | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM RHC | $226.60 | $412.00 | $304.60–$564.08 | 42% 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 HC REPAIR SUPERFICIAL WOUND(S) 2.5 TO 7.5 CM | $400.40 | $728.00 | $155.04–$904.09 | 3% above | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK EXTR HN CDM | $400.40 | $728.00 | $155.04–$904.09 | 3% above | 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 HC PR 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM RHC | $226.60 | $412.00 | $370.80 | — | 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 HC REPAIR SUPERFICIAL WOUND(S) 2.5 TO 7.5 CM | $400.40 | $728.00 | $294.80–$662.48 | — | 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 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK EXTR HN CDM | $400.40 | $728.00 | $294.80–$662.48 | — | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM | $394.90 | $718.00 | $152.91–$904.09 | 7% above | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM | $394.90 | $718.00 | $290.75–$653.38 | — | 45% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION RHC | $211.75 | $385.00 | $208.77–$375.79 | 20% below | 45% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $288.75 | $525.00 | $111.81–$904.09 | 9% above | 45% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION RHC | $211.75 | $385.00 | $346.50 | — | 45% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $288.75 | $525.00 | $212.59–$477.75 | — | 45% |
| Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM | $1,244.10 | $2,262.00 | $481.74–$2,813.08 | at median | 45% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,244.10 | $2,262.00 | $481.74–$2,813.08 | at median | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM | $1,244.10 | $2,262.00 | $915.97–$2,058.42 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,244.10 | $2,262.00 | $915.97–$2,058.42 | — | 45% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES RHC | $100.10 | $182.00 | $154.70–$564.08 | 69% below | 45% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM | $289.85 | $527.00 | $112.24–$1,343.11 | 9% below | 45% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PR 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES RHC | $100.10 | $182.00 | $163.80 | — | 45% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM | $289.85 | $527.00 | $213.40–$479.57 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG | $2,508.55 | $4,561.00 | $971.36–$7,372.09 | 1% above | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG | $2,508.55 | $4,561.00 | $1,846.93–$4,150.51 | — | 45% |
| Wart removal, up to 14 warts CPT 17110 HC PR 17110 DESTRUCTION BENIGN LESIONS UP TO 14 RHC | $157.30 | $286.00 | $243.10–$564.08 | 29% below | 45% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 DESTRUCTION BENIGN LESIONS UP TO 14 RHC | $157.30 | $286.00 | $257.40 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $814.00 | $1,480.00 | $315.20–$1,817.86 | 36% above | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM/< - DEBRIDE SKIN CDM | $814.00 | $1,480.00 | $315.20–$1,817.86 | 36% above | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBQ TISSUE LTE 20 SQ CM | $1,580.70 | $2,874.00 | $612.08–$2,586.60 | 164% above | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $814.00 | $1,480.00 | $599.31–$1,346.80 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM/< - DEBRIDE SKIN CDM | $814.00 | $1,480.00 | $599.31–$1,346.80 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBQ TISSUE LTE 20 SQ CM | $1,580.70 | $2,874.00 | $1,163.80–$2,615.34 | — | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EA UNIT | $356.40 | $648.00 | $138.00–$1,989.17 | 61% below | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EA UNIT | $356.40 | $648.00 | $262.40–$589.68 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 AIRWAY INHALATION TREATMENT RHC | $31.35 | $57.00 | $48.45–$375.79 | 85% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSION VENTILATION THERAPY | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SPUTUM INDUCTION | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER ANTIBIOTICS | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC METER DOSE INHALER | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL CONTINUOUS DAILY | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HELIOX HOURLY | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HIGH FLOW OXYGEN DAILY | $178.20 | $324.00 | $69.00–$925.42 | 16% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER SMALL VOLUME | $194.15 | $353.00 | $75.18–$925.42 | 8% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PR 94640 AIRWAY INHALATION TREATMENT RHC | $31.35 | $57.00 | $51.30 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL CONTINUOUS DAILY | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HELIOX HOURLY | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSION VENTILATION THERAPY | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HIGH FLOW OXYGEN DAILY | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC METER DOSE INHALER | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER ANTIBIOTICS | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SPUTUM INDUCTION | $178.20 | $324.00 | $131.20–$294.84 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER SMALL VOLUME | $194.15 | $353.00 | $142.94–$321.23 | — | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL HR | $499.95 | $909.00 | $193.59–$1,509.19 | 30% below | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL HR | $499.95 | $909.00 | $368.09–$827.19 | — | 45% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM | $2,501.40 | $4,548.00 | $968.59–$4,093.20 | 1% below | 45% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM | $2,501.40 | $4,548.00 | $1,841.67–$4,138.68 | — | 45% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ECG 12 LEAD W/INTERP & REPORT | $145.75 | $265.00 | $53.00–$238.50 | 51% above | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ECG 12 LEAD W/INTERP & REPORT | $145.75 | $265.00 | $107.31–$241.15 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY | $192.50 | $350.00 | $74.54–$315.00 | 6% above | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY | $192.50 | $350.00 | $141.73–$318.50 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM | $207.35 | $377.00 | $80.29–$400.63 | 7% below | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM | $207.35 | $377.00 | $152.66–$343.07 | — | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM | $398.20 | $724.00 | $154.19–$720.54 | 2% above | 45% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM | $398.20 | $724.00 | $293.18–$658.84 | — | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM | $640.20 | $1,164.00 | $247.90–$1,259.85 | 12% below | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM | $640.20 | $1,164.00 | $471.35–$1,059.24 | — | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM | $1,169.30 | $2,126.00 | $452.77–$1,937.48 | at median | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM | $1,169.30 | $2,126.00 | $860.90–$1,934.66 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM | $2,026.75 | $3,685.00 | $784.79–$3,316.50 | 3% above | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM | $2,026.75 | $3,685.00 | $1,492.20–$3,353.35 | — | 45% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $658.90 | $1,198.00 | $255.14–$1,416.87 | 13% above | 45% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $658.90 | $1,198.00 | $485.12–$1,090.18 | — | 45% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $203.50 | $370.00 | $78.80–$731.05 | 6% below | 45% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $203.50 | $370.00 | $149.83–$336.70 | — | 45% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC PRHOLTER MONITOR W/INTERP & REPT | $257.40 | $468.00 | $93.60–$421.20 | 20% above | 45% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC PRHOLTER MONITOR W/INTERP & REPT | $257.40 | $468.00 | $189.51–$425.88 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL HR | $348.70 | $634.00 | $135.02–$958.64 | 4% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INITIAL HR CDM | $356.40 | $648.00 | $138.00–$958.64 | 6% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL HR | $348.70 | $634.00 | $256.73–$576.94 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INITIAL HR CDM | $356.40 | $648.00 | $262.40–$589.68 | — | 45% |
| IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM | $420.75 | $765.00 | $162.92–$958.64 | 4% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL HR | $432.30 | $786.00 | $167.39–$958.64 | 6% above | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM | $420.75 | $765.00 | $309.78–$696.15 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL HR | $432.30 | $786.00 | $318.28–$715.26 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PR 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM RHC | $45.65 | $83.00 | $70.55–$375.79 | 54% below | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PR 96372 THER/PROPH/DIAG INJ SC/IM | $45.65 | $83.00 | $17.68–$323.82 | 54% below | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM | $108.35 | $197.00 | $41.96–$323.82 | 9% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM | $111.10 | $202.00 | $43.02–$323.82 | 12% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SQ OR IM | $113.85 | $207.00 | $44.08–$323.82 | 15% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC PR 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM RHC | $45.65 | $83.00 | $74.70 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC PR 96372 THER/PROPH/DIAG INJ SC/IM | $45.65 | $83.00 | $33.61–$75.53 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM | $108.35 | $197.00 | $79.77–$179.27 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM | $111.10 | $202.00 | $81.80–$183.82 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SQ OR IM | $113.85 | $207.00 | $83.82–$188.37 | — | 45% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PR 90791 PSYCH DIAG EVAL RHC | $194.70 | $354.00 | $75.39–$731.05 | 19% below | 45% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PR 90791 PSYCH DIAG EVAL RHC | $194.70 | $354.00 | $143.35–$322.14 | — | 45% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | $92.95 | $169.00 | $33.80–$152.10 | 5% below | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | $92.95 | $169.00 | $68.43–$153.79 | — | 45% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT VISIT - LEVEL 3 | $179.85 | $327.00 | $65.40–$294.30 | at median | 45% |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 OFFICE OUTPATIENT NEW RHC | $191.40 | $348.00 | $208.77–$375.79 | 6% above | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT VISIT - LEVEL 3 | $179.85 | $327.00 | $132.42–$297.57 | — | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 OFFICE OUTPATIENT NEW RHC | $191.40 | $348.00 | $313.20 | — | 45% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT VISIT - LEVEL 4 | $238.70 | $434.00 | $86.80–$390.60 | 5% below | 45% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 OFFICE OUTPATIENT NEW RHC | $285.45 | $519.00 | $208.77–$441.15 | 13% above | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT VISIT - LEVEL 4 | $238.70 | $434.00 | $175.74–$394.94 | — | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 OFFICE OUTPATIENT NEW RHC | $285.45 | $519.00 | $467.10 | — | 45% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT VISIT - LEVEL 5 | $369.05 | $671.00 | $134.20–$603.90 | 8% above | 45% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 OFFICE OUTPATIENT NEW RHC | $377.85 | $687.00 | $208.77–$583.95 | 10% above | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT VISIT - LEVEL 5 | $369.05 | $671.00 | $271.71–$610.61 | — | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 OFFICE OUTPATIENT NEW RHC | $377.85 | $687.00 | $618.30 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT VISIT - LEVEL 2 | $117.15 | $213.00 | $42.60–$191.70 | 19% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PR 99202 OFFICE OUTPATIENT NEW RHC | $124.30 | $226.00 | $192.10–$564.08 | 14% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT VISIT - LEVEL 2 | $117.15 | $213.00 | $86.25–$193.83 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC PR 99202 OFFICE OUTPATIENT NEW RHC | $124.30 | $226.00 | $203.40 | — | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION INDIV INIT EA 15 MIN | $38.50 | $70.00 | $14.00–$63.00 | 40% below | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC PR 97802 MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI RHC | $51.70 | $94.00 | $79.90–$375.79 | 19% below | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTRITION INDIV INIT EA 15 MIN | $38.50 | $70.00 | $28.35–$63.70 | — | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC PR 97802 MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI RHC | $51.70 | $94.00 | $84.60 | — | 45% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEX | $114.40 | $208.00 | $41.60–$187.20 | 45% below | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEX | $114.40 | $208.00 | $84.23–$189.28 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEX | $272.80 | $496.00 | $99.20–$446.40 | 1% above | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEX | $272.80 | $496.00 | $200.85–$451.36 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEX | $182.05 | $331.00 | $66.20–$297.90 | 16% below | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEX | $182.05 | $331.00 | $134.04–$301.21 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEX | $227.70 | $414.00 | $82.80–$372.60 | 2% below | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEX | $227.70 | $414.00 | $167.65–$376.74 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | $97.35 | $177.00 | $35.40–$159.30 | 20% above | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | $97.35 | $177.00 | $71.67–$161.07 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $97.90 | $178.00 | $35.60–$160.20 | 5% above | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $97.90 | $178.00 | $72.08–$161.98 | — | 45% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS RHC | $145.75 | $265.00 | $225.25–$564.08 | 14% below | 45% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 DOT PHYSICAL AGE 18-39 NEW PT RHC | $145.75 | $265.00 | $225.25–$564.08 | 14% below | 45% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS RHC | $145.75 | $265.00 | $238.50 | — | 45% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 DOT PHYSICAL AGE 18-39 NEW PT RHC | $145.75 | $265.00 | $238.50 | — | 45% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 PREVENTIVE VISIT NEW 40-64 RHC | $198.00 | $360.00 | $304.60–$564.08 | 11% below | 45% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 DOT PHYSICAL AGE 40-64 NEW PT RHC | $198.00 | $360.00 | $304.60–$564.08 | 11% below | 45% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 PREVENTIVE VISIT NEW 40-64 RHC | $198.00 | $360.00 | $324.00 | — | 45% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 DOT PHYSICAL AGE 40-64 NEW PT RHC | $198.00 | $360.00 | $324.00 | — | 45% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC PR 99387 INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> RHC | $139.15 | $253.00 | $215.05–$564.08 | 42% below | 45% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC PR 99387 DOT PHYSICAL AGE GT 65 YRS NEW RHC | $143.55 | $261.00 | $221.85–$564.08 | 40% below | 45% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PR 99387 INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> RHC | $139.15 | $253.00 | $227.70 | — | 45% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PR 99387 DOT PHYSICAL AGE GT 65 YRS NEW RHC | $143.55 | $261.00 | $234.90 | — | 45% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 DOT PHYSICAL AGE 18-39 EST PT RHC | $154.00 | $280.00 | $238.00–$564.08 | 4% below | 45% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 PREVENTIVE VISIT EST 18-39 RHC | $198.55 | $361.00 | $304.60–$564.08 | 24% above | 45% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PR 99395 DOT PHYSICAL AGE 18-39 EST PT RHC | $154.00 | $280.00 | $252.00 | — | 45% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PR 99395 PREVENTIVE VISIT EST 18-39 RHC | $198.55 | $361.00 | $324.90 | — | 45% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 DOT PHYSICAL AGE 40-64 EST PT RHC | $108.35 | $197.00 | $167.45–$564.08 | 41% below | 45% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 PREVENTIVE VISIT EST 40-64 RHC | $144.65 | $263.00 | $223.55–$564.08 | 21% below | 45% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PR 99396 DOT PHYSICAL AGE 40-64 EST PT RHC | $108.35 | $197.00 | $177.30 | — | 45% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PR 99396 PREVENTIVE VISIT EST 40-64 RHC | $144.65 | $263.00 | $236.70 | — | 45% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 DOT PHYSICAL AGE GT 65 YRS EST RHC | $116.60 | $212.00 | $180.20–$564.08 | 41% below | 45% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 PREVENTIVE VISIT EST 65 & OVER RHC | $228.25 | $415.00 | $304.60–$564.08 | 15% above | 45% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PR 99397 DOT PHYSICAL AGE GT 65 YRS EST RHC | $116.60 | $212.00 | $190.80 | — | 45% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PR 99397 PREVENTIVE VISIT EST 65 & OVER RHC | $228.25 | $415.00 | $373.50 | — | 45% |
| Psychiatric evaluation with medical services CPT 90792 HC PR 90792 PSYCH DIAG EVAL W MED SRVCS RHC | $221.65 | $403.00 | $85.83–$731.05 | 20% below | 45% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PR 90792 PSYCH DIAG EVAL W MED SRVCS RHC | $221.65 | $403.00 | $163.19–$366.73 | — | 45% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $156.75 | $285.00 | $60.70–$731.05 | 41% below | 45% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $156.75 | $285.00 | $115.41–$259.35 | — | 45% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $83.05 | $151.00 | $32.16–$731.05 | 40% below | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $83.05 | $151.00 | $61.15–$137.41 | — | 45% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $110.55 | $201.00 | $42.81–$731.05 | 40% below | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $110.55 | $201.00 | $81.39–$182.91 | — | 45% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $162.80 | $296.00 | $63.04–$731.05 | 38% below | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $162.80 | $296.00 | $119.86–$269.36 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $24.75 | $45.00 | $9.58–$135.54 | 25% below | 45% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC PR 99406 BEHAV CHNG SMOKING 3-10 MIN RHC | $25.85 | $47.00 | $39.95–$375.79 | 21% below | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $24.75 | $45.00 | $18.22–$40.95 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC PR 99406 BEHAV CHNG SMOKING 3-10 MIN RHC | $25.85 | $47.00 | $42.30 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTAB PT VISIT - LEVEL 5 | $278.30 | $506.00 | $101.20–$455.40 | 10% above | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC L&D TRIAGE ESTAB PATIENT LVL 5 CDM | $278.30 | $506.00 | $101.20–$455.40 | 10% above | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PR 99215 OFFICE OUTPATIENT VISIT RHC | $309.10 | $562.00 | $208.77–$477.70 | 22% above | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC L&D TRIAGE ESTAB PATIENT LVL 5 CDM | $278.30 | $506.00 | $204.90–$460.46 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC ESTAB PT VISIT - LEVEL 5 | $278.30 | $506.00 | $204.90–$460.46 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC PR 99215 OFFICE OUTPATIENT VISIT RHC | $309.10 | $562.00 | $505.80 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC L&D TRIAGE ESTAB PATIENT LVL 3 CDM | $119.90 | $218.00 | $43.60–$196.20 | 17% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTAB PT VISIT - LEVEL 3 | $138.60 | $252.00 | $50.40–$226.80 | 4% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LACTATION CONSULT LEVEL 3 | $141.90 | $258.00 | $51.60–$232.20 | 2% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PR 99213 OFFICE OUTPATIENT VISIT RHC | $156.75 | $285.00 | $208.77–$375.79 | 8% above | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC L&D TRIAGE ESTAB PATIENT LVL 3 CDM | $119.90 | $218.00 | $88.28–$198.38 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC ESTAB PT VISIT - LEVEL 3 | $138.60 | $252.00 | $102.04–$229.32 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LACTATION CONSULT LEVEL 3 | $141.90 | $258.00 | $104.47–$234.78 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC PR 99213 OFFICE OUTPATIENT VISIT RHC | $156.75 | $285.00 | $256.50 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC L&D TRIAGE ESTAB PATIENT LVL 4 CDM | $153.45 | $279.00 | $55.80–$251.10 | 16% below | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTAB PT VISIT - LEVEL 4 | $199.10 | $362.00 | $72.40–$325.80 | 9% above | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC LACTATION CONSULT LVL 4 | $210.65 | $383.00 | $76.60–$344.70 | 15% above | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 OFFICE OUTPATIENT VISIT RHC | $221.65 | $403.00 | $208.77–$375.79 | 21% above | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC L&D TRIAGE ESTAB PATIENT LVL 4 CDM | $153.45 | $279.00 | $112.98–$253.89 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC ESTAB PT VISIT - LEVEL 4 | $199.10 | $362.00 | $146.59–$329.42 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC LACTATION CONSULT LVL 4 | $210.65 | $383.00 | $155.09–$348.53 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PR 99214 OFFICE OUTPATIENT VISIT RHC | $221.65 | $403.00 | $362.70 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB PT VISIT - LEVEL 2 | $85.80 | $156.00 | $31.20–$140.40 | 19% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR 99212 OFFICE OUTPATIENT VISIT RHC | $96.25 | $175.00 | $148.75–$375.79 | 10% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC L&D TRIAGE ESTAB PATIENT LVL 2 CDM | $102.85 | $187.00 | $37.40–$168.30 | 3% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LACTATION CONSULT LEVEL 2 | $119.35 | $217.00 | $43.40–$195.30 | 12% above | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTAB PT VISIT - LEVEL 2 | $85.80 | $156.00 | $63.17–$141.96 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PR 99212 OFFICE OUTPATIENT VISIT RHC | $96.25 | $175.00 | $157.50 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC L&D TRIAGE ESTAB PATIENT LVL 2 CDM | $102.85 | $187.00 | $75.72–$170.17 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LACTATION CONSULT LEVEL 2 | $119.35 | $217.00 | $87.87–$197.47 | — | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES RHC | $186.45 | $339.00 | $288.15–$564.08 | 12% below | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES RHC | $186.45 | $339.00 | $305.10 | — | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC PR 99244 OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES RHC | $357.50 | $650.00 | $208.77–$552.50 | 6% above | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC PR 99244 OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES RHC | $357.50 | $650.00 | $585.00 | — | 45% |
| Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $210.65 | $383.00 | $76.60–$344.70 | 45% below | 45% |
| Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN | $210.65 | $383.00 | $155.09–$348.53 | — | 45% |
| Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY - INDIV | $221.65 | $403.00 | $80.60–$362.70 | 5% above | 45% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY - INDIV | $221.65 | $403.00 | $163.19–$366.73 | — | 45% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $106.70 | $194.00 | $38.80–$174.60 | 2% above | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $106.70 | $194.00 | $78.56–$176.54 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM | $70.95 | $129.00 | $27.47–$586.50 | 65% below | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY | $72.60 | $132.00 | $28.11–$586.50 | 64% below | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM | $70.95 | $129.00 | $52.24–$117.39 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY | $72.60 | $132.00 | $53.45–$120.12 | — | 45% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML | $66.55 | $121.00 | $25.77–$108.90 | 52% below | 45% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML | $66.55 | $121.00 | $49.00–$110.11 | — | 45% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML | $66.55 | $121.00 | $25.77–$108.90 | 61% below | 45% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML | $66.55 | $121.00 | $49.00–$110.11 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC PR RX VARICELLA VACCINE LIVE SQ 0.5 ML | $88.55 | $161.00 | $32.20–$144.90 | 52% below | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECTION SUSR | $324.07 | $589.22 | $117.84–$530.30 | 74% above | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC PR RX VARICELLA VACCINE LIVE SQ 0.5 ML | $88.55 | $161.00 | $65.20–$146.51 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECTION SUSR | $324.07 | $589.22 | $238.60–$536.19 | — | 45% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC PR RX 9VHPV VACCINE 2/3 DOSE IM 0.5 ML | $126.50 | $230.00 | $46.00–$207.00 | 53% below | 45% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC PR RX 9VHPV VACCINE 2/3 DOSE IM 0.5 ML | $126.50 | $230.00 | $93.14–$209.30 | — | 45% |
| Hepatitis A vaccine, adult dose CPT 90632 HC PR RX HEPATITUS A VACCINE ADULT IM 1 ML | $77.00 | $140.00 | $28.00–$126.00 | 3% above | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC PR RX HEPATITUS A VACCINE ADULT IM 1 ML | $77.00 | $140.00 | $56.69–$127.40 | — | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC PR RX HEPB VACCINE ADULT 3 DOSE IM 1 ML | $52.25 | $95.00 | $20.23–$85.50 | 33% below | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/ML INJECTION SUSP/SUSY (WRAPPER) | $73.32 | $133.31 | $28.39–$119.98 | 6% below | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC PR RX HEPB VACCINE ADULT 3 DOSE IM 1 ML | $52.25 | $95.00 | $38.47–$86.45 | — | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/ML INJECTION SUSP/SUSY (WRAPPER) | $73.32 | $133.31 | $53.98–$121.31 | — | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC PR RX IIV VACCINE PF INCREASED AG CONTENT IM 1 EA | $70.40 | $128.00 | $27.26–$115.20 | 11% below | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC PR RX IIV VACCINE PF INCREASED AG CONTENT IM 1 EA | $70.40 | $128.00 | $51.83–$116.48 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJECTION SOLR | $162.48 | $295.41 | $59.08–$265.87 | 6% below | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJECTION SOLR | $162.48 | $295.41 | $119.62–$268.82 | — | 45% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC PR RX MENACWYD/MENACWY-CRM CONJ VACCINE GRPS ACYW IM 0.5 ML | $74.25 | $135.00 | $27.00–$121.50 | 50% below | 45% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC PR RX MENACWYD/MENACWY-CRM CONJ VACCINE GRPS ACYW IM 0.5 ML | $74.25 | $135.00 | $54.67–$122.85 | — | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC PR RX MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM 0.5 ML | $105.60 | $192.00 | $38.40–$172.80 | 70% below | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC PR RX MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM 0.5 ML | $105.60 | $192.00 | $77.75–$174.72 | — | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA | $127.05 | $231.00 | $49.20–$207.90 | 73% below | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $255.55 | $464.63 | $98.95–$418.17 | 46% below | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA | $127.05 | $231.00 | $93.54–$210.21 | — | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $255.55 | $464.63 | $188.15–$422.81 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PR RX PNEUMOCOCCAL VACCINE 23 VALENT 2 YRS OR OLDER SQ/IM 0.5 ML | $55.00 | $100.00 | $21.30–$90.00 | 62% below | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PR RX PNEUMOCOCCAL VACCINE 23 VALENT 2 YRS OR OLDER SQ/IM 0.5 ML | $55.00 | $100.00 | $40.49–$91.00 | — | 45% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC PR RX RSV MONOCLONAL ANTIBODY IM 0.5 ML | $265.10 | $482.00 | $96.40–$433.80 | 64% below | 45% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $875.80 | $1,592.37 | $318.47–$1,433.13 | 18% above | 45% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC PR RX RSV MONOCLONAL ANTIBODY IM 0.5 ML | $265.10 | $482.00 | $195.18–$438.62 | — | 45% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $875.80 | $1,592.37 | $644.81–$1,449.06 | — | 45% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC PR RX RSV PREF BIVALENT IM 1 EA | $156.20 | $284.00 | $56.80–$255.60 | 66% below | 45% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC PR RX RSV PREF BIVALENT IM 1 EA | $156.20 | $284.00 | $115.00–$258.44 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML | $14.85 | $27.00 | $5.40–$24.30 | 73% below | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP | $47.00 | $85.46 | $17.09–$76.91 | 15% below | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML | $14.85 | $27.00 | $10.93–$24.57 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP | $47.00 | $85.46 | $34.61–$77.77 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML | $23.10 | $42.00 | $8.40–$37.80 | 72% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $76.50 | $139.09 | $27.82–$125.18 | 7% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML | $23.10 | $42.00 | $17.01–$38.22 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $76.50 | $139.09 | $56.32–$126.57 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INITIAL VFC | $13.20 | $24.00 | $5.11–$323.82 | 70% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE PNEUMONIA | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE HEPATITIS B | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INFLUENZA | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR 90471 IMMUNIZATION ADMIN | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INITIAL | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE | $40.15 | $73.00 | $15.55–$323.82 | 10% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INITIAL VFC | $13.20 | $24.00 | $9.72–$21.84 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INITIAL | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE HEPATITIS B | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INFLUENZA | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE PNEUMONIA | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR 90471 IMMUNIZATION ADMIN | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE | $40.15 | $73.00 | $29.56–$66.43 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR ADMIN VACCINE EA ADDL VFC | $13.20 | $24.00 | $4.80–$21.60 | 66% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EACH ADD | $25.30 | $46.00 | $9.20–$41.40 | 34% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR 90472 IMMUNIZATION ADMIN EACH ADD | $25.30 | $46.00 | $9.20–$41.40 | 34% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL | $25.30 | $46.00 | $9.20–$41.40 | 34% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR ADMIN VACCINE EA ADDL VFC | $13.20 | $24.00 | $9.72–$21.84 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL | $25.30 | $46.00 | $18.63–$41.86 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR 90472 IMMUNIZATION ADMIN EACH ADD | $25.30 | $46.00 | $18.63–$41.86 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EACH ADD | $25.30 | $46.00 | $18.63–$41.86 | — | 45% |